The Last Dose

February 25, 2016 by C. Scott McMillin

Reliable stats on relapse can be hard to come by, but return-to-heroin rates appear to run above 80% (and in some cases, higher).

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Reducing Harm vs… Well, Reducing Harm

August 17, 2015 by C. Scott McMillin

My longstanding rule is to design your program to treat your population, not some idealized group of subjects who did well in a research setting with a significantly different structure.

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The Monitoring Model

May 28, 2015 by C. Scott McMillin

We spend a great deal of time in treatment seeking to increase patient motivation, but these programs do not rely on a motivated patient.

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Opioids and the Assumption of Failure

May 21, 2015 by C. Scott McMillin

It also suggests that the ‘return to heroin’ rate among former maintenance clients may be even higher.

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The EBP Conundrum

April 6, 2015 by C. Scott McMillin

When a clinician uses an EBP, she’s reassuring herself that it’s likely to be more helpful than if she sat on her hands and did nothing.

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Groups That Work: Climate

March 23, 2015 by C. Scott McMillin

When a group has been mired in the hostile or helpless mode, and breaks through into work, you’ll see an almost tangible change in tone.

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Groups That Don’t Work pt 2

February 16, 2015 by C. Scott McMillin

We’ve never seen a group that works, right from its inception. Progress toward work usually involves struggle through one or more of these modes.

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Groups That Don’t Work pt 1

January 29, 2015 by C. Scott McMillin

When a group adopts one of these operating modes permanently, as a primary form of interaction, they end up actively resisting any responsibility for achieving individual and group goals.

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Beyond the Jargon

January 22, 2015 by C. Scott McMillin

What’s behind those fine-sounding terms on the website? Which provide useful information, and which are bells and whistles to enhance attractiveness?

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To Maintain or Not to Maintain?

November 24, 2014 by C. Scott McMillin

You know what would help put an end to the debate? A protocol and procedures for a successful transition off maintenance for those patients who would prefer not to remain dependent.

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