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…healthcare advocates have to work extra hard while proponents of a more punitive approach simply point to a crime committed by a drug user…

It reminds me of the addicts who convince themselves that somehow, despite all the pain of the past, this time things will be different.

If we’re going to rely on science in decision-making, we should at least make certain it’s good science.

It’s the basic unit of most drug-free approaches. What would happen if it could be incorporated into the OTP curriculum?

Nurses and doctors experience the same feelings about homeless alcoholics they see in the ER every Saturday night.

There’s no blood test, no scan to aid diagnosis. Knowing intellectually that one in ten will succumb is very little help; it has no practical value in terms of predicting an individual outcome.

Of course with additional treatment responsibilities, a counselor couldn’t be expected to manage a caseload of up to 75.

Then word hits the street of a new product that can make you feel almost like your first time… No wonder they come running. And some never wake up.

If a life in balance is the ideal, then a broader approach has a better shot at sustainability.

Assumption: Without that reinforcement, use will simply stop on its own.