New post on arguments against forced #addiction treatment--and why it's such an uphill battle.
#harmreduction #addictionmed #therapistsky #socialworkispolitical
#harmreduction #addictionmed #therapistsky #socialworkispolitical
Right Arguments, Wrong Audience
The addiction treatment industry just can't quit coercion. Mandated (forced) treatment is a staple topic here because the industry relies on it, both financially (guaranteed revenue) and politically (...
www.acureforaddiction.com
November 8, 2025 at 3:43 PM
New post on arguments against forced #addiction treatment--and why it's such an uphill battle.
#harmreduction #addictionmed #therapistsky #socialworkispolitical
#harmreduction #addictionmed #therapistsky #socialworkispolitical
Like so many #addiction treatment providers, I once saw mandated (i.e. forced) treatment as a "necessary evil."
I don't know when I first internalized the idea that evil is ever "necessary," but I'm working to unlearn it now.
#harmreduction #therapistsky #addictionmed
I don't know when I first internalized the idea that evil is ever "necessary," but I'm working to unlearn it now.
#harmreduction #therapistsky #addictionmed
November 3, 2025 at 6:49 PM
Like so many #addiction treatment providers, I once saw mandated (i.e. forced) treatment as a "necessary evil."
I don't know when I first internalized the idea that evil is ever "necessary," but I'm working to unlearn it now.
#harmreduction #therapistsky #addictionmed
I don't know when I first internalized the idea that evil is ever "necessary," but I'm working to unlearn it now.
#harmreduction #therapistsky #addictionmed
We need to get comfortable with being wrong and also support colleagues as they realize they are wrong. If we're really here for our patients/clients/participants/people, rather than status or ego, we are willing to change our minds and approaches.
#addictionmed #therapistsky #harmreduction
#addictionmed #therapistsky #harmreduction
People who reject #HarmReduction are uncomfortable with the increasing number of experts who they thought were on-side, who looked at the evidence and shift to support harm reduction.
Do you never consider the remote possibility that you might be wrong? And the harm you cause if you ARE wrong?
Do you never consider the remote possibility that you might be wrong? And the harm you cause if you ARE wrong?
October 29, 2025 at 5:54 PM
We need to get comfortable with being wrong and also support colleagues as they realize they are wrong. If we're really here for our patients/clients/participants/people, rather than status or ego, we are willing to change our minds and approaches.
#addictionmed #therapistsky #harmreduction
#addictionmed #therapistsky #harmreduction
I have a long-form essay on the #IDHA blog! On prioritizing people's autonomy in #substanceuse, from language to service options.
#therapistsky #drugsky #addictionmed #socialworkispolitical
#therapistsky #drugsky #addictionmed #socialworkispolitical
Substance Use and Autonomy in Word and Deed — IDHA
It’s like a series of riddles. What experience has universal meaning but no agreed-upon name? What “deadly disease” do some people not mind having – or might not even exist? What service is out of rea...
www.idha-nyc.org
October 22, 2025 at 6:43 PM
I have a long-form essay on the #IDHA blog! On prioritizing people's autonomy in #substanceuse, from language to service options.
#therapistsky #drugsky #addictionmed #socialworkispolitical
#therapistsky #drugsky #addictionmed #socialworkispolitical
I've fallen into rabbit hole & am learning about SNO MED & role it plays in EHRs & my inability to choose appropriate and less stigmatizing terminology in my @athenahealth notes. Any "can we change SNO MED" experts out in twittersphere? #medtwitter #addictionmed
November 25, 2024 at 12:34 AM
I've fallen into rabbit hole & am learning about SNO MED & role it plays in EHRs & my inability to choose appropriate and less stigmatizing terminology in my @athenahealth notes. Any "can we change SNO MED" experts out in twittersphere? #medtwitter #addictionmed
Caught end of @NewYorker Radio Hour this evening and this quotation by @AkramKhanLive - though about an entirely different topic - really struck me as an #addictionmed doc —
November 24, 2024 at 6:46 PM
Caught end of @NewYorker Radio Hour this evening and this quotation by @AkramKhanLive - though about an entirely different topic - really struck me as an #addictionmed doc —
The best feeling: when patient tells you a fellow drug user told them about our #addictionmed consult team and said we were great 💙
November 25, 2024 at 10:42 AM
The best feeling: when patient tells you a fellow drug user told them about our #addictionmed consult team and said we were great 💙
The ACAAM Question Bank isn’t just for test prep, it’s practice-changing. 76% of users say it helped them revise protocols, policies, or procedures.
Get 186 evidence-based questions, instant explanations, flexible formats, & member discounts.
Check it out today 👉 buff.ly/lPT5JoE
#AddictionMed
Get 186 evidence-based questions, instant explanations, flexible formats, & member discounts.
Check it out today 👉 buff.ly/lPT5JoE
#AddictionMed
May 16, 2025 at 2:03 PM
The ACAAM Question Bank isn’t just for test prep, it’s practice-changing. 76% of users say it helped them revise protocols, policies, or procedures.
Get 186 evidence-based questions, instant explanations, flexible formats, & member discounts.
Check it out today 👉 buff.ly/lPT5JoE
#AddictionMed
Get 186 evidence-based questions, instant explanations, flexible formats, & member discounts.
Check it out today 👉 buff.ly/lPT5JoE
#AddictionMed
GLP1s for everyone! #addictionmed...
November 24, 2024 at 3:21 PM
GLP1s for everyone! #addictionmed...
February 20, 2025 at 6:07 PM
FYI - I made an #addictionmed feed that you can pin to your profile to easily track posts with “#addictionmedicine” or “#addictionmed” - (similar to IDSky for ID things!)
bsky.app/profile/did:...
bsky.app/profile/did:...
November 18, 2024 at 3:58 AM
FYI - I made an #addictionmed feed that you can pin to your profile to easily track posts with “#addictionmedicine” or “#addictionmed” - (similar to IDSky for ID things!)
bsky.app/profile/did:...
bsky.app/profile/did:...
Standardized treatment for #substanceuse is always doomed to fail. Standardized treatment for anything is always doomed to fail!
Real care does not scale. As long as we keep focusing on "efficiency" or "streamlining" we are not providing real care.
#therapistsky #addictionmed #harmreduction
Real care does not scale. As long as we keep focusing on "efficiency" or "streamlining" we are not providing real care.
#therapistsky #addictionmed #harmreduction
October 27, 2025 at 3:00 PM
Standardized treatment for #substanceuse is always doomed to fail. Standardized treatment for anything is always doomed to fail!
Real care does not scale. As long as we keep focusing on "efficiency" or "streamlining" we are not providing real care.
#therapistsky #addictionmed #harmreduction
Real care does not scale. As long as we keep focusing on "efficiency" or "streamlining" we are not providing real care.
#therapistsky #addictionmed #harmreduction
#addictionmed hive mind: what are you favorite articles/resources for demonstrating that buprenorphine availability should NOT be contingent upon participation in counseling? @lcav09 @jtetrault17 @CarolynAChan @DrSarahAxelrath @DrKimSue @ShawnCohen_MD
November 25, 2024 at 6:31 AM
#addictionmed hive mind: what are you favorite articles/resources for demonstrating that buprenorphine availability should NOT be contingent upon participation in counseling? @lcav09 @jtetrault17 @CarolynAChan @DrSarahAxelrath @DrKimSue @ShawnCohen_MD
New post on false distinctions in #druguse, occasioned by 7-OH.
#drugsky #harmreduction #addictionmed #therapistsky
#drugsky #harmreduction #addictionmed #therapistsky
Recreational vs. Therapeutic
The Kansas City Star just published a series on 7-OH, which is a gray market synthetic derivative of the opioid kratom. When I saw the headline about “a growing opioid epidemic,” I didn’t expect much ...
a-cure-for-addiction.ghost.io
September 27, 2025 at 2:11 PM
New post on false distinctions in #druguse, occasioned by 7-OH.
#drugsky #harmreduction #addictionmed #therapistsky
#drugsky #harmreduction #addictionmed #therapistsky
Ok so it seems there may be value in an #addictionmed feed, which I will attempt to build, stay tuned 😂
November 12, 2024 at 11:38 PM
Ok so it seems there may be value in an #addictionmed feed, which I will attempt to build, stay tuned 😂
Ok #addictionmed & #harmreduction twitter: any resources for folks with acquired/traumatic brain injury & substance use disorder? (Mutual support meetings via zoom, harm reduction tips in setting of impulsivity, etc)
November 26, 2024 at 12:58 PM
Ok #addictionmed & #harmreduction twitter: any resources for folks with acquired/traumatic brain injury & substance use disorder? (Mutual support meetings via zoom, harm reduction tips in setting of impulsivity, etc)
#addictionmed question after having some conversations on this topic:
- we tell patients and colleagues- “do NOT stop bupe if surgery or acute pain, full agonists work with adequate dosing”
- we tell patients “taking bupe provides overdose protection if you use fentanyl”
- we tell patients and colleagues- “do NOT stop bupe if surgery or acute pain, full agonists work with adequate dosing”
- we tell patients “taking bupe provides overdose protection if you use fentanyl”
November 23, 2024 at 8:29 PM
#addictionmed question after having some conversations on this topic:
- we tell patients and colleagues- “do NOT stop bupe if surgery or acute pain, full agonists work with adequate dosing”
- we tell patients “taking bupe provides overdose protection if you use fentanyl”
- we tell patients and colleagues- “do NOT stop bupe if surgery or acute pain, full agonists work with adequate dosing”
- we tell patients “taking bupe provides overdose protection if you use fentanyl”
#harmreduction and #addictionmed twitter: has there been discussion/consideration somewhere about offering targeted po naltrexone to stimulant users who are not opioid tolerant re: fentanyl/OD risk? @DrKimSue @DrMelissaWeimer @DrSarahAxelrath @DrSarahWakeman @sarah_ziggy
November 27, 2024 at 8:22 PM
#harmreduction and #addictionmed twitter: has there been discussion/consideration somewhere about offering targeted po naltrexone to stimulant users who are not opioid tolerant re: fentanyl/OD risk? @DrKimSue @DrMelissaWeimer @DrSarahAxelrath @DrSarahWakeman @sarah_ziggy
Today is a “follow up with people who started bup in the hospital and are doing fabulously” day and it makes me happy 🙂 #addictionmed #consultservicesrock @DrMelissaWeimer
November 27, 2024 at 6:38 PM
Today is a “follow up with people who started bup in the hospital and are doing fabulously” day and it makes me happy 🙂 #addictionmed #consultservicesrock @DrMelissaWeimer
#addictionmed twitter ! at #ASAM there was a poster & some side discussions about starting #Sublocade or XR-bupe without having started SL bupe first. Experiences with this with IV fentanyl users?
Also this would be a cool #AMERSA workshop 🙂
Also this would be a cool #AMERSA workshop 🙂
November 24, 2024 at 10:03 AM
#addictionmed twitter ! at #ASAM there was a poster & some side discussions about starting #Sublocade or XR-bupe without having started SL bupe first. Experiences with this with IV fentanyl users?
Also this would be a cool #AMERSA workshop 🙂
Also this would be a cool #AMERSA workshop 🙂
August 29, 2025 at 11:42 PM
OK #addictionmed and #painmanagement twitter, #pharmacy friends, anyone want to help with a prior authorization fight? Any papers or consensus guidelines you can point to demonstrating safety and/or efficacy of buprenorphine with additional full agonists as needed for pain?
November 24, 2024 at 3:46 AM
OK #addictionmed and #painmanagement twitter, #pharmacy friends, anyone want to help with a prior authorization fight? Any papers or consensus guidelines you can point to demonstrating safety and/or efficacy of buprenorphine with additional full agonists as needed for pain?
ACAAM Members: Join us next Friday, Nov. 14 at #AMERSA2025 for an informal meet-up! We're meeting at the Hyatt Regency Portland, Willamette 9 Room at 12:45 pm PT. Stop by to connect and catch up with colleagues!
Explore upcoming events: buff.ly/3NNfIMX
@amersa.org
#AddictionMed #Networking
Explore upcoming events: buff.ly/3NNfIMX
@amersa.org
#AddictionMed #Networking
November 7, 2025 at 7:16 PM
ACAAM Members: Join us next Friday, Nov. 14 at #AMERSA2025 for an informal meet-up! We're meeting at the Hyatt Regency Portland, Willamette 9 Room at 12:45 pm PT. Stop by to connect and catch up with colleagues!
Explore upcoming events: buff.ly/3NNfIMX
@amersa.org
#AddictionMed #Networking
Explore upcoming events: buff.ly/3NNfIMX
@amersa.org
#AddictionMed #Networking
This is the machine translation, in English, of my 2017 blog post on levomethadone, which might be still useful today. blog-sitd-it.translate.goog/2017/05/25/p....
#addictionmed #addictionsci
Is levomethadone still unavailable in the US?
#addictionmed #addictionsci
Is levomethadone still unavailable in the US?
Il punto sul levometadone - DEDIZIONI - Il Blog della SITD
Ho tenuto per due volte una presentazione sul levometadone, ai convegni regionali SITD Sicilia del 10 giugno (a Gela) e del 28 ottobre 2016 (ad Acireale), e la riporto ora su Dedizioni in modalità dis...
blog-sitd-it.translate.goog
February 23, 2025 at 7:42 AM
This is the machine translation, in English, of my 2017 blog post on levomethadone, which might be still useful today. blog-sitd-it.translate.goog/2017/05/25/p....
#addictionmed #addictionsci
Is levomethadone still unavailable in the US?
#addictionmed #addictionsci
Is levomethadone still unavailable in the US?
This unbelievable prior authorization form by @cignahealthcare.bsky.social and AlleiantRx may actually make my brain explode #addictionmed
- Requiring PA for bupe = absurd
- Requiring "comprehensive treatment" = absurd
- Requriing XWAIVER number (hasn't existed x years) on form = absurd
- Requiring PA for bupe = absurd
- Requiring "comprehensive treatment" = absurd
- Requriing XWAIVER number (hasn't existed x years) on form = absurd
February 22, 2025 at 7:55 PM
This unbelievable prior authorization form by @cignahealthcare.bsky.social and AlleiantRx may actually make my brain explode #addictionmed
- Requiring PA for bupe = absurd
- Requiring "comprehensive treatment" = absurd
- Requriing XWAIVER number (hasn't existed x years) on form = absurd
- Requiring PA for bupe = absurd
- Requiring "comprehensive treatment" = absurd
- Requriing XWAIVER number (hasn't existed x years) on form = absurd