Colleges Create Opioid Response Plans Amid National Crisis

VICE (06/26) – Some experts predict practices like MDMA therapy will be legal in as little as three years…“The FDA has essentially told us that what we’re doing is important and that the science is good,” says Lourido Ali. “They’re really trying to expedite the process and help us through this.” Read more

Moving toward Performance-based Practice

Substance use disorder treatment, along with the entire behavioral health treatment industry, operates without any performance data on either the patient or therapist. The link below is a white paper, which will soon be published in a leading social work practice journal. This paper explores and exposes some of the shortcomings within our treatment industry […]

President’s Commission on Combating Drug Addiction and the Opioid Crisis (Report)

WHITE HOUSE (11/01) – …. The primary goal of the President’s Commission on Combatting Drug Addiction and the Opioid Crisis is to develop an effective set of recommendations for the President to combat the opioid crisis and drug addiction in our nation. Many of the recommendations that follow will require appropriations from Congress into the […]

SUD treatment industry has a race problem

Can a well educated and trained substance use disorder therapist treat any and every patient equally without regard to the patient’s age, race and gender? That is…can a white male baby boomer therapist be successful with any patient on his caseload, such as a mixed-race millennial female, middle-age Hispanic male and white female baby boomer? Does […]

Oxytocin is Being Tested for Treatment of PTSD and Alcohol Abuse

MEDICAL EXPRESS (04/14) – Nightmares. Obsessive thoughts. Avoiding particular places. Sudden outbursts. Fearing you’re in danger. Survivor guilt. These experiences – manifestations of post-traumatic stress disorder (PTSD) – are part of life for up to 1 in 3 U.S. combat veterans and active military personnel. That’s more than triple the prevalence of PTSD in the […]

Evidence-Based Curriculum Curbs Drug Use Among Teens and their Peers

ADDICTION NOW (04/20) – A national curriculum designed to educate children aged 10 to 14 has shown to curb drug use for not only participants of the program but also their friends, according to a report published by the National Institute on Drug Abuse in January. Read more

Tuition-Free School Helps Teens Fight Opioids and Other Substance Abuse

CBS (04/25) – Youth is a drawback when it comes to kicking drugs. Only half of U.S. treatment centers accept teenagers and even fewer offer teen-focused groups or programs. After treatment, adolescents find little structured support. They’re outnumbered by adults at self-help meetings. Sober youth drop-in centers are rare. Returning to school means resisting offers […]

Critical Treatment Gap Seen in Effort to Stem Opioid Epidemic

AMERICAN MEDICAL ASSOCIATION (04/25) – Confronted by the gravity of an opioid epidemic that contributes to the deaths of 91 Americans daily, the nation’s physicians are making much greater use of state prescription drug-monitoring programs (PDMPs), reducing opioid prescriptions, and increasing prescriptions for the life-saving antidote naloxone. Read more

Substance Use Disorders Linked to Suicide Rates for US Veterans

ADDICTION NOW (04/19) – To better understand the link associated with suicide and substance use disorders among men and women in the Veterans Health Administration (VHA), researchers from the Department of Veterans Affairs and the University of Michigan analyzed national administrative health records from all VHA patients in 2005. These patients were then tracked for […]

‘Alarmingly High’ Risk of Death for People with Opioid Use Disorder in General Medical Care

SCIENCE DAILY (04/24) – Almost one-fifth of patients with opioid use disorder (OUD) in a large healthcare system died during a four-year follow-up period, reports a study in the Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine (ASAM)…The results suggest very high rates of serious illness and death among […]

Is Privacy Protection For Addiction Treatment Still Essential?

THE FIX (04/25) – As substance use disorder becomes more widely accepted as a medical issue, there is debate over whether certain privacy protections mandated by federal law are outdated and a hindrance to treatment—or whether they’re still a necessary part of protecting the privacy of people who suffer from these illnesses. Read more

Medical Marijuana Laws Linked to Greater Increase in Illicit Use, Disorders

MEDICAL NEWS TODAY (04/26) – An analysis of data from three national surveys in the United States revealed a higher increase in illicit marijuana use and marijuana use disorders in states that had passed medical marijuana laws (MMLs), compared with states that have not legalized medical marijuana. Read more

Opioid Epidemic May be Underestimated, CDC Report Says

CNN (04/25) – Experts say the United States is in the throes of an opioid abuse epidemic, causing 91 overdose deaths each day. Yet the total number of opioid-related deaths may still be underestimated, suggests new research from the US Centers for Disease Control and Prevention. Read more

If you want your workers to use evidence-based interventions…it takes Grit!

Abstract Substance use disorder remains a pervasive problem in the U.S. and elsewhere. Recent scholarship has explored therapist characteristics and evidence based intervention implementation in an attempt to improve client outcomes. One such construct that has received considerable attention is grit. People with high levels of grit tend to remain determined despite setbacks. This study […]

Trump, Christie Pledge to Combat Nation’s Opioid Addiction

THE WASHINGTON POST (3/29) – President Donald Trump is vowing to step up efforts to combat the nation’s opioid addiction crisis, and he’s tapped New Jersey Gov. Chris Christie to lead the fight. Trump convened an emotional roundtable Wednesday with Christie, members of his Cabinet, law enforcement chiefs, recovering addicts and advocates. It was the […]

How Patient Satisfaction Surveys Contribute to the Opioid Crisis

THE FIX (01/02) – The blame for our nation’s opioid epidemic is often placed squarely at the feet of doctors and their generous prescribing practices. That seemed the most likely explanation—until I spoke with ER doctor of osteopathic medicine Gerald O’Malley, DO. With 25 years of experience, the man is knowledgeable and surprisingly forthcoming about […]

Health Effects of Marijuana and Cannabis-Derived Products Presented in New Report

EUREKALERT! (01/12) – A new report from the National Academies of Sciences, Engineering, and Medicine offers a rigorous review of scientific research published since 1999 about what is known about the health impacts of cannabis and cannabis-derived products – such as marijuana and active chemical compounds known as cannabinoids – ranging from their therapeutic effects […]

Help for Heroes: Study Provides Therapy for Military Couples Battling Alcoholism

Alcohol and other substance abuse are strongly associated with mental health problems reported among service members returning from deployment, including post-traumatic stress disorder, traumatic brain injury, depression and violence in relationships, according to government reports. Read more

ASAM Editor’s Comments: Epidemic, Endemic, Pandemic – Words Matter

ASAM WEEKLY (03/16) – Scattered throughout each week’s articles, and again this week, are frequent references to drug use disorders as “epidemic.” There are limited circumstances in which that label is truly justifiable. Because the use of “epidemic” as a noun implies a rapidly-spreading condition, affecting many people, but burning itself out in time, it […]

A Prescription to End Drinking

Data on Medicine for Alcohol Disorders Pushes Doctors Beyond 12-Step Programs. Read more here: https://www.wsj.com/articles/a-prescription-to-end-drinking-1418687580?tesla=y

More Older Adults Are Struggling With Substance Abuse

More Older Adults Are Struggling With Substance Abuse

BEFORE her drinking spiraled out of control, Sylvia Dobrow “drank like a lady,” as she put it, matching her wine to her sandwiches: “Tuna and chardonnay, roast beef and rosé.” But soon she was “drinking around the clock,” downing glasses of vodka and skim milk. “When you try to hide your drinking from your grandchildren, […]

We must do better treating addiction

This is the third in a four-part series on the growing problem of heroin addiction in our communities. A patient seeking emergency room treatment for an addiction-related medical problem was provided a list of drug rehabilitation and recovery options upon discharge from a local hospital. Problem is – several programs on the list were no […]

What do doctors and addiction specialists think about Oregon marijuana legalization?

The medical and addiction-treatment communities in Oregon haven’t been especially vocal when it comes to support, or lack thereof, for Measure 91, the marijuana legalization referendum on the November ballot. The Oregon Medical Association decided not to take a position, although two doctors penned dueling editorials in the fall issue of the association’s publication, Medicine […]

Recovery Coach Helps An Addict Resist Heroin

Recovery Coach

The first time Jeremy Wurzburg left a heroin treatment program, he planned to begin Narcotics Anonymous and do all the right things to stay off drugs. But one week later, the skinny, pale young man was hanging out with a guy who was also in early recovery, experiencing what Wurzburg, now 21, has come to […]

A Mother Lifts Her Son From Heroin’s Abyss

A Mother Lifts Her Son From Heroin’s Abyss

When Gail Morris came home late one night after taking her daughter to college, she saw her teenage son, Alex, asleep on the sofa in the family room. Nothing seemed amiss. An unfinished glass of apple juice sat on the table. She tucked him in under a blanket and went to bed. Read more at: […]

The brain has remarkable plasticity in response to drugs of abuse

brain has remarkable plasticity in response to drugs of abuse

Every day sees a new research article on addiction, be it cocaine, heroin, food or porn. Each one takes a specific angle on how addiction works in the brain. Perhaps it’s a disorder of reward, with drugs hijacking a natural system that is meant to respond to food, sex and friendship. Possibly addiction is a […]

Addiction Is a Learning Disorder

Addiction Is a Learning Disorder

Addiction is not about our brains being “hijacked” by drugs or experiences—it’s about learned patterns of behavior. Our inability to understand this leads to no end of absurdities. Read more here: Addiction is a Learning Disorder  

CAPA First Annual Conference Sponsorship Info

Below is information on how you can sponsor our upcoming conference. Please take a look and consider becoming a sponsor! Thanks Sponsorship Form – CAPA (PDF)

Addiction medicine Suboxone now being abused

Kenny Stearns III first took Suboxone to help him kick OxyContin after an overdose. But it wasn’t long before he began dissolving Suboxone strips in water and shooting the mixture into his veins. “The first few times I used it, I could get really high from it. Then I just felt normal … I wasn’t […]

New Face of Heroin Is Young, White and Suburban, Study Finds

New Face of Heroin Is Young, White and Suburban

NBC News reported on the results of a recent study that was published in the journal JAMA Psychiatry, “which confirms there’s been a dramatic shift in the demographics of heroin use in the United States.” To read the full news report, please visit: New Face of Heroin Is Young, White and Suburban, Study Finds.

Defending Self-help

Defending Self-help

Hi CAPA folks, Below is a link to a discussion between sciences regarding the benefits of the 12-step model of self-help. I hope you will take some time to read it and discuss with your co-workers. Thanks DAP Defense Of 12 Steps (DOC)

Training, feedback and ongoing coaching or supervision is what works

On page 34 of Dr. Miller’s 2006 article titled: Disseminating evidence-based practices in substance abuse treatment: A review with suggestions (PDF), it states, “Training, feedback, and ongoing coaching or supervision can bring 90% of substance abuse clinicians up to proficiency level in cognitive–behavior therapy (Morgenstern, Morgan, McCrady, Keller, & Carroll, 2001) and motivational interviewing (Miller […]

How to fix Rehab: Words from Dr Tom McLellan

Words from Dr Tom McLellan

The call came on a Saturday, a day after Thomas McLellan told an auditorium of graduate students to rethink the science of addiction. As a research psychologist at the University of Pennsylvania, no one knew more about the subject. But despite his expertise, both McLellan’s sons had become addicts. His oldest was in rehab for […]

Effective Addiction Treatment

Addiction Treatment

Countless people addicted to drugs, alcohol or both have managed to get clean and stay clean with the help of organizations like Alcoholics Anonymous or the thousands of residential and outpatient clinics devoted to treating addiction. But if you have failed one or more times to achieve lasting sobriety after rehab, perhaps after spending tens […]

3/31/14 CAPA Training Pics

CAPA Training

We took a few photos from our last CAPA Training and wanted to share them with everyone. Thanks again to the presenters and agencies that took the time to share there experiences implementing what we have been learning.

Required Clinical Supervisio​n Training

For those who need the required, LCSW 3 hour clinical supervision training, Brown School is offering one April 25th entitled Passing the Legacy On: Ethical Issues in Clinical Supervision. More info can be found HERE. Their summer class will be held on June 13th and is entitled Contextual Supervision: A Strength-Based Approach to Clinical Supervision. If you […]

CAPA Check In

Below is a copy of the most recent e-mail sent out by Dr. David Patterson. Dear CAPA Colleagues, I wanted to follow up after our training last Monday. There are some documents attached that were requested. In regards to readings, it would be great if everyone could please review Part 2, Chapter 2 of the […]

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