Analysis: The so‐called ‘Freedom Model’ of addiction treatment

The below comments were originally posted, in shortened form, on the Facebook Broken No More page. We asked the author to revise for ADAW, and he did. He refers to the article “Widespread Use of Medically Assisted Treatment (MAT) Has Not Resulted in Less Overdoses” (and we resisted the almost overwhelming temptation to change “less” to “fewer”). For the article, go to https://www.thefreedommodel.org/suboxone‐has‐not‐reduced‐deaths‐in‐the‐us/ .     

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Big Changes for Block Grant Proposed in President's Budget Advancing Medication Use Requires Total Staff Commitment, Says Center Prevention Money From Drug Control Budget Pilot Study Tests Use of Smartphone for Addicted Offenders Illinois Governor Proposes Medicaid‐Only System, 26‐Percent Cuts Obituary Coming up     

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CSAT Letter on Take‐Homes: Methadone Treatment Providers Cry Foul State Lawmakers, Prosecutors Continue to Target Pregnant Substance Users California Tackles Meth Use by Gay and Bisexual Men Praise for New Mexico's ‘Four‐Pillar’ Approach to Methamphetamine Bush Budget Promises Flexibility on Use of NOMs Performance Awards Briefly Noted State Watch Coming up     

Risk Taking in Late Adolescence: Relations Between Sociomoral Reasoning,Risk Stance,and Behavior

This study explored relations among late adolescents' sociomoral reasoning about risk taking, risk stance, and behavior. One‐hundred and thirty‐two participants (18–20‐year‐olds) were surveyed about their own risk stance (Avoidant, Opportunistic, Curious, Risk Seeking) and behavior in three realms (Alcohol Use, Drug Use, Reckless Driving), and sociomoral reasoning about hypothetical risk taking in a baseline scenario with no social domain information and a final scenario that highlighted the moral (i.e., harmful consequences for others), conventional (i.e., sociolegal consequences), personal (i.e., personal prerogative), and prudential (i.e., harmful consequences for self) domains bearing on risk taking. The complex relations among sociomoral reasoning about risk taking, risk stance, and behavior are discussed in terms of social domain theory and dual‐process theories of risk taking.     

Self‐Selection and Economic Assimilation of Immigrants: The Case of Iranian Immigrants Arriving to Three Countries During 1979–1985

The study is designed to evaluate the impact of the interaction between patterns of immigrants' self‐selection and the context of reception at destinations on economic assimilation of Iranian immigrants who came to three countries during 1979–1985. For that purpose, we studied immigrants at the age of 22 or higher upon arrival by utilizing the 5 percent 1990 and 2000 Public Use Microdata files (PUMS) of the United States census, the 20 percent demographic samples of the 1983 and 1995 Israeli censuses of population, and the 1990 and 2000 Swedish registers. The results indicate that the “most qualified” immigrants – both on observed and unobserved variables – who left Iran right after the Islamic revolution, arrived in the US Their positive self‐selection led them to reach complete earnings assimilation with natives there. Iranian immigrants who arrived in Israel and Sweden did not achieve full earnings assimilation with natives. Of these two groups, a smaller immigrant‐to‐native gap in average earnings was found in Sweden, but in the same time Iranian immigrants in Israel were more positively self‐selected and showed better assimilation than their counterparts in Sweden. Market structure played a certain role in immigrants' earnings assimilation mainly in Sweden.     

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Adolescent Painkiller Use May Increase Risk of Addiction, Heroin Use Women's Component of NASADAD Offers Guidance Document for State Systems Parity Bill Attached to Tax Extender Bill Treatment Funds in Illinois Caught in Apparent Stalemate Substance Abuse: A 12‐Step Primer for Change No Drug Abuse, Underage Drinking or Smoking Allowed on YouTube Briefly Noted State Watch Names in News Call for Applications Coming up     

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Off‐Label Use of Buprenorphine for Pain Worries Officials Growing Number of Programs Add Legitimacy to Sex Addiction Treatment Painkillers, Tranquilizers Account for Rise in Drug Use by Troops Addiction Drug Market ‘Underexploited,’ Should Focus on Cure, Says Report CAARR Responds to From the Field Article on Calif. Licensing Bill Briefly Noted State News Call for Applications Coming up     

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President's Fiscal 2006 Budget Would Eliminate School‐Based Prevention Program Field Supports Legislation to Lift Patient Limit for Buprenorphine Survey: One Million Show Past Month Use of Stimulants Non‐Medically HIPAA Security Requires Organizational Commitment Names in the News Resources Briefly Noted Coming up…     

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NDIIC to Help States Upgrade Behavioral Health IT With Open‐Source System New Research Illustrates Breakthrough in Primary Care Screening for Drug Use Union Plan in Rhode Island Must ‘Approve’ MH/SA Programs Federal Government Establishes Safe Harbor for Office Visit Cost‐Sharing Briefly Noted State News Names in the News Coming up     

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DSM‐5 Explained by NIDA Official: No More Abuse or Dependence Hazelden Seeing Stronger Recovery Through Free Post‐Treatment Support Criteria for Substance Use Disorders What Providers Must Do to Integrate With Health Care: TRI Forum Workforce Changes Parity Sign‐On Letters Get Weak Response From Feds So Far Briefly Noted In the States Coming up     

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Odyssey House Expands Mental Health Programs for Patients with SPMI Drug Court in Nashville Relies on Fund‐Raising and Judge's Leadership Treatment at OBHCR Includes The Quadrant Model On‐the‐Job Alcohol Use and Impairment Studied Group Counseling Fees May Be Spared Significant Cut in North Dakota Governor Proposes Level‐Funding in Pivotal Year for Prop. 36 2006 Budget Headed for President's Signature Briefly Noted Resources Coming Up     

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Feds Plan to Use NOMS for Quality Improvement, not Penalties or Incentives ‘HANDS Protocol’ for Alcoholism Treatment to be Tested in Controlled Clinical Trial Not all States Report Measures NOMS Encompasses Access to Recovery Denial of Medical Care to Addicts and Recovering Addicts Topiramate Holds Promise for Cocaine, Alcohol and Opiates A Third of 21‐25‐Year‐Old Drivers Drank or Used Drugs in First Year Briefly Noted Coming Up…     

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MTF: College Students' Daily Use of Marijuana at 30‐Year High No Instant Formula for Inclusion as Managed Care Network Provider National Council‐SAAS Merger: The View from Two States Marijuana Money Shunned, Mostly, by Treatment Field OASAS Launches ‘Combat Heroin’ Public Awareness Campaign Briefly Noted Coming up     

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Providence Summit Attendees Strongly Endorse Destigmatization Concept Congress Looks to Change 30‐Patient Limit on Entities Prescribing Buprenorphine Calling on the Recovery Community to Break Out of Anonymity Bills Target Alcoholism and Binge Drinking Among Military Personnel Missouri Survey Finds Increase in 10th‐Grade Illicit Drug Use Current Requirements for Physicians to Prescribe Buprenorphine Resources Briefly Noted Coming Up…     

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SAMHSA Report: States Will Bear More of Substance Abuse Treatment Cost Burden Maryland Counties Seek Efficiencies to Assist in Closing Treatment Gap Untreated Sex Addiction Can Lead to Relapse to Alcohol/Drug Use House Committee Report Charges ONDCP was Used for Political Purposes $1‐Billion National Youth Anti‐Drug Media Campaign Found Ineffective Briefly Noted State Watch Coming up     

Good news in NSDUH: New heroin use down

New users of heroin were down in 2017 from the previous year, according to the National Survey on Drug Use and Health (NSDUH) released Sept. 14. The decline is dramatic: from 170,000 new heroin users in 2016, to 81,000 in 2017. But there are concerns about increasing cocaine and methamphetamine use, a continuing increase in widespread use of marijuana, and increased substance use in the “transitional‐age” (18–25‐year‐olds) population and pregnant women.     

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Recession: It's Not Over for the States Hawaii's Substance Abuse Director Aims to Preserve Funding for Services Solutions for Treatment Providers MOE Requirements for SAPT Block Grants Report: Most Inmates Need Treatment, Few Get It Provider Fund Helps Patients Defray Costs SECAD: Mee‐Lee Urges Providers to Treat Whole Patient Treatment Can be Provided by EAP, But EAP Can't be a ‘Gatekeeper’ Alcohol Use Lower, Drug Use Higher, Among Blacks Than Average Briefly Noted State News Names in the News Coming up     

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How Process Improvements Can Help the Bottom Line New Jersey Leaders Seek to Lift Barriers to Successful Reentry for Addicts The Five Key Principles of NIATx Change Diversify Funding to Increase Agency Admissions SAMHSA: 40% of Underage Drinkers Obtained Alcohol from Adults Use Free Technology to Improve Admissions and Outcomes Health‐Education‐Labor Spending Bill Delayed Briefly Noted State Watch Names in the News Coming up