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Multiple Relapses and SUD Treatment: What's Going Wrong? When Entering a New Market, Don't Take Success for Granted ASAM Criteria: New Edition about Much More than Placement Florida Experts Condemn Florida Task Force Approach to Drug‐Exposed Newborns NIDA, CDC Support Onsite HIV Testing without Counseling Briefly Noted Names in the News Coming up     

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NSDUH: National Survey Finds Increase in Marijuana Use Center Develops Shorter Treatments With a Clinical and Business Case Strong Essential Benefit Package for MH, SUD Services Released Specialized Treatment Services as Essential Benefits DEA Bans Three Chemicals in ‘Spice’ and ‘Bath Salts’ Drugged Driving Initiatives Fostered by ONDCP Briefly Noted In the States Business News Pharma News Resources Coming up     

NASADAD requests $250 million for Phase 4 stimulus

If there will be a Phase 4, as Rep. Nancy Pelosi (D‐California) has promised, of stimulus money to help America cope with the fallout from COVID‐19, the substance use disorder (SUD) treatment field hopes to get some of it this time. Publicly funded SUD treatment and prevention got nothing — nothing — from the $2 trillion CARES Act passed at the end of March (see “In case you haven't heard,” ADAW, April 3, https://onlinelibrary.wiley.com/doi/10.1002/adaw.32684 ).     

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Proposed Rule on Benefits Raises Questions about Parity and Enforcement SAMHSA Releases Bupe‐OTP Final Rule Imprint of Founder Continues to Influence Father Martin's Proposed Rule's Language on Parity What Plans Must Include ONDCP's Botticelli: Prevention, Block Grant, and Recovery DSM‐5 Will Include SUDs Instead of Dependence and Abuse Improving Outcomes: Connecting Payment to Performance ABAM Continues to Moves to Make Addiction a Specialty Briefly Noted State News Coming up     

Briefly Noted

A conference focusing on “value” — money well spent — in substance use disorder (SUD) treatment featured payment and reimbursement, and, in a refreshing twist, researchers instead of administrators and payers. Led by CHERISH (the Center for Health Economics of Treatment Interventions for Substance Use Disorder, HCV, and HIV, a collaboration of Cornell Weill Medicine, Boston Medical Center, the University of Miami Miller School of Medicine and the University of Pennsylvania, funded by the National Institute on Drug Abuse), the conference, held May 31 at the Leonard David Institute of Health at the University of Pennsylvania, featured speakers from the SUD treatment community who espouse medications. Topics and speakers included: ways to eliminate low‐value care (Joshua Sharfstein, M.D.), what value means (Colleen Barry, Ph.D., Brendan Saloner, Ph.D., and overcoming barriers to effective treatment (Michael Botticelli, Alexis Horan). It did give attendees the opportunity to network and interact directly, as researchers and policymakers, on how to overcome barriers to SUD treatment in communities. The bottom line: What works should be covered; what doesn't shouldn't.     

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Good News for SBI: Medicare May Pay for Alcohol Misuse Screening Facility's Social Media Policy Mirrors Rules on Other Interaction Partnership at Drugfree.org Acquires Join Together SAMHSA Pushes All Providers for MI and SUD Assesments Alcohol and Marijuana Dominate Probation/Parole Referrals Illinois Providers in Two‐Week Limbo, Still Face State Defunding Briefly Noted In the States Resources Coming up     

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Goodyear Plan Uses EAP to Limit Substance Abuse Benefits Panel Vote Against Opioid Risk Strategy Shows Concern Over Voluntary Training Arizona SSA's Grim Message to Providers: Cuts Now and Later VA Allows Medical Marijuana Where It's Legal Cocaine‐Crack Sentencing Disparity Reduced by Legislation IC&RC and NCC to ‘Speak With One Voice’ Briefly Noted Names in the News Coming up     

CARES Act eliminates most of 42 CFR Part 2

It's been more than 10 years of patients fighting for 42 CFR Part 2, but overnight the regulation lost to COVID‐19. The CARES Act revises 42 CFR Part 2 (confidentiality of substance use disorder [SUD] patient records), eliminating consent except for the first time only, after which the information is up for grabs.     

The best and worst of 2018, and hopes and fears for 2019

With public understanding growing every day about the need to address substance use disorders (SUDs) with the full array of health responses our nation deploys for other major illnesses, we hope to see great progress in the coming year. Progress should include dramatic expansion of all quality prevention, treatment services and medications, and recovery supports, with financial investment increased sufficiently to meet the need; full coverage of all SUD treatment services and medications by every state's Medicaid program and by Medicare; much stronger enforcement of federal and state requirements for parity in commercial insurance and Medicaid, including prohibitions on prior authorization, fail‐first, overly burdensome utilization review and inadequate reimbursement for care; availability of all effective and quality SUD treatment and medications at every level of the criminal justice system and throughout the child welfare system; and elimination of discriminatory barriers facing people still suffering or in recovery from SUD, including those with criminal histories, as they seek employment, housing, government benefits, the right to vote and other necessities of life.     

Psychodynamic therapy for SUD: Counselor's view

First of all, psychodynamic psychotherapy as treatment for substance use disorder (SUD) works. Ian McLoone, lead therapist with the Alltyr Clinic in Minneapolis, knows that firsthand — he's in recovery from heroin addiction and is in it himself. And despite the fact that addiction therapists aren't taught psychodynamic theory or psychoanalytic psychotherapy in graduate school, where cognitive behavioral therapy (CBT), motivational interviewing (MI) and, to a lesser degree, 12‐Step facilitation are stressed, he became interested in it mainly because of his employer, Mark Willenbring, M.D., a psychiatrist and former medical director of the National Institute on Alcohol Abuse and Alcoholism. We talked to McLoone for this story as a follow‐up to our article on the self‐medication hypothesis of addiction, for which we interviewed its developer, Ed Khantzian, M.D. (see “Psychodynamic psychotherapy: When it helps people in recovery,” ADAW, June 22, https://onlinelibrary.wiley.com/doi/10.1002/adaw.32756 ).     

A Typology of Maritally Violent Men and Correlates of Violence in a Community Sample

This study empirically tests A. Holtzworth‐Munroe and G. L. Stuart's (1994) typology of male batterers in a community sample. Latent class analyses based on severity of physical aggression, generality of violence, and psychopathology partially replicated the Holtzworth‐Munroe and Stuart typology by identifying 3 types of violent men: family‐only, medium‐violence, and generally violent/psychologically distressed. Separate groupings of borderline/dysphoric and generally violent/antisocial types were not found. In comparisons of batterer types to each other and to nonviolent men, generally violent/psychologically distressed men differed from other groups on psychological abuse, life stress, marital satisfaction, and attitudes about violence. Types also differed on wives' fearfulness of their husband and injury from marital aggression. Implications of conceptualizing marital violence from a multidimensional typology perspective are discussed.     

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Opioid Detox Study Shows Buprenorphine Improves Retention Rate for Teens Funding for Katrina: A Benefit or a Threat for Treatment Field? Buprenorphine, Clonidine, and Naltrexone New Meth Bill Introduced as Souder Lambastes the Administration Again Reclaiming Futures, Youth by Youth Laws Aimed at Denying Benefits to Drug Offenders Affect Only a Small Percentage: GAO Briefly Noted Names in the News Resources Coming up     

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Premiums May Be Low, but Cost Sharing May Discourage SUD Treatment Insurance Contracts Don't Just Walk Through Your Doors Legal Action Center Expects Confidentiality to Be Preserved Clarification: SAMHSA May Change 42 CFR Part 2 Wording ‘Dear SAMHSA: Don't Walk Away From Recovery Month’ Hazelden and Betty Ford Center to Merge, Expand Outpatient State News Names in the News Coming up     

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35 ‘Best Practices’ Identified for PDMPs; Referral to Treatment Not Included St. Louis Nonprofit Expands with Uncommon Business Model The Best Practices SAMHSA Still Trying to Blend MH and SA via BG Application IOM Calls for Better SUD Treatment in Military VA‐SAMHSA EHR Project Keeps SUD Treatment Data Private Briefly Noted Names in the News Coming up Corrections     

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Michigan Requires Addiction Credentials for FQHC‐SUD Medicaid Services Funding Is Still Elusive for Treatment of Offenders Probuphine Rejection by FDA: Adequate Dosing a Key Concern N.H. Advocates Send Senate Video Postcards in Funding Plea Self‐Medicating Mood with Alcohol Linked to Dependence Briefly Noted State News Names in the News Coming up     

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HHS Gives States Flexibility in Implementing Health Care Reform Center Sees Affiliation Responding to Managed Care, Client Needs The 10 Benefit Categories More Reflections from Readers: Hopes and Fears for 2012 The ‘Last’ House on the Block: Higher Power or Personal Power? SAMHSA's New Recovery Definition Applies to MI and SUD FY 2012 Budget Bill Includes Increases to SAPT Block Grant Briefly Noted Coming up     

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Omnibus Spending Bill Passed; SAPT Block Grant Increased, ‘Tap’ Eliminated Leaders Urge Diversified Approach to Advocacy at the State Level Pre‐Conviction Diversion is Best for Outcomes: TASC Report Study Finds Lack of Medicaid Providers May Limit Access to SUD Treatment Drug Courts Found Biased against Methadone, Buprenorphine Briefly Noted State News Names in the News Coming up     

If the Map is not the Territory,Then What is This?

This paper discusses the influence of figuration in the constitutive discourse of the family therapy movement. In particular it focuses closely on the figurative use of Russell's Theory of Logical Types. A deconstructive reading of the movement's theoretical grounding in this family of figuration is undertaken, based on Wittgenstein's response to the Theory of Types. The essay concludes with some implications for how practice is understood.     

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AA Linked to Reduction in Depression; Researcher Cites Effects of Spirituality Treatment Centers: Parity has Ushered in Some Tighter Managed Care Practices N‐SSATS: Slight Rise in for‐Profits, Big Rise in Managed Care Types of Treatment Study: Hispanic Patients Have Better Outcomes With Hispanic Counselors IC&RC, at 40,000 Mark, Says Career Future is Bright for Counselors Field Braces for Budget West Virginia Legislators Want to Put Methadone Take‐Homes on Database Briefly Noted Names in the News Call for Applications Coming up