Author Archives: CAP Quality Care

Treatment of co-occurring disorders: Medication assisted treatment for opioid addiction in opioid treatment programs

When patients with heroin and opioid addiction also have co-occurring psychiatric diagnoses, failure to identify and treat them as early as possible interferes with recovery. If you or a loved one is prescribed methadone or buprenorphine for help with their addiction and suspect that treatment of depression, anxiety, PTSD or other psychiatric conditions might be of benefit, request assistance from the treatment provider.  If that fails, obtaining it independently might be necessary. Research publications by Dr. Marc Shinderman, a past …
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Would opiate addicts like Philip Seymour Hoffman and Cory Monteith be alive today if they had been in maintenance therapy with buprenorphine or methadone instead of focusing on abstinence-based philosophies?

Could Drug-Replacement Therapy Have Saved Philip Seymour Hoffman’s Life? BY SACHA Z. SCOBLIC Philip Seymour Hoffman was an artistic icon and, for me, a sober icon. According to The New York Times, Hoffman had spoken of having 23 years of sobriety under his belt before he relapsed on prescription drugs and then, ultimately, on heroin. From that moment of relapse on, one of the greatest actors of our generation was in mortal danger: Years of sobriety had reduced Hoffman’s tolerance, …
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Quality of life in methadone patients

The benefits from methadone maintenance are seen in every country where it is offered.  That heroin and related addictions improve with this treatment without regard to culture demonstrates that they are medical, biologically based disorders.  This kind of cross cultural efficacy of a treatment is what is found in almost all major psychiatric and medical illnesses.  In this 2013 article from the British journal, Biomedical Psychiatry, the authors conclude that in the study of over 500 heroin addicts in China, …
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Heroin deaths quadrupled in Maine from 2011 to 2012

Along with sharp reductions in the imbursement for methadone maintenance treatment, which may be the lowest in the nation, reduced assess to prescription opiates and increased availability of high quality inexpensive heroin correlates to a four hundred percent increase in heroin overdose deaths from 2011 to 2012.  To make matters even worse, Maine has refused to accept Federal funding related to the affordable care act, according to this article in the January 15, 2014 edition of the Portland Press Herald. …
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Vermont gov. confronts deadly heroin crisis as public health problem

This Governor gets it right… the War on Drugs is an abysmal failure in regard to heroin and opiates.  The lack of access and inadequate funding for medication assisted treatment (methadone and others) have resulted in escalation of heroin overdoses and untreated addiction.  These increases are associated with ever increasing financial and human costs related to death, suffering, prosecution and incarceration of the addicted.  PBS Newshour posted an interview of Gov. Shumlin of Vermont explaining his views on the issue.  …
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