CSDAP original content, policy statements, research and general communications.

The science of addiction remains unsettled


Conversations about the underlying nature of addiction often turn contentious. Sometimes, they devolve into disputes with the character and zeal of a holy war. The prevailing wisdom holds that addiction is a disease, often likened to diabetes. That perspective is practically the only theory covered in popular media and, in some circles, questioning it is …Read more

Addiction is a Complex Condition


History has made it clear there is no simplistic, single-model solution to addiction. We can’t arrest our way out of the problem, nor can we eliminate drug abuse by trying to scare everyone out of starting. Similarly, it’s long been known there are many pathways to recovery. In our attempts to understand and address drug …Read more

Multiple Pathways to Recovery: A Cause for Hope


That there are multiple pathways to recovery has been an axiom of the recovery community for years. This principle — that we do best when we support and encourage many approaches to recovery — goes hand-in-hand with the recognition that recovery is never a one-shot deal. Instead, it is a process that unfolds over time. …Read more

New FDA draft MAT guidelines raise disturbing questions


The Food and Drug Administration (FDA) has just issued guidelines to the pharmaceutical industry in an attempt to encourage them to bring novel drugs to market to assist opioid addicts in their quest for recovery. Whether or not this is good news for any family seeking to save a loved one’s life depends on what …Read more

Medication-Assisted Treatment, another link in Big Pharma’s chain of addiction


We have been immersed recently in the opioid crisis, with headines of drug-fueled overdose deaths. Behind the headlines are the continuing stories of degradation, crime, disease, prostitution and murder. Addicts, some of whom became hooked first on prescribed pharmaceuticals have swollen the ranks of the homeless, the incarcerated and the dead. If you have an …Read more

Today’s Traveling Patent-Medicine Show

A hundred years ago, traveling shows peddled patent medicine, sometimes one step ahead of the authorities. Ingredients included opium, alcohol, laudanum, radium, and other illicit substances. Tapeworm larvae were sometimes suspended in weight-reduction remedies. By the time the authorities closed in, the wagon, the salesman and his wares were gone, leaving the purchaser or the …Read more

Drug Abuse Summit: Four Days, Three Takeaways


I attended my first Rx Drug Abuse and Heroin Summit recently, the first week of April 2018. It was a fascinating four days and gave me an entirely new level of understanding of the problem we’re facing with opioids and other drugs. That absolutely includes a better appreciation for the heroic, often thankless, job being …Read more

Review: Dreamland The True Tale of America’s Opiate Epidemic by Sam Quinones

In 2015, the book Dreamland hit the United States more or less like a bombshell. The research, interviews and writing of journalist Sam Quinones ripped the lid off our entire situation of addiction to painkillers and heroin. The full structure of our opioid epidemic was laid bare for anyone to see. How did we get …Read more

Study Reliability

Published, even peer-reviewed behavioral studies are subject to problems that must be accounted for when analyzing study results. Many of the “tricks-of-the-trade” are covered in Deciphering Drug Study Tricks-of-the-Trade but, somewhat ironically, general studies have been done on the reliability of behavioral studies. A study of psychological studies published in Science in 2015 entitled Estimating the reproducibility of …Read more