KHadley

About Karen Hadley

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So far Karen Hadley has created 35 blog entries.

MAT: Overdose Prevention or Treatment Leading to Real Recovery?

By |2023-03-24T18:35:21-04:00March 10th, 2023|CSDAP Original Content, Medical Model, Pathways to Recovery, Pharma, Policy Makers, Service Providers, Suboxone (Buprenorphine)|

Medication-assisted treatment is America's primary offering for those who are addicted. But implicit in the word “treatment” is recovery from an illness or other condition—as in "not suffering from that condition any longer." Is medication-assisted treatment really a recovery-oriented therapy? Or is its primary role preventing a person from relapse and overdose? These are questions those involved in addiction recovery should be asking.

Will the White House’s “X waiver” elimination have unintended consequences?

By |2023-03-24T18:35:24-04:00February 19th, 2023|CSDAP Original Content, Legislation, Regulation & Litigation, Policy Makers, Service Providers, Suboxone (Buprenorphine)|

According to an article in Politico, the White House held a ceremony on January 24, 2023 to sign the Mainstreaming Addiction Treatment (MAT) Act. This Act eliminated the special training requirement for doctors and other health practitioners who wanted to prescribe medication-assisted treatment to the opioid-addicted. While making medication-assisted treatment more broadly available could be a positive move, does it take into account the care that the opioid-addicted really need ?

INTERVIEW: Dr. Richard Amerling on the Use of Evidence-Based Medicine in Addiction Recovery

By |2023-03-29T17:04:39-04:00February 5th, 2023|CSDAP Original Content, Medical Model, Pathways to Recovery, Pharma, Real Stories|

In our interview with Dr. Amerling he expressed concerns about the pharmaceutical industry's dominance over medicine, the limitations of evidence-based medicine, and the use of medication-assisted treatment in addiction medicine. He also criticizes medical schools for compressing basic sciences and promoting arbitrary guidelines over critical thinking. Dr. Amerling advocates for physicians to take back their authority, prioritize patients' lifestyle choices and abstinence in addiction medicine, and to avoid over-reliance on pharmaceuticals.

The Redefinition of Addiction Recovery Terms: Good or Bad?

By |2023-02-19T07:27:06-05:00February 5th, 2023|Communities, CSDAP Original Content|

One of the ways a subject can be altered—slowly, imperceptibly—is through a gradual redefinition of the terms used in that field. This shift may be glacially slow and can seem to be for all the right reasons. But over time, it can change the way people talk about and even understand the subject. Is this "redefinition creep" that is ongoing today in the field of addiction and recovery broadening our understanding or making it narrower? Is it positive or negative?

Can the scope of addiction treatment be changed with a single word?

By |2023-02-05T23:19:10-05:00January 23rd, 2023|CSDAP Original Content, Medical Model, Policy Makers, Service Providers, Suboxone (Buprenorphine)|

Government agencies like the Substance Abuse and Mental Health Services Administration, the Department of Health and Human Services (HHS) and the National Institute on Drug Abuse (NIDA) are continuously involved in setting the standards for treatment of addiction. They publish guidelines for both drug rehab facilities and those seeking rehab. Therefore, the exact wording of their guidelines is of utmost importance. A subtle shift could result in unintended and undesirable changes in treatment.

BOOK REVIEW: American Cartel: Inside the Battle to Bring Down the Opioid Industry

By |2022-08-22T13:28:05-04:00August 30th, 2022|CSDAP Original Content, News, Policy Makers|

Writer Karen Hadley contributed a review this book by Scott Higham and Sari Horwitz. The first half of American Cartel tells the story of how the DEA was forced to change by The Alliance, a cartel of drug manufacturers who had no intention of letting the DEA change anything about their business model. And Joe Rannazzisi stood in the way of their being able to do business exactly as they chose. So he had to go. And the only way to accomplish that goal was through changing the law in America that enabled him to do his job. So that’s exactly what they did.

The Lancet-Stanford Commission Recommendations for Resolving Opioid Deaths in North America

By |2022-04-01T13:44:28-04:00March 4th, 2022|CSDAP Original Content, Medical Model, Pathways to Recovery, Research, Studies and Reports|

In 2020, a special commission was convened to review causes and solutions for the increasing number of opioid deaths in North America. In February 2022, the Commission released its report. If the Commission proposes any effective methods of stopping this runaway freight train, those suggestions should be immediately and seriously considered.

A Phase 2a Study of Antibody for Methamphetamine Outpatient Therapy

By |2022-05-04T10:37:14-04:00March 4th, 2022|Medical Model, Pathways to Recovery, Pharma, Policy Makers, Service Providers, Treatment Drugs (non-Suboxone)|

The US FDA has not approved any medications for the treatment of methamphetamine (METH) use disorders. Currently, cognitive-behavioral and contingency-management interventions are the most effective treatments. IXT-m200, a monoclonal antibody that specifically binds METH in the blood, is being developed as a pharmacological treatment for use in conjunction with behavior therapies. Based on nonclinical studies, IXT-m200 is expected to alter METH pharmacokinetics in human subjects resulting in reduced or blocked METH subjective effects that reinforce METH use.

Faith-Based and Community Organizations and Addiction Recovery

By |2022-03-25T13:08:04-04:00January 25th, 2022|CSDAP Original Content, Pathways to Recovery|

Two decades ago, President George W. Bush established the White House Faith-Based and Community Initiative to encourage and coordinate community activities in providing social services. This initiative was renewed by Presidents Obama and Biden. But these renewals exclude a focus of faith-based and community groups on problems like substance abuse and addiction. Does the rise of medication-assisted treatment play a role in this exclusion?

The Plusses and Minuses of MAT Drugs

By |2022-04-07T17:23:55-04:00January 24th, 2022|CSDAP Original Content, Medical Model, Policy Makers, Service Providers, Suboxone (Buprenorphine), Treatment Drugs (non-Suboxone)|

Methadone and various formulations containing buprenorphine are treatment drugs used in medication-assisted treatment, usually referred to as MAT. These are the MAT drugs approved for treatment of opioid addiction (opioid painkillers, heroin, fentanyl). We will take a look at the minus side as well as the plus side of these opioid addition treatment drugs. Treatment with MAT drugs can be right for some people. But anyone choosing this treatment so they can leave addiction behind should be prepared for the minus side of MAT.

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