How our discussion of addiction became trapped in the flawed terminology of the DSM 5 and why it’s important that we escape. The topic of addiction and stigma is currently receiving long over…
Jonathan Giftos, MDAn incredibly thought provoking reflection by @tenuredaddict on the limitations of the DSM 5 when it comes to addiction, & the persistent struggle to find the rights words to describe our conditions — accepting that there are many. A must read.
Jonathan Giftos, MDExcellent summary by @RecoveryAnswers of seminal 2010 paper by John Kelly, et al looking at use of terms “substance abuser” & “substance use disorder”. Take home: language matters & we should strive to use words that respect the humanity of PWUD.
Drugs like buprenorphine could sharply curb the nation’s opioid overdose crisis. But federal laws make it difficult for people who need such medications to get them.
Jonathan Giftos, MDSuccinct op-Ed in NYT in response to @theNASEM report on effectiveness & underutilization of medication for opioid use disorder. These meds aren’t a silver bullet, or all that we need, but access must be optimized in all spaces to save lives.
Marty Walsh’s visit to safe injection sites in Toronto and Montreal this week shows a willingness to reconsider his own views to combat opioid crisis.
Jonathan Giftos, MD“It appears that the policy intrigues Walsh enough that he’s touring a few city-run safe injection sites in Toronto on Thurs. & Montreal on Fri. “I went from a hard no on safe injection sites to, am I in the right place on that? We have to look at it all.”
IN DECEMBER, a federal district court judge in Massachusetts ordered the Essex County jail to provide an entering inmate methadone so that he could continue his successful methadone treatment of the last two years. The individual had failed on the...
Jonathan Giftos, MDAll respect, this article is deeply flawed. As the medical director of a large jail-based OTP, going to respond to each point one at a time. 1/
The ruling could have tremendous consequences for jails and prisons across the country.
Jonathan Giftos, MDIncredibly important ruling.
“One thing this ruling says is that, one way or another, either by legislation or by legal mandate, jails and prisons are going to have to do this.” @MBotticelliBMC
Almost all of the people bailed out by Robert F. Kennedy Human Rights have returned to court, officials there say.
Jonathan Giftos, MD“In October, hundreds of volunteers acting on behalf of advocacy group posted $1.2 million in bail to free 105 people from Rikers Island & other city jails.
Of the 90 who’ve since had scheduled court appearances, only two failed to show up as of Friday.”
The small, communal toilet was in the corner of the pod, enclosed by a short stall that did nothing to keep the smell of diarrhea, vomit, and blood from overtaking the unit.
Jonathan Giftos, MDNo need for this to ever happen w/o medical support. A methadone or bupe taper easy & dramatically reduces misery. Conversion to maintenance if interested & titration to therapeutic dose a/w 75% ⬇️ in post-release mortality. Enough w/ forced withdrawal.
The state has started to reduce overdose deaths by offering counseling and medication for opioid addiction in prison. Research finds the treatment helps inmates avoid relapse after release.
Jonathan Giftos, MDThey’re doing great work in RI. One small correction to article. We DO start people on OAT in NYC who MIGHT get state sentence (72% end up back in community), but it’s true — we must taper people who DO get state sentence as NYS DOCCS cannot continue.
The language of addiction is changing, so should the way we identify ourselves in recovery also change?
Jonathan Giftos, MDOne of best essays I have read on the language of substance use & addiction. @elizabethbrico
“I think of myself first in the context of my personhood ... I am able to empathize w/ myself & to think of my condition as something that can be healed.”
The inmate had challenged the constitutionality of lethal injection execution. His lawyer said he chose electrocution because he expected it to be less painful than the drug method.
Jonathan Giftos, MDWe are a savage nation.
“He did so not because he thought that it was a humane way to die, but because he thought that the three-drug cocktail that Tennessee had planned to use was even worse," Sotomayor said in the statement quoted by Associated Press.”
People on parole and probation should no longer be tested for marijuana if the drug is legalized in New York, five former probation commissioners said Tuesday.
Jonathan Giftos, MD💯 agree.
“There’s no evidence that shows marijuana use “threatens public safety,” @VinSchiraldi added.
“Likewise there is no public safety justification for routine testing for marijuana for probation or parole.”
Our beloved Madelyn Ellen Linsenmeir died on Sunday, October 7. While her death was unexpected, Madelyn suffered from drug addiction, and for years we feared...
Jonathan Giftos, MDSound advice for all of us in service profession: “if you treat [ppl w/ addiction] w/ the compassion & respect they deserve, thank you. If instead you see a ‘junkie’ or thief or liar rather than a human being in need of help, consider a new profession.”