Although opioid agonist treatment is effective in treating opioid use disorders, retention in such treatment is suboptimal in part due to quality of care issues. A new initiative sought to boost treatment of opioid use disorders so that people stay there longer. This article describes how teams did in a structured quality improvement initiative in Vancouver, Canada. (more…)
Do people drink more when they switch to Methadose? It is 10 times more concentrated than methadone – proven treatment of opioid use disorder. We did not find more drinking after the switch. But others found changes in opioid use patterns coinciding with the change.
We talked to 787 people receiving methadone for opioid use disorder in Vancouver, Canada. Our new study followed them as they switched from methadone (1mg/mL) to Methadose (10mg/mL). We asked whether their drinking has changed after the switch – between 2013 and 2015. 16% said they drank too much at least once in the last six months. Those who drank too much were not more likely to do so after the shift to Methadose. The Substance Use& Misuse journal has published the study this week. Persons
on methadone for opioid use disorder may report going through opioid withdrawal and increasing their illicit opioid use when switched to Methadose. We need to understand impacts of these changes on other forms of drug use. Careful and planned information about upcoming changes may help people cope with the potential risks better.
In sum, change is the law of life. Those who do not change do not survive in nature. For complex systems, such as health care, change management is the key to success. Healthy, happy and satisfied patients are healthcare’s success best proof. If they self-report negative experiences following methadone changes, their opinions should inform change management in order to build a better, patient-centered care. Their opinions, together with our findings, could help future formulary decisions in addiction treatment. Various methadone formulations may have little short-term impact on heavy alcohol use. Let’s evaluate the long-term impact.
When is the best time to teach medical students about substance related disorders? In a new commentary published online in Annals of Internal Medicine, we bring Audrey’s story and call for better addiction medicine education for physicians.
For over 20 years at the University of British Columbia, the first year medical students have had 20 hours of teaching on the theme Addiction Medicine and Inter-collegial Responsibility which has been both highly rated by medical students and has improved their motivational interviewing. (more…)
Addiction medicine has been ‘practically untaught’ for decades, but that’s starting to change…
Read the full text of my recent article in the Medical Post: http://www.canadianhealthcarenetwork.ca/
Published by the Canadian Healthcare Network, The Medical Post is “the independent newspaper and online information source for Canada’s doctors, with a 45-plus-year tradition of providing a one-of-a-kind mix of clinical updates, medico-political news and lifestyle features to assist doctors and enhance their professional and personal live.” Text taken from http://www.canadianhealthcarenetwork.ca/physicians/magazines/the-medical-post/
What if you decide to take root, but discover a quicksand instead of a firm ground? Serendipitously, I have stumbled upon an essay about dislocation and walked into an exhibition about uprootedness on the same day.
As I wrote earlier, mobility is part of thejob description of early career academics. A boost to the local university, economy and science are the promised trade-offs for the temporary relocation. Few have considered the tremendous impacts that mobility has on people’s lives.
Bruce Alexander, a retired Psychology professor at Simon Fraser University in Vancouver, BC, theorizes that dislocation causes addiction. Free markets force people to move where the work is and leave their connections behind.
Walter Scottinspired visitors of the Stride gallery in Calgary, Alberta, to think about the fragile links that tie oneself to the place where they are born. They are nourished over the lifetime, consciously or unconsciously. One may not realise how frail they are, until they become stretched to a point of breaking.
Finally, in the Letters to Grandchildren (Greystone Books, 2015), David Suzuki
offers grandfatherly advice to his five grandchildren, including this story about the horrendous journey of his Japanese ancestors to Canada: