Chapters Capistrano Blog

January 16, 2019

Innovations and Failures in Medication-Assisted Treatment

The ongoing shutdown of less than one-quarter of the United States federal government is having some unforeseen effects on the opioid addiction crisis. It will probably delay some prescriptions of the opioid replacement therapy/medication-assisted treatment buprenorphine. That’s because buprenorphine, a far less powerful opioid than OxyContin, and which is often […]

January 14, 2019

President’s Opioid Addiction Emergency Plan Lacks Urgency

President Donald Trump has proposed his opioid epidemic plan. It has three main strategies: Mount a campaign to persuade young people not to abuse drugs in the first place. This has been mocked as a return to the Just Say No and DARE strategies which did not work the first […]

January 9, 2019

Smoking in Rehab Means Half the Battle is Lost Already

Should clients in substance abuse rehabs for heroin or other opiate/opioid addiction be allowed to use methamphetamine or cocaine? Of course not, they are illegal, highly addictive, and detrimental to their health. How about marijuana? That’s absurd. Not only is it still illegal at the federal level, but it may […]

January 2, 2019

Resolve to End Substance Abuse in the New Year

It is a new year, and that traditionally is a time for resolutions, for a fresh start, but most of New Year’s resolutions made in January fail by the end of the second week of February. According to Don Stenhoff and Adam Hahs of Arizona State University’s Master’s in Applied […]

December 26, 2018

ObamaCare Has Increased Addiction Treatment

Politics keeps interfering with substance abuse policy, including addiction treatment, but progress is being made. The question is if it will continue. The 2008 Patient Protection and Affordable Care Act (ACA)—more familiarly known as “ObamaCare”—required that insurance coverage include 10 Essential Health Benefits including “Mental health and substance use disorder […]

December 19, 2018

Big Pharma’s Opioid Settlements Should Fund Rehab, Not Budget Shortfalls

As the costs of responding to the opioid epidemic rise, more states, cities, and counties are opting to sue “Big Pharma”—the large pharmaceutical companies—and the distributors that allowed pill mills to flourish in West Virginia and other places. At least 13 states had between 96 and 143 prescriptions for every […]

December 12, 2018

DUI of Marijuana Less Dangerous than Alcohol

Marijuana legalization continues to make strides. If authorities wish to put reasonable restraints on use, they must put forward factual information, call for more research, and stop dragging their feet on enacting the laws their citizens approve through ballot proposals. Recreational marijuana legalization has reached the Midwest in November when […]

December 5, 2018

‘Beautiful Boy’ Has a Dual Diagnosis Problem

Films based on true events, whether personal stories or great historical moments, are nevertheless often factually challenged. Such films—A Beautiful Mind, Hidden Figures, Argo, Lincoln—tend to embroider the facts for dramatic purposes. Beautiful Boy—still out in some theaters—about how Nic Sheff’s crystal methamphetamine addiction affected him and his family, particularly […]

November 28, 2018

Opioids Are Epidemic, but Meth Addiction is on the Rise

Drug dealers don’t belong to the Better Business Bureau, but you’d think they would at least want their customers to live to continue to buy their products. Maybe not. First, opioid drug dealers started supplying their oxycodone-seeking clientele with facsimiles made of the much stronger opioid fentanyl. Not only is […]

November 21, 2018

Regulating Smoking and Vaping: A Tale of Two Vices

In 2016 the-US Surgeon General Vivek Murthy released Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. It was intended as akin to an earlier Surgeon General’s 1964 report on Smoking and Health, and included the statement that “addiction is not a character flaw – it […]