Chapters Capistrano Blog

September 12, 2018

Mac Miller’s Depression and Substance Abuse May Have Been a Dual Diagnosis

Rapper Mac Miller — who was open about his substance abuse in his music and interviews — died Sept. 7. As of this writing (Sept. 10), the toxicology reports had not been released yet, but no “apparent” cause of death, drug-related or otherwise, was discerned by the medical examiner. Still, given his past substance […]

September 5, 2018

More People Live, Enter Drug Rehab with Supervised Injection Sites

In the White House’s efforts to fight the opioid crisis in the United States, Deputy Attorney General Rod Rosenstein has announced another policy: no safe injection sites. Rosenstein has declared that efforts by several states to launch pilot programs to test whether safe injection sites (SISs) or supervised injection facilities (SIFs)—harm […]

August 22, 2018

Opioid Crisis the Fault of Big Pharma, FDA, and DEA

The pharmaceutical companies have received their share of blame for the opioid addiction crisis—maybe not as much as they deserve, and maybe without the consequences that should have ensued—but they are not the only bad players responsible. The reason we have regulators and regulations is that when a for-profit company […]

August 15, 2018

Does Compulsory Rehab Treatment Work?

Imprisoning drug addicts doesn’t seem to have slowed down or reduced the spread of drug addiction, and it is costly. Research suggests that treating drug addicts instead is more effective and less costly, but not all addicts want to be treated, even if the alternative is prison. Forcing addicts into […]

July 25, 2018

Drug Rehab Medical Devices Won’t Work if No One Uses Them

We’re still in the midst of an opioid crisis (or an opioid epidemic, or opioid national emergency, depending upon with whom you speak). And while the US government has been criticized for not doing enough, it is doing some things. Among them is that the US. Food and Drug Administration has […]

July 18, 2018

Less than a Third of OD Patients Receive MAT

Many doctors, politicians and even patients overlook or resist one of the most effective treatments for drug abuse: medication-assisted treatment (MAT) with Suboxone (a tamper-resistant form of buprenorphine) or methadone. Seeing a patient rushed to the emergency room because of a drug overdose seems a sure sign that the patient […]

July 11, 2018

Need to Treat, Not Just Prevent, Heroin Addiction

Last month the US House of Representatives, cognizant that all 435 members are up for re-election in November – with very little to show for it legislatively – passed more than 50 bills dealing with the opioid epidemic and drug abuse in general. Despite the number of bills, they probably […]

June 27, 2018

Drug Smugglers, Addiction More of a Threat than Undocumented Workers

What’s the greater threat facing the United States from over the Mexican border: illicit drugs or undocumented immigrants? To the US executive branch, the answer seems to be both, because President Donald J. Trump seems to believe most of the drugs entering our country come through Mexico via undocumented immigrants. […]

June 20, 2018

Learning from Opioid Epidemic Missteps

The existentialist philosopher Soren Kierkegaard wrote, “Life can only be understood backwards; but it must be lived forwards.” Or maybe, as William James remembered it, “We live forwards but we understand backwards”. The point is that life is not a mathematical equation or, if it is, we don’t understand the […]