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Mental Health Services and Opioid Use and Dependence: A Non-Sequitur?
What does mental health have to do with mitigating the opioid epidemic? Isn’t it a problem for substance disorder programs, or addiction doctors? Well not really, if you consider the rates of opioid use and opioid use disorder (OUD) in patients seen in the community-based, non-profits in NYS...
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Harm Reduction: Theory and Practice
If we want to reduce the harm that derives from psychoactive substances, we need to begin by ending two ineffective, enduring and hugely expensive policies and practices in this country. Then we can get to true harm reduction. The first are strategies that seek to control access to and...
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When Mental Illness Enters a Family
Families notice when a loved begins to be different from the child, spouse, sibling or parent that they have known. Their loved one isolates him(or her)self from family and friends; shows persistent changes in sleep, eating and hygiene; says or does odd things that suggest their thinking is off,...
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Population Health: Transforming Health Care to Improve Our Health
As the debate about improving health in the United States wages on, it turns out that only 10 percent of our health status and longevity, experts declare, derives from health care. What Makes Us Sick? As the Determinants of Health pie chart reveals (see page 36), it is our behaviors, our habits...
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Depression and Primary Care
Depression is an arch enemy if you suffer from one of many chronic, physical illnesses. It appears all the time, as an unwelcome intruder, in people with diabetes, heart and lung diseases, cancer, Parkinson’s disease and asthma. It impairs our ability to recover from these, and other, medical...
