tag:blogger.com,1999:blog-6154923121857389373.post1037350618801470736..comments2023-07-07T05:11:26.707-05:00Comments on Substance Matters: Counseling Adds Nothing to Buprenorphine Alone for Opioid AddictionMark Willenbring, MDhttp://www.blogger.com/profile/10556707753571367243noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6154923121857389373.post-69667447265673933712013-02-22T00:38:15.730-06:002013-02-22T00:38:15.730-06:00I've been thinking a bit about Shaun's pos...I've been thinking a bit about Shaun's post above so I looked into the studies described for your post, Mark. The David A. Fiellin, MD, Declan T. Barry, et al article used the outcome measures stated below:<br /><br />"The primary outcome measures were self-reported frequency of illicit opioid use and the maximum number of consecutive weeks of abstinence from illicit opioids, as documented by urine toxicology and self-report."<br /><br />And the Weiss, R. D., J. S. Potter, et al. used the outcome measures stated below:<br /><br />"Predefined "successful outcome" in each phase: composite measures indicating minimal or no opioid use based on urine test-confirmed self-reports."<br /><br />I'm wondering what we would have seen if other outcome measurements were used such as work attendance, crimial activity, subjective relationship satisfaction and collateral relational satisfaction, quality of life ratings, etc... Any thoughts?Matthew Wolmutt, MSW, LICSWhttp://www.fullyintegratedtherapies.comnoreply@blogger.comtag:blogger.com,1999:blog-6154923121857389373.post-71103439830283305202013-02-18T09:51:38.503-06:002013-02-18T09:51:38.503-06:00"Let's see now, isn't that how we tre..."Let's see now, isn't that how we treat diabetes, hypertension, heart disease, stroke, allergies, whatever?... So for all you flat-earthers out there who cling to 12-Step or other counseling..."<br /><br />lol Doc, as a longtime advocate of a disease model for addictions, I have to point out that compliance with treatment is the biggest single problem medicine faces with chronic disorders, including the ones you name. In fact I've always suspected that most cardiologists and endocrinologists will kill for a ubiquitous 24 hour free support organization for their chronic patients... <br /><br />I hate to interrupt a good rant, but seriously, on this point you're not very well grounded in reality, either. Anonymoushttps://www.blogger.com/profile/12777507864372273380noreply@blogger.comtag:blogger.com,1999:blog-6154923121857389373.post-2517567176644464342013-01-24T10:39:52.121-06:002013-01-24T10:39:52.121-06:00Mark, I am a strong believer in harm reduction and...Mark, I am a strong believer in harm reduction and even long-term OST, but this research says nothing about addiction treatment. I have argued this point in an article to be found here: http://addictioncapetown.blogspot.com/2013/01/cbt-doesnt-work-for-heroin-addiction.html<br />This is a quick article and depending on the response I may write a more detailed response sometime in the future. Your comments would be welcomed.Shaun Shellyhttps://www.blogger.com/profile/00320880733187014324noreply@blogger.comtag:blogger.com,1999:blog-6154923121857389373.post-31142649736334361152013-01-20T22:36:22.727-06:002013-01-20T22:36:22.727-06:00The above posting is why I love research. Never i...The above posting is why I love research. Never in my life would I have thought the outcomes stated were possible, and yet there it is. I have to ask myself do I do the work for myself, my philosophy, or the well-being of the client. The answer is the well-being of the client. Follow the data. Thanks, Mark!Matthew Wolmutt, MSW, LICSWhttp://www.fullyintegratedtherapies.comnoreply@blogger.com