Addiction & Recovery articles from May 1993

Addiction & Recovery archives from May 1993

Time for a time out. (managed care and addictions care) (Editorial)
May 1, 1993... Two events in quick succession reminded me recently of the deep conflict that exists between managed care and many addictions treatment providers. First, within the space of a few days, we received several letters from readers congratulating...

Clinton's drug czar: crimefighter turned sociologist. (Lee P. Brown, head of the Office of National Drug Control Policy) (Editorial)
May 1, 1993... Dr. Lee P. Brown, the former New York City Commissioner of Police selected by President Bill Clinton to head the Office of National Drug Control Policy, offers something for almost every constituency. Do you want a drug "czar" from...

CD+PTSD+adaptive personality disorder: a 3-phase treatment strategy. (chemical dependency, post traumatic stress disorder)
May 1, 1993... Recovery from traumatic stress reactions to physical and sexual abuse requires a focus on abstinence as well as learning new tools for handling abuse issues Adult survivors of physical and sexual abuse have special problems that can...

The secret scar: evaluating for sex abuse.
May 1, 1993... According to the most reliable studies of the incidence of incest and sexual abuse in the United States, at least one out of three girls and one out of five boys will be sexually abused before the age of 18. Sexual abuse victims suffer...

When the issue is sex addiction. (interview with Patrick J. Carnes, clinical director of the sexual dependency program at Del Amo Hospital, Torrance, CA)
May 1, 1993... Clients who frequently relapse may be trying to tell you something -- not that your treatment for their chemical dependency was ineffective, but that it wasn't enough. Another hidden dysfunction may be complicating the treatment picture, and...

The FMS Foundation: fighting "false memories." (False Memory Syndrome Foundation)
May 1, 1993... Resentment. Anger. Perplexity. Cries of "How could she do this to us?" Therapists in the Philadelphia area had started hearing more and more from families of 'adult survivors' who had told their therapists that family members had sexually...

Confronting the "false memory": an interview with Harold Lief. (sex therapist) (Interview)
May 1, 1993... A long-time specialist in sex therapy, research and education, Harold Lief, MD, played a leading role in the formation of the False Memory Syndrome Foundation. He is Professor Emeritus of Psychiatry at the University of Pennsylvania School...

Putting hypnosis to good use: an interview with Ron Klein, CMH, NBCCH, CAC certified trainer, NLP. (Interview)
May 1, 1993... Few counseling techniques are as misunderstood as the use of hypnosis--or, more technically, induction of hypnosis and the use of hypnotherapy. Especially among those less familiar with it, hypnosis can raise unrealistic expectations and...

What's in a name? The alphabet soup dilemma. (understanding drug counselors' credentials)(includes related article)
May 1, 1993... Counselors can have a bewildering set of initials after their names. What does it all mean? Once upon a time, in the not too far distant past, the initials after a professional's name were easily recognizable, if not totally...

Restoring aftercare to the therapeutic continuum.
May 1, 1993... "AFTERCARE" HAS TOO LONG BEEN AN AFTERTHOUGHT, FOR BOTH PROVIDERS AND PAYORS. THE EFFECTIVENESS OF CARE HAS BEEN DIMINISHED ACCORDINGLY It's unfortunate that in the mid-70s the term "aftercare" was chosen to describe the services...

Continuing education: how to avoid wasting time and money.
May 1, 1993... FOR COUNSELORS THESE DAYS, CE IS NECESSARY -- BUT SOMETIMES FRUSTRATING Recently a friend of mine came back from a one-day course on group therapy. She said that she had received a little more exposure to group dynamics than she had...

Training counselors by clinical supervision.
May 1, 1993... GOOD TRAINING STARTS AT "HOME" -- THE TREATMENT FACILITY -- UNDER A SUPERVISOR'S WATCHFUL EYE A lingering memory of last year's summer Olympics was a televised report on what it takes to "get to the Olympics," to achieve excellence as an...

Testing counselor competency: a new approach. (includes related article)
May 1, 1993... A LEADING COUNSELOR CERTIFICATION GROUP EXPLAINS WHAT IT LOOKS FOR IN A SKILLED ADDICTIONS COUNSELOR Since 1980 the International Certification Reciprocity Consortium/Alcohol and Other Drug Abuse, Inc. (ICRC) has used an oral...

Too many clients: the Project for Addiction Counselor Training helps prepare counselors to fill the escalating need for treatment. (based on an interview with Linda Foley, Project for Addiction Counselor Training director)
May 1, 1993... Based on an interview with Linda Foley, Director of the Project for Addiction Counselor Training (PACT) There is a shortage of certified addiction counselors to treat individuals with serious alcohol and other drug abuse problems in this...

Utilization review (UR): a necessary step toward the future.
May 1, 1993... For several decades, it has polarized the health care community. Providers loathe it; employers love it: Utilization Review (UR). In its relatively short lifetime, UR has undergone a significant transformation. In sophisticated managed...

Utilization review (UR): it needs reining in. (based on an interview with Rep. Ron Wyden)
May 1, 1993... Based on an interview with Representative Ron Wyden (D-Oregon) Last year the General Accounting Office issued a report that really cast sunlight on the hidden persuaders of health care: the medical review industry. What the GAO report...

Treatment planning in the 90's: part 2. (drug abuse treatment)
May 1, 1993... IN ORDER TO MEET THE NEEDS AND EXPECTATIONS OF PAYORS -- AND OF THEIR OWN PROFESSION -- COUNSELORS NEED TO BE MORE METHODICAL In the first part of this article ("Treatment Planning In The 90's" , ADDICTION & RECOVERY November/December...

Counselors, psychiatrists and managed care: an interview with Michael A. Freeman. (Interview)
May 1, 1993... AN INTERVIEW WITH MICHAEL A. FREEMAN, MD From his experience as a counselor, psychiatrist and managed care administrator, Michael A. Freeman, MD, seems singularly qualified to "pull it all together" for providers and payors who, as often...

Sizing up a managed care "partner." (managed care contracting)(an interview with Mary E. Welch) (Interview)
May 1, 1993... Managed care contracting may mean survival--but not necessarily having to beg. Here's how to pick and choose. Although managed care contracting may be essential for addictions treatment providers, managed care firms have varying degrees...

A sense of control: how patients recover from analgesic abuse.
May 1, 1993... This headache center found patient's personality is determining factor in getting drug use under control. Mary Steen (not her real name) is a successful lawyer and mother of an active four-year old. She also suffers from chronic migraine...