In real modern world translation, other forces come into play. I once read an idea from hazelden, That it’s not feasible to take somebody who’s been steeping in there cloths on the street for ten years – clean them up, give them a new suit and expect them to stay clean.
That’s why recovering addicts do well to hang out with other recovering addicts until they evolve. That can take years not weeks. Professional treatment can help by fasilitating some of that.
Here is an academic document from the national addiction centre. I was surprised to find this paragraph in there:
There is a significant literature indicating doubt about the cost-effectiveness of long residential programmes in altering the natural history of the chronic-relapsing nature of severe alcohol dependence and it is this literature which has partly led to the closing of residential programmes as well as shortening of surviving programmes.
The problem is that the funder’s idea of what is ‘best practise’, differs from what the operators have learned is ‘best practise’.
I assume you are talking about the DHBs as funders? And the operators being a mix of church based and secular organisations? And what actually are the alternatives to the funders ideas of "best practice" that are working? Indeed what is best practice? Any idea?
Not so…with not only funding being harder to secure, but funders demanding that addiction treatment providers follow what they (the funders) consider ‘best practise’, not what the providers have found actually is more effective.
Did you know that Alcoholics Anonymous doesn't have any funding? They reject outside funding becouse they don' t like being told what to do. Narcotics Anonymous is the same.
Rehabilitation/treatment is a different business. I'd like to see ACC putting money into that For a whole bunch of reasons.
And regards funders requiring rehab operators to demonstrate best practice. What's the problem with that?
Like alcohol then …
More addictive, more severe effects on both physical and mental health from sustained use. You can drink every day for decades. You can’t smoke meth every day for decades without serious consequences.
This is not to dismiss the huge social harms of alcohol abuse, of course.
An alcohol problem, is also easier to recover from becouse it’s not illegal. It’s not as bigger deal to front up and say “I’m an alcoholic” than it is to say something like “I’m a criminal” Hence, any substance addiction is a health problem and treating it buy making the symptoms of the illness a criminal offensive, perpetuates the problem, unless there are drug courts that can sent addicts to rehab instead of prison.
On the other hand, promoting alcohol as an essential ingredient of life alongside fruit and vegetables at the supermarket is bizarrely stupid, OMHO.
Potassium ferrocyanide is your anti-caking agent – the CN is tightly bound to the Fe and doesn’t disassociate in the body. An example of how similar substances can have widely different hazard categories.
Oops, I forgot to put the ferro on there. When I was doing darkrooms at art school, there was a developing recipe that used it. The recipe also used salfuric acid. The important thing was getting the mixing order correct, so that the salfuric didn’t cause the potassium ferrocyanide to change into something nasty.
A drug is not evil: even methamphetamine has a very limited useful role in medicine.
Yes, I make that point in the episode: it’s a chemical, no more innately evil than salt or water.
Using words like evil frame it as a question of morality. I’d say it’s a dangerous chemical, becouse of its addictive properties and then the brain damage that long term use can do. I’ll also say that meth is more like potassium cyanide (which can be used as an anti caking agent in table salt) than salt water. But salt water is dangerous. I’ve come close to being killed by salt water back in the day, when I was all out at sea and once at Piha beach.
I have a friend who used meth during the early nineties. He now has his phd in thermal dynamic physics. What he discovered is that had struggled which ADHD, and the meth was an unwise self medication. He got lucky by not being jailed, not being beaten to death by the hells angels and managing to discover an alternative life style before he fryed his brain. His alternative might have been an onto-it observer when he was at school. But everything turned out well in the end for him and our collective view of the cosmos.
This is the beginnings of the next Netflix blockbuster. I thought the Trump business empire would become a terrorist target. But as the artical writer says, it's more like Willy Wonkers chocolate factory.
I noticed, tucked away in the newspaper, that Fidel Castro has died.
This series of earthquakes, and the alarming GNS forecast yesterday, has demolished any lurking idea I had that the earthquakes may have quieted for Christchurch and surrounds. The country is in a time of stronger seismic activity than has been the case for many human-scale years, and we must learn to live with it, or leave.
We are also getting a bit of earthquake action here in Wellington.