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anonymous

What if We Really Treated Addiction Like the Disease It Is? | The Fix - 0 views

www.thefix.com/...y-treated-addiction-disease-it

aviation Airlines Pilots FAA HIMS FAA HIMS program

shared by anonymous on 26 Feb 15 - No Cached
  • Dr. Howard Wetsman argues that most addiction treatment has been misguided and ineffective but that we are finally able to "throw away the cookie cutter" and "treat addiction like the disease it is."...Richard Juman, PsyD
  • We don’t really believe that addiction is a disease!
  • in spite of the language that we use in describing addiction as a disease, we don’t actually treat it like it is a disease
  • ...8 more annotations...
  • That’s because with every other chronic disease we look at data. With addiction, we believe.
  • As long as we think of addiction as something a “normal person” has done to himself by using a drug, we will only see it as a temporary abnormality brought on by bad behavior.
  • The mindset behind this advice is that addiction is really just a long-lasting intoxication that will eventually go away, leaving the person normal again; this is not a true understanding of addiction as a disease.
  • I found that she had a polymorphism of Methylenetetrahydrofolate Reductase (MTHFR), an enzyme that turns folic acid from our diet into L-methylfolate, the only form that our brains can use. One use for L-methylfolate is as a co-enzyme in two stages of the production of dopamine.
  • based in biology and developed from essential principles.
  • “Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.”
  • We can finally treat addiction like the disease it is in nature.
  • Howard C. Wetsman, MD, is the Chief Medical Officer of the Townsend Addiction Treatment Centers in Louisiana and the author of Questions and Answers on Addiction.
  • anonymous on 26 Feb 15
     
    Howard C. Wetsman, MD, is the Chief Medical Officer of the Townsend Addiction Treatment Centers in Louisiana and the author of Questions and Answers on Addiction.
anonymous

Psychiatrists Describe Trends in Medications to Treat Addiction: When Will the FAA List... - 0 views

www.weyhrauchlaw.com/...2366

law addiction medications pilots Aviation Airlines HIMS HIMS process himsprogram.com Human Intervention Motivation Study FAA HIMS program FAA Special Issuance flying AASI ALPA AMAS AME ASAP psychiatry clinical psychology naltrexone gabapentin substance us

shared by anonymous on 07 Jan 15 - No Cached
  • More evidence that the FAA is misguided in their ‘one-size-fits-all’ approach in administering the HIMS (Human Intervention Motivation Study) program…
  • and stressed that “there is no ‘one-size fits-all’ treatment, … [and] efficacy of the treatments may vary from person to person.”
  • since drug addictions are very common disorders in both general and psychiatric patient populations, she hoped the session succeeded in “conveying some important messages about the treatment of addiction” that psychiatrists could take home and use in their practices.
  • ...3 more annotations...
  • “Pharmacotherapies for AUD are highly underutilized. Only 8 percent of adults with AUD are currently being treated for the illness” with these medications, said Steven Batki, M.D., a professor of psychiatry at the University of California, San Francisco, who pointed out that there is no universal treatment that is as effective in all patients with AUD.
  • Though there are multiple pharmacotherapy options available to treat substance use disorders, some addiction experts maintain that these medications are often underutilized
  • these disorders are too seldom treated with pharmacotherapies approved by the Food and Drug Administration (FDA), some addiction experts maintain.
  • anonymous on 07 Jan 15
     
    Psychiatrists Describe Trends in Medications to Treat Addiction: When Will the FAA Listen?
anonymous

Should Addicts Be Forced Into 12-Step Rehab Programs? No | Chaotic Pharmacology - 0 views

chaoticpharmacology.com/...into-12-step-rehab-programs-no

aviation Airlines Pilots HIMS law hims discrimination HIMS Pilots United HIMS process HIMS related discrimination FAA HIMS program FAA FAA Special Issuance FAA's HIMS-program Special Issuance standard of care substance abuse medical certificate medical do

shared by anonymous on 23 Jan 15 - No Cached
  • Should Addicts Be Forced Into 12-Step Rehab Programs? No
  • Forced interventions such as forced psychiatric therapy (used sometimes to addict patients) is considered as torture by governmental (e.g, United Nations) and non-profit organizations (e.g., Mad in America
  • There is no sufficient evidence to support 12-Step rehab programs as a safe and effective intervention for the treatment of addictions
  • ...2 more annotations...
  • There is also insufficient evidence supporting the routine use of drug testing (e.g., phosphatidylethanol – PEth)
  • AA is Faith-Based, Not Evidence-Based
  • anonymous on 23 Jan 15
     
    Chaotic Pharmacology: Should Addicts Be Forced Into 12-Step Rehab Programs?
anonymous

A Different Path to Fighting Addiction - NYTimes.com - 0 views

www.nytimes.com/...ath-to-fighting-addiction.html

addiction nytimes nytimes com aviation Airlines Pilots FAA HIMS law FAA HIMS program FAA Special Issuance FAA's HIMS-program scientific Special Issuance standard of care abuse AASI hims discrimination HIMS Pilots United HIMS process

shared by anonymous on 13 Feb 15 - No Cached
  • The psychologists also support the use of anti-craving medications like naltrexone, which block the brain’s ability to release endorphins and the high of using the substance.
  • A 2002 study conducted by researchers at the University of New Mexico and published in the journal Addiction showed that motivational interviewing, cognitive behavioral therapy and naltrexone, which are often used together, are far more effective in stopping or reducing drug and alcohol use than the faith-and-abstinence-based model of A.A. and other “TSF” — for 12-step facilitation — programs.
  • Researchers elsewhere have come up with similar findings. In 2006, the Cochrane Library, a health care research group, reviewed four decades of global alcohol treatment studies and concluded, “No experimental studies unequivocally demonstrated the effectiveness of AA or TSF approaches for reducing alcohol dependence or problems.” Despite that research, A.A.’s 12-step model is by far the dominant approach to addiction in America.
  • ...8 more annotations...
  • lifelong abstinence and adherence to the 12 steps mapped out in the Big Book, published four years after the organization was founded in 1935.
  • relies heavily on faith; God is mentioned in five of the 12 steps.
  • Instead of addict or alcoholic, she prefers the terms favored by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, or the DSM-V, which says that patients suffer from “alcohol use disorder” or “substance abuse disorder,” terms that convey a spectrum of severity.
  • “Substance use takes on a lot of different shapes and sizes,” Dr. Kosanke said. “There are real downsides to labeling a child with a lifetime identity, when that truly may or may not turn out to be the case.”
  • “We don’t have a judgment on how you address your substance use problem. Maybe A.A. is helpful to you and you find everything you need there. If it’s not, we genuinely believe there are many strategies for helping to resolve them.”
  • Stanton Peele, a Brooklyn psychologist who has studied substance use for decades and is a longtime critic of the A.A. model.
  • That approach runs through the book she wrote with Dr. Foote and Dr. Kosanke, “Beyond Addiction: How Science and Kindness Can Help People Change.”
  • “She’s not a problem to be solved, but a child to be loved and guided toward a better life.”
  • anonymous on 13 Feb 15
     
    Gabrielle Glaser's NYT article, July 3, 2014
anonymous

The Disease of Addiction is on Trial - 0 views

www.asam.org/...sease-of-addiction-is-on-trial

disease aviation Airlines pilots HIMS law FAA FAA HIMS program FAA Special Issuance FAA's HIMS-program medical certificate medical doctor medical privacy medical providers medications medicine standard of care substance abuse substance dependence Addictio

shared by anonymous on 10 Jan 15 - No Cached
  • anonymous on 10 Jan 15
     
    Steven Kassels has been Board Certified in Emergency Medicine and Addiction Medicine. He is a Co-Founder and Medical Director of Community Substance Abuse Centers, with treatment facilities located throughout New England. He has served as the Chair of the Massachusetts ASAM Public Policy Committee; a member of the ASAM Medical Specialty Advisory Group; and as CARF Expert Medical Consultant for Opioid Treatment Programs. When giving talks, he frequently donates his author proceeds to local treatment centers and he has personally subsidized the publishing costs to keep the price affordable. "Medicine has been very good to me and it is my way of trying to give back." Steve will Skype into book groups and they can be scheduled through his website. The book is available at Amazon, iBooks and Barnes and Noble online.
anonymous

Should Addicts Be Forced Into 12-Step Rehab Programs? No (Part 2) | Disrupted Physician - 0 views

disruptedphysician.com/...-step-rehab-programs-no-part-2

physician rehab aviation HIMS law Airlines Pilots hims discrimination HIMS Pilots United HIMS related discrimination FAA HIMS program FAA Special Issuance FAA's HIMS-program medical certificate medical doctor medical privacy medical providers medicine sub

shared by anonymous on 23 Jan 15 - No Cached
  • The argument is often advanced that without coercion there is insufficient incentive to enter treatment and, within a medical paradigm, not wanting to enter treatment is considered a symptom of the disease.
  • 12-step recovery model is being used to coerce treatment on those who do not need it
  • anonymous on 23 Jan 15
     
    Dr. Michael L. Langan on "Should Addicts Be Forced Into 12-Step Rehab Programs."
anonymous

An Evening with Dr. Steven Kassels - YouTube - 0 views

www.youtube.com/watch

alcohol use disorder alcoholism AUD aviation Aviation Family Fund Aviation Legal Aid chemical dependency DFEH discrimination DSM-4 DSM-5 EEOC FAA FAA's HIMS-program flying HIMS HIMS Pilots United HIMS related discrimination HIMS-program hu

shared by anonymous on 09 Jan 15 - No Cached
  • anonymous on 09 Jan 15
     
    Steven Kassels addiction expert and ER physician - takes an innovative narrative to telling the story of how... http://t.co/MJ0JE8dg3v
  • anonymous on 09 Jan 15
     
    Steven Kassels addiction expert and ER physician - takes an innovative narrative to telling the story of how... http://t.co/MJ0JE8dg3v
anonymous

A Prescription to End Drinking - WSJ - 0 views

www.wsj.com/...ion-to-end-drinking-1418687580

HIMS HIMS process himsprogram.com Human Intervention Motivation Study FAA HIMS program FAA Special Issuance flying AASI Abuse Airline Alcohol Blood Testing Alcohol Breathalyzer ALPA AMAS AME ASAP American Substance Abuse Professionals

shared by anonymous on 10 Jan 15 - No Cached
  • prompting addiction experts to make a push for using medications to help people quit or cut down on excessive drinking.
  • As a result, experts say, the most effective treatments are highly individualized.
  • The Food and Drug Administration has approved three prescription drugs to treat alcohol problems. But they are seldom used, largely because 12-step programs have dominated the treatment field, NIAAA experts say.
  • ...4 more annotations...
  • neurobiologist George Koob, director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), which is leading the effort to bring new, evidence-based treatments to more people.
  • “We not only use it, we encourage it. If there’s something that can improve your chances of recovery, all the better,” says Joseph Lee, medical director for youth at the Hazelden Betty Ford Foundation, which uses naltrexone and acamprosate.
  • newer behavioral treatments try to empower patients instead, and focus on developing skills to stay sober.
  • “Over the last 25 to 30 years, much of the neurocircuitry of addiction has been identified,” opening up new targets for interventions, says David Goldman, chief of the NIAAA’s neurogenetics lab
  • anonymous on 10 Jan 15
     
    A Prescription to End Drinking Data on Medicine for Alcohol Disorders Pushes Doctors Beyond 12-Step Programs -- **Also see Melinda Beck's radio interview on same page**
anonymous

WEYHRAUCH LAW GROUP Provides legal support to the aviation community & pilots in the HI... - 0 views

www.weyhrauchlaw.com/HIMS%20Documents_7.html

law Airlines pilots discrimination FAA FAA HIMS program FAA Special Issuan FAA Special Issuance firing flying usdot AASI addiction Airline FOI FOIA foi request delayed foi request muckrock hims discrimination aviation HIMS related discrimination HIMS Pilo

shared by anonymous on 08 Jan 15 - No Cached
    • anonymous
      anonymous on 08 Jan 15
       
      HIMS related employment discrimination overseen by the FAA & USDOT
  • Freedom of Information Act (FOIA) Request(s) for Discrimination Related HIMS Records from the Federal Aviation Administration (FAA) & US Department of Transportation (USDOT)
  • anonymous on 08 Jan 15
     
    Freedom of Information Act (FOIA) Request(s) for Discrimination Related HIMS Records from the Federal Aviation Administration (FAA) & US Department of Transportation (USDOT)
anonymous

The FAA's Human Intervention Motivation Study (HIMS) program for flight crew members... - 0 views

plus.google.com/...116788351245679986498

aviation Airlines Pilots HIMS airplanes law FAA Special Issuance hims discrimination HIMS Pilots United HIMS process FAA HIMS program FAA's HIMS-program AASI abuse access to justice access to legal services addiction Special Issuance standard of care depe

shared by anonymous on 28 Jan 15 - No Cached
  • Please see http://tinyurl.com/k8n68u7 for an example of a ‘Special Issuance’ letter from the FAA, outlining some of the basic requirements for maintenance of a Medical Certificate once the pilot has been “medically cleared”
  • https://www.weyhrauchlaw.comþff
  • #HIPAA violations abound in the #FAA's #HIMS program for #commercial #airline #pilots
  • anonymous on 28 Jan 15
     
    The FAA's Human Intervention Motivation Study (HIMS) program for flight crew members... Details and various links related to the FAA's HIMS program for airline pilots, et al.
anonymous

What Tangled Webs We Weave When We Place Profit Before People - 0 views

What tangled webs we weave when we place #profit before people: http://bit.ly/1yjhpSV #FAA #aviation #UPS #flying #addiction #medicine #USDOT #NTSB

psychiatry psychology aviation medicine aviation medical examiner senior aviation medical examiner airline major airline commercial airline administrative law NIAAA FAA Federal Aviation Administration American Substance Abuse Professionals

started by anonymous on 01 Feb 15 no follow-up yet
anonymous

What Tangled Webs We Weave When We Place Profit Before People - 0 views

What tangled webs we weave when we place #profit before people: http://bit.ly/1yjhpSV #FAA #aviation #UPS #flying #addiction #medicine #USDOT #NTSB

psychiatry psychology aviation medicine aviation medical examiner senior aviation medical examiner airline major airline commercial airline administrative law NIAAA FAA Federal Aviation Administration American Substance Abuse Professionals

started by anonymous on 01 Feb 15 no follow-up yet
anonymous

AA (Alcoholics Anonymous) Lies - 0 views

www.hampapartiet.se/23.pdf

FAA HIMS program HIMS law aviation Airlines Pilots FAA hims discrimination HIMS Pilots United HIMS process FAA Special Issuance FAA's HIMS-program addiction senior aviation medical examiner Special Issuance standard of care scientific

shared by anonymous on 16 Feb 15 - No Cached
  • AA LiesCharles Bufe
  • here are probably more myths and misconceptions about A l c o h o l i c sAnonymous, A m e r i c a ’s most sacrosanct institution, than there areabout any other mass organization in our country.
  • anonymous on 16 Feb 15
     
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  • anonymous on 16 Feb 15
     
    psychiatry psychology "aviation medicine" "aviation medical examiner" "senior aviation medical examiner" airline "major airline" "commercial airline" "administrative law" NIAAA FAA "Federal Aviation Administration" "American Substance Abuse Professionals" ASAP recovery AA/NA "alcoholics anonymous" "narcotics anonymous" "aviation law" "aviation attorney" "law firm" "medical negligence" "standard of care" "pilot termination" "wrongful termination" litigation legal law "802 Grade Lane Flight Training Center Louisville KY" AASI "Airline Termination" airlinedivorce.com "alcohol use disorder" alcoholism ALPA AMAS "American Substance Abuse Professionals" AMSA ASAP "ASAP Inc." AUD aviation "aviation attorney" "Aviation Family Fund" "aviation law" "Aviation Legal Aid" "Bill Brath" bill.brath@expresscaremed.com "Blake Westhoff" "Cathy Cline" "chemical dependency" "Chris Williams" SCP "Chris Williams System Chief Pilot" "Chris Williams" UPS "Christopher Williams UPS" crewdivorce.com "D. Parker" "UPS Dave Parker" UPS "David Parker" "David Parker" UPS DFEH discrimination DSM-4 DSM-5 EEOC FAA "FAA's HIMS-program" flying HIMS "HIMS Pilots United" "HIMS related discrimination" "HIMS-program" "human intervention motivation study" pilot "religious discrimination" "substance abuse" "substance dependence" termination
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