The US strikes on Venezuela are disgusting. Yet another attempt at regime change to secure oil for American corporations. Solidarity with the peoples of Venezuela. Trump must end this criminal action NOW.

New post: #moralinjury is now in the DSM--sort of. What are the implications for patients, particularly in the military? Also, I'm taking a quick, anonymous reader survey and would love your input, subscriber or not! #therapistsky #addiction #harmreduction

2025 DSM updates for diagnosing #substanceuse disorders: a step in the WRONG direction. I find it's very important to go by what criteria (i.e. symptoms) the patient identifies for themselves. The revised text explicitly removes that qualification (p 10) #addictionmed #therapistsky #harmreduction

Great points as always. In coercive treatment in which patient/client feedback doesn't matter and is never collected, exploitation and fraud are sure to follow. #Substanceuse treatment is infamous for this as well. #mentalhealth #addictionmed #drugsky

Brains don’t hit a magic ‘done’ at 25. If development keeps unfolding, shouldn’t our drug laws and harm-reduction plans evolve too? #Adolescence #Cannabis #DrugPolicy #HarmReduction #Neuroscience

New post on trauma as a factor in #addiction, plus some good news for treatment access... #drugsky #therapistsky #addictionmed #traumarecovery

Portland #Maine is once again talking about reducing syringe exchange ratios, while Sanford recently suspended their exchange for a year. In both cases the cited problem is used syringes left out in public spaces. 1/2 #harmreduction

My latest blog. Declaring any #IllicitDrug a #WMD is not #PublicHealth and it is definitely not #EvidenceBased. The evidence is clear: #punitive escalation worsens health outcomes and increases #overdose deaths. #harmreduction #pwud #addiction #warondrugs medium.com/@chad4harmre...

#harmreduction is #publichealth. So is #socialjustice. The problem isn’t that social justice is political. It’s that calling out inequity makes people uncomfortable, even when the outcome is simply equitable healthcare Monique Tula, on Recovery-ish. Full episode in the comments. #pwud #equity

An important community and patient perspective. themainlander.com/2025/12/10/v... #bcpoli #harmreduction

How substance use treatment coopts practices from the #12step #recovery community #drugsky #addictionmed #therapistsky

Stories are powerful. But storytelling also carries risk. The Ethical Storytelling Roadmap was developed to change that. co-designed through panel dis & workshops w PWUD, peer workers, advocates, health & com orgs, & researchers who are working in HIV, HCV, & harm reduction inhsu.org/wp-content/u...

Book Review! "Rehab: An American Scandal" by @sho-walter.bsky.social 👍 #addictionmed #therapistsky #drugsky #recovery

FREE: Capitalism Can't Stop Our Care: Lessons from Abortion Accompaniment Networks Across the Global South Saturday Dec 6, 12:30 pm ET Register at link #reproductiverights #accompaniment #debtcollective

Last week, our ED Anton Basenko spoke at the HRI webinar about keeping #HarmReduction alive in the face of a global funding collapse. His message was clear: funding cuts cost lives, and where harm reduction survives, it survives because #communities hold the line.

New post on doing #substanceuse treatment and advocacy WITHOUT lived experience. #therapistsky #harmreduction #addictionmed

Black Friday check-in for my fellow social workers, therapists, case managers & crisis folks: we made it to the end of the week in a system that asks too much and pays too little. Hunger Games salute to everyone who carried the on-call phone. Rest is the assignment.

“Abolishing the punishment system requires collective action rather than having the correct political line, using the correct words, or reading the right feeds, essays or books.” -All This Safety Is Killing Us ed. Mukerjee & Martinez #abolition #healthjustice

“If all anybody has to look forward to is punishment, or the relief of drugs, they’re going to choose drugs.” —Shoshana Walter, Rehab: An American Scandal #addiction #harmreduction #recovery

The attack on women continues! This administration wants you at home, pregnant, broke and stupid. #Pinks

FREE: Capitalism Can't Stop Our Care: Lessons from Abortion Accompaniment Networks Across the Global South Saturday Dec 6, 12:30 pm ET Register at link #reproductiverights #accompaniment #debtcollective

Lewiston's City Council has passed a controversial ordinance for syringe service programs after a heated debate, aiming to balance public safety with harm reduction. Read the full story #LewistonAndroscogginCounty #ME #CitizenPortal #LewistonSyringeService #HarmReduction #PublicHealth

New post: why the failures and harms of #addiction treatment cannot be solved through credentialing standards. #drugsky #therapistsky #harmreduction

Behind the Desk question of the day: What corner of social work are you in, and what’s one thing people don’t realize about it? (Students, adjacent roles, and “I left but I still care” peeps are welcome here too.)

More health care workers facing workplace repression.

filtermag.org/stigma-by-as... #Harmreduction

New post on #mentalhealth struggles among people who work in the field. Feedback welcome as always! #therapistsky #harmreduction #moralinjury

some people opposed 'woke culture' because they thought they had better, fairer standards and others opposed it because they don't have any (and hope you don't either)

Ok, here's one use for AI that I can support: beating #healthinsurance companies at their own game. #m4a #healthcare

When we take a #harmreduction approach in #substanceuse work, we still acknowledge that addiction exists. It can be painful, isolating, and destructive. Substance use providers who oppose harm reduction often believe it means denying or ignoring addiction. But it doesn't! 1/2

Comic ✏ by Brian McFadden Click here for more comics 👉 www.dailykos.com/blog/Comics

My #Maine voters: Sen. King is selling out our #healthcare in real time. See the We The People Dissent post linked below for more info, then Office Locations to call him out. thepeopledissent.substack.com/p/immediate-...

@senangusking.bsky.social Your move on the budget "compromise" will be disastrous for the working people of #Maine. Where do you honestly think this is going? #healthcare #m4a

New post on arguments against forced #addiction treatment--and why it's such an uphill battle. #harmreduction #addictionmed #therapistsky #socialworkispolitical

"[C]o-founders of the Drug User Liberation Front compassion club, Eris Nyx and Jeremy Kalicum, were found guilty." "To support DULF’s Charter challenge, consider donating to them": www.zeffy.com/en-CA/donati... #BritishColumbia #Canada #Courts #Drugs #Healthcare #Policing

The 'war on drugs' is a lucrative business. There's a lot of vested interest in keeping it going unfortunately

Consolidated info on #Maine Gov. Janet Mills' actions against the Wabanaki people (indigenous communities in "Maine"). This should be a gift link--lmk if you can't access. This post has nothing to do with Graham Platner. #tribalsovereignty #indigenousrights

My client told me they have had “all good experiences” with therapists in the past. And this is spanning decades! I said “I don’t hear that often” but in fact I’ve never heard it at all. #therapistsky #harmreduction

Really early, but in #Maine it's looking good on Question 1 (No vote on right-wing voter suppression, and Question 2 (Yes vote on Red Flag Law).

Like so many #addiction treatment providers, I once saw mandated (i.e. forced) treatment as a "necessary evil." I don't know when I first internalized the idea that evil is ever "necessary," but I'm working to unlearn it now. #harmreduction #therapistsky #addictionmed

New post on young people and THC

Never defend a #mentalhealth or #socialservice as "better than nothing." This phrase is a flapping red flag because: 1) It's usually baseless. If there's no evidence comparing the service to "nothing"--no intervention--then we have no idea whether it's "better"!

We need to get comfortable with being wrong and also support colleagues as they realize they are wrong. If we're really here for our patients/clients/participants/people, rather than status or ego, we are willing to change our minds and approaches. #addictionmed #therapistsky #harmreduction

New Research Reveals Therapists’ Concerns About Corporate Practice Management Companies #therapistsky #therapistsconnect

Standardized treatment for #substanceuse is always doomed to fail. Standardized treatment for anything is always doomed to fail! Real care does not scale. As long as we keep focusing on "efficiency" or "streamlining" we are not providing real care. #therapistsky #addictionmed #harmreduction

💯 Give me a therapist who can step away from the diagnoses and respect the impact of persisting through The Horrors.

Come free-sub to my Substack! substack.com/@stephenhrnr...

New post on the underappreciated role of pleasure in #substanceuse and #addiction treatment. #therapistsky #harmreduction #addictionmed

A source close to Addiction Recovery Care (ARC) told me dozens of staffers were laid off today, two days after its CEO announced he signed a letter of intent to sell most of its assets to another company. This is the response the ARC spokesperson gave me when I asked how many were laid off: