‘Doctors with addictions: double standards?’ by djmac

Doctor-Addiction‘Doctors get addicted to alcohol and other drugs; there’s plenty of evidence of that. My question is: Do doctors with addictions get the same kind of treatment and outcomes as their patients?  The British Medical Association estimates that there are 10,000 to 13,000 addicted doctors in the UK. Most of them will be in practice.

What is the expectation for doctors coming to treatment in the UK? Well, the goal of abstinence is pretty much accepted as a given (even for IV opiate addicts) and their access to quality treatment of adequate duration is greater.

Outcome studies from the USA consistently show recovery rates of 80% and there is evidence from the Practitioner Health Programme (PHP) in London this is also true in the UK. Most doctors in recovery return successfully to work.

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‘Recovery is too hard and dangerous. Solution: methadone for life’ by DJ Mac

w600_817157f479b2b1cb43e6a6646b8f7efcWell worth checking out excellent new blog, Recovery Review, by DJ Mac. Here’s a sample:

‘Berlin, like many big cities has a heroin problem. People presenting for help are being prescribed opioid replacement therapy (ORT) in greater numbers. That’s a good thing isn’t it? Well it depends on what you think is the end goal of treatment.

At the start of this interesting recent German paper “Why do patients stay in opiod maintenance treatment?”, Dr Stefan Gutwinski and colleagues say that the scientific literature indicates the point of ORT is: “to increase survival and bring stabilization to patients, in order to enable them to reach abstinence of opioids.” The Scottish Government’s drugs policy and the UK policy agree.

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