Maia Szalavitz comments on new study from Columbia’s National Center on Addiction and Substance Abuse (CASA) - June 2012

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Maia Szalavitz has just comented newest study released from the National Center on Addiction and Substance Abuse at Columbia University (CASA) that has started quite a stir in the addiction recovery industry. Everyone is noticing and also realizing that the court systems, not the program of Alcoholics Anonymous is fueling its growth and the"treatment" is nothing more than voodoo magic.

Addiction Treatment in America: Not Based in Science, Not Truly ‘Medical’

By Maia Szalavitz | @maiasz | June 26, 2012

Addiction is typically characterized as a disease by experts and government officials. Yet, unlike most known diseases, the treatment of addiction is not based on scientific evidence nor is it required to be provided by people with any medical education — let alone by actual physicians — according to a new report.

The 586-page tome, which was published by Columbia’s National Center on Addiction and Substance Abuse (CASA), is based on large surveys of treatment providers, people who suffer from addiction and those in the general public, as well as a review of more than 7,000 publications on addiction.

It finds that most addiction care is administered by “addiction counselors” for whom there are no national standards of practice. It finds also that 14 states don’t require any education or licensing at all for addiction counselors. The risks to those seeking treatment can be dire: California is one of the states that allows uncredentialed providers, for example. In a recent case in that state, a sexual predator was found to be offering “intimacy therapy” to addicted teenage girls; treatment consisted of sex with him. Without oversight, there’s no way to stop people from preying on vulnerable people under the guise of addiction care.

Only six states require addiction counselors to have a minimum of a bachelor’s degree; just one requires a master’s degree, according to the CASA report. The main qualification for treating addiction in this country is having suffered from the disorder oneself — a standard of care that would be considered absurd if any other medical condition were involved.

Moreover, addiction treatment providers are typically not held accountable for their patients’ outcomes: the report found that nearly half of all patients with illegal drug problems are referred to treatment by the criminal justice system and, of course, it is the patients, not the counselors or program directors, who go to prison if they fail.

Read more:http://healthland.time.com/2012/06/26/addiction-treatment-in-america-not...

This report from the National Center on Addiction and Substance Abuse at Columbia University (CASA) was also covered on this site under - Columbia University think tank reports doctors aren't trained to treat addiction - 44% get sent to AA by the Criminal Justice System http://orange-papers.org/forum/node/1760

JR Harris's picture

The National Center on Addiction and Substance Abuse (CASA) report "Addiction Medicine: Closing the Gap between Science and Practice" can be downloaded at http://www.casacolumbia.org/templates/NewsRoom.aspx?articleid=678&zoneid=51

"June 26, 2012
New report, Addiction Medicine: Closing the Gap between Science and Practice, reveals addiction treatment neglected by the U.S. medical system and a lack of national treatment standards to assure quality care for those with the disease of addiction."

"Tradition 10 - Alcoholics Anonymous has no opinion on outside issues; hence the AA name ought never be drawn into public controversy." Please follow orders from the Interchurch Center if you are an AA member and don't comment.

Orange's picture

I always did love the way that woman thinks.

Persephone In Exile's picture

THANK YOU!! Finally!!

Is it just me, or is this one of the best news days ever?

Trisha K.'s picture

Before everyone gets to excited Maia, has absolutely no qualifications personally to back up what she is reporting. All Maia is doing is collecting data from one source and bringing it over to another source.
Maia, is not an expert nor does she have a Phd, doctorate or any degree dealing with substance abuse or addiction. All Maia has as experince, she was a heroin addict.
JR, try some new News also. We have known this for the last 40 years, why do you think the courts are sending people to AA.
This is nothing new.

“The more I traveled the more I realized that fear makes strangers of people who should be friends.”
Shirley MacLaine

Persephone In Exile's picture

Yes, and she REPORTED on a published study for a publication. She is a reporter, and is more than qualified to write articles for a TIME website. Your point?

becket's picture

“The essence of the independent mind lies not in what it thinks, but in how it thinks.”
― Christopher Hitchens, Letters to a Young Contrarian

Trisha K.'s picture

My point is...Maia's opinions are no more important then the next lay person's. Like I said, she shot dope for a few years, so now she is practicing, one addict helping another.
The philosophy you most dislike, PIE.
Don't get me wrong Maia is a very thorough reporter, she covers the addiction/substance abuse and treatment industry topics extremely well. Love all of her articles, just don't agree with everything she has to say.

“The more I traveled the more I realized that fear makes strangers of people who should be friends.”
Shirley MacLaine

Persephone In Exile's picture

I disagree that what she does embodies that philosophy, but if you see it that way, that's your right. In any case, I don't dislike that as an idea, I dislike exactly what she was reporting on in the link above. That people being paid large sums of money to help people are being held to no standards and have little education in this field.

As far as Szalavitz is concerned, I'm sure she has researched this topic enough to report on it in print. I do enjoy her work, but there's no cap on who can write about this topic online. Luckily some bigger publications are allowing writers like Szalavitz to have a voice.