Podcasts about recovery research institute

In this episode of Clinician's Corner, Molly and Clarissa explore the often-overlooked realities of long-term recovery. While many recovery programs focus on the acute phases and early abstinence, sustainable recovery demands much more—it asks us to renovate our lives. Drawing from the latest research—including insights from Harvard's Recovery Research Institute and their own published study on food addiction outcomes—they break down the average 17-year journey toward stable remission and emphasize that recovery is a process, not a finish line.

John Kelly is the director of the Recovery Research Institute at Massachusetts General Hospital and a professor of psychiatry in addiction medicine at Harvard Medical School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. J.F. Kelly, N.D. Volkow, and H.K. Koh. The Changing Approach to Addiction — From Incarceration to Treatment and Recovery Support. N Engl J Med 2025;392:833-836.

Q: Is Alcoholics Anonymous, aka AA, a proven recovery method?A: The scientific evidence, based on research conducted by the Recovery Research Institute at Massachusetts General Hospital, an affiliate of Harvard Medical School, emphatically proves that it is a cost-effective, evidence-based treatment that stands the test of time. AA is made effective by its members' active involvement in their own recovery, by the lack of rigid rules (contrary to popular belief), and by the fact that there are no dues or fees for AA membership.  Furthermore, an AA-based recovery program performed even better on longer-term sobriety measures than other alternative programs.

People attempting recovery face formidable challenges to successful sustained remission. Return to use depends upon the individual's access to recovery capital, or the collection of resources available that can bolster or improve recovery. In this episode, Dr. Emily Hennessy discusses the science of recovery capital and how improving recovery capital can enhance recovery and save lives. Dr. Emily Hennessy is the Associate Director of Biostatistics at the Recovery Research Institute and an Associate Director at the National Center on Youth Prevention, Treatment, and Recovery at Massachusetts General Hospital, as well as an Assistant Professor at Harvard Medical School.

Dr. Kelly is the Elizabeth R. Spallin Professor of Psychiatry in Addiction Medicine at Harvard Medical School. He is the Director of the Recovery Research Institute at the Massachusetts General Hospital (MGH), the Associate Director of the Center for Addiction Medicine at MGH, and the Program Director of the Addiction Recovery Management Service. Dr. Kelly is a former President of the American Psychological Association's (APA) Society of Addiction Psychology, and is a Fellow of the APA and a Diplomate of the American Board of Professional Psychology. He has served as a consultant to U.S. federal agencies and non-federal institutions, as well as foreign governments and the United Nations. Dr. Kelly has published over 200 peer-reviewed articles, chapters, and books in the field of addiction medicine. His work has focused on addiction treatment and the recovery process, mechanisms of behavior change, and reducing stigma and discrimination among individuals suffering from addiction. In this Episode: What initially sparked his interest in studying Alcoholics Anonymous and 12-step programs? What were the the key findings of the Cochrane review regarding the efficacy of AA and 12-step approaches? How effective is AA compared to professionally-delivered addiction treatments like cognitive behavioral therapy? Why does AA work for some people but not others? How well does AA work for diverse populations? Are there certain groups for whom it works better or worse? Could these findings be applied to other recovery communities? i.e. Sweet Sobriety, Smart Recovery, LifeRing? What role can AA play within a modern system of clinical addiction treatment and recovery support? His thoughts on harm reduction Why he thinks that sometimes in the addiction field it's either a harm reduction model OR an abstinence model instead of both offered. The research on average recovery trajectories (ie 4 – 5 years before they decide to stop even though the use is very problematic due to stigma or fear and trying moderation, then 7 or 8 years and multiple treatment interventions before they get one full year of abstinence, then 5 years of continuous remission before people are no longer at an elevated risk versus the normal population) People with addiction ned to be given permission to practice recovery instead of just being expected to just stop immediately  Does he believe in Food Addiction ? His thoughts on what our next steps should be to get Food Addiction Recognized   Follow John Kelly and the Recovery Research Institute: https://www.recoveryanswers.org The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.

Is there 100% proof that sobriety can work for you? Recovery Research Institute says, “AA has helped countless tens of millions of individuals recover from addiction” and Stanford University tells us, “AA is the most effective path to alcohol abstinence…the fellowships help more people achieve sobriety than any therapy does.”Listen in as Glenn and Mike talk about AA, introduce a real life case study of someone 12 months into the program, and discuss what their response is to someone who says AA doesn't work. Sometimes it's a matter of following AA because you have faith it will work, until you get to where you see the fact that it does work.If you know someone who needs to hear this episode, share it with them!In this episode:Previous Step One w/ Dr. John Podcast: https://www.sober.coffee/podcast/episode/27d59b4c/bonus-drop-dr-john-1-step-one-youre-ffandckedPrevious Half Measures Podcast Ep #75: https://www.sober.coffee/podcast/episode/b8496230/half-assed-i-mean-half-measures-are-you-all-inFor more about this podcast:Visit Sober.Coffee website: https://www.sober.coffeeSober.Coffee on Instagram: https://www.instagram.com/sober.coffeepodcast/Recorded at Audiohive Podcasting: https://www.audiohivepodcasting.comIn collaboration with Care Addiction Center: https://www.careaddiction.com

Host Jean McCarthy shares some of the moments that most affected her as a host, plus listener favorites. Of course, every single episode had numerous golden moments. It was not easy to decide on a handful when there are litterally hundreds of incredible interviews in the archives! These represent them all, and are presented with gratitude and appreciation for every guest that shared their time and for every listener who reached out. Recovery Research Institute: https://www.recoveryanswers.org Get The Bubble Hour book:   Take Good Care: Recovery Readings Inspired by The Bubble Hour podcast *(affiliate link) The Bubble Hour website www.thebubblehour.com Tiny Bubbles podcast https://sites.libsyn.com/448419 Host Jean McCarthy www.jeanmccarthy.ca Support us on Patreon https://patreon.com/thebubblehour

Did you know that 3 out of 4 addiction cases in the U.S. are alcohol addictions, and that kids who start drinking before age 15 are significantly more likely to develop an alcohol use disorder than those who wait? Alcohol causes more deaths each year than all other drugs combined, including around 5,000 deaths to children under age 21. Yet, culturally, we don't tend to think of alcohol as a serious psychoactive drug that causes intoxication, toxicity, and addiction.Today, Gene and Khadijah talk about alcohol, adolescents, and what parents should know. To help make sense of it all, they are joined by very special guest, Dr. John Kelly, program director for Mass General's Recovery Research Institute. Dr. Kelly walks us through how alcohol exposure affects the developing teen brain, how it can lead to other negative health outcomes, including cancer, substance use trends during Covid, and signs to look for you in your child if you're concerned.Please tune in for this special episode. We hope that our conversation will help you to have yours.Have a question about alcohol and adolescents? Write to us!Media ListJohn Kelly, PhD, ABPP (Recovery Research Institute)Tell Me No Lies (Anything But The Truth)In The News (MGH Clay Center)Impact: What is the impact of Addiction? (Recovery Research Institute)Five things you may not know about alcohol, the most commonly used drug in the world (Recovery Research Institute)Cannabis and the Teen Brain, featuring Jodi Gilman, PhD (MGH Clay Center)Percentage of adolescents reporting drug use decreased significantly in 2021 as Covid pandemic endured (Mirage.News)Alcohol use by college students falls during pandemic, but marijuana use increases (The Nation's Health)Media Literacy and Mental Health, featuring Common Sense Media (MGH Clay Center)Another COVID-19 Fallout: Teens' Happy Hour With Parents (Journal of the American Medical Association)There is life after addiction. Most people recover (NPR)Should My Child See a Therapist? (YouTube – MGH Clay Center)Pathways to Recovery (Recovery Research Institute)Episode produced by Sara RattiganMusic by Gene Beresin See acast.com/privacy for privacy and opt-out information.

How do we best tap into the positive side of recovery, beyond abstinence, sobriety, and remission? What does the science actually show about growing and changing in life after addiction?There is perhaps no one better equipped to answer those questions than my guest on today's episode of the Flourishing After Addiction podcast: Dr. John Kelly, Harvard Medical School's Elizabeth R. Spallin Professor of Psychiatry in Addiction Medicine, and founder and Director of the Recovery Research Institute at the Massachusetts General Hospital. John is a pivotal figure in the world of this research, studying not just what goes wrong and how to stop addictive behavior, but also how people find their pathways and thrive in recovery. In this episode, we talk about the “active ingredients” or “mechanisms” for recovery, what drives people's trajectories in recovery, what the research shows about how long it takes to make significant change once someone starts making an effort, and what all this research shows about how to best care for people with addiction and what we must improve in our current treatment system. We also talk a bit about his research on Alcoholics Anonymous and what that shows about the active elements of recovery.John Kelly, Ph.D., is the Elizabeth R. Spallin Professor of Psychiatry in Addiction Medicine at Harvard Medical School - the first endowed professor in addiction medicine at Harvard. He is also the Founder and Director of the Recovery Research Institute at the Massachusetts General Hospital (MGH), the Associate Director of the Center for Addiction Medicine (CAM) at MGH, and the Program Director of the Addiction Recovery Management Service (ARMS). Dr. Kelly is a former President of the American Psychological Association's (APA) Society of Addiction Psychology, and is a Fellow of the APA and a Diplomate of the American Board of Professional Psychology. He has served as a consultant to U.S. federal agencies and non-federal institutions, as well as foreign governments and the United Nations. Dr. Kelly has published over 200 peer-reviewed articles, reviews, chapters, and books in the field of addiction medicine, and was an author on the U.S. Surgeon General's Report on Alcohol, Drugs, and Health. His clinical and research work has focused on addiction treatment and the recovery process, mechanisms of behavior change, and reducing stigma and discrimination among individuals suffering from addiction. For more on John and his work, go to https://www.recoveryanswers.org.In this episode: - A nice blog post by John about the many pathways to recovery. - "A biaxial formulation of the recovery construct", with remission/abstinence/sobriety on one axis, and the positive consequences of recovery on the other. - The 2020 Cochrane Review on Alcoholics Anonymous and 12-Step Facilitation Treatments for Alcohol Use Disorder. A summary of that work here. - many more briefs of research studies available here.Sign up for my newsletter and immediately receive my own free guide to the many pathways to recovery, as well as regular updates on new interviews, material, and other writings.

Alcohol use produces changes in the cardiovascular system affecting heart rate. These systematic differences in heart rate can, in turn, function as a biological signature (i.e., biomarker) of dysfunction among those with alcohol use disorder (AUD). In addition to assessing difficulties, understanding heart rate modulation may have important treatment implications. Dr. David Eddie talks about heart rate variability as a biomarker of AUD and his work developing behavioral skills that can target heart rate using biofeedback to improve AUD treatment outcomes. Dr. Eddie is an Assistant Professor at Harvard Medical School and a Research Scientist at both Massachusetts General Hospital's Center for Addiction Medicine and Recovery Research Institute.

Host: Brenda ZaneShow notes and downloadable PDF: www.brendazane.com/hopestream/80Free e-book: www.brendazane.com/hindsightThe Stream, a community for moms: www.thestreamcommunity.comIn honor of September being National Recovery Month, I'm sharing an episode all about the confusing topic of "recovery." For parents in particular this can be a difficult concept if our kids have a different idea than us of what recovery means.We'll look at the Recovery Research Institute's definition of the term, some "recovery" scenarios that are typical with teens and young adults, and talk about the role harm reduction plays in recovery for many people. We'll also look at many options for recovery that don't involve traditional, clinical treatment.Finally, I share the important concept of "recovery capital," what it is and how it helps people who are working toward recovering from addiction and substance use. There's a recovery capital scale and worksheet available to download in the show notes for people wanting to learn more about this important piece of the recovery process.If you're a parent or love someone who's working on overcoming addiction and you're confused about what recovery actually is or isn't - this is your episode.

Worldwide, Alcohol Use Disorder kills 3.3 million people every year. It is the leading cause of death in working men around the world. Alcohol problems are responsible for 10 times the number of fatalities from all illicit drugs combined. Dr. John F. Kelly is a Professor of Psychiatry in Addiction Medicine at Harvard Medical School and Founder and Director of the Recovery Research Institute at the Massachusetts General Hospital (MGH). Dr. Kelly led the most rigorous scientific review of Alcoholics Anonymous performed to date. This review, published in the Cochrane Database of Systematic Reviews, is based on 27 rigorous studies (21 RCT's) done over the past 25 years, involving over 10,000 participants, 150 scientists and 67 institutions. The review reveals that AA and Twelve Step Facilitation not only perform as well as other interventions like CBT and Motivational Enhancement Therapy (MET), but actually do better at helping many more people achieve sustained continuous abstinence and remission. AA and Twelve Step Facilitation produce increased rates and lengths of abstinence when compared to other common treatments. Dr. Kelly shares the research behind why AA is so successful and how AA tends to benefit men and women differently. He draws from decades of scientific research to address the following questions: On average, how long does it take to achieve one year of continuous sobriety? How long does it take to rewire the brain during abstinence, thereby reducing the risk of Alcohol Use Disorder to that of the general population? When talking to a person with Alcohol Use Disorder in early sobriety, how would you explain the changes in his brain? Dr. Kelly offers hope as he comments on the percentage of people with Alcohol Use Disorder who actually achieve full sustained remission. Dr. Kelly normalizes ambivalence and explains how Motivational Interviewing can help move a person toward readiness to change. He shares the 5 most important factors that predict successful long term recovery. Dr. Kelly speaks to the suffering of family members and offers helpful suggestions. We discuss collegiate recovery programs and other sober support networks, like Smart Recovery. You won't want to miss an hour with brilliant Dr. John F Kelly, a man who has dedicated his entire career to scientific research aimed at helping people affected by Alcohol Use Disorder and their families fully recover and reclaim their lives.

Host Jean McCarthy returns from an unplanned 3-week break and shares stories and insights from her time away. Plus information from Recovery Research Institute on the effectiveness of various recovery programs, celebrating and recognizing Bubble Hour milestones, listener letters, and thoughts on the one-year anniversary of the release of The Ember Ever There by Jean McCarthy.

Addiction is among the most stigmatized of all social/health problems. Language surrounding clinical care in addiction is unlike any other area of medicine in that it often uses terms that are pejorative and lack specificity. In this episode, Dr. John Kelly talks about why we need to “stop talking dirty” in addiction research and treatment. He also discussed the results of the National Recovery Study – the only epidemiological of people in recovery ever conducted. Ever wonder how many serious attempts it takes to resolve an alcohol or drug problem, on average? He will cover that and more in this cannot-miss episode. Dr. Kelly is an endowed Professor of Psychiatry in Addiction Medicine at Harvard Medical School, the Founder and Director of the Recovery Research Institute at the Massachusetts General Hospital (MGH), the Program Director of the Addiction Recovery Management Service (ARMS) and Associate Director of the Center for Addiction Medicine (CAM) at MGH.

This week on Talk Recovery Radio This week on Talk Recovery Radio, 2 guests, one full hour. Kathy Moser founder of "Music for Recovery" and Peter Alessandria author of "Be Bigger Than You Think You Are" joins us on Co-op Radio 100.5fm.  Guest 1: Kathy Moser, founder of "Music for Recovery" “Music for Recovery has been providing evidence-based, clinically valuable music programming nationally in the US for over 10 years. In 2016 our work was studied by the Recovery Research Institute at Harvard Medical School, Dr. John Kelly lead researcher, and found to be beneficial to people in residential treatment. (let me know if you'd like a copy of the study) The goal of our work is to give clients hands-on experience developing recovery skills through engaging musical programming including group and individual song writing, recovery concerts, choirs, performance, beat making, and learning to play musical instruments. We offer song writing workshops, concerts, installation of music equipment and collaborate to design clinically integrated music programming that supports your facility's treatment milieu. We have worked with a wide variety of recovery clients including adolescents and adults, both SUD primary and dual diagnosis, gender specific and mixed. We have experience working in detox, short-term residential, long-term residential, sober living and IOPs. The over 700 songs we have written with clients have been streamed over 46,000 times post treatment on our SoundCloud Page. Here are some of our Greatest Hits Music for Recovery has consistently been rated by clients and staff as one of the most helpful and engaging elements of treatment.” Website | Soundcloud | YouTube | Facebook | Instagram Music For Recovery Results BACKGROUND: Carr et al. (2013) cite the need for further attention to Music Therapy's effects in inpatient settings. Drawing a link between the theoretical concepts of group therapy and data specifically evaluating Music Therapy programs seems suited to the incipient status of much of this work. Yalom's Therapeutic Factors (TFs) are a widely accepted theoretical framework for the aspects of group therapy that serve to effect change in group members (1995). Music Therapy appears to derive its therapeutic effects from an interaction of these factors. Current literature documents Music Therapy's ability to instill reconnection with previous states, companionship amongst the group, and perceived equality with the therapist unique to the music modality, as well as instillation of hope and positive expression (Ansdell and Meehan, 2010). “Music for Recovery” (MFR) is one such example of Music Therapy which is available to facilities offering services to patients with substance use disorders. The MFR program, run by a musician in long-term recovery, offers on-site recovery songwriting workshops and performances to explore how creativity can support recovery and enhance treatment experiences. A program evaluation was developed to measure the therapeutic effects of participation in MFR in patients of residential addiction treatment facilities. Guest 2: Peter Alessandria Author of "Be Bigger Than You Think You Are" I'm Peter Alessandria – and I would like to invite you to "Be Bigger Than You Think You Are!" This book will show you how to overcome your limiting thoughts and beliefs so you can finally have the life you want. In 2009, after working for nearly 20 years as an entertainment attorney, I lost my business to the Global Financial Crisis. I tried everything I could to get it going again, but nothing seemed to work. Eventually I came to a crossroads: what was I going to do with the rest of my life? Several years earlier I had fallen in love with photography. When it became clear my law business wasn't going to come back anytime soon, I decided to turn a negative into a positive and pursue my passion for photography full time. Unfortunately, things didn't go so well at first. For more than three years I struggled to get my new business going. I initially thought it was the economy. Then I thought it was my lack of formal education in art or photography. Next I thought it was the competition from all the other photographers out there. At one point, I was even sure it was because I didn't have the latest and greatest camera equipment. But it turns out none of that was the problem. What was holding me back were my own negative thoughts and beliefs about myself. I had a very negative self-image when it came to being a creative person. I was sure people wouldn't like my work, so I lived in fear of rejection and criticism. It was quite eye-opening to see that my self-image was the cause of all my problems. Making Amends As someone who spent almost 25 years in three different 12 Step Programs, I've learned that taking responsibility for our choices and actions is at the core of any recovery program. The inventory and amends process suggested in Steps 4, 8 & 9 form the basis for this. Yet I've found that taking responsibility by making an amends is not always as straightforward as it seems. Buy the book | Website | Instagram | Facebook

Who's confused about using medication to treat opioid addiction? If your hand is in the air this is your episode! I was fortunate enough to speak with Dr. Lauren Hoffman who works with Recovery Research Institute, a leading nonprofit research institute of Massachusetts General Hospital, an affiliate of Harvard Medical School, dedicated to the advancement of addiction treatment and recovery.For parents who have an adolescent or young adult child struggling with opioid use, medication could be a viable option but there's confusion around it and information can be hard to find. In a deep-dive conversation, Dr. Hoffman and I covered a lot of ground including things like:how she became the person in charge of her mom's opioid use disorder at the age of 13 and how that shaped her life's missiona breakdown of available medications and the differences between themvarious formats of medications like pills, injections and implantsage recommendations for using medications like Suboxone, methadone and Vivitrolwhen someone can start taking a medication like Suboxone or Vivitrol and when they shouldn'twhat the difference is between an agonist and antagonist medication and why it's importantwhere and how to find a doctor to help with determining if medication is the right option how long people need to take these medicationswhy it's critical to ask any treatment program you're evaluating about their policy and philosophy around medication for opioid addictionwhat telescoping is and why it's important to understand ither controversial belief about when to consider starting medicationher advice for parents who are worried about the potential cognitive impact from opioid medications in young peopleand lots more...After listening to this episode you'll have a good grounding in the medication options, and an understanding of how they work to help people stay in recovery. You'll also have facts that can help break through the stigma of using medication to treat opioid use disorder.Show notes with drug information are at www.brendazane.com/hopestream/53This episode is supported by The Stream, an online, pay-what-you-can membership where moms who have kids struggling with substance use focus on their own health, wellness, and sanity - with no judgment, and no distraction because it's not on Facebook.  If you'd like to hang out with me and a bunch of cool moms after the episodes, you can learn more and join us at brendazane.com/thestream. The first two weeks are always free, then you pay whatever you can. I'd truly love to see you there.Also, download my free ebook “HINDSIGHT: 3 Things I Wish I Knew When My Son Was Addicted to Drugs

Today's episode # 28 is a conversation with Dr. John Kelly, the founder and Director of Recovery Research Institute in association with Harvard Medical School and its affiliated Massachusetts General Hospital. His mission is, “To push the agenda for addiction recovery forward by conducting high quality, recovery relevant research and implementing results for the benefit of our communities and broader society.” My kinna guy…Dr. Kelly is, as you'll learn, a man dedicated to integrating cutting edge research with programs that really make a difference. To learn more about the Recovery Research Institute and Dr. Kelly, go to: RecoveryAnswers.org.

In this episode, we have a honor of speaking with Dr. Corrie Vilsaint, a research fellow in psychology at Harvard Medical School and principle investigator at the Recovery Research Institute at the Center for Addiction Medicine at Massachusetts General Hospital. Dr. Vilsaint also serves on Duffy Health Center's Board of Directors.  In our conversation, we discuss the science of addiction and recovery; access and barriers to treatment; the instrumental impact of recovery support services for those struggling with substance use and for those on their recovery journey; and addiction & recovery in the time of COVID. We look at all of these topics through the lens of racial health equity. 

Prior to the current pandemic, the news cycle was dominated by the opioid epidemic, a beast that has taken the lives of many people from all walks of life. Just yesterday, the Sackler family's Purdue Pharma, the maker of Oxycontin, plead guilty to federal criminal charges related to the marketing and selling of opioids. Universities, like NYU, just announced that they are removing the Sackler family name from their campuses. Many other drug companies face serious legal issues. Prior to COVID-19, the opioid crisis was the top public health issue that everyone was talking about. National, state and local governments were desperate to find ways to address it. It was a top election issue. Since COVID-19, the opioid epidemic has been removed from the spotlight..., but it has not gone away. In fact, it's gotten significantly worse. We just aren't talking about it as much. In this podcast, Dr. Erin Stair chats with Dr. John Kelly about the current state of the opioid epidemic. Dr. Kelly will identify who is getting hit the hardest, why the epidemic is getting worse, overdose deaths, why stress and isolation affect a person struggling with opioids more than a person who is not, and if someone is in recovery, when is the most critical time period he or she is most likely to relapse. He will also discuss changes to treatment, telemedicine, digital Apps and what he thinks is the best path forward for putting a major dent in this public health crisis. Dr. Kelly is a Professor of Psychiatry in Addiction Medicine at Harvard Medical School. He is the Founder and Director of the Recovery Research Institute at the Massachusetts General Hospital, the Associate Director of the Center for Addiction Medicine, and the Program Director of the Addiction Recovery Management Service. He is a former President of the American Psychological Association's Society of Addiction Psychology and has served as a consultant to U.S. federal agencies and non-federal institutions, as well as foreign governments and the United Nations. He has published over 200 peer-reviewed articles, reviews, chapters and books in the field of addiction medicine. Finally, he was the author on the U.S. Surgeon General's Report on Alcohol, Drugs, and Health. To get in touch with Dr. Erin Stair, please visit her website, Blooming Wellness.To follow her on Instagram, click here.To find her on Twitter, click here.To follow her health page on Facebook, click here.To read or listen to her new comedic parody on the wellness industry, Yours in Wellness, Krystal Heeling, click here.Or you can listen to it from Google Play or Walmart!To read Manic Kingdom, click here.

Dr. Brandon Bergman continues his discussion about recovery support services and communities available through the Internet. Dr. Brandon Bergman is an Assistant Professor at Harvard Medical School and the Associate Director of the Recovery Research Institute, which is housed in the Center for Addiction Medicine at Massachusetts General Hospital. Learn more about their mission at recoveryanswers.org.

Physical distancing recommendations from the COVID-19 pandemic has complicated addiction recovery, forcing many addiction recovery support services online for the foreseeable future. In the first half of our interview with Brandon Bergman, he discusses the difference between addiction treatment and recovery-support services, setting the stage for a discussion about online recovery support communities (Episode 1 Part 2). Dr. Brandon Bergman is an Assistant Professor at Harvard Medical School and the Associate Director of the Recovery Research Institute, which is housed in the Center for Addiction Medicine at Massachusetts General Hospital. Learn more about their mission at recoveryanswers.org.

This week, we talk with Dr. Paul Gilbert about alcohol use disorders, recovery, and the increased risk of alcohol use issues during COVID-19-related isolation. Here are some great resources related to alcohol use disorders: Rethinking Drinking https://www.rethinkingdrinking.niaaa.nih.gov is a great website for folks who are curious about low vs. high-risk drinking, what might constitute a problem, and so on. The Treatment Navigator https://alcoholtreatment.niaaa.nih.gov/ is a relatively new resource for finding services. SAMHSA’s Help Line (800-662-HELP) is a similar service for both substance use and mental health. The Recovery Research Institute has a great webpage called Recovery 101 https://www.recoveryanswers.org/recovery-101/ that explains a lot of the basics of recovery. Have an idea for a show? Questions for our hosts? Send email to cph-gradambassador@uiowa.edu

If you want to claim CME credit for listening to this podcast series, you must listen here: https://californiaacep.org/page/CalACEP-MAT-Podcast-Disclosure. CalACEP MAT Podcast Episode 6: MAT FAQ   In the final episode of this series, our experts answer some of the most frequently asked questions about MAT. You should now have all the tools and information you need to get started with MAT in your ED. See the links below for more resources and reach out to California ACEP with any questions. Remember Kayce's story and commit to saving a life! If you enjoyed this podcast let us know! Connect with us on social media at @californiaacep. Hosts: Julia Magaña, MD, FAAP. Assistant Professor of Pediatric Emergency Medicine at UC Davis Sarah Medeiros, MD, MPH, FACEP. Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and Past President of California ACEP Dr. Hannah Snyder, Assistant Professor of Family Community Medicine and Associate Director of the Addiction Consult Team at UC San Francisco Dr. Reb Close, Emergency Medicine Physician at Community Hospital of Monterey Peninsula Resources: California ACEP Medication Assisted Treatment Resources California Bridge “We're developing hospitals and emergency rooms into primary access points for addiction treatment. This intensive program provides training and technical assistance to acute care providers to encourage patients to enter and remain in treatment.” Substance Abuse and Mental Health Services Administration (SAMHSA) Medication-Assisted Treatment Resources “The Game Has Changed”. Featuring Dr. Gail D'Onofrio. EM Pulse Podcast. 2018 March 15. https://ucdavisem.com/2018/03/15/the-game-has-changed-episode-4/ Apply for your DEA-X Waiver! SAMHSA GetWaivered.com *** This series is a part of a chapter grant from the American College of Emergency Physicians (ACEP) and is made to compliment the online California ACEP MAT resources. California ACEP is a wealth of information. Check out our website, californiaacep.org, where you'll find resources beyond the MAT toolkit, including our mental health toolkit, ED violence prevention resources, human trafficking guidebook, safe prescribing guidelines for opioids, palliative care toolkit, PECARN decisions guides, and much more. Thank you to Drs. Hannah Snyder, Aimee Moulin, and Reb Close for your expertise. Also, a big thanks to Kelsey McQuaid for all of your hard work on this project. EM Pulse is a podcast from the UC Davis Department of Emergency Medicine dedicated to bringing research and expert opinion to the bedside. Check it out and subscribe on iTunes, or wherever you get your podcasts. And follow us on social media @empulsepodcast. Thanks to OM Audio Productions for audio production services. References (from Dr. Snyder): (https://discovery.cdph.ca.gov/CDIC/ODdash/). Nationally, deaths from the opioid epidemic annually exceed those at the peak of the HIV epidemic. We've had more drug overdose deaths in 2017 than Americans that died in the entire Vietnam war (https://www.economist.com/briefing/2019/02/23/tens-of-thousands-of-americans-die-each-year-from-opioid-overdoses). Here's a cool graph that trends ED visits https://www.hcup-us.ahrq.gov/faststats/OpioidUseServlet?radio-3=on&location1=CA&characteristic1=01&setting1=ED&location2=US&characteristic2=01&setting2=ED&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hide Kashef Z. Starting opioid addiction treatment in the ED is cost-effective, says study. Yale News. August 16, 2017. Health media overview of landmark Yale MAT study and its effectiveness in guiding patients to treatment. Initiating medication-assisted treatment for patients presenting with opioid withdrawal. ED Management. August 1, 2017. Health media overview of the effectiveness of MAT with a focus on the experiences of a program initiated in Washington state. Emergency department initiation of medication-assisted treatment for opioid addiction: Strategies for success. California Health Care Foundation. Published August 2016. Report on launching an opioid addiction treatment program with visual guide to setting up an effective MAT program. Emergency department treatment and follow-up strategies for opioid use disorder. Centers for Medicare & Medicaid Services. December 13, 2017. PowerPoint presentation outlining CMS-sponsored lectures on ED treatment and follow-up planning for patients presenting with opioid use disorder. Robeznieks A. For patients struggling with opioids, ED visit can mark new start. AMA Wire. November 22, 2017. Brief AMA article outlining MAT therapy in the ED at Washington University Medical Center in St. Louis. Frazier WT. Medication-assisted treatments and opioid use response to opioid overdose sentinel events. Master essay, University of Pittsburgh. Comprehensive overview of MAT response to opioid overdose to determine treatment utilization before and after nonfatal overdose using a longitudinal retrospective cohort of the Pennsylvania Medicaid population 2008-2013. Martin A, Kunstler NM. Opinion: We have effective treatments for opioids addiction - why don't we use them?” ACEPNow. December 12, 2017. Article on some barriers to the widespread adoption of MAT and a call to overcome these barriers for the sake of our patients. Addressing the opioid crisis - an ACH collaboration. Washington State Hospital Association, Washington State Medical Association. Set of strategies outlined by the Accountable Communities of Health for communities, hospitals, and providers to better combat the opioid epidemic, of which MAT is a main component. Research D'Onofrio G, O'Connor PG, Pantalon MV, et al. Emergency department-initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial. JAMA. 2015 Apr 28;313(16):1636-44. “The D'Onofrio Trial,” a randomized clinical trial performed at Yale showing the effectiveness of ED initiated MAT. Does initiating medication assisted treatment in the emergency room result in better outcome? Recovery Research Institute. An organized breakdown and summary of the D'Onofrio study highlighting the effectiveness of ED initiated MAT. Protocols SBIRT and Buprenorphine/Naloxone Administration in the ED for Acute Withdrawal: St Agnes Hospital (PDF). California ED-Bridge/ Emergency Buprenorphine Treatment Project: Guide for Emergency Buprenorphine Treatment (PDF). ED Initiation of Buprenorphine in the Emergency Department: Natividad Medical Center (PDF). Opioid Withdrawal Protocol: Zuckerberg San Francisco General Hospital and Trauma Center (PDF includes pocket card).  

Drug overdose and opioid-related deaths continue to grow at an alarming rate in the United States. According to the CDC, more than 700,000 people died from drug overdoses between 1999 and 2017, and on average, 130 Americans die from an opioid overdose every day. On today’s Broken Brain Podcast, our host, Dhru, talks to Dr. John Kelly, Professor of Psychiatry in Addiction Medicine at Harvard Medical School, Founder and Director of the Recovery Research Institute at the Massachusetts General Hospital, Program Director of the Addiction Recovery Management Service, and Associate Director of the Center for Addiction Medicine at MGH. He has served as a consultant to U.S. federal agencies and non-federal institutions and foreign governments. His clinical and research work has focused on enhancing the effectiveness of addiction treatment and recovery support services, stigma reduction, and addiction and criminal justice. In this episode, Dhru and Dr. Kelly talk about the current approach to addressing addiction in our country, and the power of language when it comes to destigmatizing addiction. They discuss how the opioid crisis became a self-manufactured epidemic and the importance of building an effective public health infrastructure to combat the opioid crisis and other substance use disorders. They also talk about the best way to support a loved one with an addiction, and the importance of social connections for long-term recovery. In this episode, we dive into:-Changing the language around addiction (13:39)-The current model of treating addiction: admit, treat, discharge (23:56)-The National Recovery Study (26:40)-Pathways to recovery (33:31)-The social factors into and out of addiction (36:16)-Preventative approaches to substance use disorder (41:01)-The opioid crisis (45:27)-Mindfulness-based interventions for recovery (51:08)-Safe injection sites (57:38)-Resources for family members (1:01:08)-The power of AA for long-term recovery and reducing health care costs (1:04:53)-Learn more about Dr. Kelly and his work (1:16:44)For more on Dr. John Kelly, be sure to follow him on Facebook @RecoveryAnswers and on Twitter @RecoveryAnswers. Check out his website and sign up for his monthly newsletter at https://www.recoveryanswers.org.Sponsor: This episode is sponsored by our partnership with the AquaTru Water Filter. To get exclusive access to this deal visit www.brokenbrain.com/filter See acast.com/privacy for privacy and opt-out information.

This week Dr. Drew welcomes Associate Professor of Psychiatry in the field of Addiction Medicine at Harvard Medical School & Founder and Director of the Recovery Research Institute at Massachusetts General Hospital Dr. John Kelly and they do a deep dive on addiction treatment in terms of both where we've been, where we are now and perhaps most importantly where we are headed in the future.

SMART Recovery is pleased to present a talk with John Kelly, Ph.D., the Elizabeth R. Spallin Associate Professor of Psychiatry at Harvard Medical School. He emphasizes the need for addiction recovery support programs based on science, such as SMART, as well as the science on traditional and other recovery support services. In recent years, the models for addiction treatment and support have seen innovation and expansion beyond traditional options. Dr. Kelly shares with us what the research says about some of the options becoming more available, such as recovery community centers, sober housing models, recovery high schools/collegiate recovery programs, recovery management check-ups, recovery community organizations, and of course, peer support/mutual-help organizations including SMART Recovery. Dr. Kelly is the Elizabeth R. Spallin Associate Professor of Psychiatry at Harvard Medical School, which is the first professorship in Addiction Medicine at Harvard and will carry his name thereafter. He is the founder and Director of the Recovery Research Institute at the Massachusetts General Hospital (MGH), the Program Director of the Addiction Recovery Management Service (ARMS) and the Associate Director of the Center for Addiction Medicine at MGH. Dr. Kelly is a former President of the American Psychological Association (APA) Society of Addiction Psychology, a Fellow of APA, and a Diplomate of the American Board of Professional Psychology. He has served as a consultant to U.S. federal agencies such as the White House Office of National Drug Control Policy (ONDCP), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the National Institutes of Health (NIH); to non-Federal institutions, such as the Hazelden Betty Ford Foundation and Caron Foundation; and internationally to foreign governments. He is also on the editorial board of several addiction journals. In addition to publishing more than 150 peer-reviewed articles, reviews, and chapters in the field of addiction, his clinical and research work has focused on addiction treatment and the recovery process which has included specific research on the effectiveness of mutual-help groups such as SMART Recovery, as adjuncts to formal care. He has also served as SMART’s Director of Research for the past 5 years. Additional research endeavors have focused on the implementation of evidence-based practice, addiction and criminal justice, and reducing stigma associated with addiction. John is also a licensed clinical psychologist actively working with individuals and families with alcohol and other drug use disorders.   SMART Recovery depends on your donations! Please visit SMART Recovery or Click the Donate button below. © 2016 SMART Recovery®.  Music created and copyright 2016 Donald Sheeley with unlimited use as is donated to SMART Recovery.  

September is National Recovery Month.  On this week’s show Denise interviews Dr. John Kelly about the Recovery Research Institute and its goals.  The Institute was formed to conduct novel and rigorous addiction science , and summarizes, synthesizes, and disseminates existing research relating to treatment and recovery.  The ultimate goal of these efforts is to increase the value, reach, and impact … Read more about this episode...

What Does Science Tell Us About The Effectiveness of 12 Step Treatment and Other Mutual Help Organizations In Addiction and Recovery?  The most widely recognized 12 Step recovery organizations globally are Alcoholics Anonymous and Narcotics Anonymous.   Most people who seek to get and stay sober are referred to a 12 Step recovery program at some point, and some people resist attending based on fear, shame, or the idea that 12 Step programs “don’t work”.  Even within the 12 Step recovery community there is discussion, sometimes, about the effectiveness of these programs. Statistics are thrown around –both for and against – but what does the science say?  How effective are these programs? On this episode, we are honored to have Dr. John F. Kelly as our guest.  Dr. Kelly is the Elizabeth R. Spallin Associate Professor of Psychiatry at Harvard Medical School, the founder and Director of the Recovery Research Institute at the Massachusetts General Hospital (MGH), the Program Director of the Addiction Recovery Management Service (ARMS) and the Associate Director of the Center for Addiction Medicine at MGH. Dr. Kelly will discuss with us how 12 Step recovery groups impact an individual’s recovery from a scientific perspective.   How well do these programs work?  Is there a difference in their effectiveness for early versus long-term recovery?  Are they more effective following a treatment program?  What studies have been done to demonstrate “success” rates of 12 step group members, and how exactly is “success” defined in this environment? If you participate in a 12 Step recovery program, are considering participating or believe they don’t work but are curious to learn more, this show is for you.    

Many people think that recovery from drug and alcohol addiction is a lost cause when in reality there are approximately 25-40 million people who consider themselves to be in active, stable long-term recovery. Based on those numbers, most people probably interact with someone in recovery on a daily basis, but they don't even know it because it's not talked about openly. Dr. Kelly and the Recovery Research Institute's mission is change that stigma and show people, through science, that recovery is not only possible, but it is the likely outcome. On this episode we will talk to Dr. Kelly about addiction, stigma and recovery and how understanding the neuroscience of addiction will help alleviate that stigma. For more information about Dr. Kelly and the Recovery Research Institute, please visit: http://www.recoveryanswers.org/.