Abstract
Comment;
I’m a HUGE fan of primary care provided addiction treatment, especially for opiate abuse since we have such an effective treatment in buprenorphine. These folks generally have so many other medical problems best addressed by a primary care provider–things that were ignored in their active addiction, things that can be caught early and turned around to prevent greater problems down the road. It’s been said that “teeth and taxes are a 3rd year of recovery problem”, I’ve even heard that “divorce is one of the 5-year promises”. There’s a certain amount of truth in these statements; typically at about the third year in good recovery, dental problems and prior tax neglect are finally addressed. If one member of the relationship is recovering while the other is still active, by about 5 years the couple has grown apart to the point that a solid relationship is unlikely.
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