Laura Monico PhD @DrCoachLaura
Clinical Research Scientist @pelagohealth Friends Research • Advocate/Harm Reductionist • Lived experience • Thoughts are my own 🏳️🌈💉💊 linkedin.com/in/laurabmonico Pennsylvania, USA Joined April 2009-
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Opioid use disorder=highly stigmatized Methadone tx=highly stigmatized Hard pressed to think of another example where both the medical condition and its treatment are so negatively branded by society.
Normalize people making healthier choices. Whether that is #harmreduction for substance use or #alcoholfree and #sobercurious movements for alcohol. The goal is purposeful and mindful choices that feel healthier for the individual.
“Recommended dosing up to 32 mg/d and elimination of the 16 mg/d target dose would improve treatment effectiveness and save lives.” Evidence on Buprenorphine Dose Limits: A Review : Journal of Addiction Medicine journals.lww.com/journaladdicti…
Only 24% residential treatment facilities treating OUD among adolescents provided buprenorphine treatment. What a tragedy during the times of crisis? Treatments Used Among Adolescent Residential Addiction Treatment Facilities in the US, 2022 jamanetwork.com/journals/jama/…
We need a "Things We Do For No Reason in Addiction Medicine." There are so many of these things. Avoiding methadone for opioid withdrawal in @JHospMedicine …mpublications.onlinelibrary.wiley.com/doi/10.1002/jh…
Really informative new episode by @Theaddictionfi1 on Butalbital and Promethazine misuse.
Really informative new episode by @Theaddictionfi1 on Butalbital and Promethazine misuse.
CDC has screwed up OD data for years, including illicit fentanyl in w Rx opioids. Will this get it right? einnews.com/pr_news/638626…
“and”
These are exactly the kinds of barriers telehealth for OUD is designed to address. @Prison_Health harmreductionjournal.biomedcentral.com/articles/10.11…
New name, new look - same great care experience. @pelagohealth linkedin.com/posts/pelago-h…
Patient-centered methadone treatment (with optional counseling and the counselor not serving as the treatment program disciplinarian) does not appear to be more effective than methadone treatment-as-usual. ncbi.nlm.nih.gov/pmc/articles/P…
Patient-centered methadone treatment (with optional counseling and the counselor not serving as the treatment program disciplinarian) does not appear to be more effective than methadone treatment-as-usual. ncbi.nlm.nih.gov/pmc/articles/P…
This is, unfortunately, so true. PWUD are either criticized for believing they speak on behalf of all PWUD or directly asked to speak on behalf of all PWUD. There exists a happy medium within that spectrum.
This is, unfortunately, so true. PWUD are either criticized for believing they speak on behalf of all PWUD or directly asked to speak on behalf of all PWUD. There exists a happy medium within that spectrum.
“Substance abuse treatment is the only treatment… that requires the outcome before the work has been done to get there.” Preach.
“Substance abuse treatment is the only treatment… that requires the outcome before the work has been done to get there.” Preach.
Shabor @Shabor326849
0 Followers 208 Following
ChloeForster @S8xmKNLhuIg79O
2 Followers 195 Following
Tracy @doodytracy100
151 Followers 3K Following
Hannah Appleseth, M.A.. @hannahappleseth
356 Followers 603 Following @okstate Clinical Psych PhD student | systemic influences on female and family substance use & health consequences
Tatsiana @Tatsiana659852
5 Followers 504 Following
Ana Ortega @OrtegaAna97344
66 Followers 3K Following
Sandy Pattee @pattee_san68355
73 Followers 3K Following
Tetoughth @tetoughth22589
66 Followers 2K Following
RubyRipple_ @RippleRuby82032
8 Followers 2K Following
Reem Karmouta @reemka_97
1K Followers 606 Following
Posypeseyt @posypeseyt73496
24 Followers 1K Following I live alone now and enjoy business, traveling, shopping, food and music. I have a calm personality and I hope we can be friends.
Neandeau @neandeau77581
55 Followers 1K Following I live alone now and enjoy business, traveling, shopping, food and music. I have a calm personality and I hope we can be friends.
Smeneight @Smeneight198417
117 Followers 1K Following I live alone now and enjoy business, traveling, shopping, food and music. I have a calm personality and I hope we can be friends.
Carol @chapman_carol52
136 Followers 3K Following
Refugia @cordial_refugia
206 Followers 3K Following
Kayla Bramhall @KaBramha
30 Followers 5K Following
Terry James @TerryJa90266009
266 Followers 1K Following
Crystal Robinson @RobinsonCr4661
94 Followers 3K Following
Deborah @deborah7auguste
130 Followers 3K Following
Mör Agonistos • Hu.. @humanedrug
1K Followers 3K Following tryin' like hard to not blow my cover • drug legalization · Linux nerd · security · kubernetes · locksport • older+wiser • root • ⛔$CRYPTOSCAM • won’t block you
Stacy Zolman @SZolman97388
88 Followers 3K Following
Thaddeus Holt @ThaddeusH71022
99 Followers 3K Following
Gabriel Austin @GabrielAus84453
107 Followers 3K Following
Richard Yi @RichYi_KU
242 Followers 190 Following Director, Cofrin Logan Center for Addiction Research and Treatment Professor, Dept. of Psychology Interim Chair, Dept. of Economics University of Kansas
Bria Gilbert @BriaGilber11830
118 Followers 3K Following
marginalutilite @marginalutilite
4K Followers 2K Following Caty Simon: Whose Corner Is It Anyway/NSU/NCSU. Give 2 https://t.co/at0r7e6V8w
Sheila @sheila26christy
293 Followers 3K Following
Bruce Hammond, CAE @brucehammond
1K Followers 2K Following Executive Director / @amerpedsociety and @socpedresearch
Addiction Congress @medicinemeet
34 Followers 204 Following I am a Program Manger of 4th World Congress on Addiction Medicine and Psychiatry which will be held in October 12-14, 2023 @ Paris, France.
Darlene @darlene_lovick_
152 Followers 3K Following
Jessica Blanchard MSN.. @jesiblanchard
2K Followers 1K Following 229 SLA, Inc./Georgia Overdose Prevention. KB’s Mama💚
Beverly @smalley_beverly
176 Followers 3K Following
Doug Ziedonis @DougZiedonisMD
2K Followers 2K Following CEO UNM Health System and Executive Vice President for Health Sciences at the University of New Mexico @UNMHSC @UNM @UNMH @UNM_SRMC
lovejourney @3_lovejourney
895 Followers 3K Following Travel blogging with a dash of adventure,sea, sun, and fun.❤🏖
Gloria @gloriarodgers78
245 Followers 3K Following
Hannah @hannah30kelley
165 Followers 3K Following
Paul Filomeno, MD @paulfilomenoMD
123 Followers 480 Following Chief Fellow in Addiction Medicine (UP-PGH Philippines🇵🇭), Pediatrician, Prevention Science • Personal posts about Pediatrics & Addiction • GirlDad
Sonja @truesdale_sonja
181 Followers 3K Following
Mary @mary79maxey
454 Followers 3K Following
Mila-rose Bishard @BishardRos14764
85 Followers 5K Following
Katherine @katherine41guti
139 Followers 3K Following
Annamae Smithwick @AnnamaeSmi84429
81 Followers 5K Following
Susan @dieteman21susan
297 Followers 3K Following
AATOD @AATOD1984
1K Followers 1K Following National Nonprofit: Expanding Access to Quality #OpioidUseDisorder Treatment Services Since 1984. #morethanmedicine #OUD
Rossie Guell @GuellRossi4341
83 Followers 5K Following
Selma @selma34oros
396 Followers 3K Following
the brave little poas.. @virgil_30
6K Followers 2K Following macaw appreciator, fashion disruptor, stride pianist, IQ hater. dante borges foucault. cofounder @AddictCollectiv RIP @annastopcrying & @inihelene
Dr. brok. Oli MultiTa.. @multitalentfrey
7K Followers 539 Following Wer glaubt, #Drogenkonsum mit der Polizei verhindern zu können, schlägt auch die eigenen #Kinder, damit sie ihre #Grenzen kennen lernen. #DHV-Fördermitglied
Anke @AnkeHoffnung
4K Followers 2K Following #Hoffnung auf Lebensqualität, Gerechtigkeit, Respekt #cannabismedizin #multiplesklerose #cfs 🐾☮️🌈🐝💚🌱🥦☕️🏝️#SupportDontpunish #weedmob #CSCLübeck
Laura Willoughby MBE @lcwilloughby
2K Followers 472 Following Founder of the world’s largest mindful drinking, Club Soda, and the UK’s foremost expert in low and no alcoholic drinks. . 07968708703
CADABermuda @CADABermuda
484 Followers 853 Following CADA is a registered Bermuda charity. CADA's Vision is To Change Bermuda's Culture Towards Alcohol.
Mindful Drinking @MindfulDrinkCo
11 Followers 29 Following Latina-owned, non-alcoholic beverage destination for the sober curious with +200 options to help you feel both healthy and happy while being mindful
Mocktails @drinkmocktails
3K Followers 1K Following Alcohol-free, uniquely crafted cocktails. Award-winning, vegan, gluten free & made using 100% natural ingredients. Available in bottles & nitro cans
The Sober School @TheSoberSchool
3K Followers 828 Following 💖I'm Kate Bee & I help women to quit drinking & feel good about living life alcohol-free🌟For my blog, pep talk & wine o'clock survival guide, click here👇
Alcohol Change UK @AlcoholChangeUK
22K Followers 1K Following We work to end the serious harm caused by alcohol. Formed from the merger of Alcohol Concern and Alcohol Research UK. Help us make change happen faster.
Club Soda @joinclubsoda
14K Followers 3K Following Want to drink mindfully and live well? Choose better drinks, change your drinking, and connect with others. #mindfuldrinking #alcoholfree
Bravus Brewing Co. @bravusbrewco
1K Followers 29 Following North America's 1st Non-Alcoholic Craft Brewery. ANY time is a GOOD time for a BRAVUS 🍻🚴⛰️ 💻 Shop online or use our Store Locator:
Athletic Brewing @AthleticBrewing
15K Followers 2K Following Award-Winning Non-Alcoholic Craft Beer 🛒 Available online & all 50 states #AthleticBrewing Milford, CT and San Diego, CA. Near Beer. #FitForAllTimes
Partake Brewing @DrinkPartake
2K Followers 314 Following Non-alc beer crafted for people who make it happen. Always under 30 calories 🍻 B Corp Certified 🌱 In-store & online 🇨🇦🇺🇸 Free shipping $50+ 📦
Amanda Burrows (she/h.. @BurrowsAmanda
12K Followers 8K Following Dignity. Belonging. Justice. Newspaper subscriber. Located on unceded Musqueam, Squamish, and Tsleil–Waututh Lands
Piotr Burek @burek75
2K Followers 3K Following Social Dimensions of Health student at Uvic researching #drugchecking & care - harm reduction ~ palliative care ~ PLUR Collective ~oontz~
Carrie @CarrieBelin
12K Followers 12K Following MBA MS APRN AAHIVS @JohnsHopkinsSPH and @JHUNursing Allergy/Immunology @Georgetown @SimonsRock #PublicHealth #GOTV
E. Concors, MD, MPH (.. @ConcorsErica
26K Followers 4K Following EM Attending Physician 🏥 LGBTQIAA2+ health 🏳️🌈 Social justice belongs in healthcare 📣 Trans + Non-binary 🏳️⚧️ Tweets = opinions 💬 Figs ambassador 🥼
Fredericka Albertina .. @albertina_sesay
812 Followers 949 Following 🇸🇱. Medical Doctor. Public Health Researcher. PhD candidate @uwepidemiology . #Fulbright Alumna
Moms for All Paths to.. @MomsAllPaths
553 Followers 909 Following Supporting all paths to #recovery, including #harmreduction, to help our loved ones, who struggle with substance use. Find us on FaceBook.
youthdotgov @youthdotgov
1K Followers 728 Following https://t.co/jhUUD4PoGd was created by the federal Interagency Working Group on Youth Programs to promote positive outcomes for #youth. Follow/RT ≠ endorsement.
REACH Program @ProgramReach
995 Followers 164 Following Recognizing and Eliminating disparities in Addiction through Culturally informed Healthcare
Dr Jack McGeachy, MD @Dr_Jack_McG_MD
85 Followers 47 Following Addiction and emergency medicine physician out of Tampa, FL. He/Him. ABEM certified, studying for ABAM.
Sarah Pollock @spollock16
170 Followers 917 Following 🇺🇸🇵🇭 Doctoral student @JohnsHopkinsHBS @JohnsHopkinsSPH | Public Health Research | Harm Reduction | Substance Use Treatment | Health Policy
SOL Collective @SOL__Collective
2K Followers 1K Following Philly harm reduction collective working to end the overdose crisis and support overdose prevention sites. Here for all drug users. Sex work positive.
Naomi Burke-Shyne @NaomiSBS
3K Followers 2K Following Executive Director @HRInews - human rights, harm reduction, health and drug policy. She/her. Tweets are my own.
Cassidy White @cssdywht
867 Followers 2K Following Researcher | nicotine + tobacco regulation, decision making, theories of addiction, nuanced risk communication, harm reduction + systemic change
Corey Roos @Corey_R_Roos
791 Followers 619 Following Assistant Prof @yalemed. Psychologist. Research on mindfulness, technology-based interventions, addiction, EMA, mechanisms, self-regulation, harm reduction.
Medical Student Harm .. @NationalMSHRA
272 Followers 16 Following A national coalition of medical students advocating for the health of people who use drugs and the mobilization of the medical community around harm reduction.
Savannah O'Neill @savannahroneill
659 Followers 457 Following @facenteconsult | anti racist social work practice l harm reduction | prison abolition | my next meal
Jon Findlay💜💛 @JonFindlay6
969 Followers 933 Following National Harm Reduction Lead at Humankind Views my own
🎙 Andy Ryan 🎙 @In_to_recovery
2K Followers 5K Following #CuriousNotCritical about life with #HumanityFirst. Part of the @WMGamblingHarms @Inclusion_NHS team . RT subjects of interest & not always my opinion.
Megan Jones (She/Her) @MegJ4289
3K Followers 5K Following Maternity Leave until October 2024 Director at @Cranstoun_org Trustee @BasisYorkshire Passionate about social justice, harm reduction, empowering people.
Deborah Hussey @hussey_deb
946 Followers 742 Following National Safer Lives Lead @TurningPointUK Tweets about Harm Reduction & not much else.Views my own. Unless I stole them from someone funnier than me. She/Her
Lynn Jefferys @harmreductlynn
824 Followers 471 Following Operations @euronpud. Harm Reduction Consultant, Drug User Activist, Non Binary, Grad Student & inescapably DIY punk. (they/them)
Hep C U Later @HepC_U_Later
2K Followers 199 Following This is an NHS initiative supporting @NHS_APA drug & alcohol services + primary care, ED’s & antenatal services eliminate hepatitis C #HepCULater👋🏽 #WeAreNHS
Alistair Bryant @Alistairbryant3
1K Followers 816 Following Working towards a SAFE and LEGAL supply of all drugs. Media and Harm Reduction Content Creator @cranstoun_org tiktok - harmreduction_al - All views are my own
Harm Reduction @VC_Exchange
2K Followers 2K Following The UK's leading supplier of Harm Reduction packs and paraphernalia.
Students for Harm Red.. @Students4HR
652 Followers 596 Following Students for Harm Reduction - dismantling state violence via harm reduction, drug policy, & prison abolition education & advocacy. Based out of X University
Kasia Malinowska @OSFKasia
7K Followers 2K Following Immigrant 🇵🇱, mom of 2. Drug Policy at @OpenSociety, p-t faculty at @TheNewSchool & @MontclairStateU. MSW @PennSP2, DrPH @ColumbiaMSPH Views are my own
John Divney @JohnDivney
735 Followers 235 Following John from New Brighton. Artist and unrepentant lover of drugs, demanding choice in addiction treatment in NHS services.
George Charlton @GBMC73
6K Followers 5K Following Seeing the best in people & their abilities, an advocate for the underdog & a believer that love & hope is key to conquering all. Avid #HarmReductionist 🤓
Benzo Research Projec.. @BenzoResearch
328 Followers 221 Following A student-led small charity seeking to understand and improve the lives of young people who use benzos across the UK #harmreduction
Correlation - Europea.. @CorrelationNet
2K Followers 600 Following We envision a fair and more inclusive Europe, where people who use drugs and marginalised people, have equal and universal access to health and social services.
Felicity Simpkin @f_simpkin
1K Followers 3K Following Director @humankind_uk. Non-exec @expertcitizens.
Harm Reduction Collec.. @burylifesavers
419 Followers 703 Following Peer led NALOXONE training & supply project across #Bury #Bolton ( @btowncollective ) #Salford & #Trafford 🙏🏼💛 #HarmReduction #VisibleRecovery.
KnowYourStuffNZ @KnowYourStuffNZ
3K Followers 185 Following Evidence based drug harm reduction including drug checking - free to participants at festivals and events in New Zealand. Because moralising helps nobody.
LEAP UK @UKLEAP
15K Followers 2K Following Part of the global Law Enforcement Action Partnership: Law enforcement voices calling for social justice solutions. Enquiries: [email protected]
Jackie Goldman (they/.. @JackieGoldmanRI
2K Followers 1K Following Researcher with @pph_collective, @HausofCodec board member, still fighting for a better Providence. Views are my own 🏳️🌈🏳️⚧️🇵🇸
Martin Powell @MartinTransform
2K Followers 1K Following Head of Partnerships, Transform Drug Policy Foundation. Work related tweets but personal views. (he/him)
How much do you know about #opioid #craving? @MORJHU team member @ceciliabergeria recently reviewed the literature on craving as part of the Oxford Handbook on Opioids and OUD, wherein she examined tonic vs. acute craving, how craving responds to different pharmacotherapies (1/2)
Art for the recovery community! Come toMoab Utah or join us online for the digital gallery!
Excited to share our completed website: safersubstanceuse.org 🌟 Grateful to the PWID & clinicians who contributed to it! Thank you also @YNHH Medical Staff fund for supporting it!! @DrKimSue @CarolynAChan @YaleADM
Honored and thrilled to be presenting at @aspenideas Health on sober curious with @jenofkin Chris Marshall and @aeis17. I love that we are in the theme “How to Thrive” and excited to focus conversation on public health, drinking reductions, and thriving in recovery.
Nobody I’ve been locked up with in a psychiatric hospital felt ‘proud’ of their illness It’s great mental health is now openly discussed but the sickest people I’ve known – myself included – have had almost no part in it theguardian.com/commentisfree/…
It's Monday so it's the perfect time to ensure you have a plan for the week when it comes to drinking. Are you up for this #mindfuldrinking challenge? Tag your friends and comment with your own week plan!
A HUGE problem with @NYSOASAS regs, is keeping the sickest New Yorkers out of detox; that detox centers can decline to admit someone w/ other med conditions until those are treated. This is happening more often to ppl now bc of infections from Xylazine wounds.
People with "lived" experience stigmatising folk with "living" experience is possibly the most uncool thing I've come across in a while... Thought we were all on the same side.
Guess what?🧐got our hands on industry #naloxone pricing docs. To inform @ONDCP meeting on costs next Tuesday, we share never before seen details of why the nasal spray costs so much. #drugpricing @ejwheeler9 @RemedyAlliance Design @brittainpeck Download cdr.lib.unc.edu/concern/multim…
Punishment is the laziest, and least effective, way to try to change human behavior.
This morning I saw a patient who came in with acute fentanyl withdrawal. They are very young, and it took very little time for their life to unravel once they used for the first time. Towards the end of the appointment, they said to me, "You're the best provider I've ever met.…
Too many researchers erroneously think that #qualitative data are not useful for generating explanation or understanding causation. A 🧵 Sure, qual data analysis is NOT designed to generate universal laws causally linking together decontextualized independent variables. But...
What happens when studies on the overdose crisis counter dominant narratives? They get overlooked by the media. For example, new article by @BRaySociologist, @veruka2 et al linking drug busts increased overdoses isn't getting nearly enough attention. ajph.aphapublications.org/doi/10.2105/AJ…
I mostly HATE chronic benzodiazepines but I have to say - SOMETIMES benzodiazepines can really make someone's life more manageable and I think we should be better at discussing when and how do this in primary care
A Precision Treatment Model for Internet-Delivered Cognitive Behavioral Therapy for Anxiety and Depression Among University Students A Secondary Analysis of a Randomized Clinical Trial - jamanetwork.com/journals/jamap…
Supervised consumption sites have to be one of the only things where demonstrated demand - like, say, a lineup to get in - becomes an argument for closing them down. In reality, that should tell you that you need to be scaling up.
In rehab, I asked, if #addiction is a disease, why would the cure be religious/spiritual? Response: We weren't to "debate the book." I support 12-steps as one option, but push back on the false "it's the only way" or "it's a better way" narrative, because neither is true. #sober
"We think harm reduction in particular needs to be a priority because the current drug supply is so lethal,” says @nyulangone researcher @Magda_Cerda in an interview with @USNewsHealth. Learn more about the upcoming study on OPCs: bit.ly/42nmn5C
Our new paper on the sociology of “outbreak”. @kari_lancaster We look at opioid overdose using ideas of ‘slow emergency’, ‘slow violence’ and ‘slow death’. We talk about the harms of rapid and reflex responses. authors.elsevier.com/sd/article/S09…
It's not so much the courage it took for me to come back from mental health, addiction and homelessness, it's more about the courage it takes to stay. This is why I stay. #Wedorecover #inspirational
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