#BREAKING: New research on involuntary treatment for Substance Use Disorder finds forcing people into treatment to promote abstinence … DOESN’T WORK. Within the first two months after discharge, 96.4% of the 1,083 participants had relapsed. Recovery is HARD. For treatment to

Circling back to London Breed's Prop F because <excuse my french but> WTF: 1. Data do not suggest compulsory treatment is effective. ncbi.nlm.nih.gov/pmc/articles/P… 🙏 Steffanie Strathdee, PhD 🗡️ 🦠Superbug Slayer🗡️ & team 2. Fine, you don't like data or fair, these are heterogeneous studies. Stick w/me.. 🧵1/4

Safe consumption sites associated w ⬇️⬇️ OD deaths in surrounding neighborhoods. Compelling research in The Lancet thelancet.com/journals/lanpu…

BREAKING: Compassion clubs could be the solution we’re looking for! Long 🧵incoming… This is BIG NEWS! When I talk about the need for a regulated drug supply, people always ask me what widespread distribution of safer drugs could look like. Would we sell measured doses of

More doctors on the frontline opposing Prop F as the concerns for increasing homelessness are just too great to ignore: medium.com/@svais27/prop-…

DoxyPEP: Strategy by which men-who-have-with-men (MSM) & transgender women can take doxycycline as post-exposure prophylaxis after sex to prevent syphilis & chlamydia (gonorrhea needs vax). Astounding city-wide data from San Francisco -50% drop in both with DoxyPEP guidance.

Insurance companies have weaponized the prior authorization process, reports this The New York Times video op-ed This delays or stops care 1 in 3 doctors assert such delays have caused death or harm to patients Doctors’ offices have to hire staff purely to handle prior authorization

a personal update: I recently signed onto my 1st faculty role at a hospital I’ve admired since a kid. Grateful for the chance to delve into research close to my heart and work w patients + colleagues who inspire. Thanks to all who've been part of this journey 🙏🏾🙂 UCSF DGIM at ZSFG

The core problem

Sharing a little morsel of a paper that I am excited abt bc it might represent a new way to measure success in SUD research one day. Hair testing to measure past month substance use and eventually🤞🏽quantify use (e.g., measure REDUCED use not just abstinence)

"Studies in various disciplines have concluded that criminalization is among the least effective and most expensive approaches to addressing homelessness." Cogent analysis of the #JohnsonvGrantsPass in NEJM by Drs. Keen & Winkleby

Amid recent policies further criminalizing poverty, cautiously optimistic about our @sf_dph Street Med program: long-acting injectable antiretrovirals show promise for people experiencing homelessness with or at risk for HIV. Read more in POZ Magazine: poz.com/article/longac…

Residency interviews are really the original ERAS tour

Noah Bush, 8 years old, was found drowned in Jesup, Georgia in May 2024. He went out to play with neighborhood kids & never came home. After finding his body in a small body of water the sheriff’s office immediately announced it was accidental & for two months they did nothing.

Our latest pub explores how psilocybin therapy may reduce HIV-related shame, a factor contributing to substance use and Tx challenges. While further research is needed, these data suggest possible new directions for HIV care. nature.com/articles/s4159… #HIV #addiction #psychedelics

Written by my amazing friend and The Osler Medical Residency co-ACS Dr. John Woller, one of the very best doctors and educators I know. Amidst his family’s grief, he is still working to dispel myths about fentanyl exposure 🥺 nytimes.com/2024/08/04/opi…