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Diana Dickey, Substance Misuse Prevention, Marion County Health Department

Tim Murphy Bridgeway Recovery Services Salem Oregon

Paul Coelho, MD Salem Health Pain Clinic: paul.coelho@salemhealth.org

Stasinos Stavrianeas, Oregon Research Institute

Jill Dale, Marion, Polk and Yamhill Counties

Lucy Zammarelli, Lane-Linn and Benton Counties

Nancy Boutin Willamette Vital Health Supportive Care

Peter Harmer - Oregon Research Institute

Dan Kang: Oregon Pain Commission and George Fox University

Erich Schmidt, PhrmD, Salem Health

Pam Pearce, Community Living Above

With addiction society needs a stick. That's where 110 has failed. I realize that say's that brands me as endorsing the 'war on drugs'.

https://www.kgw.com/article/news/local/the-story/oregon-measure-110-drug-decriminalization-portugal/283-0e19bda3-dabf-4799-adf0-5d315f217703

My sense is that we need multiple approaches and every possible tool to work with substance users. Each case is individual, every person is unique, and each recovery is unique as well.

I appreciate Dr. Lewis's approach and believe it will work well for some; other approaches are needed for others.

Thanks Dr. Lewis for presenting!

I think of harm reduction as a type of prevention.

Is disorder the better way of describing it? We use Substance Use Disorder, but we also refer to it as a disease…maybe we need to push the disorder definition more.

I have been in the field for 30 years...the disease model has elevated the treatment field from the church basement into professional facilities. I support a psychological approach and an abstinence approach and a medical approach and everything in between...whatever works to help someone get healthy. And a religious/spiritual approach works well for many people too.

When the disease model was adopted we dropped all of the traditional addiction treatment teaching: compulsion, craving, consequences, & control.

Elder substance use is devastating. There is very little geriatric research.