When is NAADAC going to bring back tobacco and nicotine as an issue of concern and development? I think it is time NAADAC and the magazine start to assume some leadership on this issue. Our credibility as treatment providers for substance use disorders will be challenged one of these days soon if we don't accept the treatment of nicotine dependence in addiction treatment programs.
We are ethically and clinically obligated to save the lives of our patients. When we choose to ignore nicotine, we are contributing to the sickness and death of those we are obligated to treat, who are at the highest risk to get sick and die from tobacco.
Personally, I wait for the day when we are held legally responsible for this gap in our services. If the addiction field cannot treat nicotine dependence effectively, we need to learn how. Having some leadership from NAADAC would be a marvelous example of us accepting a difficult task even when we are not confident we can do it. If we don't, who will?
David “Mac” Macmaster, CSAC, PTTS
Wisconsin Association of Alcoholism and Drug Abuse Counselors
(Editor's note: The author is a managing consultant for the Wisconsin Nicotine Treatment Integration Project.)
Addiction Professional 2010 January-February;8(1):8