Erin Fanning Madden, PhD, MPH

Any fellow substance use-focused people on here watching Real Housewives of Salt Lake City? I am continually impressed with how Mary is handling her son's substance use disorder. She's doing a pretty dang good job being nonjudgmental & supportive, despite being a pretty judgmental person overall.

Teen opioid addictions often untreated as youth overdose deaths rapidly rise in US – study Drug overdoses are now a leading causes of death among US teens as fentanyl possibly drives surge, researchers warn

"In 2023, 557 teens died of opioid overdose, nearly threefold as many as in 2018, while adult opioid deaths only went up by 65% during this time, according to the study. Drug overdoses are now among the leading causes of death for US teenagers."
www.theguardian.com/us-news/2025...

Opinion | A Loss of Faith in Forced Drug Treatment

Aaron Fox & Sarah Wakeman wrote great responses to an op-ed in the @nytimes.com arguing for involuntary addiction treatment. It is not only logistically infeasible given service shortages, it also violates human rights and is often ineffective & even dangerous. www.nytimes.com/2025/09/20/o...

It doesn't have much data now, but the goal is for people to share which pharmacies are dispensing these meds so others can quickly locate them too.

Please enter a ZIP code to find and report pharmacies with bupe near you.

A new crowdsourcing tool from @opioidpolicy.bsky.social for sharing/getting info on which pharmacies are dispensing buprenorphine (i.e., Suboxone): bupe.opioidpolicy.org

Abortion Funds See Dwindling Donations as Demand and Cost Rise A flood of cash following Roe’s fall has dried up, leaving Texas nonprofits struggling to keep pace with the state’s abortion access crisis.

"'[R]age donations' have dried up."

"While [nonprofits] grapple with a decrease in donations, the price for abortion care is rising, creating a perfect storm."

"[C]an we actually keep this going?"
#Texas #USA #Healthcare

This makes a lot of sense for many reasons, but one is the ability to afford vaccines. In Tunisia, the pediatric meningitis vaccine costs about a minimum wage worker’s monthly income. So most people don’t get it.

The summary is that they are trying to criminalize every aspect of homelessness so they can arrest & forcibly commit unhoused people. Currently(/before), there are not enough mental health & substance use treatment beds/facilities, and this does not add anything, which only leaves imprisoning people

Exclusive: NIH to dismiss dozens of grant reviewers to align with Trump priorities The move would undo years of work, leaving advisory councils understaffed, and without the full expertise needed for reviews.

NEW: In an unprecedented move, the NIH will soon disinvite dozens of scientists about to take positions on advisory councils that make final decisions on grant funding.

NIH staff were told to select others aligned with the Trump administration and told to expect placements by political appointees.

I've been getting multiple daily invitations to review over the past month. I try to review 3 papers for every paper I submit as first or senior author. I have done much more than that this year already, and I really cannot do more. Is anyone else getting many more request than usual right now?

And another link incase the free access link above expired: doi.org/10.1016/j.jo...

⚠️New study⚠️: Stigma training lessens prejudice towards people who use drugs, but stigma is more than just attitudes! Training does 🚫not🚫 clearly improve stigmatizing workplace culture or plans to provide better care among healthcare professionals. Read here: authors.elsevier.com/a/1lNMWAUkM2...

While I deeply disagree with you, I also didn’t say anything about electoral strategy in swing regions. I liked his response to a question. Take a dang chill pill.

Nothing shuts down centrists like an MLK quote. Well played 🌹

Given so many people turn to detox as a first step for addressing opioid use disorder, I think qualitative research is really needed on the patient, caregiver, and facility/professional dynamics and experiences. If this exists and i just overlooked it, please tell me what's what!

YouTube video by Advanced Rapid Detox Clap back to haters of sedation #detox

For example: www.youtube.com/shorts/wjw_o... "our 5-year clean rate is 85%" It's a bit ambiguous as to what that means (like they do 5yr follow up with clients? Or over the past 5yrs 85% of patients complete the detox?). I totally get why people buy into this modality with those kinds of claims.

I'm especially interested in the world of for-profit detox facilities. I see big promises and high "success rates" being cited in social media content from these places. I question the veracity of their claims, but also curious about patient and caregiver experiences with the modality.

I need a medical sociologist/anthropologist to do extensive fieldwork on detox centers. On the one hand, I get why people use detox as a place to stop methadone or bup after years of treatment. But I worry when people believe this is the best first treatment step for opioid use disorder.

JFC. I had never heard of this practice. Horrifying.

This is a messaging problem that confuses many people. I’ve heard administrative staff who make middle class salaries feel personally attacked by calls to reduce administrative salaries. I wonder how we can be clearer & more specific about which positions on campuses are the focus of this critique

When we talk about problems of “administrative bloat” I’ve realized many people don’t know we’re specifically referring to deans/VPs/vice provosts/etc., and think we include the lower level university staff who keep the ship afloat in programs like academic advising and sponsored projects offices.

It's the one year book-iversary of Holding It Together, and I think its message is more urgent than ever. Because the book is about how the US came to rely on women as its safety net. But that story is fundamentally a story of what happens when billionaires don't want to pay their fair share. 1/

🚨 A new rule would let career scientists like NSF/NIH program officers be replaced by political appointees

Already 14,000+ public comments, deadline is Friday

📣 Comments can be short. Courts consider them—and scientists with NSF/NIH experience are especially impactful

Speak up! shorturl.at/WKuBj

HHS is further withholding funds by not releasing new grant awards; vastly delayed processes in routine carry forward requests; and intermittently removing the capacity for routine no cost extensions

HHS is withholding money for lifesaving research

Here is a specific thing you can do to fight Trump's politicization of public services Plus: what I wrote in Science about the revised Schedule F

New from me: Everything feels overwhelming. But here is a tangible thing you can do: write a comment to oppose Trump's plan to convert 50,000 career civil servants into political appointees. Deadline is May 23. Please share!
donmoynihan.substack.com/p/here-is-a-...

YouTube video by The Daily Show Meet the DOGE Layoff Victims That Elon Musk Deemed Wasteful | The Daily Show

LOVING this Daily Show clip exposing how Trump and DOGE “streamlined” the federal workforce by firing true American patriots.

Also...we’re not mad about the savage Musk hairline callout at 2:41.
👉 www.youtube.com/watch?v=lPeb...

R01 not discussed and a paper rejected. Today is also the 20th anniversary of my childhood best friend's death. I'm glad to be here even for the crappier days like today. Wish she could have been too.

His statement smacks of doing little or no primary prevention, and then just sending people with addictions to figure it out themselves in NA/AA or self-funding a ritzy rehab stay instead of govt funding MAT, harm reduction, or behavioral health programs with actual licensed clinicians.

But I doubt this administration is going to undertake the major expansion of the social safety net (e.g., massive low-income housing investment, ⬆️ k-12 funding, etc.) and drug legalization/safe supply that would transform the social conditions that increase vulnerability to addiction or overdose.

Another thought: This is also clearly a call to demedicalize treatment, ignore evidence-based interventions, and pray away addiction. As a sociologist, I agree societal factors are deeply underappreciated in substance use research and interventions.