{"id":5965,"date":"2026-01-18T20:39:53","date_gmt":"2026-01-19T04:39:53","guid":{"rendered":"https:\/\/wrwofficial.com\/index.php\/2026\/01\/18\/inside-the-battle-for-the-future-of-addiction-medicine-shots\/"},"modified":"2026-01-18T20:39:59","modified_gmt":"2026-01-19T04:39:59","slug":"inside-the-battle-for-the-future-of-addiction-medicine-shots","status":"publish","type":"post","link":"https:\/\/wrwofficial.com\/index.php\/2026\/01\/18\/inside-the-battle-for-the-future-of-addiction-medicine-shots\/","title":{"rendered":"Inside the battle for the future of addiction medicine : Shots"},"content":{"rendered":"<p><\/p>\n<div id=\"storytext\">\n<div id=\"resg-s1-104291\" class=\"bucketwrap image large\">\n<div class=\"imagewrap has-source-dimensions\" data-crop-type=\"\" style=\"&#10;        --source-width: 4624;&#10;        --source-height: 3472;&#10;    \">\n        <picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/900\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/900\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffe%2F2d%2Fbdd67e3b41ca9927e3fe6e94cdcf%2Felyse-and-ronald-major.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/jpeg\"\/><\/picture>\n<\/div>\n<div class=\"credit-caption\">\n<div class=\"caption-wrap\">\n<div class=\"caption\" aria-label=\"Image caption\">\n<p>\n                Dr. Elyse Stevens, left, attends a community breakfast at a New Orleans nonprofit, with her former patient Ronald Major who says Stevens treated him like family.<br \/>\n                <b class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>                    Aneri Pattani\/KFF Health News<\/p>\n<p>                <\/b><br \/>\n                <b class=\"hide-caption\"><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b class=\"toggle-caption\"><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>        Aneri Pattani\/KFF Health News<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>NEW ORLEANS \u2014 Dr. Elyse Stevens had a reputation for taking on complex medical cases, including people who&#8217;d been battling addiction for decades. Some were chronic-pain patients on high doses of opioids; others were sex workers and people living on the street.<\/p>\n<p>&#8220;Many of my patients are messy, the ones that don&#8217;t know if they want to stop using drugs or not,&#8221; said Stevens, a primary care and addiction medicine doctor.<\/p>\n<p>While other doctors avoided these patients, Stevens \u2014 who was familiar with New Orleans from her time in medical school at Tulane University \u2014 sought them out. She regularly attended 6 a.m. breakfasts for homeless people, volunteered at a homeless shelter clinic on Saturdays, and, on Monday evenings, visited an abandoned Family Dollar store where advocates distributed supplies to people who use drugs.<\/p>\n<aside id=\"ad-backstage-wrap\" class=\"ad-wrap backstage\" aria-label=\"advertisement\">\n<\/aside>\n<h3 class=\"edTag\">Award-winning care<\/h3>\n<p>One such evening about four years ago, Charmyra Harrell arrived there limping, her right leg swollen and covered in sores. Emergency room doctors had repeatedly dismissed her, so Harrell said she eased the pain with street drugs.<\/p>\n<p>Stevens cleaned her sores on Mondays for months until finally persuading Harrell to visit the clinic at University Medical Center New Orleans. There, Stevens discovered Harrell had diabetes and cancer.<\/p>\n<p>She agreed to prescribe Harrell pain medication \u2014 an option many doctors would automatically dismiss for fear that a patient with a history of addiction would misuse it.<\/p>\n<p>But Stevens was confident Harrell could hold up her end of the deal.<\/p>\n<p>&#8220;She told me, &#8216;You cannot do drugs and do your pain meds,'&#8221; Harrell recounted on a Monday evening in October. So, &#8220;I&#8217;m no longer on cocaine.&#8221;<\/p>\n<div id=\"resg-s1-104292\" class=\"bucketwrap image medium\">\n<div class=\"imagewrap has-source-dimensions\" data-crop-type=\"\" style=\"&#10;        --source-width: 4624;&#10;        --source-height: 3472;&#10;    \">\n        <picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/200\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/300\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 300w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 1600w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg\" sizes=\"(min-width: 1350px) 298px, (min-width: 1025px) calc(((100vw - 365px)\/3) - 30px), (min-width: 768px) calc(((100vw - 30px)\/3) - 30px), calc(100vw - 30px)\" class=\"img\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/200\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/300\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 300w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg 1600w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg\" sizes=\"(min-width: 1350px) 298px, (min-width: 1025px) calc(((100vw - 365px)\/3) - 30px), (min-width: 768px) calc(((100vw - 30px)\/3) - 30px), calc(100vw - 30px)\" class=\"img\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1100\/quality\/50\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fdf%2Fdf%2F41f046664801ad2272cb789a331f%2Fcharmyra-harrell-2.jpg\" class=\"img\" alt=\"Charmyra Harrell is wearing a pink t-shirt and standing near a rack of clothing. \" loading=\"lazy\"\/>\n        <\/picture>\n<\/div>\n<div class=\"credit-caption\">\n<div class=\"caption-wrap\">\n<div class=\"caption\" aria-label=\"Image caption\">\n<p>\n                Charmyra Harrell credits Dr. Elyse Stevens with diagnosing her diabetes and cancer and helping her stop using cocaine.<br \/>\n                <b class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>                    Aneri Pattani\/KFF Health News<\/p>\n<p>                <\/b><br \/>\n                <b class=\"hide-caption\"><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b class=\"toggle-caption\"><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>        Aneri Pattani\/KFF Health News<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>Stevens&#8217; approach to patient care has won her awards and nominations in <a href=\"https:\/\/www.medschool.lsuhsc.edu\/pulse_archive\/2021_12\/dec_2021_som_achievements_awards_and_honors.aspx#:~:text=Dr.%20Elyse%20Stevens%20(Section%20of%20Community%20and%20Population%20Medicine)%20was%20awarded%20%E2%80%9CAttending%20Physician%20of%20the%20Quarter%2C%202nd%20Quarter%2C%202021%E2%80%9D%20by%20University%20Medical%20Center%2C%20New%20Orleans.\" target=\"_blank\">medicine<\/a>, <a href=\"https:\/\/www.medschool.lsuhsc.edu\/DOM\/March%2022%202024%20DOM_email.pdf\" target=\"_blank\">community service<\/a>, and <a href=\"https:\/\/www.medschool.lsuhsc.edu\/pulse_archive\/2023_06\/june_2023_awards_honors.aspx#:~:text=Dr.%20Elyse%20Stevens%20(Community,overwhelmingly%20chose%20Dr.%20Stevens.\" target=\"_blank\">humanism<\/a>. Instead of seeing patients in binaries \u2014 addicted or sober, with a positive or negative drug test \u2014 she measures progress on a spectrum. Are they showering daily, cooking with their families, using less fentanyl than the day before?<\/p>\n<p>But not everyone agrees with this flexible approach that prioritizes working with patients on their goals, even if abstinence isn&#8217;t one of them. And it came to a head in the summer of 2024.<\/p>\n<aside id=\"ad-secondary-wrap\" class=\"ad-wrap secondary\" aria-label=\"advertisement\">\n<\/aside>\n<p>&#8220;The same things I was high-fived for thousands of times \u2014 suddenly that was bad,&#8221; Stevens said.<\/p>\n<h3 class=\"edTag\">Flexible care or slippery slope?<\/h3>\n<p>More than <a href=\"https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/NSDUH%202024%20Annual%20Release\/2024-nsduh-nnr-highlights.pdf#page=4\" target=\"_blank\">80% of Americans<\/a> who need substance use treatment don&#8217;t receive it, national data from the Substance Abuse and Mental Health Services Administration shows. Barriers abound: high costs, lack of transportation, clinic hours that are incompatible with jobs, fear of being mistreated.<\/p>\n<div id=\"resnx-s1-5660694-100\" class=\"bucketwrap internallink insettwocolumn inset2col \">\n<div class=\"bucket img\">\n                  <a class=\"imagewrap\" id=\"featuredStackSquareImagenx-s1-5393916\" href=\"https:\/\/www.npr.org\/2025\/05\/13\/nx-s1-5393916\/medicaid-overdose-trump-congress\" data-metrics-ga4=\"{&quot;category&quot;:&quot;recirculation&quot;,&quot;action&quot;:&quot;story_recirculation_click&quot;,&quot;clickType&quot;:&quot;inset box&quot;,&quot;clickUrl&quot;:&quot;https:\/\/www.npr.org\/2025\/05\/13\/nx-s1-5393916\/medicaid-overdose-trump-congress&quot;}\"><picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/100\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-original=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-format=\"webp\" class=\"img lazyOnLoad\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/100\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-original=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-format=\"jpeg\" class=\"img lazyOnLoad\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/5481x5481+1371+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Fcf%2Fb2%2F99277a944e348511c160f6389c11%2Fgettyimages-2213290956.jpg\" data-format=\"jpeg\" class=\"img lazyOnLoad\" alt=\"Lawmakers in Washington, D.C., are weighing spending cuts to addiction healthcare and research programs responding to the nation's deadly overdose crisis. Activists and health workers submitted a letter to Congress on Monday protesting the proposed budget reductions.\" loading=\"lazy\"\/><\/picture><\/a>         <\/p>\n<p><!-- END CLASS=\"BUCKETBLOCK\" -->\n      <\/div>\n<p><!-- END CLASS=\"BUCKET IMG\" -->\n   <\/div>\n<p><!-- END ID=\"RESNX-S1-5660694-100\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Some doctors had been trying to ease the process for years. The pandemic accelerated that trend. Telehealth appointments, fewer urine drug tests, and medication refills that last longer became the norm.<\/p>\n<p>The result?<\/p>\n<p>&#8220;Patients did OK and we actually reached more people,&#8221; said <a href=\"https:\/\/www.asam.org\/about-us\/leadership\/board-of-directors\/biography-brian-hurley\" target=\"_blank\">Brian Hurley<\/a>, the past president of the American Society of Addiction Medicine. The organization supports continuing flexible practices, such as helping patients avoid withdrawal symptoms by <a href=\"https:\/\/journals.lww.com\/journaladdictionmedicine\/fulltext\/2023\/11000\/asam_clinical_considerations__buprenorphine.2.aspx\" target=\"_blank\">prescribing higher-than-traditional doses<\/a> of addiction medication and focusing on recovery goals <a href=\"https:\/\/www.asam.org\/quality-care\/clinical-recommendations\/asam-clinical-considerations-for-engagement-and-retention-of-non-abstinent-patients-in-treatment\" target=\"_blank\">other than abstinence<\/a>.<\/p>\n<p>But some doctors prefer traditional approaches that range from zero tolerance for patients using illegal drugs to setting stiff consequences for those who don&#8217;t meet their doctors&#8217; expectations. For example, a patient who tests positive for street drugs while getting outpatient care would be discharged and told to go to residential rehab. Proponents of this method fear loosening restrictions could be a slippery slope that ultimately harms patients. They say continuing to prescribe painkillers, for example, to people using illicit substances long-term could normalize drug use and hamper the goal of getting people off illegal drugs.<\/p>\n<p>Progress should be more than keeping patients in care, said <a href=\"https:\/\/profiles.stanford.edu\/keith-humphreys\" target=\"_blank\">Keith Humphreys<\/a>, a Stanford psychologist, who has treated and researched addiction for decades and <a href=\"https:\/\/www.nytimes.com\/2025\/09\/02\/opinion\/forced-drug-treatment-rehab.html\" target=\"_blank\">supports involuntary treatment<\/a>.<\/p>\n<p>&#8220;If you give addicted people lots of drugs, they like it, and they may come back,&#8221; he said. &#8220;But that doesn&#8217;t mean that that is promoting their health over time.&#8221;<\/p>\n<p>Flexible practices also tend to align with harm reduction, a divisive approach that proponents say keeps people who use drugs safe and that critics \u2014 <a href=\"https:\/\/rollcall.com\/2025\/08\/05\/harm-reduction-techniques-being-phased-out-under-trump\/\" target=\"_blank\">including the Trump administration<\/a> \u2014 say enables illegal drug use.<\/p>\n<aside id=\"ad-third-wrap\" class=\"ad-wrap third\" aria-label=\"advertisement\">\n<\/aside>\n<p>The debate is not just philosophical. For Stevens and her patients, it came to bear on the streets of New Orleans.<\/p>\n<h3 class=\"edTag\">&#8220;Unconventional&#8221; prescribing<\/h3>\n<p>In the summer of 2024, Stevens&#8217; supervisors started questioning her approach.<\/p>\n<p>In emails reviewed by KFF Health News, they expressed concerns about her prescribing too many pain pills, a mix of opioids and other controlled substances to the same patients, and high doses of buprenorphine, a medication considered <a href=\"https:\/\/www.naco.org\/resource\/osc-mat#:~:text=Treating%20OUD%20with%20opioid%20medications%20(methadone%20and%20buprenorphine%2C%20specifically)%20has%20long%20been%20considered%20the%20gold%2Dstandard%20of%20care\" target=\"_blank\">the gold standard<\/a> to treat opioid addiction.<\/p>\n<p>Stevens&#8217; supervisors worried she wasn&#8217;t doing enough urine drug tests and kept treating patients who used illicit drugs instead of referring them to higher levels of care, such as inpatient rehab.<\/p>\n<p>&#8220;Her prescribing pattern appears unconventional compared to the local standard of care,&#8221; the hospital&#8217;s chief medical officer at the time wrote to Stevens&#8217; supervisor, Dr. <a href=\"https:\/\/www.medschool.lsuhsc.edu\/DOM\/Sections\/Community-Medicine\/faculty\/springgate_benjamin.aspx\" target=\"_blank\">Benjamin Springgate<\/a>. &#8220;Note that this is the only standard of care which would likely be considered should a legal concern arise.&#8221;<\/p>\n<div id=\"resg-s1-104300\" class=\"bucketwrap image large\">\n<div class=\"imagewrap has-source-dimensions\" data-crop-type=\"\" style=\"&#10;        --source-width: 4624;&#10;        --source-height: 3472;&#10;    \">\n        <picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/900\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/900\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1100\/quality\/50\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffa%2F70%2F76bfe3d740a9bb4926609b97c0e3%2Felyse-and-bey-2.jpg\" class=\"img\" alt=\"Dr. Elyse Stevens and her husband, Aquil Bey sit across a table from each other. Bey is looking at a tablet computer. They are wearing matching yellow t-shirts.\" loading=\"lazy\"\/>\n        <\/picture>\n<\/div>\n<div class=\"credit-caption\">\n<div class=\"caption-wrap\">\n<div class=\"caption\" aria-label=\"Image caption\">\n<p>\n                Dr. Elyse Stevens and her husband, Aquil Bey, a paramedic, discuss patient cases at a breakfast for homeless people in New Orleans. Bey founded Freestanding Communities, an organization to help vulnerable people.<br \/>\n                <b class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>                    Aneri Pattani\/KFF Health News<\/p>\n<p>                <\/b><br \/>\n                <b class=\"hide-caption\"><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b class=\"toggle-caption\"><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>        Aneri Pattani\/KFF Health News<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>Springgate forwarded that email to Stevens and encouraged her to refer more patients to methadone clinics, intensive outpatient care, and inpatient rehab.<\/p>\n<p>Stevens understood the general practice but couldn&#8217;t reconcile it with the reality her patients faced. She wondered how someone living in a tent, fearful of losing their possessions, would trek to a methadone clinic daily.<\/p>\n<p>Stevens sent her supervisors <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35322965\/\" target=\"_blank\">dozens<\/a> of <a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2793293\" target=\"_blank\">research<\/a> <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0955395924000240\" target=\"_blank\">studies<\/a> and <a href=\"https:\/\/sitefinitystorage.blob.core.windows.net\/sitefinity-production-blobs\/docs\/default-source\/guidelines\/npg-jam-supplement.pdf?sfvrsn=a00a52c2_2\" target=\"_blank\">national<\/a> <a href=\"https:\/\/www.hhs.gov\/system\/files\/Dosage_Reduction_Discontinuation.pdf\" target=\"_blank\">treatment<\/a> <a href=\"https:\/\/library.samhsa.gov\/sites\/default\/files\/tip-35-pep19-02-01-003.pdf\" target=\"_blank\">guidelines<\/a> backing her flexible approach. She explained that if she stopped prescribing the medications of concern, patients might leave the health system, but they would still be sick.<\/p>\n<p>&#8220;They just wouldn&#8217;t be getting care and perhaps they&#8217;d be dead,&#8221; she said in an interview with KFF Health News.<\/p>\n<p>Both University Medical Center and LSU Health New Orleans, which employs Stevens and other physicians at UMC, declined repeated requests for interviews. They did not respond to detailed questions about addiction treatment or Stevens&#8217; practices.<\/p>\n<aside id=\"ad-overflow-1-wrap\" class=\"ad-wrap overflow-1\" aria-label=\"advertisement\">\n<\/aside>\n<p>Instead, they provided a joint statement from Dr. Richard DiCarlo, dean of the LSU Health New Orleans School of Medicine, and Dr. Jeffrey Elder, chief medical officer of University Medical Center New Orleans.<\/p>\n<p>&#8220;We are not at liberty to comment publicly on internal personnel issues,&#8221; they wrote.<\/p>\n<p>&#8220;We recognize that addiction is a serious public health problem, and that addiction treatment is a challenge for the health care industry,&#8221; they said. &#8220;We remain dedicated to expanding access to treatment, while upholding the highest standard of care and safety for all patients.&#8221;<\/p>\n<h3 class=\"edTag\">Not black-and-white<\/h3>\n<p>KFF Health News shared the complaints against Stevens and the responses she&#8217;d written for supervisors with two addiction medicine doctors outside of Louisiana, who had no affiliation with Stevens or her employers. Both found her practices to be within the bounds of normal addiction care, especially for complex patients.<\/p>\n<div id=\"resnx-s1-5660694-101\" class=\"bucketwrap internallink insettwocolumn inset2col \">\n<div class=\"bucket img\">\n                  <a class=\"imagewrap\" id=\"featuredStackSquareImagenx-s1-5393935\" href=\"https:\/\/www.npr.org\/sections\/shots-health-news\/2025\/05\/13\/nx-s1-5393935\/quarter-children-have-parent-substance-use-disorder-study\" data-metrics-ga4=\"{&quot;category&quot;:&quot;recirculation&quot;,&quot;action&quot;:&quot;story_recirculation_click&quot;,&quot;clickType&quot;:&quot;inset box&quot;,&quot;clickUrl&quot;:&quot;https:\/\/www.npr.org\/sections\/shots-health-news\/2025\/05\/13\/nx-s1-5393935\/quarter-children-have-parent-substance-use-disorder-study&quot;}\"><picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/100\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-original=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-format=\"webp\" class=\"img lazyOnLoad\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/100\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-original=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-format=\"jpeg\" class=\"img lazyOnLoad\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/1396x1396+752+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F9c%2F09%2F054dcbc3403caccb30ced00da7a0%2Fgettyimages-2180980090.jpg\" data-format=\"jpeg\" class=\"img lazyOnLoad\" alt=\"This image shows a red seesaw. On the right side is a glass with an amber-colored alcoholic beverage and ice cubes. On the left side are abstract images of a man and boy in blue and a woman and girl in purple.\" loading=\"lazy\"\/><\/picture><\/a>         <\/p>\n<p><!-- END CLASS=\"BUCKETBLOCK\" -->\n      <\/div>\n<p><!-- END CLASS=\"BUCKET IMG\" -->\n   <\/div>\n<p><!-- END ID=\"RESNX-S1-5660694-101\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Dr. <a href=\"https:\/\/www.cedarrecovery.com\/dr-stephen-loyd\/\" target=\"_blank\">Stephen Loyd<\/a>, an addiction medicine specialist and the <a href=\"https:\/\/www.tn.gov\/health\/health-program-areas\/health-professional-boards\/me-board\/me-board\/members.html\" target=\"_blank\">president of Tennessee&#8217;s medical licensing board<\/a>, said doctors running pill mills typically have sparse patient notes that list a chief complaint of pain. But Stevens&#8217; notes detailed patients&#8217; life circumstances and the intricate decisions she was making with them.<\/p>\n<p>&#8220;To me, that&#8217;s the big difference,&#8221; Loyd said.<\/p>\n<p>Some people think the &#8220;only good answer is no opioids,&#8221; such as oxycodone or hydrocodone, for any patients, said Dr. <a href=\"https:\/\/obgyn.msu.edu\/research\/research-faculty\/cara-poland\" target=\"_blank\">Cara Poland<\/a>, an addiction medicine specialist and associate professor at Michigan State University. <\/p>\n<p>But patients may need them \u2014 sometimes for things like cancer pain \u2014 or require months to lower their doses safely, she said. &#8220;It&#8217;s not as black-and-white as people outside our field want it to be.&#8221;<\/p>\n<p>Humphreys, the Stanford psychologist, had a different take. He did not review Stevens&#8217; case but said, as a general practice, there are risks to prescribing painkillers long-term, especially for patients using today&#8217;s lethal street drugs too.<\/p>\n<aside id=\"ad-overflow-2-wrap\" class=\"ad-wrap overflow-2\" aria-label=\"advertisement\">\n<\/aside>\n<p>Overprescribing fueled the opioid crisis, he said. &#8220;It&#8217;s not going to go away if we do that again.&#8221;<\/p>\n<h3 class=\"edTag\">&#8220;The thing that kills people&#8221;<\/h3>\n<p>After months of tension, Stevens&#8217; supervisors told her on March 10 to stop coming to work. The hospital was conducting a review of her practices, they said in an email viewed by KFF Health News.<br \/>Overnight, hundreds of her patients were moved to other providers.<\/p>\n<p>Luka Bair had been seeing Stevens for three years and was stable on daily buprenorphine.<\/p>\n<div id=\"resg-s1-104302\" class=\"bucketwrap image large\">\n<div class=\"imagewrap has-source-dimensions\" data-crop-type=\"\" style=\"&#10;        --source-width: 3472;&#10;        --source-height: 4624;&#10;    \">\n        <picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/400\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/900\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/1200\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/1600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/1800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/400\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/900\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/1200\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/1600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/1800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/1100\/quality\/50\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3472x4624+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ffb%2F0e%2F43aa573c4eeb96fbf67fae9589de%2Fluka-bair-2.jpg\" class=\"img\" alt=\"Luka Bair is a young person with close cropped hair, carrying a bottle of Coca-Cola. \" loading=\"lazy\"\/>\n        <\/picture>\n<\/div>\n<div class=\"credit-caption\">\n<div class=\"caption-wrap\">\n<div class=\"caption\" aria-label=\"Image caption\">\n<p>\n                Luka Bair holds a film of buprenorphine, a daily medication considered the gold standard to treat opioid addiction.<br \/>\n                <b class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>                    Aneri Pattani\/KFF Health News<\/p>\n<p>                <\/b><br \/>\n                <b class=\"hide-caption\"><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b class=\"toggle-caption\"><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>        Aneri Pattani\/KFF Health News<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>After Stevens&#8217; departure, Bair was left without medication for three days. The withdrawal symptoms were severe \u2014 headache, nausea, muscle cramps.<\/p>\n<p>&#8220;I was just in physical hell,&#8221; said Bair, who works for the National Harm Reduction Coalition and uses they\/them pronouns.<\/p>\n<p>Although Bair eventually got a refill, Springgate, Stevens&#8217; supervisor, didn&#8217;t want to continue the regimen long-term. Instead, Springgate referred Bair to more intensive and residential programs, citing Bair&#8217;s intermittent use of other drugs, including benzodiazepines and cocaine, as markers of high risk. Bair &#8220;requires a higher level of care than our clinic reasonably can offer,&#8221; Springgate wrote in patient portal notes shared by Bair and reviewed by KFF Health News.<\/p>\n<p>But Bair said daily attendance at those programs was incompatible with their full-time job. They left the clinic, with 30 days to find a new doctor or run out of medication again.<\/p>\n<p>&#8220;This is the thing that kills people,&#8221; said Bair, who eventually found another doctor willing to prescribe their buprenorphine.<\/p>\n<p>Springgate did not respond to repeated calls and emails requesting comment.<\/p>\n<p>University Medical Center and LSU Health New Orleans did not answer questions about transferring and discharging Stevens&#8217; patients.<\/p>\n<h3 class=\"edTag\">&#8220;Reckless behavior&#8221;<\/h3>\n<p>About a month after Stevens was told to stay home, Haley Beavers Khoury, a medical student who worked with her, had collected nearly 100 letters from other students, doctors, patients, and homelessness service providers calling for Stevens&#8217; return.<\/p>\n<aside id=\"ad-overflow-3-wrap\" class=\"ad-wrap overflow-3\" aria-label=\"advertisement\">\n<\/aside>\n<p>One student wrote, &#8220;Make no mistake \u2014 some of her patients will die without her.&#8221; A nun from the Daughters of Charity, which ran <a href=\"https:\/\/www.nolaem.com\/hospitals#:~:text=UMC%20continues%20the%20near%20300%20year%20legacy%20of%20Charity%20Hospital%20and%20proudly%20serves%20as%20the%20only%20safety%2Dnet%20hospital%20for%20the%20people%20of%20New%20Orleans.\" target=\"_blank\">the hospital&#8217;s previous incarnation<\/a>, called Stevens a &#8220;lifeline&#8221; for vulnerable patients.<\/p>\n<p>Beavers Khoury said she sent the letters to about 10 people in hospital and medical school leadership. Most did not respond.<\/p>\n<p>In May, the hospital&#8217;s review committee determined Stevens&#8217; practices fell &#8220;outside of the acceptable community standards&#8221; and constituted &#8220;reckless behavior,&#8221; according to a letter sent to Stevens.<\/p>\n<div id=\"resnx-s1-5660694-102\" class=\"bucketwrap internallink insettwocolumn inset2col \">\n<div class=\"bucket img\">\n                  <a class=\"imagewrap\" id=\"featuredStackSquareImagenx-s1-5101598\" href=\"https:\/\/www.npr.org\/sections\/shots-health-news\/2024\/10\/12\/nx-s1-5101598\/methadone-rules-opioid-addiction-treatment\" data-metrics-ga4=\"{&quot;category&quot;:&quot;recirculation&quot;,&quot;action&quot;:&quot;story_recirculation_click&quot;,&quot;clickType&quot;:&quot;inset box&quot;,&quot;clickUrl&quot;:&quot;https:\/\/www.npr.org\/sections\/shots-health-news\/2024\/10\/12\/nx-s1-5101598\/methadone-rules-opioid-addiction-treatment&quot;}\"><picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/100\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-original=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-format=\"webp\" class=\"img lazyOnLoad\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/100\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-original=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-format=\"jpeg\" class=\"img lazyOnLoad\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/100\/quality\/100\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3024x3024+989+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F51%2Fba%2F23ed87784650bd3e8b6f4c2687b9%2Fbrown1.jpg\" data-format=\"jpeg\" class=\"img lazyOnLoad\" alt=\"Kellyann Kaiser is a recovering opioid user who says she benefits from the new federal rules on methadone access.\" loading=\"lazy\"\/><\/picture><\/a>         <\/p>\n<p><!-- END CLASS=\"BUCKETBLOCK\" -->\n      <\/div>\n<p><!-- END CLASS=\"BUCKET IMG\" -->\n   <\/div>\n<p><!-- END ID=\"RESNX-S1-5660694-102\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>The hospital did not answer KFF Health News&#8217; questions about how it reached this conclusion or if it identified any patient harm.<\/p>\n<p>Meanwhile, Stevens had secured a job at another New Orleans hospital. But because her resignation came amid the ongoing investigation, University Medical Center said it was required to inform the state&#8217;s medical licensing board.<\/p>\n<p>The medical board began its own investigation \u2014 a development that eventually cost Stevens the other job offer.<\/p>\n<p>In presenting her side to the medical board, Stevens repeated many arguments she&#8217;d made before. Yes, she was prescribing powerful medications. No, she wasn&#8217;t making clinical decisions based on urine drug tests. But national addiction organizations supported such practices and promoted tailoring care to patients&#8217; circumstances, she said. Her response included a 10-page bibliography with 98 citations.<\/p>\n<div id=\"resg-s1-104305\" class=\"bucketwrap image large\">\n<div class=\"imagewrap has-source-dimensions\" data-crop-type=\"\" style=\"&#10;        --source-width: 4624;&#10;        --source-height: 3472;&#10;    \">\n        <picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/900\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/400\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/900\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1200\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/1100\/quality\/50\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/4624x3472+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F57%2Fcf%2Fa15289704264a467913efad59b2a%2Felyse-fire-pit-3.jpg\" class=\"img\" alt=\"Dr. Elyse Stevens and a family member are standing near a backyard fire pit. She is putting prescription paper into the smoky fire.\" loading=\"lazy\"\/>\n        <\/picture>\n<\/div>\n<div class=\"credit-caption\">\n<div class=\"caption-wrap\">\n<div class=\"caption\" aria-label=\"Image caption\">\n<p>\n                In October 2025, Dr. Elyse Stevens decided to leave New Orleans. Before she left, she and her family burned her old prescription pads as &#8220;a ceremonial death of an old life and birth of a new beginning,&#8221; she says.<br \/>\n                <b class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>                    Aneri Pattani\/KFF Health News<\/p>\n<p>                <\/b><br \/>\n                <b class=\"hide-caption\"><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b class=\"toggle-caption\"><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>        Aneri Pattani\/KFF Health News<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<h3 class=\"edTag\">Liability<\/h3>\n<p>The Louisiana state board&#8217;s investigation into Stevens is ongoing. <a href=\"https:\/\/online.lasbme.org\/#\/disciplinary\" target=\"_blank\">Its website<\/a> shows no action taken against her license as of late December.<br \/>The board declined to comment on both Stevens&#8217; case and its definition of appropriate addiction treatment.<\/p>\n<p>In October, Stevens moved to the Virgin Islands to work in internal medicine at a local hospital. She said she&#8217;s grateful for the welcoming locals and the financial stability to support herself and her parents.<\/p>\n<div id=\"resg-s1-104294\" class=\"bucketwrap image large\">\n<div class=\"imagewrap has-source-dimensions\" data-crop-type=\"\" style=\"&#10;        --source-width: 3468;&#10;        --source-height: 4624;&#10;    \">\n        <picture><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/400\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/900\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/1200\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/1600\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/1800\/quality\/85\/format\/webp\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/webp\"\/><source srcset=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/400\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 400w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 800w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/900\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 900w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/1200\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 1200w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/1600\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 1600w,&#10;https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/1800\/quality\/85\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg 1800w\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg\" sizes=\"(min-width: 1025px) 650px, calc(100vw - 30px)\" class=\"img\" type=\"image\/jpeg\"\/><img decoding=\"async\" src=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/1100\/quality\/50\/format\/jpeg\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg\" data-template=\"https:\/\/npr.brightspotcdn.com\/dims3\/default\/strip\/false\/crop\/3468x4624+0+0\/resize\/{width}\/quality\/{quality}\/format\/{format}\/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2F19%2F56%2Fff8b4f93493c91194be3f2b031d2%2Felyse-and-mom-2.jpg\" class=\"img\" alt=\"Dr. Elyse Stevens, who is wearing shorts and a tank top, gets a kiss from her mom, Mary Chaput. They are standing near a parked car on a street in New Orleans.\" loading=\"lazy\"\/>\n        <\/picture>\n<\/div>\n<div class=\"credit-caption\">\n<div class=\"caption-wrap\">\n<div class=\"caption\" aria-label=\"Image caption\">\n<p>\n                Dr. Elyse Stevens says goodbye to her mom, Mary Chaput, as they part ways on one of Stevens&#8217; final days in New Orleans.<br \/>\n                <b class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>                    Aneri Pattani\/KFF Health News<\/p>\n<p>                <\/b><br \/>\n                <b class=\"hide-caption\"><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b class=\"toggle-caption\"><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span class=\"credit\" aria-label=\"Image credit\"><\/p>\n<p>        Aneri Pattani\/KFF Health News<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>But it hurts to think of her former patients in New Orleans.<\/p>\n<p>Before leaving, Stevens packed away handwritten letters from several of them \u2014 one was 15 pages long, written in alternating green and purple marker \u2014 in which they shared childhood traumas and small successes they had while in treatment with her.<\/p>\n<aside id=\"ad-overflow-4-wrap\" class=\"ad-wrap overflow-4\" aria-label=\"advertisement\">\n<\/aside>\n<p>Stevens doesn&#8217;t know what happened to those patients after she left.<\/p>\n<p>She believes the scrutiny of her practices centers on concerns over liability more than patient safety.<\/p>\n<p>But, she said, &#8220;liability is in abandoning people, too.&#8221;<\/p>\n<p><a href=\"https:\/\/kffhealthnews.org\/about-us\/\" target=\"_blank\"><em>KFF Health News<\/em><\/a><em> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at <\/em><a href=\"https:\/\/www.kff.org\/about-us\/\" target=\"_blank\"><em>KFF<\/em><\/a><em>.<\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Elyse Stevens, left, attends a community breakfast at a New Orleans nonprofit, with her former patient Ronald Major who says Stevens treated him like family. Aneri Pattani\/KFF Health News hide caption toggle caption Aneri Pattani\/KFF Health News NEW ORLEANS \u2014 Dr. Elyse Stevens had a reputation for taking on complex medical cases, including people [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5966,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[327],"tags":[967,2287,2288,225,411],"class_list":{"0":"post-5965","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health","8":"tag-addiction","9":"tag-battle","10":"tag-future","11":"tag-medicine","12":"tag-shots"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v26.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Inside the battle for the future of addiction medicine : Shots - Well Rooted Wellness<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wrwofficial.com\/index.php\/2026\/01\/18\/inside-the-battle-for-the-future-of-addiction-medicine-shots\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Inside the battle for the future of addiction medicine : Shots\" \/>\n<meta property=\"og:description\" content=\"Dr. Elyse Stevens, left, attends a community breakfast at a New Orleans nonprofit, with her former patient Ronald Major who says Stevens treated him like family. 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