Sign in

Honora Englander

@honoraenglander.bsky.social
247 followers 47 following 12 posts

Addiction Medicine Physician and health services researcher, Director/ PI of OHSU's Improving Addiction Care Team (IMPACT); recent US France Fulbright scholar. Committed to improving health systems. views=mine

PostsRepliesMedia
Reposted by Honora Englander
Eric Topol @erictopol.bsky.social · 30/01/2026
"We are bearing witness to what fear can do to the health of a community" A poignant piece @NEJM about the Minneapolis devastation "We care for our patients because they are human beings. Our patients are being harmed. People are dying unnecessarily." www.nejm.org/doi/full/10....
721288
Reposted by Honora Englander
Brad Johnson @climatebrad.hillheat.com · 05/04/2025
Oh wow: Portland Oregon is NOT KIDDING #handsoff
Portland OR Hands Off Rally
10038022715361
Reposted by Honora Englander
Chris Murphy @chrismurphyct.bsky.social · 03/04/2025
Those trying to understand the tariffs as economic policy are dangerously naive. No, the tariffs are a tool to collapse our democracy. A means to compel loyalty from every business that will need to petition Trump for relief. 1/ A 🧵 to explain his plan and how we fight back.
9052799713787
Reposted by Honora Englander
Will Bunch @willbunch.bsky.social · 03/04/2025
March saw the third-highest number of layoffs in U.S. history, and 80% of them were caused by DOGE This was before the tariffs It's just...unbelievable
526235167490
Reposted by Honora Englander
reginalabelle.bsky.social @reginalabelle.bsky.social · 01/04/2025
The entire SAMHSA staff that manages the National Survey on Drug Use and Health has been terminated. This is the only survey that tracks mental health and substance use trends in the US. We really are flying blind now.
17443
Reposted by Honora Englander
Christina Jewett @by-cjewett.bsky.social · 01/04/2025
HHS doctors, scientists and tobacco control staff, rare disease experts, cancer drug wizards -- all fired today or leaving in recent weeks. Yet. 🚨 At HHS, staff make up less than one percent of the overall agency budget. 🚨 www.nytimes.com/2025/04/01/h...
nytimes.com
Federal Health Workers Make Up Less Than 1% of Agency Spending (Gift Article)
Health Secretary Robert F. Kennedy Jr. suggests that laying off thousands of federal workers would tame a massive budget. But nearly all of the agency’s money goes to hospitals, doctors and nursing ho...
22400201
Reposted by Honora Englander
Carl Zimmer @carlzimmer.com · 01/04/2025
"This will go down as one of the darkest days in modern scientific history." Story on the decimation of NIH by @maxkozlov.bsky.social www.nature.com/articles/d41...?
nature.com
‘One of the darkest days’: NIH purges agency leadership amid mass layoffs
In shock move, four institute directors at the US biomedical agency are removed from their posts.
401563652
Honora Englander @honoraenglander.bsky.social · 01/04/2025
@salisburyafshar.bsky.social @amersa.org @jefbratberg.bsky.social @marlenemartinmd.bsky.social @ohsu-chse.bsky.social @ohsunews.bsky.social
000
Honora Englander @honoraenglander.bsky.social · 01/04/2025
I'm still getting my legs about me on #BlueSky so not sure who's here, but for starters, tagging a few including: @maiasz.bsky.social @levfacher.bsky.social @suenlw.bsky.social@stephenhrnrp.bsky.social @drscotthadland.bsky.social @drsarahwakeman.bsky.social @yaleadm.bsky.social @suenlw.bsky.social
110
Honora Englander @honoraenglander.bsky.social · 01/04/2025
Huge thanks to #USFulbright #FondationNeurodis #LeCentreHospitalierVinatier, my ✨hosts @benjaminrolland.bsky.social @marieroustide.bsky.social, our participants, and a long list of ppl who helped mentor, teach, and support this work
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
Seeing this in practice offered such a sharp contrast to the the US. And, it offers not only a critique but an alternative to policies and practices rooted in punishment and control. My hope is that clinicians, policy makers can use this to better recognize our assumptions & move forward in the US
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
We also found that to accomplish this, clinicians balanced flexibility and structure, weighing clinical decisions and risks in context /7
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
The biggest Qs that I have heard from US clinicians about this is: "are you saying abstinence is bad?" My reply: No! The point is not that abstinence is bad, or that we shouldn't support people when that is their goal. But if the system imposes it, there are unintended harms. / 6
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
This is so different than the US, where in subtle and very overt ways, the whole system prioritizes abstinence. Even among healthcare clinicians who embrace harm reduction, harm reduction is often positioned as an intermediate or lesser goal. Not THE goal of MOUD /5
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
What did we find? Participants described pt engagement as the #1 goal of OAT. They felt imposing or expecting abstinence was harmful and might obligate patients to lie or “lead a double life,” lead to mistrust, missed care opportunities, and “losing patients” who disengaged from care /4
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
We compared methadone policies in US and FR (below). Here, we interviewed healthcare stakeholders (MDs, nurses, pharmacists, drug user union activists, policymakers) to explore how they approached methadone and bup, drawing lessons for the US and elsewhere. pubmed.ncbi.nlm.nih.gov/38878588/
pubmed.ncbi.nlm.nih.gov
Comparing methadone policy and practice in France and the US: Implications for US policy reform - PubMed
Despite being among the most effective treatments for opioid use disorder, methadone is largely unavailable in the United States, due primarily to federal and other policies that limit its availabilit...
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
I spent a year studying methadone and bup care (OAT) in France where 87% of ppl with opioid use disorder receive OAT vs <20% in the US w the brilliant @benjaminrolland.bsky.social & Marie Jauffret-Roustide, I wanted to understand *HOW*. Turns out: clinicians and systems prioritize engagement/ 2
100
Honora Englander @honoraenglander.bsky.social · 01/04/2025
Hot off the press in @sajamersa.bsky.social: “Un attracteur de soins”: Bringing People Into Care. Interdisciplinary Health Care Professionals’ Attitudes Toward Opioid Agonist Therapy in France: a Qualitative Study with Implications for the United States/ 🧵 journals.sagepub.com/doi/full/10....
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
141
Reposted by Honora Englander
Rachel Hoopsick, PhD, MS, MPH, MCHES @rachelhoopsick.bsky.social · 01/04/2025
The entire National Survey on Drug Use and Health (NSDUH) team at SAMHSA was terminated today. Do not listen to the platitudes of this administration when they say they care about drug overdose, addiction, mental health, or suicide.
17552292
Reposted by Honora Englander
JAMA @jama.com · 19/03/2025
Viewpoint: Recent disruptions and funding cuts at the NIH undermine the infrastructure and stability of US scientific research, threatening the nation's global leadership and scientific productivity. ja.ma/3FLvqHS
ja.ma
American Science in Peril
This Viewpoint discusses the importance of federal funding of biomedical research from the National Institutes of Health to scientific discovery, advancements in individual and public health, and the support of the US’ community of scientists.
52821
Reposted by Honora Englander
Substance Use & Addiction Journal (SAj) @sajamersa.bsky.social · 20/11/2024
Congrats to @suenlw.bsky.social & team (& @amersa.org Board Members!) for receiving the 2024 SAj Most Downloaded Paper Award: " #Methadone Resurgence in Bridging the Treatment Gap in the #Overdose Crisis: Position Statement of #AMERSA, Inc).Science into advocacy! journals.sagepub.com/doi/full/10....
175
Honora Englander @honoraenglander.bsky.social · 22/11/2024
Hello Bluesky! 📣If you haven't heard it yet, check out our latest episode of "Behind the Evidence" w Dr Ayesha Appa - produced with BMCs Grayken Center for Addiction. We talk with authors about innovative research with real-world practice and policy implications rss.com/podcasts/beh...
rss.com
Behind the Evidence - Season 2 Episode 3: An interview with Ayesha Appa, MD on stimulant use and opioid-related harm | RSS.com
“Behind the Evidence” is the addiction medicine podcast of the Grayken Center for Addiction at Boston Medical Center, and a project of the Center’s free bimonthly newsletter Alcohol, Other Drugs, and ...
010