Erin Fanning Madden, PhD, MPH
@efanningmadden.bsky.social
1.8K followers 590 following 140 posts
Substance use, stigma, & harm reduction researcher in Detroit. Also interested in qual methods, racism, immigration, & access to care. Sociologist working in a med school. Views are my own. She/her
Posts Media Videos Starter Packs
efanningmadden.bsky.social
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.
Reposted by Erin Fanning Madden, PhD, MPH
drugpolicyfacts.bsky.social
"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...
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
www.theguardian.com
efanningmadden.bsky.social
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...
Opinion | A Loss of Faith in Forced Drug Treatment
www.nytimes.com
efanningmadden.bsky.social
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.
Reposted by Erin Fanning Madden, PhD, MPH
harmscommitted.com
"'[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
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.
www.texasobserver.org
efanningmadden.bsky.social
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.
Reposted by Erin Fanning Madden, PhD, MPH
ryanmarino.bsky.social
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
Reposted by Erin Fanning Madden, PhD, MPH
maxkozlov.bsky.social
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.
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.
www.nature.com
efanningmadden.bsky.social
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?
efanningmadden.bsky.social
⚠️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...
Redirecting
doi.org
efanningmadden.bsky.social
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.
efanningmadden.bsky.social
Nothing shuts down centrists like an MLK quote. Well played 🌹
efanningmadden.bsky.social
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!
efanningmadden.bsky.social
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.
Clap back to haters of sedation #detox
YouTube video by Advanced Rapid Detox
www.youtube.com
efanningmadden.bsky.social
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.
efanningmadden.bsky.social
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.
efanningmadden.bsky.social
JFC. I had never heard of this practice. Horrifying.
efanningmadden.bsky.social
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
efanningmadden.bsky.social
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.
Reposted by Erin Fanning Madden, PhD, MPH
jessicacalarco.com
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/
jessicacalarco.com
Other countries have safety nets. The US has women.

Their labor creates the illusion of a DIY society, making it seem like we don't need a net.

Writing HOLDING IT TOGETHER was a labor of love and fury and I'm so grateful to share it with you all #PubDay

www.penguinrandomhouse.com/books/697130...
Reposted by Erin Fanning Madden, PhD, MPH
freemanjb.bsky.social
🚨 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
Reposted by Erin Fanning Madden, PhD, MPH
iwashyna.bsky.social
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
joshuasweitz.bsky.social
Today in Congress, HHS Sec RFK Jr insisted that "We are not withholding money for lifesaving research."

The @nytimes.com described the interaction as a "clash".

Yes, between facts and talking points.

Fact: HHS is withholding money for lifesaving research.

www.nytimes.com/2025/05/14/u...
Kennedy Clashes With Top Democrat Who Accused Him of ‘Destroying’ Health Agencies
www.nytimes.com
Reposted by Erin Fanning Madden, PhD, MPH
donmoyn.bsky.social
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-...
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
donmoynihan.substack.com