Recent surges in opioid addiction and opioid overdose deaths in the United States have triggered considerable public and professional alarm, including its emergence as an issue in the 2016 Presidential campaign. Public health responses to the rise in opioid-related problems have focused primarily on: 1) suppression of illicit opioid markets, 2) public education on opioid(……)

“How does it feel to be a problem…It is a peculiar sensation, this double consciousness, this sense of always looking at one’s self through the eyes of others, of measuring one’s soul by the tape of the world that looks on in amused contempt and pity.”   –W.E.B. Du Bois, The Souls of Black Folks “I(……)

The extension of acute care (AC) models of addiction treatment to models of sustained recovery management (RM) for people with severe, complex, and chronic substance use disorders requires a fundamental redesign of what we have known as the continuum of care. A newly conceived continuum of care would span the stages of precovery, recovery initiation(……)

Addiction recovery is a highly intrapersonal process, but it also can and often does involve a journey between two physical and cultural worlds. Some years ago, I explored the implications of this suggestion in the book, Pathways from the Culture of Addiction to the Culture of Recovery. Here are some key points from that book. Elaborate(……)

The history of addiction treatment includes a pervasive and cautionary thread: the potential to do great harm in the name of help.  The technical term for such injury, iatrogenesis (physician-caused or treatment-caused illness), spans a broad range of professional actions that with the best of intentions resulted in harm to individuals and families seeking assistance.(……)

Essentially, it is thought that the negative effects emanating from group trauma experiences are not only transferred across generations, but that these effects accumulate, such that events occurring at different points in history are part of a single traumatic trajectory.—Amy Bombay, Kimberly Matheson, and Hymie Anisman Wakiksuyapi, those carrying the historical trauma, can transcend trauma(……)

We had this vision of empowering young people, of carrying a message of hope, not proposing we have the best way to recover, not endorsing a certain kind of recovery, but just lifting up all these great things that we’d experienced and heard about…Our really big vision is a world where all young people in(……)

Today, large addiction recovery celebration events have become an annual public ritual in many communities. Recovery rallies that a decade ago attracted a few hundred now attract tens of thousands of individuals and families in recovery and their allies. The modern era of mass recovery celebrations (at a public level rather than in closed recovery(……)

By the late 1990s, tremendous strides had been achieved in elevating the accessibility and quality of addiction treatment in the U.S., yet leaders in the field were beginning to suggest the need for a radical redesign of addiction treatment—a shift from acute and palliative care models of intervention to models of assertive and sustained recovery(……)