The numbers are eye-opening and heart-breaking: Each year in the United States, there are more than 50,000 drug-related deaths,  88,000 deaths from excessive alcohol use, and more than 480,000 tobacco-related deaths.  (Yes, we still collect these data in separate categories since alcohol and tobacco have historically not been defined as “drugs.”)  Collectively, that is more(……)

I received two emails this week, each posing the question: Are recovery management (RM) and recovery-oriented systems of care (ROSC) dead as organizing frameworks for addiction treatment and recovery support? For 15 years, these conceptual rubrics ascended as promising alternatives to ever-briefer, acute care models of addiction treatment. RM and ROSC were  among the most(……)

The social stigma attached to addiction and addiction recovery inflicts innumerable harms to individuals, families, organizations, and communities. Two people in recovery recently emailed me sharing quite different dilemmas—each flowing from stigma-induced caricatures of addiction and recovery. In the first instance, people had no difficulty believing the individual’s addiction story because of his numerous, and(……)