The Engagement Dance The outreach workers of Project SAFE had a remarkable ability to engage women who were initially hostile or ambivalent about participating in professional treatment, but the outreach worker’s ability to eventually get these women to a treatment center did not necessarily mean that the clients then lived happily ever after. The on-going(……)

The explosive growth of nonclinical recovery support services (RSS) as an adjunct or alternative to professionally-directed addiction treatment and participation in recovery mutual aid societies raises three related questions: 1) What is the ideal organizational placement for the delivery RSS?, 2) What persons are best qualified to provide RSS?, and 3) Are RSS best provided(……)

A Rendezvous with Hope (Lessons from an Outreach Worker) Through my tenure in the addictions field, the question of readiness for treatment and recovery was thought of as a pain quotient. In the earliest years, we believed that people didn’t enter recovery until they had truly “hit bottom.” If a client didn’t fit that criterion(……)

Landmark life in recovery surveys have been recently conducted in the United States (Laudet; Kaskutas, Borkman, Laudet, et al.; Witbrodt, Kaskutas, & Grella), Canada (McQuaid, Malik, Moussouini, et al.), Australia (Best & Savic), and the UK (Best, Albertson, Irving, et al.).  These surveys provide retrospective confirmation of the improvements in physical/emotional/relational health and quality of(……)

The field of addiction treatment is facing a growing cultural backlash that threatens its future as a viable social institution. Cultural ownership of an intractable problem vacillates over time. Vague but passionate promises of a new approach always garner more hope than the known limitations of current efforts. And any industry that has attracted substantial(……)