In 2006, Bill Miller and I shared a book signing at a state addictions conference in Arizona. I had long considered Bill one of the true scholars and gentlemen of the addictions field—a man whose insight and productivity was matched only by his personal integrity. As we chatted about our current projects, he asked me(……)

Drug overdose deaths in the United States have risen exponentially due to sequenced drug surges: 1) prescription opioids, 2) heroin, 3) illicit fentanyl and related analogs, and 4) cocaine and methamphetamine—all used alone or in combination with other drugs. More than 66,000 American lives lost each year to drug overdose have sparked numerous initiatives ranging(……)

Non-clinical, peer-delivered recovery support services are being integrated into a wide variety of service settings, e.g., outreach programs of recovery community organizations, hospital emergency rooms, addiction treatment programs, recovery residences, collegiate recovery programs, and within the child welfare and criminal justice systems. Research to date on peer recovery support services suggest that such services are(……)

In the late 1990s, a recovery advocacy organization invited me to Dallas, Texas to talk about the history of addiction treatment and recovery in America. In responding to such requests, I often arrived early enough before my presentation to interview any old-timers I could locate about their early experiences in jails, treatment institutions, and mutual(……)

  …a movement is afoot that is seeking to put recovery in the wind so that it can penetrate even the most shadowed corners of the richest and poorest communities. The faces and voices of the individuals and families riding this wind are offering a simple but powerful testimony: “We are the evidence that addiction(……)

Sloganeering has a long history in the alcohol and other drug (AOD) problems arena as a means of promoting or stigmatizing drug use, advocating particular cultural policies toward drug use, and conveying particular definitions of the nature of AOD problems. The ideological and financial backlash against addiction treatment through the late 1980s and 1990s left(……)

Stigma has many targets. It reaches beyond people addicted to various drugs to affect family members and those providing addiction treatment and recovery support services. Such secondary stigma, for example, is the source of the peculiar pecking order within the addictions field through which status (or stigma) is bestowed across varied settings based on one’s(……)

In 2007, the recovery advocacy movement was progressing beyond anyone’s expectations. Thousands were marching in recovery celebration events and each year the number of new local grassroots recovery advocacy organizations grew exponentially. I was being invited to speak across the country and my advocacy essays had just been published by the Johnson Institute. From pulpits(……)

    July 13, 2018 Countless people have had their lives positively transformed by addiction treatment. But tragically, this is not the norm. Despite decades of advancements in science, pharmacology, and technology, the continuum of evidence-based addiction treatment services remains largely unavailable to those in need. The addiction treatment system is hindered by fragmentation, outdated treatment(……)

In my early career, I was adamant about abstinence as the only viable solution to alcohol and other drug (AOD) problems—problems that I then universally framed as “addiction.” At that time, declaring that moderated use was a legitimate, potentially effective strategy for some people with AOD problems would have been tantamount to waving the proverbial(……)