Peer-based recovery support services (P-BRSS) have grown exponentially in recent years as an adjunct, and in some cases, an alternative to professionally-directed addiction treatment. P-BRSS are also being integrated within allied human services, primary health care, the child welfare system, the criminal justice system, and managed behavioral healthcare organizations.  Reviews of the research to date(……)

The prevalence, pathways, processes, stages, and styles of long-term addiction recovery for individuals is slowly being revealed through the accumulation of scientific studies, but the parallel processes of family recovery remain in the scientific shadows. An important new study by two UK colleagues seeks to shed light on the recovery experience of addiction-affected families.  Below(……)

Recovery advocates around the country are deeply concerned about what appear to be troubling regressions in U.S. drug policies under the new presidential administration. My concerns, briefly summarized below, expand on a blog I posted earlier this month that generated considerable interest among my readers. When alarm was raised on the 2016 presidential campaign trail(……)

The most famous and controversial treatment for addiction in the 19th century was Dr. Leslie Keeley’s Bichloride of Gold Cure.  Dr. Keeley franchised his cure procedures through more than 120 Keeley Institutes scattered across North America and Europe.  These Institutes became the preferred drying out institutions for the rich and famous in the 1890s.   But(……)

Efforts by professionals to “treat” alcoholism and other addictions have a long and colorful history. Alcoholics have been forced to drink their own urine and forced to drink wine in which an eel had been suffocated. They have been surreptitiously dosed with everything from mole blood to sparrow dung and subjected to the “Swedish treatment”(……)

Recent decades have witnessed calls for the cultural and political mobilization of people in addiction recovery as well as the subsequent rise of a new recovery advocacy movement in the U.S. and internationally. Beyond my efforts to document the history of this movement and to offer broad U.S. policy guidance, I have tried to remain(……)

Investigations into the effects of participation in 12-Step mutual aid groups on long-term recovery outcomes have grown in number and methodological rigor and have evolved from the question of whether such participation exerts positive effects to the question of the precise mechanisms through which such effects are achieved. One of the 12-Step mechanisms of change(……)

Marvin Ventrell, Executive Director of the National Association of Addiction Treatment Providers (NAATP), recently released the first quarter data from the NAATP Outcomes Pilot Program (OPP). It will be some time before the full results and implications of this study are complete, but there is one striking piece of data worthy of current reflection.  Of(……)

Many people in self-proclaimed addiction recovery experience compromised health and premature death due to a unique form of conceptual blindness—the failure to perceive nicotine dependence on par with the other drug dependencies they have shed from their lives. On August 23, 2013, I posted a blog noting the following 12 conclusions drawn from available scientific(……)

In a 2009, I co-authored a paper entitled The Recovery Revolution: Will it include children, adolescents, and transition age youth? At that time, a new recovery advocacy movement was maturing, new recovery support institutions were spreading exponentially, and efforts were underway to extend acute care models of addiction treatment to models of sustained recovery management.(……)