Research scientists at Sheffield Hallam University are undertaking an international study designed to document the lives of family members, friends or loved ones of people who have experienced problem gambling. The survey explores the impact of problem gambling on different family members, the coping strategies they use and their help seeking behavior. The purpose of this study is to(……)

“What is the best approach to the supervision of peer recovery support service specialists within the addictions field?” is a question that, at present, remains unanswered. In earlier communications, I have disseminated papers that outlined the history, theory, and science of peer recovery support services; delineated the roles of addiction counselor, Twelve-Step sponsor, and recovery(……)

What would it mean to future generations if the collective knowledge drawn from history and science about addiction, addiction treatment, and addiction recovery simply disappeared? As addiction libraries and databases erode at an unprecedented rate—the recent closing or downsizing of 60 such libraries and databases, that question is a critical one. Here’s what you can(……)

I have tremendous respect for the work Dr. Alan Marlatt, Dr. Dennis Daley, Terrence Gorski, and others have done pioneering the field of relapse prevention (RP), but I have always been troubled by the relapse language and making RP a focal point in addiction treatment. My concern is threefold. First, the lapse/relapse language is drawn(……)

When that doctor asked me, ‘Son, how did you get in this condition?’ I said, ‘Hey sawbones, I’m just carrying on an ole family tradition.’ –Hank Williams, Jr., Song Lyric, Family Tradition.  The intergenerational transmission of addiction and related problems has been documented for more than two centuries. Put simply, the children of alcohol and(……)

Multiple factors can interact to increase vulnerability for the development of alcohol and other drug-related (AOD) problems in older adults. Those same factors can pose threats to older adults in long-term addiction recovery. In the former situation, older adults who did not experience such problems during their formative and maturing years develop AOD problems late(……)

Dr. John Kelly and colleagues just published (Drug and Alcohol Dependence, 181, 162-169) a landmark survey that measured the prevalence and pathways of alcohol and other drug problem resolution among adults living in the United States. Major findings from this study include the following. Recovery Prevalence The just-published Recovery Research Institute (Massachusetts General Hospital) survey(……)

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(……)