We recently explored the idea of “recovery cascade”—a sudden surge in personal change that sparks recovery initiation in the heels of past efforts or a collective surge in recovery prevalence at a community or cultural level. While there are examples of the latter in U.S. history (e.g., the explosive growth of the Washingtonian Temperance Society(……)

Critics have claimed that recovery advocacy, recovery management, recovery-oriented systems of care, and related ideas and initiatives are a “flavor of the month” fad and that the so-called “recovery revolution” is nothing more than new words for what the addictions field has been doing for decades. Such shallow criticism ignores fundamental changes that are unfolding(……)

  What is the number of serious attempts required to achieve stable resolution of a significant alcohol or other drug (AOD) problem? Previous studies of addiction treatment populations suggest prolonged addiction careers, and a substantial proportion (over half) of people in the United States admitted to addiction treatment indicate one or more prior treatment admissions.(……)

Many questions have been recently posed to me on the use of self-disclosure as a tool in the delivery of recovery support services. Here are some key points raised in these discussions. The historical context of discussions of self-disclosure draws upon the history of self-disclosure within addiction counseling. Addiction counselor self-disclosure was an integral part(……)

Surging cocaine use and new patterns of cocaine use in the 1980s and early 1990s in the United States sparked media and political frenzies. At the center of what sociologists have christened a moral panic was the iconic image of “crack babies” and “crack kids”—infants and children branded a “biological underclass” whose parents were portrayed(……)

Two of the most significant milestones in the history of recovery are the increased self-recognition of individuals in recovery as a distinct “people” and the tandem emergence of an ecumenical (beyond identification with a particular mutual aid group or treatment institution) culture of recovery. The former is being expressed through a grassroots recovery advocacy movement(……)

Since the early promulgation of addiction as a brain disease, I have warned that such a model could increase rather than decrease addiction-related stigma if not also accompanied by a parallel understanding of the neurobiology of addiction recovery (See HERE and HERE). To that end, I joined several colleagues in calling for a recovery research(……)

Addiction recovery is best viewed as a process rather than an event, but the transition into recovery can sometimes be more a cataclysm than a product of incremental steps—more a lightning strike than a process of maturational learning—and the factors that sustain recovery over time may be quite different than those that trigger recovery initiation.(……)

Considerable efforts are underway at federal, state, and local levels to extend acute and palliative care models of addiction treatment to models of assertive and sustained recovery management (RM) nested within larger recovery orientated systems of care (ROSC). As that work proceeds, a critical question has emerged about the application of RM and ROSC to(……)