I believe we live in the greatest era of snake oil salesmen in the history of mankind. —Michael Crichton, Next, 2006 The addictions treatment field has grossly oversold the effectiveness of a single episode of brief clinical intervention. For more than two decades, calls have increased for a radical redesign of addiction treatment and related recovery(……)

In my writings to people seeking recovery from addiction, I have advocated a stance of total personal responsibility:  Recovery by any means necessary under any circumstances. That position does not alleviate the accountabilities of addiction treatment as a system of care. Each year, more than 13,000 specialized addiction treatment programs in the United States serve(……)