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.(……)

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(……)

“What’s the point of a spark of light if it stands alone? The key is, and will always be, synergy.” ― Suzy Kassem People seeking help for the resolution of alcohol and other drug (AOD) problems in the United States encounter not comprehensive systems of care but silos of care based on single pathway models(……)

Addiction recovery is far more than the removal of drugs from an otherwise unchanged life. Recent definitions of recovery transcend radical changes in the person-drug relationship and encompass enhanced global health and social functioning. The authors have carried on a decades-long interest in what has been christened full recovery or amplified recovery—a state of enhanced(……)

In their classic 1992 text, The Spirituality of Imperfection, Ernie Kurtz and Katherine Ketcham described six dimensions of spirituality at the core of the recovery experience: release, gratitude, humility, tolerance, forgiveness, and being-at-home. In my prolonged mentorship by and collaborations with Ernie, we often returned to those central themes. The essence of the addiction experience(……)

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(……)

People addicted to alcohol and other drugs see the world differently. They SEE the world differently as a result of neurocognitive changes in perception that accelerate in tandem with increased tissue tolerance, increased intensity of cellular hunger (craving), and the resulting obsession with maintaining the drug relationship at all costs. As drug seeking, drug procurement,(……)

A Rendezvous with Hope (Lessons from an Outreach Worker) Through my tenure in the addictions field, the question of readiness for treatment and recovery was thought of as a pain quotient. In the earliest years, we believed that people didn’t enter recovery until they had truly “hit bottom.” If a client didn’t fit that criterion(……)

Landmark life in recovery surveys have been recently conducted in the United States (Laudet; Kaskutas, Borkman, Laudet, et al.; Witbrodt, Kaskutas, & Grella), Canada (McQuaid, Malik, Moussouini, et al.), Australia (Best & Savic), and the UK (Best, Albertson, Irving, et al.).  These surveys provide retrospective confirmation of the improvements in physical/emotional/relational health and quality of(……)