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. These(……)

One of the milestones in the modern treatment of addiction has been the reconceptualization of addiction as a chronic disorder on par with other chronic health problems. This seemingly fresh perspective suggested that approaches found to be effective in the management of diabetes, cancer, heart disease, asthma, and other chronic disorders might be effectively adapted(……)

Three recent reviews call into question the conceptualization and treatment of addiction as a chronic disorder.    Lopez-Quintero, C., Hason, D. J., de los Cobas, J. P., Pines, A., Wang, S., Grant, B. F., & Blanco, C. (2010).  Probability and predictors of remission from life-time nicotine, alcohol, cannabis or cocaine dependence:  Results from the National Epidemiologic(……)

An important study was just published in the Journal of the American Medical Association.  Dr. Richard Saitz and colleagues conducted a trial comparing the results of 563 persons meeting criteria for alcohol or drug dependence randomly assigned to a chronic care management (CCM) protocol or usual primary care (UPC).  The CCM approach included sustained contact(……)