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(……)

The extension of acute care (AC) models of addiction treatment to models of sustained recovery management (RM) for people with severe, complex, and chronic substance use disorders requires a fundamental redesign of what we have known as the continuum of care. A newly conceived continuum of care would span the stages of precovery, recovery initiation(……)

By the late 1990s, tremendous strides had been achieved in elevating the accessibility and quality of addiction treatment in the U.S., yet leaders in the field were beginning to suggest the need for a radical redesign of addiction treatment—a shift from acute and palliative care models of intervention to models of assertive and sustained recovery(……)

Does recovery, as a claimed new organizing paradigm within the addictions field, constitute a positive and fundamental shift in the resolution of alcohol and other drug (AOD) problems in the U.S., or is it an ephemeral “flavor of the month” that simply puts a new rhetorical face on unchanged service philosophies and practices?  It has(……)

There is a near universal principle in medicine suggesting that the earlier the treatment of a health problem begins, the better the prognosis for full and sustained recovery.  Whether one suffers from traumatic injury, infectious disease, or such oft chronic conditions as diabetes, hypertension, and addiction; the timing of treatment initiation matters. Research scientists have(……)

In 1997, Michael Boyle, the CEO of Fayette Companies, the primary behavioral health provider in Peoria, Illinois had a visionary idea:  redesign addiction treatment based on models of chronic disease management that are emerging within primary health care.  In collaboration with Russ Hagen, the CEO of Chestnut Health Systems in Bloomington, Illinois, Mike procured funding(……)

Federal, state, and local behavioral health authorities have continued to embrace Recovery Management (RM) and Recovery-oriented Systems of Care (ROSC) as new organizing paradigms for addressing substance use and mental health disorders at clinical and community levels.  Much of my work over the past two decades has focused on assisting such efforts through my research,(……)

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(……)

The American Society of Addiction Medicine (ASAM) recently released Standards of Care:  For the Addiction Specialist Physician.  The Standards outline the responsibilities of addiction medicine specialists in the areas of assessment and diagnosis, withdrawal management, treatment planning, treatment management, care transitions and care coordination, and continuing care management.  There is one sentence in the Standards(……)

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(……)