A confluence of historically unprecedented forces has driven addiction-related disease and death into the very heart of rural and frontier communities in the United States. It remains to be seen whether this perfect storm can be met by the development and mobilization of expanded recovery support resources for individuals, families, and communities. Rural and frontier(……)

On May 14, 2015, Altarum Institute hosted a policy roundtable on community-based solutions to addiction in the United States.  Discussions that day underscore the need for passage of the Comprehensive Addiction and Recovery Act of 2015 (CARA). There are transformative moments within social movements when intense advocacy produces landmark legislation and legal decisions of enormous(……)

My 2009 monograph outlined in considerable detail the history, theory and status of peer recovery support services (PRSS) in the United States.  In the years since the monograph’s publication, voluntary and paid recovery support services have dramatically increased in the US and internationally.  Such growth has recently prompted me to reflect on the pre-professional days(……)

For more than 150 years, specialized support for addiction recovery in the United States has rested in two cultural institutions: peer-based recovery mutual aid organizations and professionally-directed addiction treatment.  Recovery historians are noting something quite unique unfolding in recent decades:  the emergence of new recovery support institutions that do not fit the categories of traditional(……)