Parents who have lost children to addiction are speaking publicly in unprecedented numbers.  Their stories provide a biting critique of addiction treatment as a system of care–and suggestions that addiction treatment has yet to operate as a “system of care”.  They also provide painful accounts of how fiscal gatekeepers operate to restrict access to care(……)

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(……)