Since the late 1990s, I have advocated a radical redesign of addiction treatment—one that extends the prevailing acute care model of addiction treatment to one of sustained recovery management (RM) nested within larger recovery oriented systems of care (ROSC). (See HERE for a basic primer on RM & ROSC.). RM moves beyond providing brief episodes(……)

I believe we live in the greatest era of snake oil salesmen in the history of mankind. —Michael Crichton, Next, 2006 The addictions treatment field has grossly oversold the effectiveness of a single episode of brief clinical intervention. For more than two decades, calls have increased for a radical redesign of addiction treatment and related recovery(……)

Individuals matter. Character matters. Values matter. Social contribution matters. If a living testament to those propositions has ever existed within the worlds of addiction treatment and recovery advocacy, it was within the life of Thomas A. Kirk, Jr., Ph.D., who died April 9, 2020, from complications of COVID-19. Dr. Kirk served for many years as(……)

Efforts are well underway to shift addiction treatment from models of ever-briefer acute care to models of sustained recovery management (RM) nested within larger recovery-oriented systems of care (ROSC). This shift involves extending the continuum of recovery support services across the stages of long-term recovery, but it also embraces a more activist stance in shaping(……)

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(……)