In 1998, I had the privilege of co-leading the Behavioral Health Recovery Management Project—an effort funded by the State of Illinois to: 1) evaluate the current state of addiction treatment, and 2) offer recommendations for elevating the quality of such treatment. My colleagues and I drew the following conclusions from that early work:Despite seemingly different(……)

I believe we live in the greatest era of snake oil salesmen in the history of mankind. —Michael Crichton, Next, 2006The 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 support(……)

Considerable efforts are underway at federal, state, and local levels to extend acute and palliative care models of addiction treatment to models of assertive and sustained recovery management (RM) nested within larger recovery orientated systems of care (ROSC). As that work proceeds, a critical question has emerged about the application of RM and ROSC to(……)

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(……)

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,(……)