Over the last decade, as faith in the effectiveness of drug policy, addiction treatment, and drug enforcement diminished, interest and hope in harm reduction grew. Harm reduction was once a last resort response to drug problems and in recent years has become the first line response to drug problems. Harm reduction is now receiving the … Continue reading Every response is incomplete
Tag: addiction
12-Step Facilitation is the eighth most frequently used therapeutic approach in treatment facilities
There are a lot of problems in addiction treatment, but 12-step hegemony is not the problem that advocates and media coverage would lead one to believe. There's a widely held belief that 12-step culture exerts a smothering pro-abstinence stranglehold on public health and policy responses to substance use. It's a strange phenomenon when one considers … Continue reading 12-Step Facilitation is the eighth most frequently used therapeutic approach in treatment facilities
Addiction, Stigma, and Liberation
(Originally posted August 14, 2022) I recently stumbled on this educational page about stigma from the National Harm Reduction Coalition. It's well done and illuminates the assumptions and goals for their stigma reduction efforts. They frame responding to drug use as a choice between liberation and stigma, with harm reduction as the path to liberation. … Continue reading Addiction, Stigma, and Liberation
Multiple pathways as a disruptor: from what to what?
"Multiple pathways to recovery" has been popularized by the new recovery advocacy movement (NRAM) and Recovery Oriented Systems of Care (ROSC), but the concept has been around since at least 1944. The September 1944 issue of Alcoholics Anonymous' Grapevine published an article by Philip Wylie, describing his solo recovery supported by psychologists and reading. Bill … Continue reading Multiple pathways as a disruptor: from what to what?
Unanswered Questions on the Evolving Role of Lived Experience
Lived experience has long been a significant component of addiction treatment and recovery. In recent years, its prominence has only grown as mainstream medicine seeks to infuse lived experience into the standard of care for not only substance use disorder (SUD) treatment, but across the larger behavioral health field. However, as the field evolves, determining … Continue reading Unanswered Questions on the Evolving Role of Lived Experience
The war against ‘pathology porn’: How can we make recovery research strengths-based and generative
by David Best, Sharynne Hamilton, Noreen Demeria, Tom Karl The problem Assessments for drug and alcohol treatment are generally miserable affairs. For both parties. As a result of worries about governance, risk, safety, funding etc, the person seeking help is often confronted by a ‘professional’ armed with a questionnaire that is made up of standardised … Continue reading The war against ‘pathology porn’: How can we make recovery research strengths-based and generative
Am I in recovery?
A recent paper on collegiate recovery experiences highlights an important dynamic in recovery advocacy, recovery science, and recovery policy. I've commented a lot on the conceptual boundaries of recovery in the blog -- the relationship between addiction (or SUD or other compulsive behaviors) and recovery; whether recovery is a process, a direction, or an outcome; … Continue reading Am I in recovery?
Partnering in pursuit of truth and recovery
Bill Stauffer recently shared Bill White's keynote from this week's Consortium on Addiction Recovery Science. It's a great speech and there's a lot to absorb. I'm sure more will be said about it on this blog. White frames recovery research as emerging from a gaping hole in professional/clinical and scientific/research knowledge related to recovery. To … Continue reading Partnering in pursuit of truth and recovery
Unclaimed
https://www.instagram.com/reel/C4y2o9uoa2q Of course, all of these people didn't have addiction. But, for the ones that did, this really pulls at my heart. So sad -- their deaths and the ways they die. Overdose prevention, rightly, gets a lot of attention. I wonder how many were offered a pathway to recovery with treatment of adequate intensity, … Continue reading Unclaimed
The allegory of the lake: The implications of an Inclusive Recovery Cities model for prevention and early intervention
Position Paper: Centre for Addiction Recovery Research (by David Best) Rationale and background: The inclusive cities model was originally conceptualised by Best and Colman (2018) based on the idea that recovery is an achievement that should be celebrated in order to: Challenge stigma and exclusion Increase visibility of recovery and access to community resources In … Continue reading The allegory of the lake: The implications of an Inclusive Recovery Cities model for prevention and early intervention
Recovery Review 