Recovery Capitalists and the Industries of Dependency

We are at the 25th anniversary of the new recovery advocacy movement in America. A movement to elevate and expand recovery opportunities nationally. It began as a grassroot community vision that rose up across the county. It envisioned a more cohesive treatment and community-based recovery model. A system to expand beyond the acute and fragmented … Continue reading Recovery Capitalists and the Industries of Dependency

Eliminating Barriers for Black Mothers With Substance Use Disorder

Between 2010 and 2017, the U.S. saw a 131% increase in maternal opioid use disorder at delivery. There also was an 83% rise in cases of neonatal abstinence syndrome due to prenatal opioid exposure. Additionally, between 2016 and 2020, there was a 3.6% increase in prenatal substance exposure, including alcohol, with significant variation across states. The rising rates of … Continue reading Eliminating Barriers for Black Mothers With Substance Use Disorder

Low Expectations Yield Low Rates of Recovery from Addiction

The primary limitation in life is our low expectations for ourselves and others. When we expect minimum results, that's usually what we get.” - John C. Maxwell How are we measuring our war against addiction in the United States? We have one single metric in the arena of public discourse on our progress. The increase … Continue reading Low Expectations Yield Low Rates of Recovery from Addiction

Recovery Redefined: Shifts Across Domains and Contexts

I've posted several times about the changing boundaries of recovery. A recovery science pioneer's thoughts on the boundaries of recovery. On typologies for recovery. On questions about the boundaries of recovery-oriented models of care. On the changing definitions. On research regarding some college students being assigned a recovery label and questioning whether it's appropriate for … Continue reading Recovery Redefined: Shifts Across Domains and Contexts

Addiction Treatment and the Multiple Echoes of History – Lessons to Heed

“If you want a new idea, read an old book” - Ivan Pavlov In respect to efforts to expand addiction recovery in America, our new challenges often have historic parallels. It is also true that some of the very best ideas we may be able to harness to move our endeavors forward have roots in … Continue reading Addiction Treatment and the Multiple Echoes of History – Lessons to Heed

Language, social justice, access to care, symbolic capital, and recovery advocacy

(source: cultural iceberg from lcw) Many times over the years I've expressed frustration with the field's emphasis on language while it's not clear to me that a whole lot of progress has been made in access to recovery-oriented care of adequate quality, intensity, and duration. (See here, here, here, here, and here.) I just finished … Continue reading Language, social justice, access to care, symbolic capital, and recovery advocacy

2024’s Top Posts – #2 – 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 2024’s Top Posts – #2 – Multiple pathways as a disruptor: from what to what?

2024’s Top Posts – #3 – 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 2024’s Top Posts – #3 – The allegory of the lake: The implications of an Inclusive Recovery Cities model for prevention and early intervention

2024’s Top Posts – #4 – 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 2024’s Top Posts – #4 – The war against ‘pathology porn’: How can we make recovery research strengths-based and generative