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This is really about a continuous process of change. The unifying force is the addict’s subjective experience.

The treatment population is jam-packed with vulnerable people and families desperately looking for magic solutions to a genuinely challenging problem like recovery.

The evidence suggests we do not yet have a Krokodil epidemic. Although the media seems to do its best to help create one.

We’re in a drug epidemic with no South American cartels or Afghan drug lords to vilify.

What does a place like that have in common with a big-city program filled with homeless addicts who have multiple social problems and co-occurring disorders and perhaps haven’t held a job in decades?

One thing’s for sure: it’ll be popular, because your typical alcoholic would rather not quit if he could think of an alternative.

No matter what model you choose, you’re going to want to track outcomes to see how it’s working with your client census.

Sending somebody to meetings without some prep work is like making a referral for therapy without bothering to find a therapist.

Addiction has been described as a chronic problem that we’ve attempted to treat as an acute illness –a big reason for the revolving door of relapse.

Either way, it’s the drugs and alcohol that wind up killing the addict — not abstinence.