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Few clinicians believed that street crack addicts could succeed as outpatients, but the demand for residential care was never fully met because of, you know, budget considerations.

It makes us uncomfortable to acknowledge that degree of helplessness.

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.

Ultimately, you are the only one that makes decisions about your life.

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?

There’s always someone who is convinced that with the right support, the right technique, they could once again drink socially.

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