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| Recovery Management |
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This monograph contains a synthesis of findings from scientific studies and recommendations
from new grassroots recovery advocacy and support organizations that are collectively
pushing a fundamental redesign of addiction treatment in the United States. Based
on growing evidence of the chronicity and complexity of severe substance use disorders,
we are faced with an increasing need to shift the current acute care model of treatment
toward a model of assertive and sustained recovery management.
This monograph introduces the recovery management model through a collection of four
papers.
The first paper, entitled "Recovery: The New Frontier," describes the historical shift
in the addictions field from a pathology paradigm (knowledge derived from studies of
the problem), through an intervention paradigm (knowledge derived from the clinical
treatment of the problem), to an emerging recovery paradigm (knowledge derived
from individuals, families, and communities that have solved the problem). It concludes
with a discussion of ways in which this latter paradigm will reshape the future
of treatment and recovery in the United States.
The second paper, "The Varieties of Recovery Experience," describes what we as a
country know from the standpoint of science and cultural experience about the longterm
resolution of alcohol and other drug problems, as well as the implications of this
knowledge for the design of addiction treatment.
The third paper, "Recovery Management: What if we really believed addiction was
a chronic disorder?" defines the core principles, changes in clinical practices, implementation
obstacles, and potential pitfalls of the recovery management model.
The final paper, "Recovery Management and People of Color: Redesigning Addiction
Treatment for Historically Disempowered Communities," describes the special
advantages the recovery management model offers to communities of color in the United States.
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