Addiction Recovery Management Theory, Research and Practice
Addiction Recovery Management: Theory, Research, and Practice is the first book on the recovery management approach to addiction treatment and post-treatment support services. Distinctive in combining theory, research, and practice within the same text, t
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Series editor: Jerrold F. Rosenbaum
For other titles published in this series, go to www.springer.com/series/7634
John F. Kelly
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William L. White
Editors
Addiction Recovery Management Theory, Research and Practice
Editors John F. Kelly Harvard Medical School MGH-Harvard Center for Addiction Medicine Boston, MA USA [email protected]
William L. White Lighthouse Institute Chestnut Health Systems Bloomington, IL USA [email protected]
ISBN 978-1-60327-959-8 e-ISBN 978-1-60327-960-4 DOI 10.1007/978-1-60327-960-4 Springer New York Dordrecht Heidelberg London # Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, c/o Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Humana Press is part of Springer Science+Business Media (www.springer.com)
Foreword
As a Senator, Barack Obama ruffled some feathers when he opined that eigth grade graduation ceremonies were overblown because the kids “weren’t done yet.” Years later, when we had the privilege to work for President Obama in the White House Office of National Drug Control Policy, his comments came back to us as we contemplated “addiction treatment and drug court graduation ceremonies” during which patients who had completed a residential stay or a drug court term were hugged and cheered in front of weeping relatives. Despite the pomp and circumstance, they too “weren’t done yet.” Recovery, like education, should not be the subject of closing ceremonies when years of toil, learning, and reward still lay ahead. At some point, it becomes not just unwise but also unethical to promise suffering people and their families otherwise. This volume makes this point in a compelling fashion and provides an exciting alternative path forward in the care of addiction. As the chapters in this book establish, neuroscientific and epidemiologic evidence, clinical knowledge, and the lived experience of addicted people have long suggested that the course of serious substance use disorders tends to be chronic rather than short-term. Yet over the decades that this evidence about the nature of the illness has accumulated, the fundamental nature of the treatment offered, the insurance provided and the evaluations conducted on the US addiction treatment system remained largely the same. The system is well suited for managing the short-term crises of addiction, stabilizing addicted patients, and prov
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