Recovery Management and the Future of Addiction Treatment and Recovery in the USA
Recovery Management and the Future of Addiction Treatment and Recovery in the USA
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DOI：
10.1007/978-1-60327-960-4_16
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发表时间：
2011-01-01
期刊：
影响因子：
--
通讯作者：
White, William L.
中科院分区：
文献类型：
--
作者：
Kelly, John F.;White, William L.
Scientific understanding of addiction as a chronic disorder has increased substantially in the past 15 years stemming from the results of several retrospective and prospective studies. This research has revealed that among individuals with severe alcohol and other drug problems periods of relapse and poor functioning are common over many years and even decades, despite the receipt of intermittent interventions. Because these interventions typically occur only following acute substance-related crises, treatment typically takes the form of acute biopsychosocial stabilization and is delivered in discrete, self-contained, programs that typically end the service relationship shortly after discharge with little focus on providing adequate linkage to continuing care or recovery support. The predominant acute care paradigm is insufficient and mismatched to the realities of the chronic illness of substance dependence. In this chapter, we provide an overview of recovery management (RM) and recovery-oriented systems of care (ROSC) as new guiding paradigms for the future treatment of, and recovery from, severe alcohol and other drug problems. We also summarize notable examples of RM and ROSC implementation efforts at the program, system, city, and state, levels. Results from these efforts provide a foundation for confident optimism that a cost-effective system of care can be successfully established that is well suited to managing the undulating and enduring risks associated with the chronic illness of substance dependence.
