Recovery Management
Great Lakes
Addiction Technology Transfer Center Network
William L. White,
MA, Ernest Kurtz, PhD, Mark Sanders, LCSW, CADC
The
Great Lakes Addiction Technology Transfer Center (Great
Lakes ATTC) is part of a
national network that includes 14 regional centers and a
national office, funded by the
Substance Abuse and Mental Health Services Administration’s
Center for Substance
Abuse Treatment. Great Lakes’ primary goal is to help
elevate the quality of addiction
treatment by designing and delivering culturally competent,
research-based training,
education, and systems-change programs for addiction
treatment and other allied health
professionals. Great Lakes ATTC is very pleased to be able
to offer its professional constituents a new monograph on
the topic of Recovery Management.
Many of the central ideas contained in this monograph were
birthed over the past eight
years inside the Behavioral Health Recovery Management
project — a joint venture
by
Fayette Companies in Peoria, Illinois and Chestnut Health
Systems in Bloomington,
Ilinois. Many of the core strategies outlined in this
monograph have been and are being
tested within the Lighthouse Institute (Chestnut Health
Systems’ research division) and
within other addiction research centers around the country.
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.