‘Addiction Treatment (By Itself) is Not Enough’ by Bill White SEPTEMBER 15, 2014 BY DAVID CLARK


Extremely important reflections from Bill White on the role of treatment in addiction recovery. I have bolded what I think are in some key statements. This blog is essential reading for all people involved in this field.
‘I have spent more than four decades providing, studying, promoting, and defending addiction treatment, but remain acutely aware of its limitations.
As currently conceived and delivered, most addiction treatment programs facilitate detoxification, recovery initiation, and early recovery stabilization more effectively and more safely than ever achieved in history, but most fall woefully short in supporting the transition to recovery maintenance and the later stages of recovery, particularly for those who need it the most – those with the most severe and complex problems and the least recovery support within their natural environment.
Addiction treatment as a stand-alone intervention is an inadequate strategy for achieving long-term recovery for individuals and families characterized by high problem severity, complexity, and chronicity and low recovery capital. In isolation, addiction treatment is equally inadequate as a national strategy to lower the social costs of alcohol and other drug-related problems. Here’s why.
Specialized addiction treatment as a system of care in the U.S.:
1) attracts too few – only about 10% a year of people in need of it and only a lifetime engagement rate of 25%,
2) begins too late – with years and, in some studies, decades of dependence preceding first treatment admission,
3) retains too few (less than 50% national treatment completion rate),
4) extrudes too many (7.3% of all annual admissions – more than 130,000 individuals – administratively discharged, most for confirming their diagnosis),
5) ends too quickly, e.g., before the 90 days across levels of care recommended by the National Institute on Drug Abuse,
6) offers too few evidence-based choices,
7) fails to engage and support affected family members and friends,
8) is too disconnected from indigenous recovery community resources,
9) offers minimal continuing care – far short of the five-year point of recovery durability, and
10) fails to alter treatment methods in response to patient non-responsiveness, e.g., blaming substance use disorder recurrence on the patient rather than the treatment methods. (Click here for elaborations and citations related to the above points.)
As a result, we as a country invest billions of dollars in repeated episodes of addiction treatment (59% of people admitted to addiction treatment in the U.S. have at least one prior treatment episode, and 34% have 2 or more prior treatment episodes). We are providing respites within addiction careers for far too many but sustainable recovery for far too few.
The current acute care model of intervention could be significantly improved by re-engineering addiction treatment to provide early screening and intervention and long-term care (sustained monitoring, support, early re-intervention), as is increasingly done with other chronic conditions whose acuity waxes and wanes.
As a country, we have invested inordinate attention on person-focused interventions (clinical models) to the exclusion of interventions focused on shaping recovery landscapes (public health and community development models).
Professionally-directed addiction treatment should not be the first resort for AOD-related problems; it should be the last resort – a safety net to protect individuals, families, and communities.
The first line of response should be support imbedded within relationships that are natural, reciprocal (non-hierarchical), non-professionalized, non-commercialized, and potentially enduring.
Such relationships are to be found, not within a treatment center, but within the larger community environment. However, significant effort is required to build and sustain such natural resources.
It is time we nested clinical models of care within larger efforts to develop, mobilize, and sustain sources of support for resilience and recovery within the larger community. Grassroots recovery community organizations and new recovery support institutions offer vehicles for long-term recovery support that bridge the clinic and the community.
The clinic can bolster the will to recover and the means to recover, but it is the community that must provide the welcoming space in which one can live as a person in long-term recovery. It is time we balanced recovery support within the clinic with recovery support within the community.
The good news is that such a balancing is underway as state after state and community after community wraps acute care models of intervention within larger models of sustained recovery management nested within recovery-oriented systems of care – with the “system” being the community rather than just networked treatment resources.
This shift marks a revolution in the design and delivery of addiction treatment in the United States. What in its isolation addiction treatment has failed to achieve may well be achieved within newly emerging partnerships with the community.’

Sunday, September 14th, 2014 Focus: I appreciate the unique gifts that each of us has to offer.

The gifts you carry, even if you do not know what they are or have not felt them stirring in you for decades, are needed by the rest of us.

If you allow yourself to know this, you will also come to recognize that in every person you meet, there is a seed of light. All those gifts are needed now. Each and every one of us belongs.

Only when we appreciate the unique gifts that each of us has to offer and the shining web of connection that holds us all can we open ourselves to the full potential of what we can achieve together.

Excerpted from the article:
A Revolution of Angels: Opening Ourselves To The Full Potential of What We Can Achieve Together
by Dawna Markova.

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RECOMMENDED BOOK OF THE DAY

Spot of Grace: Remarkable Stories of How You DO Make a Difference
by Dawna Markova.

You don’t have to discover penicillin, feed the poor in the streets of Calcutta, or be the first person to swim to Antarctica to make a remarkable difference in the world. The stories in Spot of Grace tell about moments when one person did something very simple — asked a question in wonder, smiled from the heart, risked a reach across the chasm of isolation so many of us experience. Extraordinary things start with these ordinary gestures. And as they grow and flourish, they can make a profound difference in someone else’s life.

For More Info or to Order This Book.
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Saturday, September 13th, 2014 Focus: I allow myself to accept an abundance of time, love, success, health, and money.

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When we use the term prosperity, a lot of people immediately think of money. However, there are many other concepts that come under the auspices of prosperity, such as: time, love, success, comfort, beauty, knowledge, relationships, health, and, of course, money.

If you are always feeling rushed because there isn’t enough time to do everything you want, then you have lack of time. If you feel that success is beyond your reach, then you are not going to get it. If you feel life is burdensome and strenuous, then you will always feel uncomfortable. If you think you don’t know very much, and you’re too dumb to figure things out, you will never feel connected to the wisdom of the Universe. If you feel a lack of love and have poor relationships, then it will be difficult for you to attract love into your life.

Many of you tell me that there is never enough money in your lives. What do you let yourself have? Abundance and prosperity is about allowing yourself to accept. When you’re not getting what you want, on some level you are not allowing yourself to accept. If we are stingy with life, then life will be stingy with us. If we steal from life, life will steal from us.

Excerpted from the article:
Receiving Prosperity in the Form of Love, Time, Health, and Money
by Louise Hay.

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RECOMMENDED BOOK OF THE DAY

This article was excerpted from:

The Power Is Within You
by Louise Hay.

In The Power Is Within You, Louise L. Hay expands her philosophies of loving the self through: learning to listen and trust the inner voice; loving the child within; letting our true feelings out; the responsibility of parenting; releasing our fears about growing older; allowing ourselves to receive prosperity; expressing our creativity; accepting change as a natural part of life; creating a world that is ecologically sound where it’s safe to love each other'; and much more. She closes the book with a chapter devoted to meditations for personal and planetary healing.

Info/Order this book (paperback) or Kindle edition.
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Friday, September 12th, 2014 Focus: I can change the world by loving people, doing good… helping people, and giving the world my best.


Gandhi said that “satisfaction lies in the effort, not in the attainment. Full effort is full victory.”

You can change the world by loving people, doing good, succeeding, being honest and frank, thinking big, fighting for underdogs, building, helping people, and giving the world your best. You can change the world and find personal meaning and deep happiness at the same time. You can make a difference by just deciding to do it anyway.

Don’t wait to make a difference. Do it now. The world may be crazy, but it doesn’t have to be!

Excerpted from the article:
Help Them Anyway: Becoming A Public Citizen and Volunteer
by Kent M. Keith.

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Please forward today’s Daily to a friend! Share the blessings :-)

RECOMMENDED BOOK OF THE DAY

Do It Anyway: Finding Personal Meaning and Deep Happiness by Living the Paradoxical Commandments
by Kent M. Keith.

Do It Anyway expands on the vision behind the Paradoxical Commandments. It includes forty stories of people who live the Paradoxical Commandments each day and gives you the examples, tools, and encouragement to find personal meaning and deep happiness, no matter who you are or what your circumstances, even when times are tough.

For More Info or to Order This Book.
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Thursday, September 11th, 2014 Focus: Learning the lesson of trust and faith is my daily commitment and daily discipline.

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In my own life, many years ago, a business decision nearly ended in disaster. Through that time, life showed me that I would be supplied. The catalytic experience of going into free fall showed me the powerful hands of the angels had me in their grasp.

Each person needs to learn this lesson for themselves. In fact, I feel that the lesson of trust and faith is a daily commitment and a daily discipline and perhaps these turbulent times are instructing us all to do just that.

Centering and meditation practices keep one “in the moment” and in a state of mindful awareness so that we don’t get “caught up” in the negative effects of the world as we see them.

Excerpted from the article:
Are We Living in Uncertain Times? Learning The Lessons of Trust and Faith
by Caroline Sutherland.

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Wednesday, September 10th, 2014 Focus: I reduce and eventually remove the worry and fear from my life.

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I cannot adequately put into words how wonderful life can be when worry is diminished. For me, abandoning worry has opened a world of possibilities for both my inner and outer worlds.

Life without worry has opened new doors and created freedom that I never thought were possible. So, “don’t worry” — I know this can happen for you, too.

As you reduce and eventually remove the worry and fear from your life, you will begin to see new options, ways of doing things, and ways of relating to life that were invisible before. You’ll have more fun and be able to help more people. You will live the life of your dreams.

Excerpted from the article:
Don’t Worry, Be Happy! Don’t Sweat the Small Stuff!
by Richard Carlson, Ph.D.

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RECOMMENDED BOOK OF THE DAY

Easier Than You Think …because life doesn’t have to be so hard: The Small Changes That Add Up to a World of Difference
by Richard Carlson.

In the phenomenal bestseller Don’t Sweat the Small Stuff, Richard Carlson taught millions of readers how to stop the little things in life from driving them crazy. Now, in Easier Than You Think, Carlson demonstrates how making simple yet effective changes can get our life back on course. With his unique blend of storytelling and advice, Carlson offers proven ways that even the smallest amounts of change can add up to become a fortune of difference in our lives.

Click Here For More Info or to Order This Book on Amazon.
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Tuesday, September 9th, 2014 Focus: I am learning to be sensitive and to listen to the inner signals that tell me when something isn’t working.

Learn to be sensitive and to listen to the inner signals that try and tell you when something isn’t working. You know what they are. Frustration and resentment to name just a few.

The presence of these emotional troubles aren’t trying to tell you that you can’t succeed, only that the road you’ve insisted upon taking so far doesn’t lead where you want. Learning to admit when something isn’t working is the same as teaching yourself what will.

The greatest power you possess for succeeding in life is your understanding that life gives you a fresh start any moment you choose to start fresh. Nothing that stood in your way even a heartbeat before stands there now in the same way. It’s all new, even if you can’t as yet see it that way.

Excerpted from the article:
Eleven Laws to Set You Free
by Guy Finley.

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Please forward today’s Daily to a friend! Share the blessings :-)

RECOMMENDED BOOK OF THE DAY

Freedom from the Ties that Bind
by Guy Finley.

By the author of The Secret of Letting Go and The Secret Way of Wonder, this book is aimed at helping the reader to learn how to be fully independent and free of any condition not to their liking by unlocking the door to their own free mind.

Info/Order this book.
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