New Addiction-Recovery Support Institutions: Mobilizing Support Beyond Professional Addiction Treatment and Recovery Mutual Aid
There is growing evidence that the central organizing construct guiding addiction treatment and the larger alcohol and other drug (AOD) problems
arena is shifting from longstanding pathology and intervention paradigms toward a solution-focused recovery paradigm (El-Guebaly, 2012; Laudet, 2008; White, 2008b). Calls are increasing to extend the prevailing acute care (AC) model of addiction treatment to a model of sustained recovery management (Dennis & Scott, 2007; McLellan, Lewis, O’Brien, & Kleber, 2000) and to nest these expanded treatment and support models within larger recoveryoriented systems of care (Kelly & White, 2011; White, 2008a). Related trends include increased interests in deﬁning recovery (Betty Ford Institute Consensus Panel, 2007); evaluating the effects of participation in recovery mutual-aid societies on long-term personal recovery and social cost outcomes (Humphreys et al., 2004; Kelly & Yeterian, 2008); identifying effective linkage procedures between addiction treatment and recovery mutual-aid societies (Kaskutas, Subbaraman, Witbrodt, & Zemore, 2009; White & Kurtz, 2006); and expanding access to new forms of peer-based recovery support services (White, 2009b). There is also heightened interest in posttreatment recovery support mechanisms (McKay, 2009) for adults (Dennis & Scott, 2012) and for adolescents (Godley, Godley, Dennis, Funk, & Passetti, 2007). This latter trend is encouraging, particularly in light of the contention that recoveryfocused “systems transformation” efforts that only focus on professional treatment and mutual aid miss opportunities to develop and mobilize broader addiction-recovery support resources within the community (White, 2009b).