People often equate addiction treatment with a clearly defined time frame, as if to imply that the ‘cure’ awaits the completion of a 28, 42, 90, etc. day program. As if to say that the disease which may have been constructed over years of use and can likely be traced further beyond that can be eradicated in a pre-determined and short period of time. We often view programming, whether in residential or community based settings, as an acute procedural means to a rapidly realizable end.
The reality is, proper treatment of addiction requires a chronic disease management system. A framework defined as a “patient-centered model of care that involves longitudinal care delivery; integrated, and coordinated primary medical and specialty care; patient and clinician education; explicit evidence-based care plans; and expert care availability” (Saitz et al, 2009). In other words, a short term fragmented care structure is not the approach for a long term dynamic disease.
Yet many individuals continue to view recovery through an acute care lens. When we can understand addiction for the chronic disease that it is, one can than understand why quitting is such a difficult task. We become cognizant of the origins of relapse and why it occurs. Most importantly, we can establish the framework for a continuum of care over time. Understanding and re-framing the collective discourse to address the chronic nature of addiction allows us to comprehend that it cannot simply be cured. It can be effectively engaged and remitted over time with proper treatment and management protocols from a variety of biopsychosocial spheres. How successful one is at maintaining their recovery is directly related to their diligence in maintaining their journey over time.
Simply put, addiction is a marathon, not a sprint. Further, there is no finish line; a concept that should be embraced. The root word of recovery is “recover”, a past tense notion that individuals will reacquire what they have lost. This is short sighted: a chronic approach is far more rewarding. We can construct the tools and systems that promote a healthy lifestyle over time. It involves establishing connections with individuals and communities travelling a similar path and cementing some of the most powerful relationships one can form. Ultimately, this approach to care establishes a sustainable state of balance.
So when a chronic disease management system is embraced, we do far more than just recover; we provide an opportunity to regain what is possible.
Saitz, R., Larson, M. J., LaBelle, C., Richardson, J., & Samet, J. H. (2008). The Case for Chronic Disease Management for Addiction. Journal of Addiction Medicine, 2(2), 55–65. http://doi.org/10.1097/ADM.0b013e318166af74
About Carson McPherson
I am and do many things, but most importantly I am a father of two beautiful young girls and the proud husband to an amazing wife.
As you’ll see from my blog as time goes on, addiction has played a central role in my family for generations and has become the passion for which I base my work today. Enjoy and engage!