Recovery from addiction is a journey, and there’s no one-and-done solution

And most importantly for those who feel despair in the grip of addiction, there is hope. “Recovery happens,” says Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California. “Every single day people come into treatment and succeed in addressing their substance-use disorders.

Some treatment programmes shun anti-addiction medications that have proven effective. Physicians, nurse practitioners, and other providers with the requisite training can prescribe these drugs in California, but too few seem willing or able to do so – though that could change now that federal law no longer requires them to get a special waiver.

There’s no one-size-fits-all solution for addiction. Treatment can differ depending on the substance – opioids, alcohol, or methamphetamine, for example. And people with substance-use problems come from all walks of life: Some are straight off the streets or out of jail or may have serious mental or medical conditions that require additional care. Others may be otherwise healthy with good jobs and insurance.

“If we talked about treating other chronic illnesses like diabetes or asthma in the same way we often approach treating substance use, people would think we were crazy or would sue the doctor for malpractice,” says Bradley Stein, a psychiatrist and senior physician policy researcher at the Rand Corp.Whether it should be a residential or outpatient programme depends on multiple factors.

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