The Changing Approach to Addiction — From Incarceration to Treatment and Recovery Support

This article traces the evolution of U.S. substance use disorder (SUD) policy from punitive models to one centered on treatment and long-term recovery support. The authors argue that sustained remission from addiction often requires years of integrated clinical and community-based support beyond initial medical treatment. They highlight the effectiveness of peer-led recovery services such as recovery residences, mutual-aid groups, and recovery coaches in reducing relapse, improving social reintegration, and curbing recidivism. Citing cost-effective outcomes and emerging policy initiatives, the piece calls for systematic integration of these services into national SUD infrastructure. It further recommends dedicated funding, workforce investment, and interagency collaboration to advance recovery-focused public health strategies.

This article traces the evolution of U.S. substance use disorder (SUD) policy from punitive models to one centered on treatment and long-term recovery support. The authors argue that sustained remission from addiction often requires years of integrated clinical and community-based support beyond initial medical treatment. They highlight the effectiveness of peer-led recovery services such as recovery residences, mutual-aid groups, and recovery coaches in reducing relapse, improving social reintegration, and curbing recidivism. Citing cost-effective outcomes and emerging policy initiatives, the piece calls for systematic integration of these services into national SUD infrastructure. It further recommends dedicated funding, workforce investment, and interagency collaboration to advance recovery-focused public health strategies.