
What Good Aftercare Actually Looks Like
Aftercare is the part of treatment with the most evidence behind it and the least attention paid to it. Here is what a real plan contains.
Evidence-based writing on addiction, treatment and recovery for families and individuals, drawn from the peer-reviewed literature and 18 years of practice.

Aftercare is the part of treatment with the most evidence behind it and the least attention paid to it. Here is what a real plan contains.

The default assumption is that residential is the serious option and outpatient is the compromise. The evidence does not support that, and the real decision turns on something else.

There are real randomised trials now, and there is also a great deal of overstatement. Here is the line between them, drawn carefully.

Every conversation is about the person using and the person caring for them. There is usually a third group in the house, and nobody has asked them anything.

A field full of unevidenced wellness claims contains one approach with a real randomised trial behind it. What it found, and what it did not.

A list to take with you. Most of these have never been asked of the person answering, and the answers sort programmes faster than any brochure.

One of the best-supported behavioural treatments in addiction medicine is barely available in America, for reasons that have nothing to do with whether it works.

The distinction everyone talks about and almost nobody defines. There is a workable line, and the research is clearer about it than the folk wisdom.

There is a name in the research for the assets that keep someone well, and it explains why two people leaving the same programme have such different years.

One of the largest public health studies ever run found a dose-response relationship between childhood adversity and later addiction. Here is what it does and does not mean.