Format
Scientific article
Publication Date
Published by / Citation
Kelly, J., Volkow, N., & Koh, H. (2025). The Changing Approach to Addiction—From Incarceration to Treatment and Recovery Support. The New England Journal of Medicine. https://doi.org/10.1056/nejmp2414224
Original Language

English

Country
United States
For
Students
Trainers
Keywords
substance use treatment
addiction
outpatient treatments
health care delivery

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

It’s been more than 50 years since the United States launched a “war on drugs.” History has demonstrated the ineffectiveness of “tough-oncrime” drug-use policies, including laws requiring mandatory minimum sentencing for possession of illicit drugs. Meanwhile, advances in the recognition of substance use disorder (SUD) as a treatable medical condition have led to the development of lifesaving evidence-based pharmacotherapies and psychosocial interventions. Further advancement in treating SUD will require both shortterm and long-term strategies. Many evidence-based protocols still rely on short-term interventions typically delivered over 12 weeks. But increasing the likelihood of sustained remission often requires years of complementary efforts addressing broader social needs alongside ongoing clinical care.