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The Recovery Industry’s Policies Are Killing People and They Won’t Change Unless We Make Them
The first time I watched the recovery system harm someone in real time, it was not a mistake. It was merciful advice in the face of restrictive policy. This person described how he voluntarily walked into a rehab facility after his last binge. He was not intoxicated. He was scared, exhausted,...
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What Looked Like Defiance Was Actually Grief: The Healing Power of Peer Support in Children’s Mental Health
Ten-year-old Marcus stopped talking after his father was incarcerated. At first, school staff assumed he was angry. Then they thought he was being oppositional. Over time, his silence became impossible to ignore. He stopped participating in class discussions. He isolated himself during lunch. He...
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Recovery Policies Consistently Fail When They Ignore Human Behavior
Recovery policies don't fail because people don't want to change; they fail because they're designed for an idealized version of patients that simply doesn't exist. Policies are built in committee rooms, around rational decision-making, clear consequences, and personal responsibility. However, the...
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Child Welfare and Behavioral Health: Foster Care, Family Court, and the Policy Intersection
Behavioral Health and Trauma Impacts Behavioral health is not a side issue in the child welfare system but rather is a system pressure that is likely to bring families into court in the first place (CDC, 2026). Research indicates that this is a concern. In a systematic review, Engler et al. (2022)...
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Peer Support and Case Management: Complementary, Not Interchangeable
Across the behavioral health field, two frontline roles increasingly shape how services are delivered: case managers and peer support specialists. Both work directly with individuals navigating mental health challenges, substance use recovery, housing instability, and community reintegration. Both...
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Strengthening the Behavioral Health Workforce: Leadership Strategies for a System in Transition
Across North America, healthcare executives are facing a reality that can no longer be ignored: the behavioral health care workforce is stretched thin, unevenly distributed, and increasingly overwhelmed by the growing complexity of patient needs. The demands of mental health and addictions care...
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Addiction, Treatment, and the Evolution of Therapeutic Communities: The Legacy of Dr. David A. Deitch
David A. Deitch, PhD, is one of the most influential figures in the modern history of addiction treatment. A clinical and social psychologist, he currently holds the title of Emeritus Professor of Clinical Psychiatry at the University of California, San Diego, where he founded the Center for...
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Building Sanctuary: Creating Trauma-Informed Workplaces to Heal Burnout and Secondary Trauma in Behavioral Health
The quiet exhaustion in Sarah’s eyes told a story that statistics could never capture. After eight years as a behavioral health nurse, she found herself sitting in her car each morning, summoning the strength to walk through the clinic doors. Anxiety in her chest, her neck, and the very hands she...
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Investing in the Behavioral Health Workforce: Training, Professional Development, and Advancing Clinical Excellence
Behavioral health clinicians are seeing more patients with complex, co-occurring disorders and acute symptoms that require multidisciplinary care. At the same time, referrals and expectations for timely, high-quality care are rising. These demands take a toll on care quality and clinician...
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Innovative Training Through Personal Connections: How a Behavioral Health Podcast Is Transforming Staff Development
In today’s rapidly changing behavioral health landscape, frontline staff often face complex challenges that require continuous learning, updating skills, and meaningful guidance from those with deep expertise. Traditional training formats, while valuable, can be difficult to attend due to time...
