This monograph is written for those on the frontlines of addiction treatment. It is written for the addition service professionals, the clinical supervisors, and the clinical and administrative directors whose daily decisions widen or narrow the doorways of entry to long-term recovery for those they serve. You are being asked in this monograph to take a searching and fearless professional inventory of addiction treatment as currently practiced by yourself and others.

This monograph is also written to the policymakers, purchasers of care, monitors, and evaluators of addiction treatment. You are being asked to look at the scientific and system-performance data that support growing calls for “recovery-focused systems transformation” and to explore new approaches to funding and monitoring local addiction treatment programs.

This monograph is also written for the new generation of recovery advocates and recovery support specialists who are collectively calling for a reconnection between addiction treatment and the larger and more enduring process of addiction recovery.