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Building Resilience, Wellness and Recovery: A Shift from an Acute Care to a Sustained Care Recovery
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Code: mng994-DLD1.pdf
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In a seminal report on the practice of medicine, especially as it relates to the management of chronic illnesses, the Institute of Medicine (2001) stated that the "American health care delivery system is in need of fundamental change." Too often, patients do not receive care that "meets their needs and is based on the best scientific knowledge." In 2004, IRETA began facilitating a leadership group to capitalize on the atmosphere created by the IOM report, study its assertion for the field of substance use treatment and seek to develop a common vision for the prevention and treatment of substance use disorders. Initially, the group explored the question: "Is substance dependence an acute or chronic condition?" They concluded, based upon the definition of a chronic illness (see Wagner, 1998), that substance dependence most often becomes a chronic illness and that the vision for a model should comprehensively address substance use disorders effectively, accountably and in a manner similar to other chronic illnesses like depression, hepatitis C, HIV/AIDS and asthma (Institute of Medicine [IOM], 1990 and 2006a; McLellan, Lewis, O'Brien, & Kleber, 2000; RAND, 2001; Rawson, Crevecoeur, & Finnerty, et al., 2003; White, Boyle, & Loveland, 2002; Willenbring, 2001; Willenbring, 2005).
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