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A new paradigm for long-term recovery.

Typical treatment for substance use disorders (SUDs) in the United States is a few weeks of outpatient counseling with no biological testing for substance use, no use of contingency management, and no medications. Given that these disorders are characterized by lifelong risk of relapse, it is not surprising that many treatments yield suboptimal outcomes for a significant portion of patients, including many who relapse quickly after or even before treatment has ended (1). Interventions that work for addiction: