CHCS September 24, 2024
Sarah Triano, Center for Health Care Strategies

When it was originally conceived, the concept of “recovery” was truly radical. For centuries, mental “illness” was seen as an individual, moral failing that one could not recover from, often requiring lifelong professional intervention through imprisonment or institutionalization. During the late 20th century though, leaders with lived experience in the survivor movement asserted that people can recover from mental health and substance use disorders, play an important role in their own recovery, and lead fulfilling, self-directed lives in the community. This shift in thinking and clinical practice was revolutionary, resulting today in more than 50 million American adults, or about 15 percent of the country, in recovery today.

As renowned political philosopher Hannah Arendt once wrote, however, “The most radical...

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