On defining recovery...brief thread...we ought delineate between recovery as process and the outcomes of these recovery processes. Our science will be more impactful - and equitable - if process and outcome are informed by those with lived experience. (1/x)
There is much we as scientists can contribute in the measurement of recovery process and, in turn, the prediction of recovery outcomes. We model recovery - biologically, psychologically, socially, ecologically, etc. - to inform, evaluate, and improve services and policies. (2/x)
Scientists, however, need not 'define' recovery. Better yet we should not. We should, however, operationalize these processes and outcomes as measurable constructs. That's what makes it science - replicable, testable, etc., and I would also offer collaborative. (3/x)
I am heartened that organizations, funders, and the like have renewed (brand new?) vigor for recovery as related to but separate from substance use and treatment. We scientists will have to make some hard decisions about how to operationalize recovery process and outcome. (4/x)
I am hopeful that we can support the lives of those in, seeking, or curious about recovery, and their families. I believe we will be most helpful not by dictating what recovery is or isn't - but rather seeking to understand, articulate, and mobilize it. (5/x)
While I may write further on this in as much as I think it could be helpful for the field, I'll end this thread with a clarification and recommended read. (6/x)
In our commentary (t.ly/1uFd) "recovery" is in quotes recognizing recovery-as-construct. We didn't mean to define recovery, but to say, heavy and increasing drinking is generally inconsistent with outcomes of a recovery process connoting health and wellness. (7/x)
For the recommendation. I found this thought-provoking blog by @Recovery_ABrown to be both inspiring and humbling. recoveryreview.blog/2021/04/03/ref… (8/x)
I look forward to collaboration on the best ways to operationalize recovery and its myriad outcomes. I'm hopeful that informed and aided by those with lived experience, and as Austin says with "scientific humility" this work will improve both the science and people's lives (9/9).

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More from @brandonbphd

23 Jul 20
I usually reserve this space to chat about addiction and other health services and research. But we've got a critical election for the US House here in my home district #MA04 that I need to mention. I'm all in for @DrNataliaLinos and here's why.
.@DrNataliaLinos is a social epidemiologist with a super relevant set of experiences creating and disseminating progressive policies. US politics would really benefit from more scientists who can fight for climate justice, #M4A, and gun law reform nataliaforcongress.com/about-natalia
.@DrNataliaLinos has an *extensive* empirically driven plan to address COVID-19. nataliaforcongress.com/covid19
Read 7 tweets
19 Mar 20
Thread responding to Stanton Peele's piece on AA/TSF Review filtermag.org/alcoholics-ano… His words pictured my comments in text. *Conflict acknowledged.* I work very closely with first author and helped a bit with review behind the scenes. I speak for myself here. @Filtermag_org (1/x)
This Cochrane review included 27 studies with 10,565 individuals published in 2020. The prior Cochrane review included 8 studies with 3,417 individuals published in 2006. The 2006 review did include outcome of total abstinence. (2/x) Image
Correct at 1 yr 12-step facilitation (TSF) and other interventions had similar percent days abstinent (PDA). But TSF outperformed other treatments on PDA at 2 and 3 yr follow ups. (3/x) Image
Read 15 tweets

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