02/20/2026
Only slipped once today on my walk as I thought about how people deserve more than what is popular.
They deserve what is proven and genuinely evidence-based.
Just because an approach is common, well-liked, or long-standing in recovery settings does not mean it produces strong outcomes.
When many of us entered this field, we were trained in certain models. Those models shaped how we think, how we speak, and how we help. They became part of our professional identity. Itโs natural for helpers to stay loyal to what first made sense to us.
But familiar does not automatically mean effective. We need to keep a pulse on what the needs of today look like. When someoneโs stability, health, or life is at risk, we owe them more than tradition.
At the same time, the phrase evidence-based is being stretched thin. Reflecting on my own journey, Iโve realized it seems to be attached to almost everything. The door for its usage has been opened wider and wider. The term is repeated so often that it can start to function more like marketing than methodology.
Evidence-based practice is not a label. And admittedly, Iโve been guilty of using the term too lightly myself.
It requires ongoing measurement, critical thinking, and the integration of research, clinical skill, and the lived experience of the person in front of us. It means being willing to adjust when outcomes are not there. It means asking, โIs this actually helping?โ
Itโs especially important today because the landscape of addiction has changed significantly.
The drug supply is more dangerous than it used to be. More people are carrying deep, unresolved trauma. Few universities require professionals to take addiction courses as apart of their university training. Housing is unstable for many, and often doesnโt exist. The cost of living adds stress that didnโt exist at the same level years ago. All of this affects recovery. So even approaches that were once considered โbest practiceโ by certain organizations or groups may need to be strengthened or adjusted today.
We also have to remember that people are not all the same. A teenager struggling with va**ng or cannabis is different from a middle-aged professional hiding alcohol use. Someone living without stable housing faces different barriers than someone with strong family support. Culture, community, and life experience all shape how treatment lands. And ultimately, each person is unique.
Evidence should guide us, and it doesnโt have to be deployed mechanically. It can be thoughtful. It can be human.
Familiar feels safe. Popular sounds convincing. But proven and truly evidence-based โ thatโs where lives have a greater chance at recovery.
๐ท MaritimesMaven