Five-Year System for Severe SUDs: The Model, Functions, and Focus Areas, by Brian Coon
This model outlines a five-year continuum of care for individuals with complex and chronic substance use disorders (SUDs). The five-year mark represents the universal benchmark for sustained remission—when the likelihood of relapse returns to that of the general population and quality of life stabilizes.
KEY MILESTONES
- First 4 appointments: Determines if treatment engagement is successful.
- 30 days: Highest dropout risk; focus on retention.
- 90 days: SUD early remission begins; relapse risk levels off.
- 1 year: SUD sustained remission; relapse risk levels off.
- 2 years: Gains maintained; relapse risk levels off.
- 5 years: Long-term remission comparable to recovery from other chronic illnesses.