Research & reports.

Deep dives from our clinical team into the data behind addiction and recovery — overdose trends, treatment outcomes, and the policies shaping care in California.

Featured image for “Life After Rehab: Measuring Recovery From the 90-Day Cliff to the Five-Year Mark”

Report

Aug 11, 2026

Life After Rehab: Measuring Recovery From the 90-Day Cliff to the Five-Year Mark

Life after rehab determines whether treatment holds. Discharge, not admission, is the point at which outcomes diverge, and the research measuring what follows is consistent across four decades of study. An average of 30.4% of patients drop out of substance use treatment before completing it [1]. Federal guidance holds that participation under 90 days is of limited effectiveness [2]. Among US adults who have resolved an alcohol or drug problem, only 20.3% have been continuously abstinent since resolving it [3].The clearest counterexample comes from a population that never leaves structure. Among 904 physicians monitored for five years after treatment, 78.7% were licensed and working at follow-up, and 81% never tested positive across the entire period [4]. What separates that cohort from the general treated population is not diagnosis, severity, or motivation. It is how long the support lasts after discharge.

by Nicholas Aboolian

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Featured image for “The Executive Recovery Gap”

Report

May 6, 2026

The Executive Recovery Gap

Substance use disorder among executives is disproportionate, underreported, and consistently undertreated by programs not designed for this population. The financial, clinical, and market evidence converges on the same conclusion: boutique residential programs that combine rigorous clinical protocols, advanced neuromodulation, and operational design suited to high-performing professionals deliver outcomes that standard treatment cannot match.

by Dr. Darren Lipshitz MD

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Featured image for “Dual Diagnosis and Homelessness in LA: Treating Complex Alcohol Use Disorder Cases”

Report

Nov 14, 2025

Dual Diagnosis and Homelessness in LA: Treating Complex Alcohol Use Disorder Cases

Los Angeles faces a daunting homelessness and public health crisis. In 2024 the county counted roughly 75,300 people living homeless [1]. Many of these individuals struggle with substance use and mental illness simultaneously. National estimates suggest 20–35% of people experiencing homelessness (PEH) have a substance use disorder (SUD) [2]; in LA’s chronically homeless this rises to about 52% [3]. In 2024, LA’s point-in-time count found ~24% of unhoused adults reported serious mental illness [4]. Taken together, a recent UCSF-led report found nearly half of California’s homeless population has a "complex behavioral health need" (e.g. heavy drinking plus other issues) [5]. In short, co-occurring alcohol use disorders (AUD) and psychiatric conditions are very common among Los Angeles’ homeless.

by Dr. Darren Lipshitz MD

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Featured image for “California Addiction Treatment Utilization and Gaps in 2025”

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Jun 10, 2025

California Addiction Treatment Utilization and Gaps in 2025

More than 5 million Californians currently need addiction treatment, but only 1 in 10 receive care. In 2021, an estimated 5.36 million Californians aged 12 and older had a substance use disorder (SUD). However, only about 10% received specialty addiction treatment. That means around 545,000 Californians accessed care while over 4.8 million went untreated.

by Nicholas Aboolian

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Featured image for “Addiction Recovery in 2025: What New Government Policies Could Mean for Treatment”

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Feb 6, 2025

Addiction Recovery in 2025: What New Government Policies Could Mean for Treatment

The US is entering a pivotal era in the critical areas of healthcare and addiction recovery under the new Trump administration. This article explores addiction recovery under the new administration, especially in the context of the ongoing opioid crisis. We examine potential policy shifts and their implications on recovery pathways.

by Dr. Darren Lipshitz MD

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Featured image for “The Fentanyl Crisis in California - Deaths, Stats, and Analysis”

Report

Dec 3, 2024

The Fentanyl Crisis in California - Deaths, Stats, and Analysis

Fentanyl is a synthetic opioid chemically similar to morphine but up to 100 times more powerful. Opioids are a class of drugs derived from the opium poppy plant. Synthetic opioids are designed in pharmaceutical laboratories to closely mimic the natural substances of the same plant. Initially approved for legal use, fentanyl is a prescription drug used to treat patients with severe or chronic pain. Unfortunately, it is also the most common substance involved in drug overdose deaths.

by Nicholas Aboolian

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