Standard treatments for the 10% of Americans who are diagnosed as having substance abuser disorders often do not address the chronic nature of these disorders. Following an overview of such approaches with case vignettes, McKay (psychology in psychiatry, U. of Pennsylvania/Penn Center on the Continuum of Care in the Addictions) makes a case for, and provides examples of and research evidence for, new adaptive models of continuing care which entail long-term monitoring, flexible alternatives to the "our way or the highway" mentality for treatment options, and greater emphasis on self-care. Information on providing telephone-based adaptive continuing care is appended. Annotation ©2009 Book News, Inc., Portland, OR (booknews.com)