By Amber Lashbaugh | Recovery is not just a personal journey—it is a struggle shaped by policies that too often punish women rather than support them. From losing custody of their children to facing barriers in treatment and the criminal legal system, women with substance use disorder encounter hurdles that men rarely experience. Trauma, stigma and inadequate access to care create a landscape where seeking help can feel like choosing between survival and motherhood.
My sister’s story—years of overdose, illness and family separation—mirrors countless others who live at the intersection of addiction, gender and policy neglect.
The solutions are clear but rarely implemented. Women need access to care that recognizes their lived realities, programs that allow them to keep their families together, and protections that prevent survival strategies from being criminalized. Trauma-informed, women-specific treatment, expanded childcare, extended postpartum coverage, and decriminalization of behaviors tied to survival are not optional—they are essential. Until our systems prioritize dignity, equity and healing, the numbers will keep rising and the stories will keep repeating. Recovery must be recognized as a right, not a risk.
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The road to recovery—and the right to recovery—is essential to a free and fair democracy. This essay is part of a new multimedia collection exploring the intersections of addiction, recovery and gender justice. The Right to Recovery Is Essential to Democracy is a collaboration between Ms. and the O’Neill Institute for National and Global Health at Georgetown Law, in honor of National Recovery Month.
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