Structured Family Recovery®

About 70% of patients relapse within one year of receiving treatment. But it doesn’t have to be that way. There is a population of people who rarely relapse. In fact, 78% of this group have zero relapses in five years after treatment, and 15% have only one relapse. Structured Family Recovery® (SFR) unlocks the methods of this special group’s and transformed it into a program that can work for all families.



Treatment stabilizes the addict, but it doesn’t keep them clean and sober. That requires an ongoing program of recovery. Addiction is a chronic disease. Without proper management, the addict will relapse. Using SFR, families don’t have to leave success to chance. They can re-create what this special group (impaired physicians, attorneys and airline pilots) have always enjoyed: a guided path to lasting sobriety.


Structured Family Recovery® (SFR) is a weekly program that moves family and friends beyond enabling and frustration, and makes everyone part of a recovery team. Working together creates transparency and accountability in a way that prevents the disease from regaining control. Based on the ground-breaking book by Debra Jay, It Takes a Family, this program brings families back together, prevents relapse and lays a foundation for real recovery.


After all, the addict and the family share the same goal: happiness.



“We used to stand outside the recovery circle and judge my mother. Now we’ve all stepped inside the circle, holding hands and doing recovery together.”

–27-year-old son describing his experience with Structured Family Recovery®


“Debra Jay unlocks the secrets of this revolutionary approach to addiction. She adds a significant new dimension by focusing on the role of the family both in creating this system of care management and in making it work, long term. The author highlights the essential element of the approach as no one else has: the crucial role of the addict’s family.”

-Robert L. DuPont, M.D., First Director of  the National Institute on Drug Abuse


For more information, please call: 888-220-4400


It Takes a Family: a cooperative approach to lasting sobriety

Excerpt from It Takes a Family:

“Up until now, families have been mostly left out of the recovery equation, which surely contributes to the ubiquitous nature of relapse. Structured Family Recovery starts with a family and ends with a family recovery team. We support sobriety by bringing together family and addict in a way that creates unity and mutual triumphs. Turning to social science, we learn what really creates change — challenging the things we’ve been taught. We apply discoveries of how the workings of the brain affect how we make real-time choices in life. We put it all together to create a family recovery program that is simple and smart.”



Return to 12Care Recovery Mentoring




Find out more about the history of Structured Family Recovery®, the ground-breaking new program that brings families into the heart of the recovery process. SFR helps families develop a dynamic program of recovery within the family, to help avoid relapse and bolster success. After treatment, there are many challenges for the patient and the family. SFR helps both patient and family to navigate these situations and overcome the obstacles that often lead to relapse. Structured Family Recovery teaches families how to be the most effective support for their loved ones.


For professionals…

If you are a treatment professional or experienced clergy, find out about our SFR counselor training program. 



Hazelden Betty Ford Foundation’s Jerry McDonald interviewed Debra Jay about “It Takes a Family.” Watch now.





If you have already started working with a Structured Family Recovery® counselor, you will benefit by listening to these SFR Snap Trainings for Families. This page is password protected.

“Structured Family Recovery” is a registered trademark ® of Debra Jay, author of It Takes a Family