2009 recovery advocacy teleconference series
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Building Bridges to Long-term Recovery: Mutual support groups, Peer and other recovery support services, Clinical treatment services Their Differences and Relationships. 2009 Recovery Advocacy Teleconference Series. June 30, 2009 www.facesandvoicesofrecovery.org.

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2009 recovery advocacy teleconference series

Building Bridges to Long-term Recovery: Mutual support groups, Peer and other recovery support services, Clinical treatment services

Their Differences and Relationships

2009 Recovery Advocacy Teleconference Series

June 30, 2009

www.facesandvoicesofrecovery.org


2009 recovery advocacy teleconference series

2009 Recovery Advocacy Teleconference Series

Pat Taylor, Faces & Voices of Recovery

William White, Chestnut Health Systems

Beverly Haberle, Pennsylvania Recovery Organization – Achieving Community Together (PRO-ACT)

Phillip Valentine, Connecticut Community for Addiction Recovery (CCAR)

www.facesandvoicesofrecovery.org


Distinguishing the addiction counselor recovery coach and mutual aid sponsor guide

Distinguishing the Addiction Counselor, Recovery Coach and & Mutual Aid Sponsor/Guide

Bill White


Distinguishing characteristics starting points for discussion

Distinguishing Characteristics: Starting Points for Discussion

Contrast professional addiction counseling, peer-based recovery coaching and sponsorship on key characteristics--recognizing that these characteristics exist on a continuum across organizations and groups that evolve over time.


Foundational knowledge

Foundational Knowledge

Counselor: Emphasis on formal education (theory and science); vetted by the profession

Recovery Coach: Emphasis on experiential knowledge and training; vetted by the community

Sponsor: Emphasis on experiential knowledge; vetted by reputation within a community of recovery


Organizational context

Organizational Context

Counselor: Works within organizational hierarchy of treatment organization & with direct supervision

Recovery Coach: Organizational settings span treatment organizations, allied service organizations and recovery community organizations; varied degree of supervision

Sponsor: Minimal hierarchy and no formal supervision


Service support framework

Service/Support Framework

Counselor: Works within a particular organizational treatment philosophy

Recovery Coach: Works across multiple frameworks of recovery via choices of those with whom they work

Sponsor: Works within beliefs & practices of a particular recovery fellowship


Service support relationship

Service/Support Relationship

Counselor: Significant power differential; extreme separation of helper/helpee roles; explicit ethical guidelines; high external accountability

Recovery Coach: Minimal power differential; ethical guidelines being developed; moderate external accountability

Sponsor: Minimal power differential; support is reciprocal; relationship governed by group conscience; no external accountability


Style of helping

Style of helping

Counselor: Formal, personally guarded and strategic

Recovery Coach: Variable by organizational setting but generally personal and informal

Sponsor: Informal, open and spontaneous


Use of self

Use of Self

Counselor: Self-disclosure discouraged or prohibited

Recovery Coach: Strategic use of one’s own story; role model expectation

Sponsor: Strategic use of one’s own story; role model expectation


Temporal orientation

Temporal Orientation

Counselor: Considerable focus on past experience

Recovery Coach: Focus on present: What can you do today to strengthen your recovery?

Sponsor: Variable by fellowship and stage of recovery of sponsee


Duration of service support relationship

Duration of Service/Support Relationship

Counselor: Brief and ever briefer

Recovery Coach: Measured in months or years (via sustained recovery checkups)

Sponsor: Variable but can span years


Role of community in recovery

Role of Community in Recovery

Counselor: Intrapersonal & interpersonal focus; minimal focus on ecology of recovery; minimal advocacy

Recovery Coach: Focus on linking to community resources and building community recovery capital; significant advocacy work

Sponsor: Intrapersonal & interpersonal focus; minimal focus on ecology of recovery; minal advocacy


Documentation

Documentation

Counselor: Extensive and burdensome

Recovery Coach: Minimal but growing

Sponsor: None


Money

Money

Counselor: Works as paid helper; client or third party pays for service

Recovery Coach: Works in paid or volunteer role; service may be paid for by person being coached or a third party

Sponsor: Provides support only as part of one’s own service work; no fees paid to sponsor or recovery fellowship


For more distinguishing characteristics see the following at www facesandvoicesofrecovery org

For more distinguishing characteristics, see the following at www.facesandvoicesofrecovery.org

White, W. (2006). Sponsor, Recovery Coach, Addiction Counselor: The Importance of Role Clarity and Role Integrity. (Monograph) Philadelphia, PA: Philadelphia Department of Behavioral Health.

White, W. (2009). Peer-based Addiction Recovery Support: History, Theory, Practice, and Scientific Evaluation. Chicago, IL: Great Lakes Addiction Technology Transfer Center and Philadelphia Department of Behavioral Health and Mental Retardation Services.


About pro act

About PRO-ACT

  • PRO-ACT, Pennsylvania Recovery Organization – Achieving Community Together, founded in 1997

  • Hosted by Bucks County Council on Alcoholism and Drug Dependence, Inc., which has a 35 year history of community mobilizing, education and advocacy

  • Grassroots advocacy initiative promotes the rights of and ensures opportunities for those still suffering from the disease of addiction, members of the recovery community and their family members

  • Provides advocacy and peer-to-peer recovery support services throughout the 5 counties of Southeastern Pennsylvania

  • PRO-ACT grew and developed with grants from the federal government’s Recovery Community Services Program (RCSP) in 1998, 2001 and 2006 as well as other support.


2009 recovery advocacy teleconference series

PRO-ACT carries out its mission through five

volunteer-driven committees with common goals

1). Reduce stigma2). Give back to community 3). Build relationships to strengthen and sustain long-term recovery

Amends

In Action

Recreation

&

Celebration

Recovery

Support

Services

Public

Policy

Educating

The

Community


Early recovery

Early Recovery

  • Often requires a concerted effort to change people, places and things that might trigger relapse

  • A highly active, visible and welcoming Recovery Community Organization provides great competition to drug dealers who are trying to get back a good customer


Approach

Approach

  • Focusing on Recovery/Wellness, which informs everything we do

  • Building on strengths and resources, which exist within the community

  • Meeting individuals where they are in their recovery journey with a strength-based approach

  • Acknowledging the benefit of multiple pathways to recovery


Approach1

Approach

  • Provides and maintains formal linkages and relationships among community resources to support recovery

  • Believes that if more people access and sustain their recovery, overall health costs will go down because individuals and family members will need fewer health care dollars,

  • More importantly, individuals and families give back to their communities, not only as tax payers, moms and dads, but also in helping others find and sustain recovery


Research based

Research-based

  • Providing holistic community-based support services enhances treatment outcomes

  • Ongoing community support is important to sustaining recovery


Peer and other recovery support services

Peer and other recovery support services

There is a long history of mutual support groups like AA/NA This is different.

  • Embrace strength/wellness-based thinking

  • Foster empowerment and ideas about recovery capital as core organizing and program design constructs

  • Place high value of authenticity, inclusion, community-building, and leadership development

  • Emphasize participatory process and de-emphasize hierarchical management strategies

  • Are fueled by principles of service/volunteerism


Peer and other recovery support services1

Peer and other recovery support services

  • Bridge gaps between professional/clinical treatment, incarceration and long-term recovery

  • Are non-clinical services that assist in removing barriers and providing resources to support recovery

  • Are focused on strengths and resources that help people attain and sustain long-term recovery

  • Can be effective pre-treatment, during treatment, in lieu of treatment and post-treatment

  • Can be a key factor in developing collaborative relationships among members of the Recovery Community Organization


Peer driven peer led recovery support services

Peer-driven/peer-led recovery support services

  • Life skills education

  • Recovery coaching

  • Recovery plan development

  • Practical problem solving

  • Employment help/Job search/Resume development

  • Career transitions and other special topic training/workshops

  • Family support & relationship enhancement

  • Parenting

  • Special interest support groups

  • Leisure activities

  • Citizen and identity reclamation/Voter registration


Life skills education topics

Life skills education topics

  • Understanding your illness

  • Recovery 101

  • Sustaining Recovery

  • Taking Care of Yourself

  • The Impact of Addiction on the Family

  • Women's Health

  • Fitness

  • Employability

  • Money Management

  • Four-Steps to Credibility

  • Spirituality

  • Nutrition


Recovery planning

Recovery Planning

Why a Recovery Plan?

  • A roadmap identifying strengths and resources to sustain recovery.

  • Helps to identify goals and objectives to attain and sustain holistic wellness

  • Provides a tool for measuring progress

  • Keeps the role of a coach/mentor defined and provides a platform for relationship building

  • Improves confidence and motivation when one has set and achieved goals


Recovery community centers

Recovery Community Centers

  • Provide a sanctuary in the community where people are supported to move from the culture of addiction into the culture of recovery

  • Help people initiate and sustain recovery and gain overall wellness by reengaging with their family and community

  • Provide a place for individuals to learn and practice recovery skills


Pro act recovery community centers

PRO-ACT Recovery Community Centers

Women’s Recovery Community Center

Philadelphia Recovery Community Center

Southern Bucks Recovery Community Center

New Britain, PA

Philadelphia, PA

Bristol, PA


Typical member s experience

Typical Member’s Experience

Engagement – a priority and a process

Individuals come to Centers with various needs and interests

  • Welcomed with – “How can we help you with your recovery?”

  • Tour Center

  • Select interests from survey

    • 5 interests

    • 5 skills to share

  • Review calendar of programs and events

  • Provided opportunities to participate at whatever level


Typical member s experience1

Typical Member’s Experience

Integration

  • Participate in life skills group, class on resume writing, job seeking, special focused support meeting (i.e., African American Men in Recovery)

    • Request Recovery Coach, develop Recovery Plan

    • Ongoing participation in Center activities

    • Access other community resources identified in plan

    • Weekly meetings with Recovery Coach


Typical member s experience2

Typical Member’s Experience

Stabilization

  • Learn skills to sustain recovery

    • Members volunteer and provide support, skill building and leadership for others


2009 recovery advocacy teleconference series

Snap Shot of GPRA Results


Peer recovery support services change lives and attitudes while paying off

1,112

12,35046047746

4,902

12,649

$238,562

Total Unduplicated Individuals participating in Life Skills, Recovery Coaching, Recovery Planning . . . . . . . . . . . . . . . . . .

Total Hours of Direct Recovery Support Services Provided . . . ▪ hours provided by paid staff . . . . . . . . . . . . . . . . . . . . . . . ▪ hours provided by volunteers . . . . . . . . . . . . . . . . . . . . . .

Volunteer hours donated by service recipients for sub committee, administrative support, special projects, amends in action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total hours of service delivered by Volunteers . . . . . . . . . . . . .

Independent Sector for PA Cost Calculator ($18.86/hr. x 12,649 hrs) . .

Peer recovery support services change lives and attitudes while paying off

May 1, 2008 – May 31, 2009


Contact information

Contact Information

Beverly J. Haberle, MHS, LPC, CAC

Project Director

Pennsylvania Recovery Organization – Achieving Community Together (PRO-ACT)

252 W. Swamp Road, Suite 12

Doylestown, Pennsylvania 18901

215.345.6644

E-mail: [email protected]

Website: www.proact.org


Connecticut community for addiction recovery ccar

Connecticut Community for Addiction Recovery (CCAR)

Organizes the Recovery Community to…

  • tap into the inherent nature to give back

  • Put a Face on Recovery

    • Advocacy: have a voice on issues of importance to the recovery community

    • Offer ourselves as living proof that recovery is a reality in the lives of millions of people

  • Provide Recovery Support Services

    • To maintain and sustain recovery

      Funded by Connecticut DMHAS, foundations, products/services and private donations


  • Vision and mission

    Vision and Mission

    VISION: The Connecticut Community for Addiction Recovery (CCAR) envisions a world where the power, hope and healing of recovery from alcohol and other drug addiction is thoroughly understood and embraced.

    MISSION: The Connecticut Community for Addiction Recovery (CCAR) organizes the recovery community (people in recovery, family members, friends and allies) to 1) put a face on recovery and 2) provide recovery support services. By promoting recovery from alcohol and other drug addiction through advocacy, education and service, CCAR strives to end discrimination surrounding addiction and recovery, open new doors and remove barriers to recovery, maintain and sustain recovery regardless of the pathway, all the while ensuring that all people in recovery, and people seeking recovery, are treated with dignity and respect.


    Foundational principals

    Foundational Principals

    “You are in recovery if you say you are.”

    “There are many pathways to recovery.”

    “Focus is on recovery potential, not pathology.”

    “Err on the side of the recoveree.”

    “Err on the side of being generous.”


    Some advocacy highlights

    Some Advocacy Highlights

    Wrote the Recovery Core Values along with Advocacy Unlimited that became the foundation for the Commissioner’s Policy # 83: Promoting a Recovery-Oriented Service System.

    Helped turn “Heroin Town”, a negative Hartford Courant newspaper series, into “Recovery Town”.

    Educated the legislature about the Pardons Process where significant changes have been made.

    Assisted DMHAS through some NIMBY housing issues associated with Access to Recovery (ATR).

    Involved in FAVOR issues – restoration of RCSP funding, HBO Addiction documentary, insurance discrimination


    Puts a face on recovery by

    Puts a Face on Recovery by

    • Frequent speaking engagements

    • Cable public access TV shows

      • Positive Faces, Willimantic

      • Capitol Voices of Recovery, Hartford

      • Hooked on Recovery, New London

    • DVDs, Videos

      • Putting a Face on Recovery

      • The Healing Power of Recovery

      • The Legacy of Hope: Recovery Elders Video Project

    • Website http://ccar.us

    • Recovery Walks!, Rally for Recovery (Faces & Voices of Recovery)


    Recovery community centers1

    Recovery Community Centers

    Field of Dreams

    “build it and they will come”


    Recovery community centers2

    Recovery Community Centers

    • are recovery oriented sanctuaries anchored in the hearts of communities

    • are physical locations where local communities of recovery can be organized

    • places where Recovery Support Services are delivered and are designed, tailored and delivered by local recovery communities

    • are fueled by a comprehensive Volunteer Management System – including people in long-term, sustained recovery


    Recovery community centers3

    Recovery Community Centers

    Willimantic, New London, Bridgeport, Hartford


    Volunteer management system

    Volunteer Management System

    • Modeled after a hospital volunteer system

    • Screening, interviews, background checks, training, job descriptions, scheduling, supervision, recognition

    • Comprehensive Volunteer Orientation training

    • 6 week, 6 month evaluations

    • Volunteer Recognition dinner in April


    2009 recovery advocacy teleconference series

    Volunteers

    Staff


    Volunteer management system1

    Volunteer Management System

    • In 2005, 90 CCAR Volunteers contributed 3,450 hours

    • In 2006, 204 CCAR Volunteers contributed 5,328 hours

    • In 2007, 304 CCAR Volunteers contributed 8,078 hours

    • In 2008, 276 CCAR Volunteers contributed 13,080 hours

      Using the Connecticut Volunteer Rate, the monetary value contributed in each year

    • In 2005: $74,870

    • In 2006: $155,612

    • In 2007: $175,293

    • In 2008: $336,797


    Recovery support services

    Recovery Support Services

    All-Recovery Groups

    Recovery Training Series

    Family Support Groups

    Recovery Coaching*

    Recovery Social Events

    Recovery-Oriented Employment Services

    Telephone Recovery Support*

    Recovery Housing Project


    2009 recovery advocacy teleconference series

    Day One of the Recovery Coach Academy is to create a safe learning environment where new knowledge transfer can occur and basic assumptions and values can be challenged. Furthermore, on Day One participants will get a firm foundation in terminology, role clarification and guiding principles

    Day Two of the RCA examine the optimal ways of working with people. Both knowledge acquisition and skill development in our role as recovery coaches will be accomplished.

    Day Three of RCA will focus on knowledge acquisition on recovery models and change models as well as a strong focus on skill development in motivating others to change


    2009 recovery advocacy teleconference series

    • Day Four has two distinct components: knowledge and skill development on issues of spirituality, cultural competence and ethics; and an immersion into the resources in Connecticut and how to access them.

    • Day Five is primarily concerned with the actualization of becoming a recovery coach. An emphasis will also be placed on future professional development needs and responsibilities and appropriately closing a week-long academy


    2009 recovery advocacy teleconference series

    • “We call because we care.”

    • In the spirit of KISS, a new recoveree would receive a phone call from a trained volunteer (usually another person in recovery) once a week for 12 weeks

    • Volunteer follows script

    • CCAR – gives new recoveree a better shot at maintaining their recovery AND helps the Volunteer making the call

    • Provider – helps their clientele

    • Results, outcomes, evaluations all outstanding


    Telephone recovery support

    Telephone Recovery Support

    • In 2008, CCAR enrolled 1,285 new recoverees.

    • Average length of enrollment is 20 weeks. One recoveree has been enrolled for nearly 3 years.

    • In 2008, CCAR volunteers placed 27,637 outbound calls.

    • In 2008, CCAR volunteers talked to a recoveree 7,627 times.

    • Of 843 recoverees who completed 12 weeks, 707 reported they were still in recovery, or 84%.

    • Of 367 recoverees who completed 12 weeks AND resided in a Recovery Living Center, 93% reported they were still in recovery.


    2009 recovery advocacy teleconference series

    Recovery Housing Project

    • Inventory existing recovery housing (independently owned, privately operated “sober houses”)

      • Database www.findrecoveryhousing.com

    • Establish the Recovery Housing Coalition of Connecticut

      • Standards

      • Advocacy

      • Monthly meetings

    • Deliver “So, You Want to Open a Recovery House?” trainings


    Recovery housing project

    Recovery Housing Project

    • Database has 161 houses with more than 1,500 beds

    • Receive approximately 30 inquiries per week regarding Recovery Housing.

    • Generate about 25 referrals to a Recovery House each week (1,200 per year).


    Recovery oriented employment services roes

    Recovery-Oriented Employment Services (ROES)

    • Recovery/Vocational Training

      • 8 part continuous curriculum

    • Recoverees required to

      • Enroll in Telephone Recovery Support

      • Contribute 20 hours as a CCAR Volunteer

    • Recovery-friendly employer database

    • Provide training to employers to become more recovery-friendly


    Contact information1

    Contact Information

    Phillip Valentine

    Executive Director

    Connecticut Community for Addiction Recovery (CCAR)

    198 Wethersfield Avenue

    Hartford, CT 06114

    (860) 244-2227

    Email: [email protected]

    Website: http://ccar.us


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