1 / 27

RECOVERY COACHING

RECOVERY COACHING. SUPPORTING A SUCCESSFUL TRANSITION INTO RECOVERY . A BRIEF HISTORY . Imported the problem 1792 – 2,579 distilleries w/annual per-capita consumption 2 ½ gallons 1810 – 14,191 w/annual consumption 4 ½ gallons 1830 – consumption rose to 7.1 gallons . A BRIEF HISTORY .

boyce
Download Presentation

RECOVERY COACHING

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. RECOVERY COACHING SUPPORTING A SUCCESSFUL TRANSITION INTO RECOVERY

  2. A BRIEF HISTORY • Imported the problem • 1792 – 2,579 distilleries w/annual per-capita consumption 2 ½ gallons • 1810 – 14,191 w/annual consumption 4 ½ gallons • 1830 – consumption rose to 7.1 gallons

  3. A BRIEF HISTORY Dr. Benjamin Rush – possible father of the disease concept Attitude changed towards social value of alcohol Late 1700s – start of the Temperance Movement

  4. A BRIEF HISTORY • Groups formed to assist chronic alcohol abusers • Signed a pledge for abstinence • Fraternal Temperance Societies and Reform Clubs later provided financial support • Failed because of inconsistencies in membership requirements & mission purpose

  5. A BRIEF HISTORY • Late1800s – special institutions & professional roles • Inebriate “homes”, “dry hotels” • Inebriate asylum - large medical directed facilities • AA physicians & nurses & “AA Wards”

  6. A BRIEF HISTORY • Emmanuel Church of Boston (1906) • Used religion, psychology & medicine • Clinics pioneered use of lay alcoholism psychotherapists • Jacoby Club – support meetings & social events • Used “friendly visitors”

  7. A BRIEF HISTORY 1935 – founding of Alcoholics Anonymous Industrial alcoholism specialists Entrepreneurs opened “AA farms” & “AA retreats”

  8. A BRIEF HISTORY • 1940s & 50s – Yale Center of Alcohol Studies • Pioneered new outpatient model • Continued lay therapist mode • Codification of “Counselor on Alcoholism”, “Minnesota Model” pioneered by Hazelden

  9. A BRIEF HISTORY 1970s – roles rapidly professionalized Education & training requirements escalated Today’s focus on (acute) bio-psycho-social stabilization Many service models focus on reduction of client’s deficits and pathology

  10. STABILIZATION VS RECOVERY Treatment is viewed at the “magic” solution Short, well defined period with special protocol Goal – to develop skills & resources to maintain abstinence & find quality of life get to treatment with varying levels of motivation, awareness, knowledge, & capacity of dealing with their disorder

  11. SUSTAINED RECOVERY MANAGEMENT Recovery – (process) of implementing these skills into strategy that accomplishes those goals Disengagement – relapse Recidivism rates are much lower in monitored programs

  12. SUSTAINED RECOVERY MANAGEMENT Remember – treatment focuses on deficits & pathology Long-term recovery support emphasis – assisting client to focus on strengths rather than pathology

  13. DEVELOPMENTAL MODEL OF RECOVERY • Pretreatment stage • Recognition of addiction • Stabilization stage • Withdrawal & crisis management • Regain control of thought processes, emotional processes, judgment, and behavior

  14. DEVELOPMENTAL MODEL OF RECOVERY • Early recovery stage • Acceptance & non-chemical coping • Moves it from the head to the heart • Stops talking about what to do and begins to mostly do what they are supposed to • May last from one to two years

  15. DEVELOPMENTAL MODEL OF RECOVERY • Middle recovery stage • Focus on balanced lifestyle • Reestablishing broken relationships • May set new occupational goals • Participates in more social & recreational activities

  16. A SHAMELESS PLUG

  17. ONLINE RECOVERY RESOURCE

  18. THE PARETO PRINCIPLE Roughly 80% of the effects come from 20% of the causes Identifying your 20%

  19. A WORD FROM A TWENTY PERCENTER “I’m no longer employed by (blank) due to my own ignorance, stupidity, and TnPAP. I can not do an inpatient rehab because it is not warrented and my insurance is cut off. I will be sober 2-1-12 because of my dedication to myself and my conscience. I am free of (blank) and TnPAP to live fron alcohol abuse and the requirement to lie if in my ultimate best interests. I AM FREE!

  20. HOW DO WE DEAL WITH THEM NOW? Monitoring Monitoring Agreement Extensions More treatment More evaluation/therapy Non-compliant discharge

  21. RECOVERY COACHING • Scope of services • Monitoring – compliance with MA requirements • Drug testing – random testing for enhanced accountability • Case management – additional referrals that support client’s goals and choices • Life skills coaching – to support personal growth

  22. RECOVERY COACHING • Qualifications: • Credentialing – depending on State requirements (peer based) • Ability to establish empathy with client • Ability to work with diverse populations & backgrounds • Ability to focus on & reinforce positive strengths & behaviors • Should not have a single view of pathway to recovery (personal choices)

  23. RECOVERY COACHING • General professional competencies: • Aspects of addiction treatment & how to access • Stages of change (Trans Theoretical Model of Change) • Motivational interviewing or motivational enhancement techniques • Case management activities & knowledge of community resources

  24. STRENGTH BASED RECOVERY PLANNING Focus on individual strengths rather than pathology Interventions are based on client self-determination People suffering from SUD or mental illness continue to learn, grow, and change Chinese Proverb - “Give a man a fish & you feed him for a day. Teach a man to fish & you feed him for a lifetime”.

  25. WORKING WITH THE PARTICIPANT • Motivational interviewing • Non-confrontational behavioral intervention used to increase awareness of SUD and assist in transition through first three stages • Four therapeutic components: • Express empathy (active listening skills) • Develop discrepancy • Roll with resistance • Support self-efficacy (how other people view their own capacities & strengths)

  26. WORKING WITH THE PARTICIPANT • Contingency Management – based on operant learning theory (voluntary actions of human beings) • Links consequences with behaviors • Behavior is learned by its consequences & can be changed by changing the consequences • Motivates people to learn new or alternative behaviors by providing positive reinforcement • Used to keep people engaged until the process becomes reinforcing

  27. REFERENCES Manual for Recovery Coaching & Personal Recovery Plan Development – David Loveland, PhD, dloveland@fayettecompanies.org Slaying the Dragon – William L. White, Chestnut Health Systems/Lighthouse Institute, Bloomington Ill Escaping From the Bondage of Addiction – John O. Edwards, BS, CEAP, SAP, www.therecoverycoach.co International Coach Federation, www.internationalcoach.org

More Related