The many pathways to recovery
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The Many Pathways To Recovery. Victor S. Braatz-ADS Executive Director Recovery Network Inc.

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The Many Pathways To Recovery

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The many pathways to recovery

The Many Pathways To Recovery

Victor S. Braatz-ADS

Executive Director

Recovery Network Inc.

Many thanks to those professionals who are integrating Recovery Oriented Systems of Care into our health model. Particularly Jack G. Jesse Ph.D. and William White, MA, who’s research and practices were critical in the development of this presemtation.


Roads to recovery coined by bill wilson

Roads to Recovery (coined by Bill Wilson)

  • Roads to Recovery- Bill Wilson, 1944

    “The roads to recovery are many and that the resolution of alcoholism by any method should be a cause for celebration by A.A. members”


Many pathways to recovery part 1 mutual aid groups

Many Pathways to RecoveryPart 1- Mutual Aid Groups

  • Current Mutual Aid Groups, with informational web-sites

  • Online supports and information

    Advantages and Disadvantages of Mutual Aid Groups


Mutual aid groups

Mutual Aid Groups

  • Alcoholics Anonymous- www.aa.org

  • Narcotics Anonymous- www.NA.org

  • Al-Anon- www.ola.is.org

  • Other A’s

  • Women for Sobriety- www.womenfor sobriety.org

  • Rational Recovery- www.rational.org


Mutual aid groups continued

Mutual Aid Groups (continued)

  • SMART Recovery: Self-Management and Recovery Training- www.smartrecovery.org

  • White Bison- www.whitebison.org

  • HAMS- Harm Reduction Abstinece and Moderation Support- http://hamsnetwork.org

  • S.O.S. Secular Organization for Sobriety- www.sossobriety.org


Mutual aid groups continued1

Mutual Aid Groups (continued)

  • Life Ring- www.unhooked.com

  • Celebrate Recovery- www.celebraterecovery.com

  • HAHA- Health and Healing Advocate's www.recoverynetworkmi.org


Online support resources

Online Support Resources

  • U.S. Department of Health and Human Services- www.hhs.gov

  • Substance Abuse and Mental Health Administration(SAMHSA)- www.samhsa.gov

  • National Institute of Drug Abuse (NIDA) www.drugabuse.gov

  • National Council on Problem Gambling- www.ncpgambling.org


Online support resources continued

Online Support Resources (continued)

  • 24/7 Help Yourself- www.24/7helpyourself.com

  • Sober Recovery- www.soberrecovery.com

  • Cyber Recovery- www.cyberrecovery.net

  • Addiction Tribe- www.addictiontribe.net

  • Daily Strength- www.dailystrenght.org

  • National Alliance on Mental Illness-www.nami.org


Online support resources continued1

Online Support Resources (continued)

  • Anxiety Tribe- www.anxietytribe.com

  • MD Junction- www.mdjunction.com

    Look to the web for education, help and resources


Benefits of mutual aid groups

Benefits of Mutual Aid Groups

  • Group Interaction: common issues and concerns

  • Networking: share interest

  • Practical Knowledge: mentoring from others

  • Cost Effectiveness: cost is minimal


Benefits of mutual aid groups continued

Benefits of Mutual Aid Groups (continued)

  • Recognition: awareness of maladaptive thoughts

  • Empowerment: help build self-actualization

  • Community: develop sense of belonging


Benefits of mutual aid groups continued1

Benefits of Mutual Aid Groups (continued)

  • Compliance: higher completion ratio

  • Acceptance: being accepted by a group of people who share similar issues can be both curative and permanent


Benefits of mutual aid groups continued2

Benefits of Mutual Aid Groups (continued)

  • Overall Effectiveness: Although there is not enough cumulative data on mutual aid groups to measure their long term success rates, in the short term people will…

    1. develop a better understanding of their drug/alcohol issues

    2. learn from positive role models

    3. Better comply with treatment and sanctions

    4. Better understand the impact their use caused on relationships, family, friends, employers and society


Disadvantages of mutual aid groups

Disadvantages of Mutual Aid Groups

  • Dependence: lack of self-actualization

  • Rigid and Dogmatic: many groups have become altruistic in their approach and lack tolerance for other groups

  • Coercion: when people are not ready to change, they generally will not


Disadvantages of mutual aid groups continued

Disadvantages of Mutual Aid Groups (continued)

  • Predators: “13th step”

  • Mental Health Disorders: many co-occuring mental disorders result in the person being looked on as non-compliant


U s history of recovery mutual aid

U.S. History of Recovery/Mutual AID

1. The colorful history of the Recovery/Mutual aid movement in the United States

2. A look a cultural influence’s along the way


U s history of recovery mutual aid continued

U.S. History of Recovery/Mutual AID(continued)

  • 1750-Early 1800’s native Americans formed sobriety (Circles)

  • 1784: Dr. Benjamin Rush. Dr. Rush’s writings mark the beginning of the American temperance movement

  • 1810: Rush calls for creation of ‘Sober Houses” for the care of the confirmed drunkard


U s history of recovery mutual aid continued1

U.S. History of Recovery/Mutual Aid (continued)

  • 1830: Dr. Samuel Woodward calls for the creation of inebriated asylums.

  • 1842: The Washington Total Abstinence Movement, beginning of evangelical mutual aid

  • 1845: Frederick Douglass promotes temperance among African American people


U s history of recovery mutual aid continued2

U.S. History of Recovery/Mutual Aid (continued)

  • 1849: Swedish physician Magnus Hass describes a disease resulting form chronic alcohol consumption. He christens it Alcoholismus chronicus. Thus the term alcoholism

  • 1864: The first Inebriate Asylum is opened in New York State


U s history of recovery mutual aid continued3

U.S. History of Recovery/Mutual Aid (continued)

  • 1867: The Martha Washington Home opens in Chicago. The first institution specializing in the treatment of Women

  • 1872: Walter Street Mission in New York City, beginning of the urban mission movement, carried on today by the Salvation Army

  • 1880: Sigmund Freud recommends Cocaine be used in the treatment of alcohol and opiate addiction


U s history of recovery mutual aid continued4

U.S. History of Recovery/Mutual Aid (continued)

  • 1893-1933: Anti-Saloon League, marked the beginning of the prohibitionist movement. Disappeared soon after the 18th amendment was repealed in 1933

  • 1908-1940: Oxford Group (First Century Christian Fellowship) founded by Lutheran minister Frank Buchman. Bill Wilson was introduced to the group by his friend Ebby T. in 1934


U s history of recovery mutual aid continued5

U.S. History of Recovery/Mutual Aid (continued)

  • 1935: Bill Wilson and Dr. Bob Smith following many of the principles of the Oxford Group founded Alcoholics Anonymous in June

  • 1976: Women for Sobriety, founded by Dr. Jean Kirkpatrick. “ New Life” program consist of 13 acceptance statements

  • 1985: Secular Organization for Sobriety (SOS) founded by Jim Christopher “Sobriety Priority”


U s history of recovery mutual aid continued6

U.S. History of Recovery/Mutual Aid (continued)

  • 1986: Rational Recovery founded by Jack Trimpey. Addictive Voice Recognition Technique (AVRT)

  • 1988: White Bison founded by Don Coyhis, native american based “Wellbriety”

  • 1990: Celebrate Recovery founded by Pastor Jack Baker, follow 8 guiding principles


U s history of recovery mutual aid continued7

U.S. History of Recovery/Mutual Aid (continued)

  • 1992: SMART Recovery, Self-Management and Recovery Training, uses a four-point approach

  • 1994: Moderation Management founded by Audrey Kishline. Behavioral change program

  • 1999: LifeRing, split from S.O.S. follows the three S’s “Sobriety, Secularity, Self-Help”


U s history of recovery mutual aid1

U.S. History of Recovery/Mutual Aid

  • 2007: HAMS (Harm Reduction, Abstinence and Moderation Support) founded by Kenneth Anderson


Many pathways to recovery part 3 types of recovery

Many Pathways to RecoveryPart 3-Types of Recovery

  • Review different recovery models

  • Discuss effects of different recovery models


Types of recovery

Types of Recovery

  • Abstinence-based Recovery: Resolution by complete cessation

  • Affiliated or Assisted Recovery: Use of professional treatment, mutual aid groups and sanctions


Types of recovery continued

Types of Recovery(continued)

  • Bicultural Style of recovery:

  • Complete Recovery: advance state of wellness also known as transcendence

  • Cultural Recovery: return to ancestral traditions


Types of recovery continued1

Types of Recovery(continued)

  • Faith-Based Recovery: mutual support from the faith based community

  • Family Recovery: Individual recovery of family members precede the recovery of the family as a unit


Types of recovery continued2

Types of Recovery(continued)

  • Harm Reduction (as a stage of recovery):

  • High Bottom Recovery: lack of economic or social losses due to use

  • Low Bottom Recovery: usually later stage of addition, great losses and negative consequences


Types of recovery continued3

Types of Recovery(continued)

  • Solo Recovery: self-initiated and self-managed without professional treatment or mutual aid

  • Medication-assisted Recovery: use of pharmaceuticals for detoxification, stabilization, adhesives and anti-craving


Types of recovery continued4

Types of Recovery(continued)

  • Moderated Recovery: resolution of use, recognizing AOD’s exist on a wide continuum of severity. Resolution is a less medicalized term than recovery.

  • Secular Recovery:


Types of recovery continued5

Types of Recovery(continued)

  • Multiple Pathways of Recovery: (Multiple Pathway Model): recognizing that there are multiple pathways into and out of addiction

  • Peer-Based Recovery:

    1. Recovery Oriented Systems of Care

    2. Recovery Mentors- trained peer helpers

    3. Recovery Community Organizations

    4. Building Recovery Capital


Types of recovery continued6

Types of Recovery(continued)

  • Holistic Recovery: dealing with the whole person, mind, body and spirit.

    1. Mindfulness

    2. Health, Nutrition and Exercise

    3. Smoking cessation

    4. Meditation

    5. Auricular acupuncture

    6. Emotional Freedom Technique (EFT)


Thank you

Thank You


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