Recovery and continuing care
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Recovery and Continuing Care. Learning Objective. Answer the following question What does recovery look like? “If this is what Recovery looks like then how do we get our clients there?”

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Recovery and Continuing Care

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Recovery and continuing care

Recovery and Continuing Care

Learning objective

Learning Objective

  • Answer the following question

    • What does recovery look like?

    • “If this is what Recovery looks like then how do we get our clients there?”

    • Stimulate thinking about how we as professionals view recovery and how we approach assisting our clients to get there.

    • Try to make this information relevant no matter what setting you are working in, i.e. residential, out patient, private practice etc.

Who we are

Who we are

  • Harbor Hall, Inc.

    • Long-term Residential

    • Sub-acute Detoxification

    • Out-patient

    • 2 Transitional Sober Living Houses

  • Pat McGinn MS, MA, LLP, CAADC, CCS-M,

    • Clinical Director

  • Steve Mindel, BS

    • Resident Life Coordinator

    • Continuing Care Coordinator

2009 state substance use disorders sud conference

2009 State Substance Use Disorders (SUD) Conference

  • We are engaging in a ROSC transformation, because research tells us the current SUD system has:

    • Limited Attraction

    • Poor Engagement and Retention

    • Lack of Continuing Care

    • High Rates of Relapse

    • Unbalanced Resource Expenditures

10 fundamental components of recovery samhsa 2009

10 Fundamental Components of Recovery (SAMHSA 2009)

  • Hope

  • Individualized and self-directed

  • Non-linear

  • Holistic

  • Supported by Peers

  • Strength based and culturally influenced

  • Empowering

  • Supported by addressing trauma

  • Individual responsibility

  • Based on Respect

Continuum of care

Continuum of Care

What is recovery from the client perspective

“What is Recovery” from the Client Perspective.

If this is what recovery looks like then how do we get our clients there

If this is what recovery looks like, then how do we get our clients there?

Continuing care

Continuing Care



  • Who is our Resident Life Coordinator?

  • Why was he hired by Harbor Hall?

Ships in a harbor are safe but that is not what ships are built for

Ships in a harbor are safe, but that is not what ships are built for.

Our message of we

Our Message of “We”.

- How do I get this message across.

- It is all about Team!

The battle with selfishness

The Battle with Selfishness

By our nature we are basically selfish people. All people have a measure of this, some more than others. We have to purposefully practice being selfless. We set aside our own wants and sometimes needs for the benefit of others.

Practical approach

Practical Approach


Assigned to teams (group, chores, etc)

Conflict resolution


Community activities (volunteering, car wash, AA/NA meetings)

The real treatment begins when the staff goes home.



  • “I caught my first fish. When I get home, I am going to buy gear and introduce my family to this.”

  • “I didn’t know I could bowl sober.”

  • “I never thought I could set with somebody for 4 hours in a canoe. I got wet, bitten by mosquitoes but it was the best time I have had since I was a kid.”

  • “I can’t believe Mackinaw Island is so beautiful. I’m going to take a second honeymoon with my wife if she’ll have me.”

  • I petted some horses, tossed a Frisbee to a Great Dane and threw some horseshoes. I have to change my life, because I want this stuff.”

  • Jason said after playing cheesy office Olympics, “I laughed so hard my cheeks hurt.”



  • We are designed for connections. (biopsychosocial creatures)

    • We have a body to connect with our environment

    • We have a soul to connect with others.

    • We have a spirit to connect with ourselves.

    • The disease disconnects us……we need to reconnect

      All of these, we believe, are designed to connect to each other and to our Higher Power.

Wellness wheel




  • Housing

  • Employment

  • Transportation

  • Access to health care

  • Legal Issues

  • Damaged relationships

  • Structure/Accountability

Personal recovery plan

Personal Recovery Plan

Changing the way we think about treatment and recovery

Changing the way we think about Treatment and Recovery

  • Are we welcoming to the client?

  • How do we conduct our team meetings?

    • Language

    • Practice

    • Schedules

  • Do we meet the client where the client is at?

  • What is really important?

  • What works…what doesn’t work?

  • Why do we do the things that we do?

Creating a statement of organizational values

Creating a Statement of Organizational Values

Primary Values

  • Team

  • Respect

  • Honesty

  • Integrity

  • Autonomy

    “Core values are the principles and standards at the very center of our organizational character and from which we will not budge or stray.”


  • Create a safe and supportive environment for all

  • Encourage learning by provide opportunities to learn

  • To be respectful to clients and each other

  • Increase time spent on recovery related subjects

  • Role model positive experiences of getting along and solving problems

Activity if there is time

Activity…….if there is time

Men of honor

Men of Honor

The mission

The Mission

All i need to know i learned in kindergarten

All I Need to Know I Learned in Kindergarten

Simple Wisdom

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