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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Their Differences and Relationships
2009 Recovery Advocacy Teleconference Series
June 30, 2009
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)
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.
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
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
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
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
Counselor: Formal, personally guarded and strategic
Recovery Coach: Variable by organizational setting but generally personal and informal
Sponsor: Informal, open and spontaneous
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
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
Counselor: Brief and ever briefer
Recovery Coach: Measured in months or years (via sustained recovery checkups)
Sponsor: Variable but can span years
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
Counselor: Extensive and burdensome
Recovery Coach: Minimal but growing
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
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.
volunteer-driven committees with common goals
1). Reduce stigma 2). Give back to community 3). Build relationships to strengthen and sustain long-term recovery
There is a long history of mutual support groups like AA/NA This is different.
Why a Recovery Plan?
Women’s Recovery Community Center
Philadelphia Recovery Community Center
Southern Bucks Recovery Community Center
New Britain, PA
Engagement – a priority and a process
Individuals come to Centers with various needs and interests
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
Organizes the Recovery Community to…
Funded by Connecticut DMHAS, foundations, products/services and private donations
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.
“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.”
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
Field of Dreams
“build it and they will come”
Willimantic, New London, Bridgeport, Hartford
Using the Connecticut Volunteer Rate, the monetary value contributed in each year
Recovery Training Series
Family Support Groups
Recovery Social Events
Recovery-Oriented Employment Services
Telephone Recovery Support*
Recovery Housing Project
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