Introduction to the Navy MORE Program. Implementation of a credible, research-based, effective recovery management system as part of the core initiative to improve the SARP continuum of care and treatment outcomes
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Implementation of a credible, research-based, effective recovery management system as part of the core initiative to improve the SARP continuum of care and treatment outcomes The Navy MORE program will build valuable long- term supportive treatment relationships with patients beyond their initial therapeutic experience.
What is Navy MORE? Web- and phone-based recovery support program Patient education and support Starting during treatment to 12 months into recovery
Evidence-Based Practices Utilized in Navy MORE Twelve Step Facilitation Cognitive-Behavioral Therapy (Relapse Prevention) Motivational Enhancement Therapy (Stages of Change) Community Reinforcement Contingency Management
Goals of Navy MORE Achieve higher recovery success rates Experience shorter episodes of relapse Experience improved quality of life by tailoring continuing education and support to individual needs Experience improved mission readiness by allowing patients to work on recovery across the country and around the world
What Navy MORE Is Not A substitution for primary treatment A substitution for meetings or fellowship An online therapy group A substitute for facilitated outpatient support groups (e.g., weekly continuing care groups) A substitute for individual therapy for co-occurring disorders
Who Will Participate in Navy MORE? All patients diagnosed as substance dependent Includes retirees, family members, and those facing discharge from the military
What Are the Core Engagement and Retention Strategies Used in Navy MORE? Mandatory registration of all dependent patients Introduction to Navy MORE and enrollment during treatment Motivational assessments and tailored content based on these assessments Regular follow-up calls and confidential emails from a Recovery Coach Seven personalized modules completed at one’s own pace Social networking site
Personal home page Assessments Recovery modules Progress checks Journal Workbook Commitments Serenity Relapse prevention plan Library of resources Fellowship Case Management Solution (CMS) Core Components of the Navy MORE Program
How Does Navy MORE Work? Track and record patient progress over 12 months Produce an interactive, tailored learning module Address specific recovery challenges identified in the assessment Generate “flags” to alert Recovery Coach
How Does Navy MORE Work? Patients in residential and IOP will be signed up for Navy MORE by the Recovery Coach Recovery Coach will be the only staff with access to the Navy MORE patient information IMPACT, continuing care and outpatient SARP staff need a familiarity with basic module content to support patients in their Navy MORE program
Does It Work? This information is based on the Hazelden MORE program outcomes. Module users have significantly better outcomes than non-module users. Predictive models suggest a positive relationship between module use and outcomes, even when controlling for motivation levels. Taken together, the data on module users and the predictive models suggest a positive relationship between use of the modules and outcomes.
May 06—April 07 discharges May 07—Dec 07 discharges Does It Work? This information is based on the Hazelden MORE program outcomes.. Continuous abstinence rates of module users vs. non-users May 06—April 07 discharges May 07—Dec 07 discharges
Satisfaction This information is based on the Hazelden MORE program outcomes
Satisfaction This information is based on the Hazelden MORE program outcomes.
Navy MORE Module 1 Make home environment safe Explore understanding of Step 1 and apply to life Strengthen focus on spiritual things Practice planning time and creating routines Identify high-risk situations Identify and practice strategies to handle HALT and stress Take steps to find or foster relationship with a sponsor
Navy MORE Module 2 Get connected with a Twelve Step fellowship Explore understanding of Step 2 and apply to life Strengthen network of support Challenge negative thoughts Develop a plan for avoiding and dealing with triggers Develop skills to identify and manage emotions
Recovery Management The initial treatment episode is only the beginning; ongoing care is critical to maximize sustained long-term abstinence. In general, continuing care is related to improved substance use outcomes following treatment.(Donovan, 1998; McKay, 2001; Moos & Moos, 2003) Several studies show the longer the continuing care duration over time, the better the outcome. While the first six months are critical, initial research suggests even longer durations of care may be of benefit. (McKay, 2005) Navy MORE access to patients provides an opportunity for 12 months of support for sobriety.
Key Factors for Navy Purchase of MORE Scalability Accessibility—support travels with you Ships Bases Deployments On leave Less stigmatizing More candid
Customizations for Navy MORE Navy Language Information on Suicide & PTSD Customization of technology Service development & delivery Suicide Prevention Hotline Online Recovery Support Groups Training Navy Recovery Coaches
Role of the Recovery Coach Assist in the shift of focus of treatment from stabilization to long-term recovery maintenance Support, encourage, and guide for 12 months Post-stabilization monitoring Assessment flags Contact by phone calls (blue flags), email reminders, or push messaging Third-party contacts
Provide education and linkages to recovery communities and resources Refer back to modules, send articles, provide Twelve Step resources Assist with the transition from leaving treatment to returning to duty First blue flag call within 24-72 hour window Role of the Recovery Coach
Role of the Recovery Coach Within the Case Management Solution (CMS), Recovery Coaches are notified of relapses and risks of relapse by a red flag system Early intervention Available to clients in crisis to help them develop plan to get through safely Provide additional resources
Role of the Recovery Coach Coaching is customized to meet the needs of the individual client Meet each client where he or she is at What is the client willing to do Help the client maximize personal potential Build self-efficacy Challenge the client Stretch the client out of comfort zone Rise to the challenge
Push messages Email reminders Case Management Solution (CMS) Flags to inform if not engaging or struggling Track when contacts are needed, make notes, and plan calls Reporting features Recovery Coaching Tools