The Intersection of Prevention and Recovery: Community

1. The Intersection of Prevention and Recovery: Community Virgil Boysaw and Sue Jenkins, Presenters

2. Recovery Oriented System of Care • Seeks to support recovery and wellness for all community members affected by substance misuse, not just those who participate in treatment • Seeks to intervene earlier in the disease process to prevent or mitigate co-morbidity and complications that worsen as disease progresses • Seeks to support sustained recovery

3. Recovery Oriented System of Care • Active Relationship with Community “The community, not treatment, is the agent of recovery” • Advocacy • Confront AOD promotional forces in the local community • Promote pro-recovery policies • Recovery resource development • Recovery community centers • Alternative peer recovery support groups • Stigma reduction efforts

4. Healthy Community • Many of the same interventions • Support prevention of substance use, • Support prevention of substance misuse, and • Support recovery from substance use disorders

5. Prevention Strategies • Environmental Strategies • Limit availability of substances • Social norms marketing/campaigns • Promote alternative activities that do not include substance use • Education – stigma reduction • Problem Identification and referral • Community Mobilization

6. Strategic Prevention Framework • Create communities in which people have a quality life including • healthy environments at work and in school; • supportive communities and neighborhoods; • connection to families and friends and • an environment which is free of alcohol, tobacco, and other drugs and crime free (SAMHSA/CSAP, 2006)

7. Recovery and Wellness Model Factors leading to use of substances Factors lessening wellness Factors causing loss of sustained recovery

8. Recovery and Wellness Model • Focus is on building resiliency • The strength individuals and communities attain by reducing risk factors and increasing protective factors • Rather than addressing a single problem or condition, it simultaneously considers a potential wide-ranging set of ATOD-involved problems

9. Risk Factors • Community Risk Factors • Availability of Drugs • Community Laws and Norms favorable toward drug use • Individual Risk Factors • Friends who engage in the problem behavior

10. Risk Factors • Family Risk Factors • Family history of the problem behavior • Family management problems • Family conflict • Favorable parental attitudes and involvement in the problem behavior

11. Recovery and Wellness Model • Rather than focusing on individuals at risk, it studies the entire community • Rather than basing prevention strategies on single assumptions about deterministic behavior, it employs interventions that alter the social, cultural, economic and physical environment in such a way as to promote shifts away from conditions that favor the occurrence of ATOD- involved problems. (Holder, 1998)

12. Opportunities for Collaboration • Stigma reduction - community education • Promotion of pro-recovery policies • Environmental Strategies Limiting availability Social Norming

13. Reference Special Report A Unified Vision for the Prevention and Management of Substance Use Disorders: Building Resiliency, Wellness and Recovery – A Shift from an Acute Care to Sustained Care Recovery Management Model Complied by: Michael T. Flaherty, PhD Institute for Research, Education and training in Addictions (IRETA)