Anishnaabek Healing Circle Access to Recovery

1. Anishnaabek Healing Circle Access to Recovery Recovery Oriented System of Care and the Anishnaabek Recovery CoachingInitiative September 2012 Prepared by: Eva L. Petoskey, MS Director Terri Tavenner, Associate Director

2. Inter-Tribal Council of Michigan • The Inter-Tribal Council of Michigan (ITC) is a consortium of the federally recognized tribes in Michigan. • The ITC has collaborated with the Michigan tribes on a wide range of health and human service initiatives over the past 40 years. • The elected tribal Chairpersons from the consortium tribes serve as the ITC Board of Directors.

3. What is Access to Recoveryand the Anishnaabek Healing Circle?

4. What is ATR • ATR is a nationwide initiative of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Substance Abuse Treatment (CSAT). • The program provides vouchers to clients for the purchase of substance abuse clinical treatment and recovery support services.

5. ATRGoals The goals of the ATR program are to: • expand capacityof treatment & recovery support services, • support client choice, • and increase the array of services The Inter-Tribal Council of Michigan is the grantee for the program. • ATR II started 10/2007 and ended 9/2010 • ATR III started 10/2010 and will end 9/2014

6. Target Population • Enrolled members of Michigan tribes and other federally recognized, state recognized, and Canadian tribes residing in the project service area, age 12+. Non-native family members and descendants are also eligible. • All clients must have a current or past problem with alcohol or other drug abuse. • Anishnaabek Healing Circle ATR II: (5228 clients) • Anishnaabek Healing Circle ATR III: (8752 target)

7. Who are the Collaborators? Collaborating Tribes and Organizations • Bay Mills Indian Community • Hannahville Indian Community • Lac Vieux Desert Band of Lake Superior Chippewa Indians • Saginaw Chippewa Indian Tribe • Grand Traverse Band of Ottawa/Chippewa Indians • Sault Ste. Marie Tribe of Chippewa Indians • Keweenaw Bay Indian Community • Little Traverse Bay Bands of Odawa • Little River Band of Ottawa Indians • Pokagon Band of Potawatomi • Nottawaseppi Huron Potawatomi • Match-e-be-nash-she-wish Band of Potawatomi • American Indian Health and Family Services

9. The Recovery Movement As Anishnaabek we have endured a remarkable journey over time carrying the seeds of healing deep in our hearts. The grief and trauma resulting from boarding schools, rapid cultural change, lack of economic opportunity, and loss of land have contributed to the high rates of substance abuse and mental health problems experienced by the Anishnaabek families and communities today.

10. Tribal Initiatives The seeds of healing have grown into a strong recovery movement with committed people. Tribal governments have created behavioral health departments along with policies and procedures to guide the delivery of services including indigenous healing services that are integrated with western approaches.

11. The Anishnaabek Healing Circle ATR has been able to effectively access funding to support this tribal vision for healing.

12. Working with multiple tribes has challenges. There are multiple ways to collaborate. A shared vision is key to success. Jingle dress dancers, dance for healing. Anishnaabek people of Michigan. (Odawa, Potawatomi, and Ojibwa)

13. Tribal Behavioral Health Communication Network Vision Statement: “The spiritual strength of our ancestors will live in the hearts of our people.” The Communication Network is a group of tribal behavioral health stakeholders. The group has been meeting for 30+ years.

14. Behavioral Health Communication Network Mission Statement: “To advocate for and facilitate the development of indigenous methods for the prevention and treatment of substance abuse and mental health problems based on Anishnaabek values of Love, Respect, Honesty, Bravery, Humility, Truthfulness, and Wisdom; and to evaluate these methods based on indigenous indicators.”

15. Winter Teaching Lodge Behavioral Health Cultural Service Expansion with ATR Saginaw Chippewa Tribe Behavioral Health Residential, Outpatient and Recovery Support Services

16. Tribal Recovery Oriented Systems of Care • Shifting the model of intervention from acute care of individuals to a sustained recovery management approach relies on partnerships with individuals, families and communities. White & Sanders (2004). • ATR II started the “process” of integrating services into a ROSC. ATR III continues that process by identifying key elements to integration.

17. Anishnaabek Healing Circle Phases

18. ATR III Phases

19. Voucher Structure

20. The Tribal Umbrella • Every tribe has programs: every program and department is part of the circle of recovery for an individual. • Whatever (and whoever) the individual needs to support their recovery is whatever (and whoever) should be integrated into the circle of recovery. • Build on what already exists.

21. Track 1: Recovery Coaching Strategies • Research materials and adopt/modify/develop a curriculum for Recovery Coach training • Develop a Cultural Competency Module specific to the needs of the Anishnaabek People of the Three Fires (the target population for ATR). Utilize the module in the RC curriculum and to train ATR network providers • Conduct an Anishnaabek Recovery Coach Institute to train the first cohort of recovery coaches from Michigan tribes. • Conduct a training for RC supervisors that includes “how to” integration of non-clinical approaches to recovery management

22. Track 2: A Recovery-Oriented System of Care • Identify program qualities that will support a ROSC • Identify program qualities that will support Recovery Coaching • Develop a strategic plan to obtain “buy-in” from tribal behavioral health and health administrations to implement a ROSC in each of 12 tribes in Michigan • Implement the strategic plan to parallel the timeline for certification of the first cohort of Recovery Coaches

23. Outcomes: • Trained Recovery Coaches within each tribal community, who are from each tribal community, who can provide ATR billable recovery management services to the target population. • A Recovery Oriented System of Care that includes programs, people and resources, with the consumer at the center of the circle.

24. Recovery Coach Institute • The first Anishnaabek Healing Circle Recovery Coach Institute was held June 4-8, 2012 to train local recovery coaches, recovery coach supervisors and ATR liaisons. • Fourteen peer recovery coaches from 8 tribes in Michigan and one in South Dakota completed the training, as did 13 supervisors and ATR tribal liaisons. • Trainers came from the Detroit Recovery Program, from Michigan tribal communities and ITC/ATR staff.

25. Module 1: How to Be a Recovery Coach • What is a Recovery Coach? • What Do They Do? • Strengths-based Recovery Management; Skill Building for the Recovery Coach • Fitting the Recovery Coach into the Anishnaabek Healing Circle ATR

26. Module 2: How to Supervise the Peer Recovery Coach • What makes supervising peer recovery coaches different than clinical staff? • Role of supervision to recovery coaching • Forming a learning community for Recovery Coach supervisors

27. Module 3: The ATR Tribal Liaison’s Role in Developing a ROSC • Pulling it all together: Using ATR reimbursements to fund recovery activities and expand ATR options for consumers; • developing tribal umbrellas; • budgeting ATR recovery support activities; • using recovery coaches as independent contractors

28. The first cohort of peer recovery coaches and recovery coach supervisors completed a 5 day training in June, 2012. They have returned to their tribal communities to integrate peer recovery coaching into their respective recovery-oriented systems of care.

29. Tribal Feedback Benefits • Client Choice • Client Empowerment • Client Responsibility • Reduction of Stress/Barriers • Inclusion of cultural values/ceremonies for healing • Holistic care • Recovery Support Services-continuum of care • Identification and reinforcement for long term sobriety • Quarterly BH meetings with State Tribal BH-support • Quality leadership and development with ATR Directors

30. Tribal Feedback Enhancement of Recovery Services • Transportation • Special Need Fund • Alcohol Drug testing • Acupuncture • Physical Fitness & Well-being • Traditional Healing Services • Housing support • Medical Care • Alcohol/Drug Free Social Activities

31. Monitoring of Service Array

32. ATR is Effective ATR II client outcomes (N=2984). Improvements in abstinence, no arrests, no HBSC and socially connectedness were statistically significant (p<.001).

33. Access to Recovery • Anishnaabek Healing Circle • 2956 Ashmun, Suite A • Sault Ste. Marie MI 49783 • (906) 632-6896 • www.atrhealingcircle.com • Staff • Eva Petoskey, Director (231-357-4886) epetoskey@centurytel.net • Terri Tavenner, Associate Director ttav@itcmi.org • Connie DePlonty, Voucher Coordinator connied@itcmi.org • Donelda Harper, Training & Audit Specialist dharper@itcmi.org • Lori McDonald, GPRA & Media Specialist lorimac@itcmi.org • Aagii Clement, Provider Liaison Specialist aclement@itcmi.org • Cora Gravelle, Call In Center Client Access & Outreach cora@itcmi.org • Sheila Hammock, Call In Center Client Access & Follow-up shammock@itcmi.org Produced by the Inter-Tribal Council of Michigan with Access to Recovery (ATR) Anishnaabek Healing Circle Grant (1 H79 TI023118) funds from the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Administration (SAMHSA), U.S. Department of Health & Human Services (HHS). Content is solely the responsibility of the authors and does not necessarily represent the official views of the agency.