RECOVERY-ORIENTED SYSTEMS OF CARE

Transcription

1 RECOVERY-ORIENTED SYSTEMS OF CARE Build on the strengths and resilience of individuals, families and communities as individuals take responsibility for their long-term recovery, health and wellness. Make services and resources available that people can use to meet their needs. What s in the Equation? Individuals seeking help and their loved ones Effective, quality addiction prevention, treatment and recovery support services Recovery community What else is in the Equation? Housing Legal Assistance Primary Health care; dental care Employment Financial stability Driver s license Education Communities of recovery Recovery Community Organizations Recovery Community Centers Mutual support groups Recovery residences/homes Recovery-oriented employers Recovery schools Treatment professionals Recovery media and entertainment Organizations of recovering professionals Recovery-oriented systems of care ensure that people get the care and support that they need to lead healthy and fulfilling lives. Embracing all pathways to recovery Networks of formal and informal services and support Policies that support the ability of people to get into recovery and to sustain their recovery Faces & Voices of Recovery

2 Recovery-Oriented System of Care NADCP 19 th Annual Training conference July 16, 2013 Tom Hill, Director of Programs Pat Taylor, Executive Director

3 THE RECOVERY COMMUNITY People in recovery from addiction to alcohol and other drugs, family members, friends and allies

4 FACES & VOICES OF RECOVERY Organizing, Mobilizing, and Advocating Recovery Voices Count: voter registration, voter and candidate education, Recovery Wellness Rooms at Democratic and Republican National Conventions Rally for Recovery! and Recovery Month: Over 100,000 people in 2012; 18,000 at PRO-ACT s Recovery Walks; rallies across the country that advance a recovery advocacy agenda Our Stories Have Power: advocacy training and messaging with a purpose

5 SEPTEMBER 21, 2013 NATIONAL HUB EVENT PROVIDENCE, RI Rhode Island s Gov. Chafee, Lt. Gov. Roberts, US Senators Whitehouse and Reed, US Representative Langevin, former Congressman Patrick Kennedy is the Grand Marshall

6 WHAT DOES LIFE IN LONG TERM RECOVERY LOOK LIKE? Life in Recovery survey for Faces & Voices of Recovery by Alexandre Laudet, PhD First nationwide survey of people in recovery from alcohol and other drug problems. 3,228 participated. 44 items representing experiences and indices of functioning in work, finances, legal, family, social, and citizenship domains in active addiction and since you entered recovery.

7 Snapshot of Life in Recovery LIFE IN ADDICTION Measured average length of time in addiction 18 years. Measured average age of recovery 36 years old. FINANCES 70% experienced financial problems MENTAL HEALTH PROBLEMS Two-thirds had untreated mental health problems CRIMINAL JUSTICE INVOLVEMENT Over half (53%) reported one arrest; 1/3 experienced more than 1 incarceration 35% had had their driver s license revoked EMPLOYMENT AND EDUCATION Half had been fired or suspended from work; 61% frequently missed work or school 33% had dropped out of school CIVIC/FAMILY ENGAGEMENT Two-thirds participated in family activities Volunteerism was at 31% and 61% voted LIFE IN RECOVERY Measured in 3 stages. Stage 1: < 3 years Stage 2: 3 to 10 years Stage 3: 10+ years FINANCES Healthy financial circumstance improved as recovery progressed. Paying bills on time and paying back personal debt doubled. Fifty percent more people in recovery pay their taxes. MENTAL HEALTH PROBLEMS Untreated mental health problems decreased fourfold CRIMINAL JUSTICE INVOLVEMENT Involvement with the criminal justice system decreased tenfold Restoration of driving privileges EMPLOYMENT AND EDUCATION 10% reported employment problems; 83% are steadily employed, and 28% have started their own business 78% have furthered their education or training CIVIC/FAMILY ENGAGEMENT Participation in family activities increased by almost half (46%) to 95% Volunteerism was 84% (more than doubled) and voting increased to 86% (an increase of 41%) 6

8 WHY IS IT IMPORTANT? WHAT DOES IT MEAN? Addiction is costly in terms of finances, physical and mental health, family functioning, employment, and legal involvement. Recovery is associated with dramatic improvements in all areas of life better health/ finances/family life/civic engagement/ employment coupled with dramatic decreases in public health and safety risks. Life keeps getting better as recovery progresses. Policies, services, and funding are needed to help more people initiate and sustain recovery, and for additional research to identify effective and cost-effective recovery-promoting policies and services to build recovery-oriented systems of care.

9 BUILDING RECOVERY-ORIENTED SYSTEMS OF CARE Public education and awareness about addiction prevention and the many pathways to recovery Greater focus on what happens BEFORE and AFTER primary treatment Transition from professionally-directed treatment plans to individually-developed recovery plans recovery self-management Greater emphasis on the physical, social and cultural environment where people live their daily lives Integration of primary care, prevention, professional treatment and recovery support

10 Recoveryoriented systems of care Build on the strengths and resilience of individuals, families and communities as people take responsibility for their long-term recovery, health and wellness. Make services and resources available that people can use to meet their needs Offer a variety of supports that work for and with each person to restore their lives (an ongoing process)

11 Recoveryoriented systems of care Mobilizing our communities to: Change discriminatory public policies Develop networks and systems that work together to treat addiction as a public health problem Accord people in or seeking recovery dignity and respect Engage people to seek help in the health system and sustain their recovery for the long-term Build the capacity of communities, organizations and institutions to support recovery

12 RECOVERY AND WELLNESS FOCUS Shifting from a crisis-oriented, professionally-directed, acute-care approach with its emphasis on isolated treatment episodes. To a person-directed, recovery management approach that provides longterm supports and recognizes the many pathways to health and wellness.

13 ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY Safe and affordable place to live Steady employment and job readiness Education and vocational skills Life and recovery skills Health and wellness Sober social support networks Sense of belonging and purpose Connection to family and community Addressing discriminatory barriers

14 ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY HOUSING Safe and affordable recovery housing (substance free) Some need sober group living situations Recovery housing for single mothers and children Addressing discrimination against people in recovery with criminal justice history Addressing Not in My Back Yard (NIMBY) issues

15 RECOVERY RESIDENCES National Alliance of Recovery Residences o Developing standards to assure quality o Developing advocacy voice to address increasing NIMBY discrimination Oxford House FindRecoveryHousing.com

16 ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY EMPLOYMENT, EDUCATION AND CIVIC ENGAGEMENT Recovery Jobs: Recovery-oriented employers and employment programs Job readiness and preparation Opportunities to volunteer and build work histories Leadership development: volunteer and career ladders Recovery GED programs Community College programs for people in recovery

17 PEER RECOVERY SUPPORT SERVICES On the radar! Recovery-oriented systems of care: Addressing addiction as chronic condition Services and supports to help individuals and families initiate, stabilize, and sustain recovery Non-professional and non-clinical Distinct from mutual aid support, such as 12- Step

18 PEER RECOVERY SUPPORT SERVICES Provide links to professional treatment and indigenous communities of support Provided by peers with lived experience of addiction and recovery, using recovery community resources and strengths Focus on establishing trust and building relationship Start with a person s strengths and Recovery Capital Promote recovery choices and goals through a self-directed Recovery Plan and elevate recovery as an expectation Provide entry to healthcare system and services

19 WHERE ARE THEY DELIVERED? Recovery community centers Faith and community-based organizations Emergency departments and primary care settings Addiction and mental health agencies Criminal justice systems HIV/AIDs and other health and social service centers Children, youth, and family service agencies Recovery residences and Oxford Houses

20 RECOVERY COMMUNITY CENTERS A community institution (like a Senior Center) Provides public and visible space for recovery to flourish in the community: Recovery on Main Street Serves as a community organizing engine for civic engagement, leadership development, and advocacy Operates as a hub for PRSS and recovery-related activities Includes participation of family members and allies in recovery community culture, services, and programs

21 WHAT DOES A RECOVERY COMMUNITY CENTER DO? Provides space for recovery classes and workshops, peer training, and AOD-free social activities Provides volunteer and service opportunities in a recovery community context Provides a wide range of engagement and commitment levels: from individuals in pre-recovery, those in long-term recovery, family members, and allies.

22 RECOVERY COMMUNITY CENTERS OFFER PEER RECOVERY SUPPORT SERVICES Recovery Coaching Educational Groups Support Groups Alcohol and drug free social activities Job readiness Family programs Telephone Recovery Support

23 FIND NEW INSTITUTIONS, ORGANIZATIONS AND SERVICES Recovery chat rooms Recovery apps for smart phones Recovery media Recovery magazines Recovery blogs 22

24 FIND RECOVERY COMMUNITY ORGANIZATIONS Community-based organizations nationwide at

25 JOIN US!