9/29/14 YEAR 1: SITUATIONAL ANALYSIS

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1 HISTORY OF RECOVERY THE RECOVERY TO PRACTICE (RTP) INITIATIVE: EDUCATIONAL OPPORTUNITIES FOR THE RECOVERY-ORIENTED ADDICTION PROFESSIONAL Presented by Misti A. Storie, MS, NCC, APC September 30, 2014 o Recovery has always had a stronghold in the addic8on profession and its workforce. o The addic8on profession, founded by individuals in recovery, laid the groundwork to provide addic8on services within a recovery orienta8on. o Not all addic8on professionals agree on all aspects of what recovery means, how to achieve it, and who is eligible. o The make- up of the profession 8pped from being en8rely of those in recovery from substance abuse personally to only half. A presenta*on by NAADAC, the Associa*on for Addic*on Professionals OVERVIEW OF THE PROJECT OVERVIEW OF THE PROJECT As a part of the federal government s efforts to promote recovery for all Americans affected by addic8on, SAMHSA launched its Recovery to Prac8ce (RTP) Ini8a8ve. Six professional associa8ons received awards: 1) NAADAC, the Associa8on for Addic8on Professionals 2) American Psychiatric Associa8on 3) American Psychiatric Nurses Associa8on 4) American Psychological Associa8on 5) Council on Social Work Educa8on 6) Na8onal Associa8on of Peer Specialists Through the RTP Ini8a8ve, NAADAC is tasked with the following: 1) Assess the current status and needs of recovery- oriented principles and prac8ces within the addic8on profession. 2) Design and deliver a na8onal Situa8onal Analysis with informa8on derived from addic8on professionals and review of the literature. 3) Develop a recovery- based training curriculum for addic8on professionals. NAADAC SITUATIONAL ANALYSIS YEAR 1: SITUATIONAL ANALYSIS Through the Recovery to Prac8ce (RTP) Ini8a8ve, NAADAC was asked to determine the extent to which recovery- oriented concepts, values, and prac8ces exist within all aspects of the addic8on profession in order to develop a recovery- oriented training curriculum for the workforce. A presenta*on by NAADAC, the Associa*on for Addic*on Professionals 1

2 SAMHSA S WORKING DEFINITION OF RECOVERY RECOVERY-ORIENTED GUIDING PRINCIPLES A process of change through which individuals improve their health and wellness, live a self- directed life, and strive to reach their full poten8al. 1) Recovery emerges from hope 2) Recovery is person- driven 3) Recovery occurs via many pathways 4) Recovery is holis8c 5) Recovery is supported by peers and allies 6) Recovery is supported through rela8onship and social networks 7) Recovery is culturally based and influenced 8) Recovery is supported by addressing trauma 9) Recovery involves individual, family and community strengths and responsibility 10) Recovery is based on respect AREAS OF FOCUS AREAS OF FOCUS o Level of knowledge and understanding of the concept of addic8on recovery o Familiarity with and level of knowledge of recovery- oriented prac8ces o A]tudes about and experiences with recovery- oriented prac8ces o Frequency and extent of use of recovery- oriented prac8ces o Availability of recovery- oriented training opportuni8es and resources o Inclusion of recovery concepts in state licensure/cer8fica8on requirements for addic8on professionals o Frequency of recovery- oriented language in formal documents and marke8ng materials o Consistency between formal and informal policy and prac8ce regarding recovery concepts o Inclusion of recovery concepts in professional journals for the addic8on profession o Readiness of the addic8on profession to change o Areas of improvement for the integra8on of recovery concepts AREAS OF ANALYSIS AREAS OF ANALYSIS o A literature review of addic8on- related publica8ons, journals, books, and ar8cles by u8lizing online research databases and consultants. o Discussions and collected wriben responses from 42 key informants and organiza8ons represen8ng the different sectors of the addic8on profession o Discussions in 2 listening sessions during NAADAC s Advocacy in Ac8on in Washington, DC. o Comments from 164 addic8on professionals in an open call for feedback on the NAADAC website, represen8ng different sectors of the addic8on profession o Reviewed of the policies and approaches of 9 major addic8on- related professional associa8ons o Assessed the educa8onal program offerings of 11 major addic8on- related professional conferences o Examined the formal communica8ons (e.g. websites, brochures, press releases, newslebers, campaigns, board and other mee8ng minutes), staffing and job descrip8ons, scopes of prac8ce, prac8ce guidelines, treatment algorithms, and ethical guidelines employed by 8 addic8on treatment providers and organiza8ons 2

3 AREAS OF ANALYSIS PROJECT ADVISORY COMMITTEE o Reviewed the course offerings and syllabi from academic ins8tu8ons that are approved by the Na8onal Addic8on Studies Accredita8on Commission (NASAC) and NAADAC s Approved Academic Educa8on Provider Program for recovery- related coursework. o Examined documents and training materials of 4 addic8on agencies/ boards o Reviewed state and na8onal licensure or cer8fica8on requirements for the addic8on profession. o Assessed recovery- focused training and technical assistance offered by ins8tu8onal training curriculums, graduate or professional training programs, state mental health agencies, and other organiza8ons. William White; Lead Consultant for the Recovery to Prac8ce Project, Chestnut Health Systems Gerard J. Schmidt, Consultant for the Recovery to Prac8ce Project, Valley HealthCare System James Flowers, Consultant for the Recovery to Prac8ce Project, Jacksonville Area Sexual Minority Youth Network (JASMYN, Inc.) Terry Blue- White Eyes, Behavioral Health for Oglala Sioux Tribe Jim Clarkson, ValueOp8ons, Inc. Susan Coyer, Prestera Center for Mental Health Services, Inc. Carmen Geby, City of Alexandria Rick Harwood, Na8onal Associa8on of Alcohol and Drug Abuse Directors (NASADAD) Tom Hill, Faces and Voices of Recovery Jean LaCour, Ph. D., NET Ins8tute Sherri Layton, La Hacienda Treatment Center Phil McCabe, NALGAP: The Associa8on of Lesbian, Gay, Bisexual, Transgender Addic8on Professionals and Their Allies Rob Morrison, Na8onal Associa8on of Alcohol and Drug Abuse Directors (NASADAD) Phil Valen8ne, Connec8cut Associa8on of Addic8on Recovery (CAARR) Becky Vaughn, Associa8ons of Addic8on Services (SAAS) Sis Wenger, Na8onal Associa8on for Children of Alcoholics (NACoA) Using SAMHSA s defini8on and guiding principles of recovery, NAADAC determined that recovery- oriented concepts, values, and prac3ces are widely accepted and prac3ced within the addic8on profession, but there is room for improvement in many areas. GAPS competency of trauma- informed care cultural diversity medica8on- assisted treatment co- occurring disorders role of peer recovery support specialists/coaches In general, members of the addic8on profession: understand recovery- oriented concepts u8lize recovery- oriented prac8ces have recovery- related opportuni8es for educa8on, training, literature, cer8fica8on, and licensure Many states are s8ll in the early implementa8on stages of formally shiling to a recovery orienta8on. The response of the addic8on profession to recovery concepts is generally enthusias8c whilst being met with apprehension from the workforce. 3

4 Many economic and poli8cal challenges to integra8ng a full recovery orienta8on within the addic8on profession were discovered (funding and policy issues). In addi8on, social challenges (e.g. workforce resistance to change) and technological barriers (e.g. lack of full electronic records) also impede the adop8on of a recovery orienta8on. However, there has been progress towards a recovery orienta8on and there are economic, poli8cal, social, and technological advances on which the movement can rely as it progresses. Even though there are many challenges and opportuni8es present to developing a training curriculum for the addic8on profession, it is possible and necessary to fully implement a recovery- oriented model of care! YEAR 2: CURRICULUM DEVELOPMENT A presenta*on by NAADAC, the Associa*on for Addic*on Professionals WEBINAR SERIES Webinar Series Target Audience: Direct care addic8on counselors who provide addic8on treatment and recovery services. o NAADAC produced 15.5 hours of original educa8on o Delivered live through 9 webinars o All offered for free to all professionals o Free CEs for NAADAC members o All recorded and archived on NAADAC s website for later free viewing o Piloted and evaluated for improvement & modifica8on Webinar Series webinars 4

5 WEBINAR SERIES 1) Defining Addic8on Recovery 2) What Does Science Say? Reviewing Recovery Research 3) Defining Recovery- Oriented Systems of Care (ROSC) 4) The History of Recovery in the United s and the Addic8on Profession 5) Using Recovery- Oriented Principles in Addic8on Counseling Prac8ce 6) Understanding the Role of Peer Recovery Coaches in the Addic8on Profession 7) Including Family and Community in the Recovery Process 8) Exploring Techniques to Support Long- Term Addic8on Recovery for Clients and Families 9) Collabora8ng with Other Professions, Professionals, and Communi8es Defining Addic*on Recovery o Length: 1.5 hours o Presenter: William White o List at least 3 factors that contributed to the early 21st century rise of recovery as a new organizing construct in the addic8ons field o Iden8fy the 3 core ingredients contained within recent governmental/professional consensus panel defini8ons of recovery o Dis8nguish recovery and clinical remission webinars What Does Science Say? Reviewing Recovery Research o Length: 2 hours o Presenter: William White o Report the es8mated number of adults in remission from substance use disorders in the United s; o Define par8al recovery, full recovery, amplified recovery; o Iden8fy four styles of recovery ini8a8on; o List 3 iden8ty and 4 rela8onal styles in long- term recovery; o Iden8fy the 8me period at which the risk of future SUD recurrence for people in recovery drama8cally declines; and o Discuss at least 3 implica8ons for addic8on professionals of the growing varie8es of recovery experience. The History of Recovery in the United s and the Addic*on Profession o Length: 1.5 hours o Presenter: William White o List at least three pairs of recovery mutual aid groups with each pair respec8vely represen8ng a secular, spiritual or religious pathway of recovery; o Discuss at least 3 issues addressed within AA Tradi8ons that contributed to AA s survival and growth as an organiza8on; o List at least 4 recovery support ins8tu8ons that are not recovery mutual aid socie8es that are rapidly growing in the U.S.; and o Discuss at least 2 clinical implica8ons of the diversifica8on of recovery mutual aid socie8es in the U.S. Defining Recovery- Oriented Systems of Care (ROSC) o Length: 1.5 hours o Presenter: Cherie Hunter o Define ROSC, its characteris8cs, and implica8ons for services o Understand the importance of role clarity: The addic8on counselor within a ROSC o Understand the role of clinical supervision o Iden8fy two examples of how ROSC is being implemented around the country (Michigan and Philadelphia) o how to Connect the Dots between ROSC and Recovery Management Understanding the Role of Peer Recovery Coaches in the Addic*on Profession o Length: 1.5 hours o Presenter: Phil Valen8ne o Define Peer Recovery Coaches different defini8ons, different 8tles and tasks o Iden8fy at least three key events for peer recovery coaches in the history of the addic8on profession o Iden8fy at least three ethical considera8ons o List at least three elements key to a scope of peer prac8ce o Iden8fy the various posi8ons on the developmental ladder for peer recovery coaches o at least two supervision considera8ons 5

6 Including Family and Community in the Recovery Process o Length: 2 hours o Presenters: Gisela Berger and Art Romero o Describe how the family and community have been affected by addic8on o List 3 strategies for including individuals, family members and the community in the recovery programs o Define community recovery capital o Iden8fy how to assess community recovery capital Collabora*ng with Other Professions, Professionals, and Communi*es o Length: 1.5 hours o Presenter: Gerry Schmidt and Sherri Layton o Describe how to work on mul8disciplinary teams o Describe how to build community networks o Describe how to work with managed care behavioral health organiza8ons o List asser8ve linkage procedures to recovery mutual aid organiza8ons and recovery community organiza8ons Using Recovery- Oriented Principles in Addic*on Counseling Prac*ce o Length: 2 hours o Presenters: Cynthia Moreno Tuohy and Dan Griffin o List the 10 guiding principles of recovery o Define at least 5 of the guiding principles of recovery o Demonstrate in your prac8ce at least 3 guiding principles of recovery o Describe at least 3 new recovery- oriented prac8ces, services and/or tools to incorporate into your prac8ce Exploring Techniques to Support Long- Term Addic*on Recovery for Clients and Families o Length: 2 hours o Presenters: William White and Joe Powell o Describe the role of addic8on professionals in suppor8ng long- term recovery o Describe the difference between treatment planning and recovery planning o List 3 techniques for post- treatment support o Demonstrate skills necessary to assist clients and their families with recovery- focused reconstruc8on of iden8ty, character, rela8onships, and resiliency WEBINAR PERFORMANCE OVERALL EVALUATION SUMMARY o As of August 31, 2014, the curriculum has trained 7,898 addic8on professionals. 4,286 live abendees 3,412 on- demand views o The live webinars have tallied 9,876 registrants so far o NAADAC has issued 3,124 CE cer8ficates for this training curriculum so far. o Feedback so far has been extremely posi8ve. o In general, the Training Curriculum performed very well. o On average, the webinars were rated 3.44 out of 4. o On average, 93.7% of live par8cipants reported they were very likely or somewhat likely to share the informa8on learned with co- workers or other professionals. webinars webinars 6

7 OVERALL EVALUATION SUMMARY Webinar Date of Likelihood of Title of Webinar Pilot # Rating Webinar Sharing Info (out of 4) 2/13/13 Defining Addiction Recovery % 2/28/13 What Does Science Say? Reviewing Recovery % Research 3/13/13 Defining Recovery-Oriented Systems of Care % (ROSC) 3/26/13 History of Recovery in the United s & the % Addiction Profession 4/10/13 Using Recovery-Oriented Principles in Addiction % Practice 8/29/13 Using Recovery-Oriented Principles in Addiction % Practice 4/23/13 Understanding the Role of Peer Recovery Coaches % 8/21/13 Understanding the Role of Peer Recovery Coaches % 5/23/13 Exploring Techniques to Support Long-term % Addiction Recovery 6/4/13 Collaborating w/ Other Professions, Professionals & % Communities 6/19/13 Including Family and Community in the Recovery % Process CERTIFICATE PROGRAM There has not been a formalized way to demonstrate an addic8on professional s recovery- orienta8on and advanced educa8on un8l now. NAADAC launched its Recovery to Prac8ce (RTP) Cer8ficate Program, and it is now available to all professionals. By obtaining this Cer8ficate, addic8on professionals are demonstra8ng to employers, third- party payors, and clients their advanced educa8on in recovery- oriented concepts, skills, and prac8ces. By simply comple8ng the required educa8on, par8cipants receive a Professional Cer8ficate to hang on their wall and include in their poruolio. webinars cer8ficate- program CERTIFICATE PROGRAM To qualify for the Cer8ficate, addic8on prac88oners must: Provide documenta8on of 30 contact hours of con8nuing educa8on from the Approved Educa8on List of recovery- oriented educa8on and training (all 9 webinars in base, plus 14.5 hours of flexible educa8on from an approved list); Complete the applica8on (available at cer8ficate- program); and Submit payment ($50 for NAADAC members; $100 for non- members). MAGAZINE ARTICLES Series of educa8onal ar8cles in Advances in Addic8on and Recovery 1) Mis8 Storie NAADAC launches Recovery to Prac8ce (RTP) Ini8a8ve 2) William White Is it 8me we became recovery professionals? 3) William White Recovery- oriented prac8ce and the addic8ons professional: A systems perspec8ve 4) Cynthia Moreno Tuohy Recovery ini8a8ves: A revolu8on in care interview with recovery advocate Joe Powell 5) Gerald J. Schmidt - Recovery support: Collabora8ng with other professions, professionals, and communi8es 6) Michael T. Flaherty - NAADAC produces a workforce Situa8onal Analysis for addic8on and recovery 7) Gerry Schmidt Recovery support: Collabora8ng with other professions, professionals, and communi8es Webinar Series 8) Mis8 Storie - NAADAC announces new recovery to prac8ce cer8ficate program. cer8ficate- program ELECTRONIC PRINT RESOURCES Webinar Series ANNUAL CONFERENCE & STATE AFFILIATE EVENTS Webinar Series For each goal and learning objec8ve of the curriculum, NAADAC provided electronic resources for professionals to use and share: o ar8cles o research studies o training materials ü 2013 in Atlanta, GA ü 2014 Advocacy in Ac8on in DC ü 2014 in Seable, WA - resources 7

8 CERTIFICATION TEST QUESTIONS Na8onal Commission for Addic8on Professionals (NCC AP) developed test ques8ons for addic8on professionals from this curriculum and included them into current na8onal cer8fica8on tests. Webinar Series YEAR 3: MARKETING AND DISSEMINATION A presenta*on by NAADAC, the Associa*on for Addic*on Professionals DISSEMINATION AND MARKETING CHANNELS DISSEMINATION ACTIVITIES o NAADAC s 46 s o NAADAC s Regional Vice Presidents (RVPs) o NAADAC s Organiza8onal Members o Na8onal Commission for Addic8on Professionals (NCC AP) o s that are moving the ROSC model forward o Major Behavioral Health Managed Care Organiza8ons o Other addic8on related na8onal organiza8ons o Published ar8cles regarding the Training Curriculum in addic8on trade journals and newslebers o Produced canned promo8onal material that can be posted on websites and distributed through social media o Weekly Professional eupdate announcements to 31,000+ subscribers DISSEMINATION ACTIVITIES DISSEMINATION ACTIVITIES Project Logo Created several webpages o Project homepage PowerPoint Template o Recovery defini8ons o Webinar schedule Banner Ad o Library o Homepage for each webinar o 14 new pages total 8

9 DISSEMINATION ACTIVITIES DISSEMINATION ACTIVITIES Monthly Social Media Posts Live events On- demand webinars Flyer Canned materials for easy dissemina8on 2-page Flyer Ads Membership packets Careboxes RECOVERY-ORIENTED GUIDING PRINCIPLES WHAT CAN YOU DO? 1) Recovery emerges from hope Help is available, and recovery is possible. 2) Recovery is person- driven Mo8vate the individual and they set the pace. 3) Recovery occurs via many pathways Be open to a menu of op8ons. 4) Recovery is holis8c Include bio- psycho- social- spiritual components. 5) Recovery is supported by peers and allies Universality is important. 6) Recovery is supported through rela8onship and social networks Encourage fellowship. 7) Recovery is culturally based and influenced Not one size fits all. 8) Recovery is supported by addressing trauma Substance abuse olen results. 9) Recovery involves individual, family and community strengths and responsibility Encourage family, friends, and community involvement. 10) Recovery is based on respect Everyone deserves respect. A presenta*on by NAADAC, the Associa*on for Addic*on Professionals SAMHSA S WORKING DEFINITION OF RECOVERY WHAT CAN YOU DO? No ma?er if you are an ER nurse performing the SBIRT protocol or a physician prescribing medica8on- assisted treatments for substance abuse, everyone plays a role in helping individuals improve their health and wellness, live a self- directed life, and strive to reach their full poten8al. o Read the Situa8onal Analysis o Help us disseminate the informa8on about the curriculum o Become a recovery- oriented addic8on professional take educa8on & obtain RTP Cer8ficate Program 9

10 Thank You for Your Support! NAADAC, The Associa*on for Addic*on Professionals 1001 N. Fairfax St. Suite 201 Alexandria, VA p f NAADAC NAADACorg Naadac mis8@naadac.org 10