PEER SUPPORT SERVICES PROVIDING UTILIZING A RECOVERY ORIENTED SYSTEM OF CARE (ROSC) Pamela Butler COORDINATOR OF RECOVERY SUPPORT SERVICES ALABAMA DEPARTMENT OF MENTAL HEALTH SUBSTANCE ABUSE SERVICE 334-353-4362 pamela.butler@mh.alabama.gov
R.O.S.C. Any problems faced by the individual substance user cannot be seen in isolation from their family, local community and society. - Scottish Advisory Committee on Drug Misuse, 2008.
WHAT IS ROSC? A coordinated network of community based services and supports that is person-centered and builds on strengths and resilience of individuals, families, and communities to achieve abstinence and improved health, wellness, and quality of life for those with or at risk of alcohol and drug problems.
FOCUS OF ROSC The central focus of a ROSC is to create an infrastructure or system of care with the resources to effectively address the full range of substance use problems within a community.
Adoption of a Public Health Approach The science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations - public and private communities and individuals. C.-E.A. Winslow, Professor of Public Health Yale School of Medicine,1920
PUBLIC HEALTH APPROACH By utilizing a public health approach the focus can be placed on prevention and addressing these issues as they arise rather than when they become chronic. The public health approach is beneficial when treating a biopsychosocial condition since it can be influenced by various social determinants of health including the social and physical environment, income, education, and life skills.
PUBLIC HEALTH APPROACH Involves a shift from an Acute Care Model which treats a medical condition in an intensive short-term manner, to a Chronic Care Approach reflecting service commitment to long-term support and wellness.
WHY THIS APPROACH? *Engages individuals with chronic substance abuse use conditions and assists the person in managing efforts to achieve long-term recovery. Different people require different resources Coordinate access to resources Foster engagement
VALUES UNDERLYING A ROSC Person centered approach Self directed approach Strength based approach Allied based approach
PERSON CENTERED APPROACH Services and support should be focused around what the client needs and prefererences.. Many pathways to recovery Services based on individual needs
PERSON CENTERED THERAPY SERVICES Variety of treatment service options: * Abstinence based * Faith based * Medicated assisted Required for individual services * Evidenced based practices * Peer support services * Options
SELF DIRECTED APPROACH Providing the needed education, support, resources, and motivation for an individual to be responsible for self. EDUCATE SUPPORT RESOUCES MOTIVATION-EMPOWER
STRENGTH BASED APPROACH Identify and build on the client s: Assets Strengths Resources Stop focusing on the client s: Needs Deficits Pathologies
ALLIED BASED APPROACH When appropriate in recovery planning and support utilize the following: Family Members Significant others Friends Caregivers Community Services
ROSC WORKFORCE A multidisciplinary workforce is also viewed as critical to delivering quality care when utilizing ROSC. The workforce may include by not limited to:
ROSC WORKFORCE May be needed but not limited to: Treatment Staff Court Staff Medical Staff (Nurses Doctors) Individual and Family Therapy Mental Health Staff Family Members Peer Support Employment Staff Education Staff
PEER SUPPORT The act of people who have had similar experiences with substance use disorders and/or mental illnesses. The lived experience allows for a peer to provide encouragement, hope, assistance, guidance, and understanding to aid in obtaining and maintaining recovery for others. It can be done anytime or anywhere when two or more peers are in a mutual, supportive relationship.
VALUE OF PEER SUPPORT The human element provides empathy through the shared experience of emotional and psychological pain. Lived experience establishes a connection. The mutual experience allows for people to be with each other without the constraints of traditional expert/patient relationships.
PEER SUPPORT SERVICES A range of non-clinical professional supportive services to facilitate the process of recovery and holistic wellness. These services may be provided prior to, during, and after treatment for an individual with a substance use disorder and/or mental illness in an individual or group setting.
PEER SUPPORT SERVICES Peer support services include but are not limited to: Facilitating recovery education groups Peer led support groups Peer mentoring Using life experience to assist consumers in understanding their diagnosis Crisis support
PEER SUPPORT SERVICES Assisting in: Identifying barriers Connecting to community health, social services and self-help groups Identifying warning signs and barriers to recovery Relapse prevention planning Reconnecting to family and community
PEER SUPPORT SERVICES Assist in developing Basic living skills Self-esteem and confidence Recreation and social opportunities Self-help and self-advocacy skills Crisis resolution, problem solving, and goal setting skills
PEER SUPPORT SERVICES Screening/intake Connection to resources Housing Employment Job readiness training Education Physical and mental health Food Clothing Transportation Criminal justice requirements
PEER DRIVEN SERVICES The lived experience is the most valuable tool a peer possess. Please consider the following when matching. Gender Age Education Ethnicity Lived Experience
PEER SUPPORT SERVICES Peer support services must promote: Many pathways to recovery Self-directed care Recovery-oriented care Self-advocacy A strength-based approach Relationship enhancement Based on peer support philosophy
PEER SUPPORT PHILOSOPHY Utilizing a strength-based approach to provide needed services that nurture self-direction, empowerment, and choice. The primary goal is to build hope for recovery to individuals with a substance use disorder and/or mental illness.
SPONSOR VS PEER IS THERE A DIFFERENCE BETWEEN A PEER AND A SPONSOR?
SPONSOR VS PEER SPONSOR VOLUNTEER PEER CAN BE PAID OR VOLUNTEER HISTORICAL 60 YEARS OR MORE RELATIVELY NEW GOVERNED BY 12-STEP TRADITIONS SELF SUPPORTING MUTUAL AID SOCIETY GOVERNED BY WRITTEN PROCEDURE OF THE AGENCY FORMAL SERVICE ORGANIZATION BOUND BY ACCREDIDATION, LICENSING AND FUNDING GUIDELINES
SPONSOR VS PEER SPONSOR ISOLATED RELATIONSHIP BETWEEN SPONSOR/SPONSEE SOLELY IN CHARGE OF MEETINGS WITH CLIENT PROVIDES SUPPORT WITHIN A PARTICULAR PROGRAM OF RECOVERY EMPHASIZE THE VIABILITY AND SUPERIORITY OF 12-STEP PROGRAM FRAMEWORK PEER PART OF A MULIT-DISCIPLINARY PROFESSIONAL TEAM MEETINGS AND FORMAT DEVELOPED BY AGENCY AND MULTIDISCIPLINARY TEAM OFFER SUPPORT ACROSS MULTIPLE RELIGIOUS, SPIRITUAL, AND SECULAR FRAMEWORKS EMPHASIZE A PHILOSOPHY OF CHOICE THAT RECOGNIZE MULTIPLE PATHWAYS OF RECOVERY
SPONSOR VS PEER SPONSOR SERVE THOSE WITH A DESIRE TO STOP DRINKING AND/OR USING WORK FROM THE PHILOSOPHY OF IF YOU WANT WHAT WE HAVE CAN TERMINATE SERVICE WHEN THEY CHOOSE OFFER GUIDANCE NOT ENGAGEMENT PEER SERVE A LARGER GROUP OF PEOPLE THAT MAY NOT YET HAVE A DESIRE TO STOP USING WORK WITH THOSE THAT MAY WANT IT BUT CONTINUE TO USE AND/OR OTHER NEGATIVE BEHAVIORS CONTINUE TO WORK WITH SOMEONE REGARDLESS OF THEIR NEGATIVE BEHAVIORS MUST BE ASSERTIVE IN ENGAGING CLIENTS
SPONSOR VS PEER SPONSOR THERE IS RECIPROCITY IN THE RELATIONSHIP BETWEEN THE SPONSOR AND SPONSEE (THE SPONSOR IS SUPPORTING THEIR OWN RECOVERY BY HELPING THE SPONSEE) MINIMAL POWER DIFFERENTIAL IN THE SPONSOR-SPONSEE RELATIONSHIP AND OVER TIME DEVELOPS INTO AN ENDURING FRIENDSHIP. PEER RELATIONSHIP IS GOVERNED BY ETHICAL AND LEGAL DUTIES AND OTHER OBLIGATIONS. MODERATE POWER IN THE RELATIONSHIP AND ETHICAL ISSUES FORBID BECOMING FRIENDS.
ADVOCACY An advocate is someone that speaks on behalf of another person. Supportive structure Reduce stigma Liaison between a client and other entities Legal matters Political matters Demand fair treatment