Open Recovery Ending the Stigma Fueling Addiction Cigna s Substance Use Series Recovery Seminar May 16, 2018 Presented by Fay Zenoff, MBA 1
Presentation Overview Introduction Brief History & Marty Mann Crisis Intervention Today Overcoming Barriers to Care Introducing Open Recovery Conclusion 2
Presenter: Fay Zenoff, M.B.A. Executive Director, Center for Open Recovery Co-Founder, Zenoff Consulting Associates M.B.A. Kellogg Graduate School Management, Northwestern University, Evanston, IL B.A. Sarah Lawrence College Featured in NY Times, Bloomberg BusinessWeek Award-winning contributor to Mental Health field 3
Presenter: Fay Zenoff, Alcoholic in Recovery 4
What If? Addictions was not considered a moral failing There were many modes & models of recovery Emotional regulation was taught Struggling was not shameful Solutions were not punitive Addiction was treated like cancer 5
Historical Response Intervention Detox Treatment Abstinence Alcoholics = Drunks Drunks = Weak Willed 6
Radical Intervention & Insight Margret Marty Mann 1935: Alcoholics Anonymous Peer-Based, 12 Steps, Anonymity 1944: National Council on Alcoholism Public Advocacy, Education, Publicity 7
Joining A National Effort 1957 SF Affiliate Established Independent, National Affiliate NCADD Mission: Respond to Unmet Needs in the Community 2013 still operating as NCA Independent, National Affiliate NCADD Mission: Reduce the prevalence & consequences of Alcoholism and other Drugs 8
The Medical Treatment Continuum Assessment Detox After-care Prevention Intervention Treatment Alcoholic = Person w/a Substance Use Disorder Treatment = Therapeutic or Criminal 9
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National survey conducted in 2015, around two out of every three people who reported misusing prescription painkillers were still on their company s payroll. According to one study, prescription opioid abuse alone cost employers more than $25 billion in 2007. Other studies show people with addictions are far more likely to be sick or absent, or to use workers' compensation benefits. - Half of applicants are not clean - Lose 25% of hires to drug test The opioid crisis has major costs for the U.S. economy, including the labor market, David Mericle, senior U.S. economist at Goldman Sachs. 11
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Second Hand Consequences 8,300,00 children live with a guardian who has untreated addiction More youth in the foster-care system These youth are at greater risk of suffering depression, anxiety disorders, problems with cognitive and verbal skills, and are 4x more likely to develop addiction themselves. 13
Some Facts.. 21,000,000 US adults are struggling with addiction Only 1 in 10 will find help 140+ people die daily from accidental opioid overdose 88,000 adults die annual from alcohol-related problems In 20 years, prescriptions for meds have quadrupled Addiction can be treated & recovery maintained 14
Did You Know? 23,000,000 adults in the US are living happy, healthy, productive lives in long-term recovery from addiction. yet they are silent and invisible. 15
Why? 16
STIGMA 17
Consequences of Stigma Entrenched Social Biases Blaming Language Short-term Treatment Less Research Investment Limited Healthcare Provider Education Professional Backlash & Work Limitations Limited Access to Treatment Inequity of Care Denial Shame/Self Oppression Isolation Incarceration & Punitive Institutionalization Tough-love Intervention Negative Stereotypes Inadvertent Discrimination Relapse Viewed as Failure 18
Barriers to Care & Cures Institutionalized Racism Criminal Justice Response Crisis Intervention Model Limited Investment Few Treatment Options Lack of Insurance Coverage Parity Limited Treatment Providers Relapse Prevention Focus Invisible Recovery Lack of Role Models 19
National Efforts to End the Epidemic Goal: reduce inappropriate use of medication & expand access to treatment stop overdose Recommendations Secure Funding Parity Offer Harm-Reduction & Non-Pharmacological Educate Providers & Monitor Prescribers Provide Naloxone for First Responders Raise Public Awareness & Disrupt Stigma 20
20,000,000+ People with SUDs The Funnel 10% of People with SUDs Find Help 200,000 People with SUDs Enter Treatment in Some Form Duration: One Year 23,000,000+ People In Recovery 60-90%+ People Relapse 10-40% People Achieve Recovery 21
Millions of People with SUDs How Can We Widen the Funnel? Millions of People with SUDs Enter Treatment in Some Form 40,000,000 People in Recovery! 22
What Change Is Needed? Funding for Research Policies for Parity Expanded Medical Education More Treatment Providers Quicker Access to Care Integrated Healthcare System Ending the Stigma & Shame Greater Public Understanding Elimination of Punitive Responses Equipped First Responders Long-Term Support for Recovery Additional Treatment Modalities 23
Name: Mission: Strategy: Focus: Center for Open Recovery Champion long-term recovery by ending the stigma of addiction Mobilize an Open Recovery movement Advocacy, Education, Experiences Model: Social-Impact, Virtual, Nimble, National, Privately Funded Ending the Stigma of Addiction 24
Introducing OPEN RECOVERY Proud Personal Identity Social Justice Movement Treatment Goal Shared Community Value Affiliation Affront to Stigma NOT a challenge to or violation of Anonymity Ending the Stigma of Addiction 25
Theory of Change GOALS End the stigma of addiction, increase the numbers of people in recovery and eliminate the opioid overdose epidemic and addiction crisis in our country. COR s Theory of Change 2017 Objectives Outcomes Open Recovery becomes a catalyst for personal, social and structural changes so people with addiction are treated with the same urgency, resources, and-long term care as are those with other chronic and deadly diseases, such as cancer, ALS and HIV. Work environments conducive to support employees impacted by addiction to find and sustain recovery integrating recovery into all parts of life. End Shame. New attitudes that influences public, structural, social and personal change so addiction is treated as a health issue not a criminal or moral issue. End Stigma.. Positive recovery identity, connections and support Shatter stereotypes. Build Recovery Pride and support. Outputs Workshops for employees and employers that raise awareness about recovery, dispel myths, biases and discrimination to support healthy, inclusive work environments, preventing relapse and isolation Multi-channel media campaign promoting positive images of and messages about recovery to humanize addiction, inspire recovery pride and highlight the positive outcomes of treatment Health and wellness festivals celebrating recovery, promoting positive treatment outcomes, providing inspiration, building connections and support Activities Advocate: Recovery in the Workplace Workshop Educate: This is Recovery Media Campaign Empower: Open Recovery Day Community Events Center for Open Recovery 588 Sutter Street, #419 San Francisco, California www.openrecoverysf.org Ending the Stigma of Addiction 26
The Emerging Treatment Continuum Assessment Detox After-care Prevention Intervention Treatment Recovery Recovery = A positive process of restoring health with a commitment to life-long wellness Ending the Stigma of Addiction 27
The OPEN Recovery Continuum Intervention Assessment Prevention Treatment Detox Recovery Living in Long-term Recovery A Model for Change = Health, Justice, Empowerment Ending the Stigma of Addiction 28
Proud Personal identity Education & Advocacy Shattered Stereotypes Ending the Stigma of Addiction 29
Community Shared Values Transformative Ending the Stigma of Addiction 30
This is Recovery. Meet Chuck Age 57. SF Native. Ordained Minister. Sober since 1982. End Shame. Open Recovery. openrecoverysf.org Ending the Stigma of Addiction 31
Be Open. End Stigma. www.openrecoverysf.org 32
Cigna Behavioral Health Awareness If you are a Cigna customer and have questions about Substance Use treatment or about your benefits and how to use them, please contact: Chantelle Hoogland 888.244.6293 x 329159 Lisa Osborne 770.779.2023 33