Transcript Introductions

Building Recovery-oriented Systems of Care
for Drug Court Participants
Laura Griffith
Director of Programs
April 15, 2014
What Is Recovery?
There are over 23 million American
adults in long-term recovery –
no longer have a problem with
alcohol or other drugs.
Definitions of Recovery
J. F. Kelly & Hoeppner, 2012
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
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
MENTAL HEALTH PROBLEMS
Two-thirds had untreated mental health Untreated mental health problems decreased
problems
fourfold
CRIMINAL JUSTICE INVOLVEMENT
CRIMINAL JUSTICE INVOLVEMENT
 Over half (53%) reported one arrest;  Involvement with the criminal justice system
1/3 experienced more than 1
decreased tenfold
incarceration
 Restoration of driving privileges
 35% had had their driver’s license
revoked
EMPLOYMENT AND EDUCATION
EMPLOYMENT AND EDUCATION
 Half had been fired or suspended
 10% reported employment problems; 83% are
from work; 61% frequently missed
steadily employed, and 28% have started their
work or school
own business
33% had dropped out of school
 78% have furthered their education or training
CIVIC/FAMILY ENGAGEMENT
CIVIC/FAMILY ENGAGEMENT
 Two-thirds participated in family
 Participation in family activities increased by
activities
almost half (46%) to 95%
 Volunteerism was at 31% and 61%
 Volunteerism was 84% (more than doubled) and
voted
voting increased to 86% (an increase of 41%)
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Snapshot of
Life in Recovery
Why is it important?
What does it mean?
 Recovery is associated with dramatic
improvements in all areas of life
 Life keeps getting better as recovery progresses.
 Policies, systems, services, and supports are
needed to help more people initiate and sustain
recovery
 Additional research is necessary to identify
effective and cost-effective recovery-promoting
policies and services – to build recoveryoriented systems of care
ARCO
 Established 2011
 Over 95 member organizations (35 states)
with local, state, national, and international
focus
Building infrastructure and capacity to
provide:
• Public education
• Advocacy
• Peer recovery support services
Focus: Recovery and Wellness
Shifting from a crisis-oriented,
professionally-directed, acute-care
approach with its emphasis on discrete
treatment episodes….
…to a person-directed, recovery
management approach that provides
long-term supports and recognizes the
many pathways to health and wellness.
Recovery-oriented Systems of Care
Mobilizing resources to:
 Build the capacity of communities,
organizations and institutions to support
recovery
 Build on the strengths and resilience of
individuals, families and communities to
promote recovery, health, and wellness.
 Expand the menu of services and supports
across the entire recovery continuum
 Ensure people in or seeking recovery
receive dignity and respect
 Lift discriminatory policies and barriers to
recovery
Recovery-oriented Systems of Care
 Mobilizing all of the resources in our
communities to:
 Accord people in or seeking recovery
dignity and respect
 “Recovery capital” of Drug Court
participants
 Build the capacity of institutions that
Drug Court teams have relationships
with to support recovery
Building Connections to
Family and Community
JOBS/EDUCATION/CIVIC ENGAGEMENT
 Recovery GED programs, high schools and
colleges
 Employment discrimination against people in
recovery with criminal justice history
 Restrictions on voting rights for people with
criminal justice history
 Opportunities to volunteer and build work
histories
Recovery-oriented Systems of Care
RCOs
Recovery
Community
Centers
Recovery
Cafes
Recovery
Ministries
Recovery
Homes
Recovery
Industries
Recovery
Schools
What is Needed:
Recovery Capital
Recovery Capital is the breadth and depth of internal and
external resources that can be drawn upon to initiate and sustain
recovery from addiction. (Granfield and Cloud, 1999, 2004; White, 2006)
 Physical:
includes health (access to care),
financial assets, food/clothing/shelter, transportation
 Human: includes culture, values, knowledge,
education, inner- and interpersonal skills, judgment,
and other capacities
 Social: includes connectedness to social supports
and resources, intimate/family/kinship relationships,
and bonds to community and social institutions
Consequences of Addiction
Can Deplete Recovery Capital
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Limited education
Minimal or spotty work history
Low or no income
Criminal background
Poor rental history
Bad credit
Accrued debt and/or back taxes
Unstable family history
Inadequate access to health care
Creating and Reinforcing
Recovery Capital
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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
Peer Recovery Support Services
 Services to help individuals and
families initiate, stabilize, and sustain
recovery
 Provided by individuals with “lived
experience” of addiction and recovery
 Non-professional and non-clinical
 Distinct from mutual aid support, such
as 12-step groups
 Provide links to professional treatment,
health and social services, and support
resources in communities
What Makes Peer Work Effective?
 Focuses on establishing trust and building
relationship
 Builds on a person’s strengths to improve
Recovery Capital
 Promotes recovery choices and goals
through a self-directed Recovery Plan
 Utilizes recovery community resources and
assets
 Provides entry and navigation to health
and social service systems
 Models the benefits of a life in recovery
and elevates recovery as an expectation
Benefits of
Peer Recovery Support Services
 Effective outreach, engagement, and
portability
 Manage recovery as a chronic condition
 Stage-appropriate
 Cost-effective
 Reduce relapse and promote rapid
recovery reengagement
 Facilitate reentry and reduces recidivism
 Reduce emergency room visits
 Create stronger and accountable
communities
When Are PRSS Delivered?
Across the full continuum of the
recovery process:
 Prior to treatment
 During treatment
 Post treatment
 In lieu of treatment
 Peer services are designed
and delivered to be responsive
and appropriate to all stages of
recovery.
Where Are PRSS Delivered?
 Recovery community centers
 Faith and community-based organizations
 Emergency departments and primary care
settings
 Addiction and mental health treatment
 Criminal justice systems
 HIV/AIDs and other health and social service
agencies
 Children, youth, and family service agencies
 Recovery high schools and colleges
 Recovery residences and Oxford Houses
Peer Recovery Coach
 Personal guide and mentor for
individuals seeking to achieve or
sustain long-term recovery from
addiction, regardless of pathway to
recovery
 Connector to instrumental recoverysupportive resources, including
housing, employment, and other
services
 Liaison to formal and informal
community supports, resources, and
recovery-supporting activities
NOT Just Recovery Coaches…
 Peer telephone continuing support
 Peer-facilitated educational and
support groups
 Peer-connected and –navigated
health and community supports
 Peer-operated recovery residences
 Peer-operated recovery community
centers
Recovery Community Centers
 Vision: creating a community institution like a
Senior Center
 Provides public and visible space for recovery
to flourish in community: Recovery on Main
Street
 Serves as a “community organizing engine” for
civic engagement and advocacy
 Operates as a “hub” for PRSS and recovery
activities
 Includes participation of family members
 Provides volunteer, service, and leadership
opportunities
 Positions the recovery community as a key
stakeholder with the greater community
Example
Drug Court participants can
complete their community
service hours at USARA’s
recovery community center.
A USARA Family Resource
Facilitator works with families
who are involved in the
Family Drug Court program
in the Juvenile Courts.
Example
PRO-ACT (Pennsylvania Recovery
Organization – Achieving Community
Together) works with its Drug Courts by
providing a Certified Recovery Specialist
(CRS) to each Drug Court participant. They
assess Recovery Capital and develop
Recovery Plans in order to help participants
enhance and strengthen their recovery.
CRS’s provide ongoing support thru each
level of the Drug Court process either faceto-face or thru the use of telephonic recovery
support.
Example
In Vermont, the Chittenden County
Drug Court refers many people to the
Turning Point Center of Chittenden
County, a peer-run recovery
community center.
All new drug court participants take
part in a six-session “Making Recovery
Easier” group, funded by the Court
Administrator’s Office.
Faces & Voices of Recovery