Transcript State Conference Presentation - The Anishnaabek Healing Circle

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THE RECOVERY MOVEMENT
As Anishnaabek we have endured a
remarkable journey over time
carrying the seeds of healing deep in
our hearts.
The grief and trauma resulting from boarding
schools, rapid cultural change, lack of economic
opportunity, and loss of land have contributed to the
high rates of substance abuse and mental health
problems experienced by the Anishnaabek families
and communities today.
TRIBAL INITIATIVES
The seeds of healing have grown into a
strong recovery movement with
committed people.
Tribal governments have created behavioral health
departments along with policies and procedures to
guide the delivery of services including indigenous
healing services that are integrated with western
approaches.
Grand Traverse Band
former and current Tribal
Council members. One
of twelve tribal
governments
representing the
Anishnaabek people of
Michigan. (Odawa,
Potawatomi, and
Ojibwa)
The Anishnaabek Healing Circle has been
able to effectively access funding to support
this tribal vision for healing.
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Jingle dress dancers,
dance for healing.
Anishnaabek people
of Michigan. (Odawa,
Potawatomi, and
Ojibwa)
The Anishnaabek Healing Circle has been
able to effectively access funding to support
this tribal vision for healing.
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WHAT IS ATR?
ATR is a nationwide initiative of the Substance
Abuse and Mental Health Services Administration’s
(SAMHSA) Center for Substance Abuse Treatment
(CSAT).
The program provides vouchers
to clients for the purchase of
substance abuse clinical treatment and recovery
support services.
ATR GOALS
The goals of the initiative are to:
 expand capacity,
 support client choice,
 and increase the array of services.
ATR is one of SAMHSA’s most effective initiatives.
ATR INITIATIVE
ATR is a good investment with good outcomes:
 ATR
I: 2004–2007 Nationwide 15 grants, 14 states
and 1 tribal
 ATR II: 2007-2010 Nationwide 24 grants, 19 states
and 5 tribal
 ATR III: 2010 – 2014 Nationwide 30 grants, 24 states
and 6 tribal
TARGET POPULATION
Enrolled members of Michigan tribes
and other federally recognized, state recognized, and
Canadian tribes residing in the project service area, age
12+. Non-native family members and descendants are also
eligible.
All clients must have a current or past problem with
alcohol or other drug abuse.
Anishnaabek Healing Circle ATR II: (5228 clients)
Anishnaabek Healing Circle ATR III: (8752 target/1500
enrolled in first 8 months)
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TRIBAL RECOVERY ORIENTED
SYSTEMS OF CARE
Shifting the model of intervention from acute
care of individuals to a sustained recovery
management approach that relies on partnerships
with individuals, families and communities.
White & Sanders (2004)
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Anishnaabek Healing Circle Phases
ATR Screening, Intake,
GPRA
Phase III – Aftercare
Full array of recovery
support services
Readiness to
Change and
Recovery
Tasks
Phase II – Clinical
Treatment
Full array of clinical
and recovery support
services
Phase I Pre-Treatment
Readiness
Limited to
motivational
development and
recovery coaching
ATR III PHASES
Phase I (New for ATR III) Phase II
Phase III
Criteria=Positive Screen and
willingness to participate in
education or coaching.
Criteria=Positive screen and
willingness to complete a
clinical assessment and enter
treatment.
Criteria= Willingness to
continue to work on recovery
tasks appropriate for the level
of recovery.
•Motivational Services
•Educational services
•Recovery coaching
•Clinical treatment services
•Recovery Support Services
•Motivational services
•Recovery Support Services
•Motivational services
•Recovery Coaching
•Community outreach
•Engagement of clients
Very early recovery
Early, Middle, Late Recovery
Thinking about Recovery
Maybe Engaged in Recovery Engaged in Recovery
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VOUCHER STRUCTURE
Vouchers
Client GPRA Follow-up**
Client GPRA Discharge**
Access Center**
Motivational Development and Readiness
Care Coordination Voucher**
Brief Intervention
Outpatient
Intensive Outpatient
Residential Treatment (Max 30 days)
Sub-acute Detox (Max 3 days)
Medical Services
Housing Support Services
Transitional Living Facilities
Employment and Education
Peer Support & Relapse Prevention
Family & Parenting Support
Financial/Basic Needs
Legal Support
Health & Global Wellness
Spiritual / Cultural Support
Transportation
Mental Health Services / Co-Occurring
Phase I
Vouchers
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Phase II
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Phase III
Auto
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Tribal Feedback
Benefits
 Client Choice
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Client Empowerment
Client Responsibility
Reduction of Stress/Barriers
Inclusion of cultural values/ceremonies for healing
Holistic care
Recovery Support Services-continuum of care
Identification and reinforcement for long term sobriety
Quarterly BH meetings with State Tribal BH-support
Quality leadership and development with ATR Directors
Tribal Feedback
Enhancement of Recovery Services
 Transportation
Special Need Fund
 Alcohol Drug testing
 Acupuncture
 Physical Fitness & Well-being
 Traditional Healing Services
 Housing support
 Medical Care
 Alcohol/Drug Free Social Activities

Cultural Services
Helping Healer-Works
closely with clients
Offers cultural teachings
through storytelling, talking
circles, and hands on
lessons with clients.
Winter Teaching Lodge
Behavioral Health Cultural Service Expansion with ATR
Spring
Fasting
Camp
2011
ATR IS EFFECTIVE!
ATR II Intake, Follow-up, and Change on Key Indicators
Stable housing
3.0%
79.30%
77.00%
17.3%
Social Connect
76.70%
HBS Consequences
Employed/In School
No Arrests
8.0%
90.60%
83.90%
4.2%
57.00%
54.70%
4.9%
96.50%
92.00%
29.6%
Abstinent
52.00%
0.00%
90.00%
10.00%
20.00%
30.00%
Change
40.00%
50.00%
At 6 Months
60.00%
67.40%
70.00%
80.00%
90.00%
100.00%
At Intake
ATR II client outcomes (N=2984).
Improvements in abstinence, no arrests, no HBSC and socially connectedness were
statistically significant (p<.001).
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NEW DEVELOPMENTS
Strategies for building our capacity to provide recovery
support services include:
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A Recovery Coach Curriculum and Certification process
A Recovery Oriented System of Care within our tribal
communities
The Recovery Workgroup consists of tribal community members
who are in recovery, tribal behavioral health staff (also in
recovery), technical assistance providers from SAMHSA, and
ATR staff.
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TRACK 1: RECOVERY COACHING
Strategies
 Research materials and adopt/modify/develop a curriculum for
Recovery Coach certification
 Develop a Cultural Competency Module specific to the needs of
the Anishnaabek People of the Three Fires (the target population
for ATR). Utilize the module in the RC curriculum and to train
ATR network providers
 Conduct an Anishnaabek Recovery Coach Institute by April, 2012,
in order to train the first cohort of certified recovery coaches
 Conduct a training for RC supervisors that includes “how to”
integration of non-clinical approaches to recovery management
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TRACK 2: A RECOVERY-ORIENTED
SYSTEM OF CARE (ROSC)
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Identify program qualities that will support a ROSC
Identify program qualities that will support Recovery
Coaching
Develop a strategic plan to obtain “buy-in” from tribal
behavioral health and health administrations to
implement a ROSC in each of 12 tribes in Michigan
Implement the strategic plan to parallel the timeline for
certification of the first cohort of Recovery Coaches
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OUTCOME:

Certified Recovery Coaches within each tribal
community, who are from each tribal
community, who can provide ATR billable
recovery management services to the target
population.
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Access to Recovery
Anishnaabek Healing Circle
2956 Ashmun, Suite A
Sault Ste. Marie MI 49783
(906) 632-6896
www.atrhealingcircle.com
Staff
Eva Petoskey, Director (231-357-4886) [email protected]
Terri Tavenner, Associate Director [email protected]
Donelda Harper, Training & Audit Specialist [email protected]
Lori McDonald, GPRA & Media Specialist [email protected]
Aagii Clement, Provider Liaison Specialist [email protected]
Connie DePlonty, Voucher Coordinator [email protected]
Cora Gravelle, Call In Center Client Access & Outreach [email protected]
Sheila Hammock, Call In Center Client Access & Follow-up [email protected]
Produced by the Inter-Tribal Council of Michigan with Access to Recovery (ATR) Anishnaabek
Healing Circle Grant (1 H79 TI023118-01) funds from the Center for Substance Abuse
Treatment (CSAT), Substance Abuse and Mental Health Administration (SAMHSA), U.S.
Department of Health & Human Services (HHS). Content is solely the responsibility of the
authors and does not necessarily represent the official views of the agency.
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