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Pat Taylor Faces & Voices of Recovery September 11, 2013

GOT RECOVERY? NATIONAL RECOVERY MONTH KICK-OFF Celebration Maryland Alcohol & Drug Administration in Partnership with the Mental Health Hygiene Administration. Pat Taylor Faces & Voices of Recovery September 11, 2013 . THE STARS ALIGN FOR RECOVERY. Recovery-Oriented Systems of Care

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Pat Taylor Faces & Voices of Recovery September 11, 2013

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  1. GOT RECOVERY? NATIONAL RECOVERY MONTHKICK-OFF CelebrationMaryland Alcohol & Drug Administration in Partnership with the Mental Health Hygiene Administration Pat Taylor Faces & Voices of Recovery September 11, 2013

  2. THE STARS ALIGN FOR RECOVERY Recovery-Oriented Systems of Care Recovery Advocacy Movement Mental Health Parity and Addiction Equity Act Affordable Care Act Managed Care Expansion Criminal Justice and Drug Policy Reform Movement 2

  3. THE ADDICTION RECOVERY MOVEMENT 2001 Recovery Summit in St. Paul, Minnesota – building on a long history includes people in recovery from addiction to alcohol and other drugs, family members, friends, and allies – the recovery community includes and honors all pathways to recovery encompasses all the diverse perspectives, cultures, and experiences of the recovery community

  4. FACES & VOICES OF RECOVERY Organizing and mobilizing the 23 million Americans in long-term recovery from addiction to alcohol and other drugs, our families, friends, and allies, to speak with one voice  Changing public perceptions of recovery Promoting effective public policy in Washington, D.C. and in all 50 states Keeping a focus on the fact that recovery works and is making life better for over 23 million Americans, their families and communities

  5. OUR VISION • Individuals, families and communities affected by alcohol and other drugs have universal access to the support needed to achieve recovery, health, wellness, and civic engagement. • Communities of recovery will continue to spring up all over our country helping people find and sustain their recovery from addiction to alcohol and other drugs for the long-term. • Discrimination against people in or seeking recovery will be eliminated and the same rights and opportunities will be afforded to all Americans.

  6. FACES & VOICES OF RECOVERY Our Stories Have Power: advocacy training and messaging with a purpose New messaging for young people Recovery Bill of Rights: a precursor to recovery-oriented systems and health reform

  7. Association of Recovery Community Organizations (ARCO) • 85 member organizations (33 states) with local, state, and national focus • Assistance to recovery community organizations • Building capacity to operate; develop leadership; advocate and deliver peer recovery support

  8. WHAT DOES LONG TERM RECOVERY LOOK LIKE? LIFE IN RECOVERY SURVEY • Alexandre Laudet, PhD • Understanding the experiences of people in recovery should inform this opportunity. • Build recovery-oriented communities where the services and supports that people identify that they need are available – when they are needed.

  9. WHAT DOES LONG TERM RECOVERY LOOK LIKE? • First nationwide survey of people in recovery from alcohol and other drug problems. • 3,228 participated. • 44 items representing experiences and indices of functioning in work, finances, legal, family, social, and citizenship domains “in active addiction” and “since you entered recovery.”

  10. Snapshot of Life in Recovery

  11. WHY IS IT IMPORTANT? WHAT DOES IT MEAN? • Addiction is costly in terms of finances, physical and mental health, family functioning, employment, and legal involvement. • Recovery is associated with dramatic improvements in all areas of life – better health/ finances/family life/civic engagement/ employment coupled with dramatic decreases in public health and safety risks. • Life keeps getting better as recovery progresses. • Policies, services, and funding are needed to help more people initiate and sustain recovery, and for additional research to identify effective and cost-effective recovery-promoting policies and services.

  12. ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY 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

  13. ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY HOUSING Safe and affordable recovery housing (substance free) Some need sober group living situations Recovery housing for single mothers and children Housing discrimination against people in recovery with criminal justice history Recovery housing: NIMBY issues Why Living in Safe, Sober and Peer Supportive Environments Matter in Recovery webinars

  14. ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY EMPLOYMENT, EDUCATION AND CIVIC ENGAGEMENT Recovery Jobs: Recovery-oriented employers and employment programs Job readiness and preparation Opportunities to volunteer and build work histories Leadership development: volunteer and career ladders Recovery GED programs, high schools and colleges

  15. ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY EMPLOYMENT, EDUCATION AND CIVIC ENGAGEMENT Recovery GED programs, high schools and colleges Community college programs for people in recovery Employment discrimination against people in recovery with criminal justice history Restrictions on voting rights for people with criminal justice history

  16. ESSENTIAL INGREDIENTS FOR SUSTAINED RECOVERY OTHER INGREDIENTS Legal assistance Expunging criminal records Financial assistance: debt, taxes, basic budgeting, etc. Obtaining driver’s licenses Dealing with revoked professional and business licenses Regaining custody of children Relationship and parenting skills

  17. RECOVERY AND WELLNESS FOCUS • Shifting from a crisis-oriented, professionally-directed, acute-care approach with its emphasis on isolated treatment episodes…. • To a person-directed, recovery management approach that provides long-term supports and recognizes the many pathways to health and wellness.

  18. RECOVERY-ORIENTED SYSTEMS OF CARE Build on the strengths and resilience of individuals, families and communities as individuals take responsibility for their long-term recovery, health and wellness. Make services and resources available that people can use to meet their needs Offer a variety of supports that work for and with each person to restore their lives (an ongoing process)

  19. RECOVERY-ORIENTED SYSTEMS OF CARE Mobilizing all of the resources in our communities to: Change discriminatory public policies in the areas of health care, jobs, education and housing to eliminate barriers and support the ability of people to get into and sustain their recovery for the long haul. Develop networks and systems that work together to treat addiction as a public health problem

  20. RECOVERY-ORIENTED SYSTEMS OF CARE Mobilizing all of the resources in our communities to: Accord people in or seeking recovery dignity and respect Engage people to seek help in the health system Help more people find and sustain their recovery for the long-term Build the capacity of communities, organizations and institutions to support recovery

  21. MAKING SYSTEMS WORK • Public education and awareness about addiction prevention and the many pathways to recovery • Greater focus on what happens BEFORE and AFTER primary treatment • Transition from professionally-directed treatment plans to individually-developed recovery plans – recovery self-management • Greater emphasis on the physical, social and cultural environment where people live their daily lives • Integration of primary care, prevention, professional treatment and recovery support • Recovery community representation at all policy and decision making levels

  22. Peer Recovery Support Services (PRSS) • Services to help individuals and families initiate, stabilize, and sustain recovery • Non-professional and non-clinical • Distinct from mutual aid support, such as 12 Step • Provide links to professional treatment and indigenous communities of support • Provided by peers with “lived experience” of addiction and recovery

  23. WHY Do PRSS WORK? • Focus on establishing trust and building relationship • Start with a person’s strengths and Recovery Capital • Promote recovery choices and goals through a self-directed Recovery Plan • Utilize recovery community resources and strengths • Provide entry to healthcare system and services • Elevate recovery as an expectation

  24. BENEFITS OF PRSS • Effective outreach and engagement • Manages recovery from a chronic condition perspective • Stage-appropriate • Cost-effective • Reduce relapse • Promote recovery reengagement • Facilitate reentry and reduce recidivism • Reduce emergency room visits • Create stronger and accountable communities

  25. 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.

  26. Where Are PRSS Delivered? • Recovery community centers • Faith and community-based organizations • Emergency departments and primary care settings • Addiction and mental health agencies • Criminal justice systems • HIV/AIDs and other health and social service centers • Children, youth, and family service agencies • Recovery residences and Oxford Houses

  27. WHERE ELSE AND IN THE FUTURE? • Emergency departments • Primary care practices • Patient-centered health homes • Federally Qualified Health Centers • Accountable Care Organizations • Community-based alternatives to jails and prisons • Schools & colleges • Veterans’ centers

  28. Who is paying for PRSS? • State, County, and Municipal service contracts • SAPT Block Grants • Federal and State grants and discretionary funds • Other Federal funding: TANF, US Department of Justice, VA • Medicaid • Managed Care • Foundation support • Community support

  29. 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 recovery-supportive resources, including housing, employment, and other services • Liaison to formal and informal community supports, resources, and recovery-supporting activities

  30. Much More than RecoveryCoaches • 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

  31. Accreditation and Credentialing: Compare and Contrast

  32.  RECOVERY ADVOCACY • Recovery community representation at policy and systems levels • Essential Health Benefits: inclusion of Peer Recovery Support Services • Single HHS comprehensive Essential Health Benefit in 2016 • Medicaid reimbursement for peer services • Secured funding for recovery community centers • Lifting discriminatory barriers to recovery • Enrollment strategies to engage the recovery community

  33. RECOVERY ADVOCACY: ACA Enrollment • Keeping people in the health system once enrolled

  34. RECOVERY ADVOCACY: Research Agenda • Role of National Institute on Drug Abuse (NIDA) and National Institute on Alcohol Abuse and Alcoholism (NIAAA) • Determining outcomes and measurements for long-term recovery • Establishing an evidence base for peer recovery support services • Building research and evaluation into services

  35. Live streaming from rallies around the world! 10:00 am www.facesandvoicesofrecovery.org

  36. Join Us: www.facesandvoicesofrecovery.org

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