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SACCSC Best Practices July 2008 Report Recovery sisqtel/armstrng/best_practicesMarcia2.htm

SACCSC Best Practices July 2008 Report Recovery www.sisqtel.net/armstrng/best_practicesMarcia2.htm. RECOVERY FINDINGS. 14Telephone interviews with facilities in: Virginia, Pennsylvania, Connecticut, Arizona, Washington, Oregon, Oklahoma, Montana, Kentucky and California

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SACCSC Best Practices July 2008 Report Recovery sisqtel/armstrng/best_practicesMarcia2.htm

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  1. SACCSCBest PracticesJuly 2008 ReportRecoverywww.sisqtel.net/armstrng/best_practicesMarcia2.htm

  2. RECOVERY FINDINGS • 14Telephone interviews with facilities in: Virginia, Pennsylvania, Connecticut, Arizona, Washington, Oregon, Oklahoma, Montana, Kentucky and California • Range of facilities - adults, women only, gay/lesbian, individuals with children 0-6 only, small town and city sized.

  3. Sober housing referrals Employment skills Peer support groups Transportation Anger management Dedicated phone, answering machine, computer & e-mail Exercise, social activities Drop-in services Practical life skills COMMON SERVICES

  4. Turning on utilities, getting back a license, copy of birth certificate Medical, vision and dental referrals Finding sponsor Education /GED How to explain gaps in employment Communication skills – How do I soicialize? Alanon / support for family members Childcare, parenting classes COMMON SERVICES Contin.

  5. Philosophical Modelsof Recovery Service Delivery • Medical / disease / Minnesota model • Clinical / Gorski model • Social / California / Strength-based model (or clinical wrap around) • Holistic /biopsychosocial model

  6. Medical / Minnesota Model • Treats as a (chronic) disease • Focus on the pharmacological effects of substances on the body.  • Has three phases: Evaluation, Primary Treatment and Aftercare. • Practitioner prepares a treatment plan for the patient.

  7. Clinical / Gorski CENAPS Model • Structured process for recognition of self-defeating behavioral /thought patterns and “psychosocial restructuring” for sobriety. (Cognitive behavioral therapy.) • Group therapy requiring a licensed practitioner. • Development of coping skills. • Identification of the "triggers" for substance use and how to deal with them.

  8. Social / California Model • Uses “peers” (others in long-term recovery) to provide referral services, motivational coaching, shared personal experience and supportive fellowship. • Some facilities have comprehensive training programs for peer volunteers. • Peers do not have licenses as counselors or therapists and are mostly voluntary. • Emphasizes empowerment, self-help and lifestyle change.

  9. Holistic /biopsychosocial Model • Restoration of balance in multi-dimensional areas: Social /cultural; medical /physical; mental /emotional; educational /occupational; spiritual /religious; legal /financial; and abstinence /relapse. • Holistic Harm Reduction Program (HHRP) formal group program to reduce harm, promote health, and improve quality of life. Provides knowledge, motivation, and skills to make choices that reduce harm to themselves and others. (Used with HIV /AIDS population.)

  10. Characteristics of Recovery • Many pathways, holistic • Emerges from hope and gratitude • Self-directed and empowering • Supported by peers and allies • Personal recognition of need to change • Self-redefinition • Transcend shame and stigma • Rejoin or rebuild life in community

  11. Recovery Outcomes • 10 real-life outcomes: abstinence; employment/education; no crime/criminal justice; stability in housing; increase access/capacity; retention in programs; social connectedness; good perception of care; cost-effectiveness; use of evidenced-based practices.

  12. Curriculum Used • Matrix • CRAFT - Community Reinforcement And Family Training • “Positive Self Management” program for chronic conditions. (Stanford - evidence based.)

  13. Useful Information • C-Camp – software to links volunteers with people/needs • CCAR resources for recovery housing and referrals • Resources for developed volunteer peer training • OCARTA’s 3 goals • Help /training offered from Multifaith Works (WA), Relief Nursery (OR) and Welcome Home Ministries (CA) • Sheila Kuck’s (D.A. staff) prepared grant application for housing

  14. Useful Information • SAMHSA National Summit on Recovery conference report http://partnersforrecovery.samhsa.gov/docs/Summit-Rpt_Textonly.pdf “Recovery from alcohol and drug problems is a process of change through which an individual achieves abstinence and improved health, wellness and quality of life.”

  15. Useful Information • http://www.glattc.org/ • Sponsor, Recovery Coach, Addiction Counselor - the importance of Role Clarity and role integrity • Ethical Guidelines for the Delivery of Peer-based Recovery Support Services • The role of clients in a recovery-oriented system of addiction treatment • Gender-specific Recovery support Services

  16. Useful Information • http://www.glattc.org/ • Recovery Management (White,Kurtz, Sanders) • Perspectives on System Transformation • Recovery Management – the Science ppt • Recovery Management – Changes in Clinical Practice • CSAT’s National Summit on Recovery: Next Steps

  17. Useful Information • http://www.hazelden.org/  Living in Balance - Moving from a Life of Addiction to a Life of RecoveryParts 1-33 (research-based)

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