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Peer Recovery Support in Recovery

Peer Recovery Support in Recovery. Maryland’s Learning Collaborative May 17 th 2011 . Topics to be addressed . Peer to Peer Recovery Support Services What is a Recovery Community Center? What Happens There? Staff Roles Volunteer Roles

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Peer Recovery Support in Recovery

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  1. Peer Recovery Support in Recovery Maryland’s Learning Collaborative May 17th 2011

  2. Topics to be addressed • Peer to Peer Recovery Support Services • What is a Recovery Community Center? • What Happens There? • Staff Roles • Volunteer Roles • How to Start a Recovery Community Center • What is the role of the Recovery Community Organization in running a Recovery Community Center

  3. About PRO-ACT • PRO-ACT, Pennsylvania Recovery Organization – Achieving Community Together, was founded in 1997. • Hosted by The Council of Southeast Pennsylvania, Inc., which has a 36-year history of community mobilizing, education and advocacy. • Grassroots advocacy initiative promotes the rights of and ensures opportunities for those still suffering from the disease of addiction, members of the recovery community and their family members. • Provides advocacy and peer-to-peer recovery support services throughout the 5 counties of Southeastern Pennsylvania. • 1998, 2001 and 2006 RCSP recipient, helped to grow PRO-ACT.

  4. Recovery Basics • Abstinence - restraint from indulging a desire for something • Recovery - the regaining of something lost or taken away The Goal of Recovery is exemplified through a life that includes: • Health - Managing one’s disease, and living in a physically and emotionally healthy way. • Home – A stable and safe place that supports recovery. • Purpose – Meaningful daily activities such as job, school, volunteerism, family caretaking, creative endeavors. • Community – Relationships and social networks that provide support, friendship, love and hope.

  5. Support and theChange Continuum • Motivation for lifestyle change exists along a continuum of readiness (Prochaska & DeClemente, 1994) • Pre-contemplation • Contemplation • Preparation • Action • Maintenance

  6. Understanding The Role of Recovery Support

  7. Research Shows: • Addiction has a higher recovery rate than other chronic diseases such as: hypertension, diabetes, and asthma when the individual has an opportunity to participate in a full continuum of services, including recovery support.

  8. From the Clinical Treatmentto the Recovery Lens: A Paradigm Shift • End point of treatment - absence of symptoms of clinical disorder. End point of recovery - holistic health. • Recovery support services are grounded in a strength-based approach that focuses on wellness and a full reengagement with the community. • Recovery support services build on capacities that already exists within communities.

  9. Social Support and Recovery Support Services • Social support appears to be one of the most potent factors to move people along the change continuum (Hanna, 2002) • Social support has been correlated with numerous positive health outcomes, including reductions in drug and alcohol use (Cobb, 1976; Salser, 1998).

  10. Recovery Support Services • These services refer to non-clinical services created to begin and maintain a persons (Recoveree) recovery from addiction and better the quality of his or hers own recovery. • These services are believed to be “ a lost function of addiction counseling”1 1 White, W. (2004) Recovery coaching, Counselor, 5, 20-22

  11. Self Direction, Empowerment, and Choice • Embedded in the shared values of peer recovery support services is a philosophy of self direction, choice, and empowerment. The many pathways to recovery are acknowledged; the person seeking recovery is assumed to be fully capable of making informed choices, and his or her preferences are respected.

  12. Newly Recovering: Having a Recovery Coach Life Skills beginnings Help with housing Getting that GED Job readiness Health management Developing sober relationships Maintaining Recovery: Being a Recovery Coach Life Skills growth Spiritual growth Motivation for higher education Career counseling Health, wellness focus Expanding sober relationships Benefits of Peer Driven,Peer DeliveredRecovery Support Services

  13. Social Support and Associated Peer Recovery Support Services

  14. What is a Recovery Community Center? • An RCC is a “recovery-oriented sanctuary,” purposefully anchored in the heart of the community. • They offer linkages to recovery workshops, • telephone recovery support, recovery housing, • D/A treatment providers, planned leisure activities, • recovery conducive volunteer opportunities, and • recovery conducive employment.

  15. Recovery Community Centers exist to…. • Provide a physical place for recovery development • Be a medium for connecting people with recovery needs to people with recovery assets • Offer a platform for the recovery voice to be heard • Provide a venue for healthy, drug/alcohol free socialization • Support recovery efforts throughout all stages of recovery

  16. The Purpose of a RCC is to: • Put a face on addiction recovery. • Build “recovery capital”. • Organize the local recovery community’s ability to care. • Be an organizational/human bridge between the professional treatment community and the recovery community.

  17. Recovery Community Centers offer a unique blending of peer-to-peer services aimed at strengthening recovery within an inclusive, supportive community-based setting. • Peer leaders staff each Center. Theydraw from their own professional and personal experience to provide practical skill-building support and opportunities for others. • Peer-delivered services aim to help people initiate and sustain long-term recovery while gaining overall wellness.

  18. What it is NOT: • It is not a 12 step club or a “drop in” center. • It is not a treatment or rehab center, nor is it a place whose primary purpose is to refer and help people get into treatment. • It is not a place to simply “hang out”, watch television, play cards, etc. **Adapted from CCAR “Recovery Centers in Connecticut”

  19. PRCC Services include: • 24/hour Information and Referral Hotline (800-221-6333) • Peer-facilitated Recovery Support Groups • Recovery Mentoring and/or Recovery Coaching • Individual Recovery Plan Development • Gender-Specific Support Groups • PCB approved Volunteer Training Program • Recovery Promoting Life Skills Groups • Family Education Workshops • Alcohol and Drug Free Social Events • Education/Career Planning • Resource Identification • On-line Computer Stations

  20. The Recovery Plan Components: • Life Domains • Individual Goals and Aspirations • Resources, Strengths and Skills • Barriers and Challenges

  21. Recovery Planning Why use a Recovery Plan? • Helps to identify goals and objectives to attain them. • Provides a tool for measuring progress. • Keeps your role as a Recovery Coach defined. • Setting and achieving goals improves confidence and motivation.

  22. Recovery Planning Promotes an Increase in Recovery Capital

  23. PRO-ACT Recovery Community Centers Women’s Recovery Community Center Philadelphia Recovery Community Center Southern Bucks Recovery Community Center New Britain, PA Philadelphia, PA Bristol, PA A place in the community where individuals and families that have been affected by alcohol and drug use can find hope, help and healing.

  24. Typical Member’s Experience Engagement Phase • Individuals come to Centers with various needs and interests – engagement is a priority and a process • Welcomed with – “How can we help you with your recovery?” • Tour Center • Interest Survey select • 5 interests • 5 skills to share • Calendar of programs and events • Opportunity to participate at whatever level

  25. Typical Member’s Experience • Integration Phase • Participate in life skills group, class on resume writing, job seeking, special focused support meeting (i.e., African American Men in Recovery) • Request Recovery Coach, develop Recovery Plan • Ongoing participation in Center activities • Access other community resources identified in plan • Weekly meetings with Recovery Coach • Stabilization Phase • Learn skills to sustain recovery • Members volunteer and provide support, skill building and leadership for others

  26. “Give a man a fish and he eats for a day. Teach a man to fish and he eats for a lifetime.”

  27. The PRCC opened December 10, 2007 Early Experience: Philadelphia Recovery Community Center

  28. Philadelphia Recovery Community Center1st Qtr. 2011

  29. Southern Bucks Recovery Community Center1st Qtr. 2011

  30. Women’s Recovery Community Center 1st Qtr. 2011

  31. Typical Staffing of a Recovery Community Center Paid Staff: • Senior Peer Specialist/Center Coordinator • Volunteer Coordinator/Community Mobilizer • Certified Peer Specialist • ½ Time Administrative Support Volunteer Roles: • Greeters/Administrative Support • Recovery Coaches • Program Facilitators • Discussion Group Facilitators

  32. Philadelphia Recovery Community Center Staffing Model • Program Coordinator • Volunteer Coordinator • Recovery Specialist Supervisor • 3 Certified Recovery Specialists • ½ Time Administrative Support Volunteer roles are consistent with other Centers.

  33. The Philadelphia Recovery Community Center Staff

  34. How Much Does it Cost to Runa Recovery Community Center? • Philadelphia Recovery Community Center $441,870 • Southern Bucks Recovery Community Center $235,000 • Women’s Recovery Community Center $207,000

  35. Certified Recovery Specialist (CRS) • The primary function of the CRS is to help individuals gain access to needed resources in the community, by assisting them in overcoming barriers and helping them bridge gaps between their needs and available resources. • The role of the CRS reflects a collaborative and strengths-based approach, with the primary goal being to assist individuals in achieving sustained recovery from addiction. The CRS is not a clinician; but rather, serves in a supportive role within the community. Their role is clearly defined and separate from the role of addiction treatment clinicians.

  36. CERTIFIED RECOVERY SPECIALIST CERTIFICATION REQUIREMENTSwww.pacertboard.org • High school diploma/GED required and must be documented. If candidate has a college degree, documentation required is an official transcript and can be provided in lieu of high school/GED. • 54 hours of education/training: 18 hours must be in Recovery Management 12 hours must be in Education and Advocacy 12 hours must be in Professional Ethics and Responsibility 6 hours must be in Confidentiality 6 hours remaining can be any PCB approved training relevant to the field of addiction. • Pass a written exam. • Submission of application, all documentation, and fee ($100). • CRS is a 2 year credential and must be recertified.

  37. Certified Peer Specialist (CPS) • Provides peer-to-peer support to individuals with mental health and co-occurring diagnoses. • 2-week training/certification process.

  38. Recovery Coaches are the Arms and legs of the Certified Recovery Specialist

  39. What is the Difference between a12 Step Sponsor and aRecovery Coach?

  40. 12 Step Sponsor • Representative of voluntary, financially self-supported recovery mutual-aid society. • Relationship is isolated from professional helpers. • Sponsor provides support within a particular program of recovery. • Sponsor’s support is limited to those who have sought help through the 12 Step program. • Primary focus is on the 12 Step tools. • Mutual confidentiality is negotiated between the sponsor and sponsee.

  41. Recovery Coach • Representative of a formal service organization or funded peer support services program. • Recovery Coaching relationship occurs within the context of a recovery planning process and/or multidisciplinary service team. • Recovery Coaching acknowledges multiple pathways to recovery and provides support across those frameworks. • Recovery Coaches provide support services to people at various stages of change. • Recovery Coaches work within the four areas of social support have access to a spectrum of services to achieve recovery goals. • Ethical guidelines and supervision protect all parties involved in the recovery support services process. White, W. (2006)

  42. Counselorvs.Recovery Coach?

  43. A Quick Comparison Credentialing vs. Experience (importance of self-disclosure) Treatment Planning vs. Recovery Planning Inequality of Power Length of relationship Treatment experience vs. natural environment White, W. (2006)

  44. Recovery Coaches • Identify problems • Change problems to goals • Explore alternatives and implications • Plan a course of action

  45. Voluntary or paid Accountable/accredited Partnership/consultant relationship Support across multiple pathways Assists at any stage of recovery Recipient gains knowledge from CRS, CRS reinforces own recovery Access to recovery support services: peer/holistic/professional Connected to social activities /resources in recovery community If paid, lower rate of pay and no billable hours Subject to same Code of Ethics Shares experience with peers Paid Position Accountable/Licensed/Accredited Professional/Client relationship Offers professional support During or after formal treatment Case Manager gains monetary compensation for job Consistent, intensive support, goal of reduction in ER/hospital visits Primary affiliation with other professional supports/resources Higher rate of pay and billable hours for medical assistance Subject to same Code of Ethics Self-disclosure discouraged Role Comparisons Recovery Coach/Certified Recovery Specialist Case Manager

  46. Certified Recovery Specialists are Developing Specific Areas of Expertise • Criminal Justice/Drug Court Representative • Women’s Issues • Hispanic Outreach • Veterans Issues • Medication Assisted Recovery

  47. How often does supervision take place? • Supervision occurs weekly or more frequently if necessary. As a recovery Coach, you should view Supervision as a resource. • Monthly Recovery Coach Meetings provide an opportunity for Group Supervision for each geographical location.

  48. Benefits of Supervision • Support • Feedback • Guidance • Opportunity to focus on strengths and identify areas where growth is possible • Resource access

  49. Three Strategies: Mobilize Collaborate Initiate Mobilization Components: Engage Educate Activate Support Starting a Recovery Community Center

  50. Our Experience:Three Strategies, Three Different Locations • Initiate Model – In Central Bucks County, The Women’s Recovery Community Center was started when the recovery community identified a need for Recovery Support Services and safe and sober housing that would be accessible to women in that community. Fundraising Vision Team Activation • Collaboration Model – The Philadelphia Recovery Community Center was created using a collaboration with OAS to pilot center. • Mobilization Model – Southern Bucks Recovery Community Center used Community Mobilization and Participatory Process to identify needs. Once needs were identified, decision was made that developing the Center was the correct approach.

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