Transcript What is a Recovery Friendly Community???

What is Different in 2013 than 1986
 An explosion of research into addiction in the 1990’s
and 2000’s.
 A growth in the number of people in recovery. It is
estimated that for the first time in this country there
are as many people in recovery as there are addicted to
substances. (25-40 million)
 A groundbreaking 2013 study of over 3,200 persons in
recovery….Involvement with the criminal justice
system decreases by 10 times. 50% more pay taxes.
A Complex Picture
 Understanding addiction and what works in addiction
treatment is challenging, in part, because:
1)poly-substance abuse and addiction has become
the norm; and
2) there is a prevalence of co-occurring mental
health disorders in this population
In addition, the severity of addiction can vary widely.
Early Indicators—The ACE Study
 Adverse Childhood Events. A Kaiser Permanente
study of 175,000 persons. Covered 7 areas:
emotional abuse, physical abuse, sexual abuse,
neglect, household substance abuse, violence
towards mother and separation from a parent
figure. Compared responses to medical charts.
Four or more adverse events had risks 2 t0 10 times
(more than for 0 events) for:
Smoking and lung disease; Depression and suicide
attempts; Pregnant or parenting as teen; and
Alcoholism and drug abuse.
Other Significant Factors
 Age of onset. Risk of adult alcohol dependence
directly related to onset. Before age 15, 40%. At age
18-19, risk drops to 16.5%.
 Environmental Factors: Family and Community
Attitudes and Supports. AKA “Recovery Capital.”
A Few Things We Know…
 More than half of clients admitted to addiction
treatment do not successfully complete treatment.
 The majority of people completing addiction
treatment resume use in the year following treatment.
 Of those who consume alcohol or other drugs
following discharge from addiction treatment, 80%
will do so within 90 days of discharge.
We Also Know…..
Acute stabilization of 28-90 days (“Detox and hope
for the best”) as generally practiced, is an approach
with no evidence of long-term success for most people.
Addiction, in all degrees of severity, is best understood
as a chronic condition amenable only to long-term
care similar to what you would receive for diabetes or
hypertension.
More of What We Know…..
 Stable substance dependence recovery often follows
multiple treatment episodes over years.
 Some programs target shortening the time lapsed
BETWEEN treatment episodes by Continuing Care,
AKA “Recovery Management.” This can consist of
regular phone calls, visits, or “tune-ups.”
 One in 8 adult patients are linked to continuing care.
New Addiction Paradigms
 Shift system focus to Recovery rather than Clinical
Intervention
 Extend the definition of addiction treatment from
acute stabilization/recovery initiation to support for
long term personal and family recovery/recovery
maintenance and enhanced quality of life in recovery
Relapses
About 50 to 70 percent of patients who are in
treatment for diabetes, asthma, or hypertension
don’t take their medications as prescribed and
don’t follow through with recommended life
changes suggested by their physicians.
The relapse rates for addiction are about the same
(roughly 50 percent per year).
--Dr. Tom McLellan
Former Deputy Director of ONDCP
What is Recovery?
Recovery from addiction does not mean a “cure” from a
disease but the creation of new resources internal and
external that can support different healthy ways of
satisfying one’s genuine needs.
----Dr. Gabor Mate
The Problem with Going Home
“There are many clients for whom family and
community are more a source of sabotage than support
for recovery. The only solutions traditional models of
treatment have to this dilemma are:
1)further bolster the individual’s resistance to such
forces, or 2) to challenge the client to change his or her
environment.
An alternative is to change the family and community
environment.” ---William White
Some of the issues potentially facing an
adult in recovery
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Housing
Legal Assistance
Primary Health and dental care
MH care
Employment/job skills
Relationships/Parenting
Banking; Credit Repair
Driver’s licenses
Basic Education
Civic Participation
Living skills
Spiritual/Emotional Support
Recovery Oriented Systems of Care (ROSC)
Networks of formal and informal services, supports,
opportunities and relationships mobilized to sustain
long term recovery for individuals and families.
ROSC is not a treatment program, government agency
or a partnership of mutual aid groups, but a macro
level organization of a community or state.
ROSCs Growing in New Mexico
The Behavioral Health Services Division is leading this
initiative by holding statewide meetings every other
month, presenting different topics, communities and
projects statewide. (Contact Vicki if you want to be on the email
list at [email protected])
Current Initiatives:
Taos. a Coalition of Taos Alive (DFC grant), Recovery
Friendly Taos County and Crisis System of Care.
In Mescalero, the Mescalero System of Care.
In Roswell and Albuquerque, WINGS for LIFE are
foundations of ROSCs for the re-entry population.
In Farmington, coalitions like Totah Behavioral Health
and Alternative Sentencing Division of SJ County
Hope
 In most communities, individuals return
from treatment with little sense of
accomplishment and little or no
understanding of how to rebuild their lives
and who to turn to.
 If the community rejects such a person,
where does the hope come from?
A Final Thought
 Those who are least likely to complete treatment
(or re-use) are not those who want it the least but
rather those who……...
 …need it the most.
The 12 Guiding Principles of Recovery
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There are many pathways to recovery.
Recovery is self-directed and empowering.
Recovery involves a personal recognition of the need for change and transformation.
Recovery is holistic.
Recovery has cultural dimensions.
Recovery exists on a continuum of improved health and wellness.
Recovery is supported by peers and allies.
Recovery emerges from hope and gratitude.
Recovery involves a process of healing and self-redefinition.
Recovery involves addressing discrimination and transcending shame and stigma.
Recovery involves (re)joining and (re)building a life in the community.
Recovery is a reality. It can, will, and does happen.
Source: CSAT White Paper: Guiding Principles and Elements of Recovery-Oriented Systems
of Care.
For Further Information
 Vicki Ohrn-Lannerholm, Clinical Staff Manager,
Behavioral Health Services Division, Human Services
Department
[email protected] 505-476-9280
 Great web site: facesandvoicesofrecovery.org
 Great video: Anonymous People