Transcript Recovery and Integrated Services – Taking It to the Streets

Recovery and Integrated Services –
Taking It to the Streets
PANEL DISCUSSION FACILITATED BY
KAREN AMON, JOHN KRONECK AND KARI GULVAS
SEPTEMBER 17, 2013
Panel Participants
 Karen Amon – Co-Chair Regional RISC,
BABH ACT and IDDT Clinical Program Manager
 John Kroneck – Montcalm Health Promotion Coordinator,
Cherry Street Health Services
 Kari Gulvas – Co-Chair Regional RISC,
Recovery Systems Coordinator, RCA/AAM/BABH
 Leigha Compson – Recovery Coordinator, Wedgwood Christian Services
 Geoffrey Jones – Chair Montcalm RISC, Montcalm Recovery Community
 Haven Ward – Vice-Chair Montcalm RISC, Montcalm Recovery
Community
 Will Volesky – Kairos/Holy Cross Mental Health and
Substance Use Provider
4 Objectives for Today’s Session
 Participants will understand the organizational dynamics of setting the
foundation and framing the structure for integrated recovery services
 Participants will understand the importance of combining the Recovery
Oriented Systems of Care and the Integrated Services Workgroup to
develop truly integrated mental health and substance use disorder
services
 Participants will understand the role of local providers in organizing
and coordinating communities for effective integration
 Participants will hear from members of local recovery communities
regarding their experience of leading system change
Brief History of Us
RCA SUD Side
 Regional Recovery Oriented
Systems of Care (ROSC)
developed 2010
 Inclusionary effort for Prevention
professionals, Treatment
professionals, Individuals in
Recovery and interested
Community Stakeholders
 Developed and adapted
Principles, Guiding Elements of
Success, Mission and Vision
BABH MH Side
 Regional Integrated Services
Workgroup (ISW) developed
2006
 Membership included Huron
Behavioral Health, Tuscola
Behavioral Health, Shiawassee
County CMH, Montcalm
Behavioral Health and providers
for Bay-Arenac Behavioral Health
 Developed Purpose Statement
with specific focus areas of
concentration
Reorganization – 2012
Regional ROSC – Regional ISW
 Asked by Regional PIHP to consider reorganization/consolidation of all
agency workgroups/ taskforces
 RCA ROSC and BABH ISW met separately to analyze “common
ground”
 Common ground – “the only way to maximize services is by working
together in partnership and collaboration”
 Common ground – “healthy communities help to sustain recovery and
promote wellness for all”
Reorganization – 2012
Regional ROSC – Regional ISW
 Groups met together to define common purpose – one
“joint structure” to build upon
 Joint agreement – improve communication,
coordination, and partnership among all system
stakeholders
 Joint agreement – help systems provide person-
centered integrated treatment and recovery services in
a comprehensive, continuous, integrated way.
Reorganization – 2012
Regional ROSC – Regional ISW
 Developed joint Action Plan with goals/objectives – 3
workgroups support the Action Plan
 Renamed the group – Recovery and Integrated Services
Collaborative (RISC)
 The Cornerstone for Change ---- Relationships,
relationships, relationships are key!!!!!!
Regional RISC Success
 New relationships built
 Increased awareness and understanding
 New education was shared
 New understanding about limits of each system
 Broader inclusion of co-occurring issues, trauma-informed
services, evidence based practices and stage of change readiness
Outcomes to Date
 Increased positive relationships --- proactive and
progressive attitudes
 Sitting at the table together on a regular basis
 More people are receiving co-occurring treatment in both
systems
 Improved collaboration between the two systems
 Local communities picking up the effort
Outcomes to Date
 Identified “vulnerable” people and processes to enhance
their episode of care (both systems)
 Came up with best practices on how to work
collaboratively
 Better trained staff because of training between and
across both systems (trauma, MI, Stages of Change, etc.)
 Coordinated training between the two systems
Lessons Learned
 Relationships are critical to succeeding
 Must build on core of “trust”
 Developing common language is key
 Focus on the strengths of the group

Lessons Learned
 Must have “action” along with visioning
 Participants must be open to new learning - new ideas
 Financial systems are still siloed – this is challenging
 Passionate partners -- “Champions” are essential to
success
Lessons Learned
 Active and conscious effort to continuously evaluate
 Formal system processes are necessary
 Having the right people in leadership
 Leaders provide empowerment – guidance
“Taking It to the Streets”
Enhancing Recovery in Montcalm County
Newaygo
County
Mecosta
County
Isabella
County
Gratiot
County
Kent County
Ionia County
Clinton
County
Call for Pilot Projects
Joint Venture
 Regional Recovery &




Integrated Systems of Care
Recovery Community
Cherry Health Promotion
Services
North Kent Guidance
Services
Wedgwood Christian Services
Strategic Prevention Framework
Assessment:
Profile population
needs, resources, and
readiness to address
needs and gaps.
Evaluation:
Monitor, evaluate,
sustain, and improve
or replace those that
fail.
Implementation:
Implement evidencebased prevention
programs and activities.
Capacity:
Mobilize and/or
build capacity to
address needs.
Planning:
Develop a
comprehensive
strategic plan.
A SAMHSA Best Practices Model
EXTENDED
COMMUNITY
SUPPORT
LOCAL COMMUNITY
FUNDING
SUPPORT
FUNDING
RECOVERY
COMMUNITY
STEERING
COUNCIL
RCA & SERVICE
PROVIDERS
PEOPLE IN
RECOVERY
VOLUNTEERS
RESOURCES
FAMILIES
RESOURCES
RELATIONSHIPS
RELATIONSHIPS
Montcalm RISC Goals
Coordination
of Services and
Resources
Education
in the
Community
Community
Resource
Mapping
Transitional
Housing
Goal 1: COORDINATION OF SERVICES AND
RESOURCES
Objective 1: Establishing and Maintaining a Steering
Committee
Objective 2: Create a Usable and Flexible System
Specifically for Recoverees and their Families
Goal 2: EDUCATION IN THE COMMUNITY
Objective 1: Resource Networking
Objective 2: Perform a Public Education Strengths
and Gaps Analysis
Goal 4: TRANSITIONAL HOUSING
Objective 1: Develop Women’s Transitional
Housing Availability
Objective 2: Identify Recovery-Friendly Landlords
and Funding Options for Housing Needs
Goal 3: RESOURCE MAPPING
Objective 1: Mapping Community Assets and
Needs with respect to the Four Key Support Areas
Objective 2: Increase Employment Opportunities for
Recoverees
Objective 3: Focus for Family of Recovering Person
Recovery Supports
Montcalm County RISC is committed to developing a
system of supports that is holistic and flexible to
meet the unique set of needs for each individual
served.
“Alcohol-and drug-dependent
individuals with histories of
homelessness, incarceration, and
lack of social support for sobriety are
particularly vulnerable to relapse
without the provision of long-term
community-based services that
support sobriety,”
(McAllister Henderson & Polcin, 2008,
para. 3).
Recovery Supports
 Our objective was to not only identify recovery
resources in our community but also to map the
resources.
 The map can be used by helping professionals, (e.g.,
recovery coaches), family members, individuals in
the community, and others.
Resource Mapping
 Plotting resources on a map
 Helps to locate resources that are closest to client homes more
efficiently
 Minimizes transportation issues
 Analysis of the mapped resources creates the
opportunity to advocate
for new resources in
underserved areas
(i.e., “resource deserts”).
Case Example
Julie is a twenty-something mother of two who is on probation
with a substance use charge. She was recently released from jail
and is staying with her aunt temporarily while she tries to find a
place to live. Her aunt has been threatening to kick her out as she
is struggling to provide basic needs for her own family. Julie is
currently unemployed and has a spotty work history given her
issues with the law and substance use patterns. She dropped out of
school when she was an eleventh grader and has never had a
driver’s license. Julie has been sober for about three months and
states that she is motivated to continue her recovery to ensure she
is able to retain custody of her two young children. Currently she
is feeling overwhelmed as she struggles to provide food for her
children and manage severe pain for some dental problems she has
been experiencing. She is referred to a local agency for a
substance use evaluation.
Resource Mapping Model
Substance use literature identifies four primary
categories of support that are instrumental in
recovery:
 Emotional
 Informational
 Instrumental
 Affiliation
Resource Mapping Model
 The objective of categorizing resources is to help
individuals in recovery identify key supports needed
to maintain sobriety.
 By organizing recovery resources into four main
categories, matching individuals with resources is
more efficient.
Resource Mapping Model
The map creation process involved
 Utilizing the model’s four main categories as a
foundation
 Developing resource subcategories for each category
 Identifying specific resources
for each subcategory
 Requesting ongoing input
and feedback from the
community.
Resource Category: Emotional Supports
Emotional Supports are defined as
“demonstrations of empathy, caring, and
concern in such activities as peer mentoring
and recovery coaching as well as recovery
support groups”. (Kaplan, 2008)
Resource Category: Affiliation Supports
Affiliation Supports are defined as opportunities
“to establish positive social connections with
others in recovery so as to learn social and
recreational skills in an alcohol-and drug-free
environment.” (Kaplan, 2008).
Resource Category: Instrumental Supports
Instrumental Supports are defined as
“concrete assistance in task
accomplishment, especially with stressful
or unpleasant tasks (e.g., filling out
applications, obtaining public benefits) or
providing supports such as child care,
transportation to support group meetings,
and clothing closets” (Kaplan, 2008).
Resource Category: Informational Supports
Informational Supports are defined as
“provision[s] of health and wellness
information, educational assistance, and help
acquiring new skills, ranging from life skills to
employment readiness and citizenship
restoration (e.g., voting rights, driver’s license)”
(Kaplan, 2008).
Resource Map Category Summary
Emotional
Affiliation
Counseling
Community
Involvement
Instrumental
Informational
Childcare
Alternative Methods
Clothing
Career Counseling
Education
Mentoring
Leisure Activities
Employment
Family Education
Health and Wellness
Food
Spirituality
Recovery Events
Healthcare
Housing
Support Groups
Volunteer Opportunities
Household Management
Job Training
Legal System
Leisure Education
Transportation
Literacy
Resource Maps
To view the map for each category, click on the desired
button below:
Emotional
Affiliation
Instrumental
Informational
Resource Booklet
Next Steps
 Distribution and awareness
 Maintenance plan
 Collecting feedback
 Advocacy for new resources
 Employment Network
Montcalm County RISC’s
commitment to diversity is
critical to the success of a
recovery system and thus the
success of recovering
individuals, for “treatment
professionals and
researchers now believe that
there are many aspects of
recovery and there are
numerous pathways to
follow. There is no single
solution that works for
everyone,”
(Promises Treatment
Centers, n.d., para. 3).
References
Kaplan, L., (2008). The Role of Recovery Support Services in
Recovery-Oriented Systems of Care. Center for Substance Abuse
Treatment, Substance Abuse and Mental Health Services
Administration. DHHS Publication No. (SMA) 08-4315.
McAllister Henderson, D., & Polcin, D. (2008). A clean and sober place to
life: Philosophy, structure and purported therapeutic factors in sober
living houses. Journal of Psychoactive Drugs. 40(2). 153.
Nishimura, N., Priest, R., Pruett, J. 2007. The role of meditation in
addiction recovery. Counseling and Values. 52(1). 71.
Promises Treatment Centers. (n.d.). How to build and maintain a solid
system in recovery.
Closing
 Questions?
 Contact Information

Montcalm RISC

www.riverhaven-ca.org
(989) 497-1344
[email protected]
(616) 232-6891

Leigha Compson
[email protected]
(616) 255-6334
RCA RISC

Kari Gulvas
[email protected]
(989) 497-1384
Resource Map
Each map is color coded by subcategory.
Resource Maps
Clicking on one pin displays the resource details
Resource Map
Clicking on the resource title takes you to the resource
website
Resource Map
Clicking on the resource address takes you to a new
page to get driving directions to the site.
Case Example
 The results of the assessment indicate that Julie
meets diagnostic criteria for substance use.
 Weekly counseling is recommended and Julie agrees
to participate. The first counseling session is
scheduled.
 Treatment goals are established, some of which are
supported through the assignment of a recovery
coach.
Case Example
 Julie is introduced to a recovery coach who begins
meeting with her individually.
 To support her treatment plan, Julie’s specific
recovery support needs are assessed by the recovery
coach.
 Plans to meet the needs are developed using the
resource map.
Case Example
• Identifying the nearest food pantry
to help in the short term
• Finding low income housing
• Scheduling an appointment with a
recovery-friendly dentist
Julie’s recovery coach
helps her with some • Establishing a support group
meeting schedule (e.g., weekly
immediate needs
AA/NA meetings)
including:
Case Example
• Obtaining her GED
• Signing up for a parenting class
• Opening a savings account
• Developing a transportation
Julie and her recovery plan (e.g., bike, bus, etc.)
• Getting her driver’s license
coach begin to
develop plans such as: • Identifying potential employers
Case Example
•
•
•
•
Julie’s recovery coach •
helps her to develop •
skills and supports •
her with tasks such as
Completing job applications
Practicing for job interviews
Selecting proper interview attire
Researching childcare options
Securing an AA/NA sponsor
Preparing a household budget
Identifying healthy leisure activities
Case Example
Throughout the process, Julie’s recovery coach uses
the Montcalm County Recovery Supports Resource
Directory.
 To date, the directory contains over 725 resources!
 It’s available electronically online as well as in
booklet form.
Closing
 Questions?
 Contact Information

Montcalm RISC

www.riverhaven-ca.org
(989) 497-1344
[email protected]
(616) 232-6891

Leigha Compson
[email protected]
(616) 255-6334
RCA RISC

Kari Gulvas
[email protected]
(989) 497-1384