The Latest in Recovery Advocacy Tools Many Faces 1 Voice & The Anonymous People Project

The Latest in Recovery Advocacy Tools

Many Faces 1 Voice & The Anonymous People

Project

Kim Manlove Director

Indiana Addictions Issues Coalition?

*IAIC *Broad based organization whose mission is to

promote recovery through public education, advocacy and service* The IAIC works to put a “face and voice” on recovery -

to break down misperceptions that will change attitudes (stigma) and policies (discrimination)

*IAIC Founded upon 4 Tenets

Addiction is a brain disease*Treatment for addiction is successful (treatment works)*Treatment for addiction is cost effective*Lack of health insurance parity for treatment is

discrimination.

*IAIC Goals*Increase access to treatment *Increase the number of professionals and programs

providing treatment*Reduce stigma through public education*Provide a voice to help shape public policy on addiction

issues

Introduction and Setting the Context

*IAIC Goals* Organize and educate the recovering community on

how to advocate without violating traditions* End discrimination – Health Insurance, Housing,

Employment, Public Assistance* Broaden social understanding to achieve a just

response to addiction as a public health crisis

Introduction and Setting the Context

*Advocacy is...*Actively supporting a cause and trying to get others to

support it*Speaking up, drawing attention to an important issue

and directing decision makers towards a solution*.... Advocacy is Education

The Beginning WithFaces and Voices of Recovery

Organizing and mobilizing people in long-term recovery from addiction, our families, friends, and allies, to speak with one voice

Changing public perceptions of recovery Promoting effective Federal and State

public policy Focusing on the reality of recovery that

is making life better for over 23 million Americans, their families, and communities

2001 Recovery Summit; St. Paul, MN The recovery movement: includes people in recovery from

addiction from alcohol and other drugs, family members, friends, and allies

includes and honors all pathways to recovery

encompasses all the diverse perspectives, cultures, and experiences of the recovery community

Addiction Recovery Advocacy Movement

Current Climate: The Perfect Storm

Recovery Advocacy Movement Recovery-Oriented Systems of Care Mental Health Parity and Addiction

Equity Act Affordable Care Act Managed Care Expansion Peer Recovery Support Services Criminal Justice and Drug Policy Reform

Movement Many Faces 1 Voice The Anonymous People Movement

Recovery is the Focus

Shifting from a crisis-oriented, professionally-directed, acute-care

approach with its emphasis on discrete treatment episodes….

…to a person-directed, recovery management approach that provides

long-term supports and recognizes the many pathways to health and wellness.

Focus: Recovery and Wellness

Recovery-oriented Systems of Care

Build the capacity of communities, organizations, and institutions to support recovery

Build on the strengths of individuals, families, and communities to foster long-term recovery, health, and wellness

Expand the menu of services and supports across the entire recovery continuum

Ensure people in or seeking recovery receive dignity and respect

Lift discriminatory policies and barriers to recovery

Unmet Need: < 10 % who need Tx seek treatment or if they do, arrive under coercive influences

Low Pre-Treatment Initiation Rates Low Retention: > 50 % do not successfully complete

treatment

Inadequate Service Dose: significant % do not receive optimum dose of Tx as recommended by NIDA.

Lack of Continuing Care: only 1 in 5 receive post-discharge planning

Recovery Outcomes: most resume using within 3months to one year of discharge from Tx

Revolving Door: > 60% one or more Tx episodes, 24% 3 or more – 50% readmitted within 1 year.

Challenges Currently Facing Addiction Service Systems

Adapted from Ijeoma Achara

Love,

Work, &Play

Housing,Faith, &Belonging

PrimaryFocus

CommunityLife

Service System ProgressionModel 1: Effective Treatment

Treatment

Service System Progression

Arthur Evans

Love,

Work, &Play

Housing,Faith, &BelongingPeer

support

PrimaryFocus

CommunityLife

Service System ProgressionModel 2: Continuity of Care

Detox Tx-1

Tx-2Rehab


Arthur Evans

Faith

Work orschool

Socialsupport

BelongingFamily

Housing

Peersupport

Treatment &rehab

PrimaryFocus

CommunityLife

In the model. clinical care is viewed as oneof many resources needed for successfulintegration into the community

Service System ProgressionModel 3: Recovery-oriented

System of Care


Arthur Evans

Outreach and engagementStrength-based screening, assessment, and

service planningExpanded and service team composition and

collaborative relationshipsFocus on community integrationLinkages to recovery communityPost-treatment check ups

Recovery-oriented Clinical Services


Develop the capacity and infrastructure of the organized recovery community to become a full partner and participant

Explore range of options regarding paid and volunteer peers

Expand PRSS and increase service menu options and points of access

Integrate PRSS into recovery community and diverse service settings, including treatment

Fully in the Mix: Peer Recovery Support Services

Setting the Context:Recovery Capital

What is Needed: Recovery Capital

Physical: includes health (access to care), financial assets, food/clothing/shelter, transportation

Human: includes culture, values, knowledge, education, inner- and interpersonal skills, judgment, and other capacities

Social: includes connectedness to social supports and resources, intimate/family/kinship relationships, and bonds to community and social institutions

Recovery Capital is the breadth and depth of internal and external resources that can be drawn upon to initiate and sustain recovery from addiction. (Granfield and Cloud, 1999, 2004; White, 2006)

Limited education Minimal or spotty work history Low or no income Criminal background Poor rental history Bad credit Accrued debt and/or back taxes Unstable family history Inadequate access to health care

Consequences of Addiction Can Deplete Recovery Capital

Essential Ingredients for Sustained Recovery:Safe and affordable place to liveSteady employment and job readinessEducation and vocational skillsLife and recovery skillsHealth and wellnessSober social support networksSense of belonging and purposeConnection to family and community

Creating and Reinforcing Recovery Capital

With Many, a Need to Address: Legal issues Expunging criminal records Financial status: debt, taxes,

budgeting, etc. Restoring revoked licenses:

professional, business, driver’s Regaining custody of children Developing relationship and parenting

skills Developing sober social support

networks and community connections

Creating and Reinforcing Recovery Capital

Building Communities with Recovery Capital

Build on the strengths and resilience of individuals, families, and communities to be responsible for sustained recovery and wellness

Make services and resources available that help individuals and families throughout the recovery process

Build the capacity of communities, organizations, and institutions to support recovery: recovery-supportive rather than recovery-hostile

Lift discriminatory barriers that impede recovery and wellness

Peer Recovery Support Services

Services to help individuals and families initiate, stabilize, and sustain recovery

Provided by individuals with “lived experience” of addiction and recovery

Non-professional and non-clinical Distinct from mutual aid support, such

as 12-step groups Provide links to professional treatment,

health and social services, and support resources in communities

Peer Recovery Support Services

Natural Reciprocal Accessible

Potentially enduringNon-commercialized

Non-regulated

Elements of a Peer Relationship

William White

Focuses on establishing trust and building relationship

Builds on a person’s strengths to improve Recovery Capital

Promotes recovery choices and goals through a self-directed Recovery Plan

Utilizes recovery community resources and assets, especially volunteerism

Provides entry and navigation to health and social service systems

Models the benefits of a life in recovery

What Makes Peer Work Effective?

Effective outreach, engagement, and portability

Manage recovery as a chronic condition Stage-appropriate Cost-effective Reduce relapse and promote rapid

recovery reengagement Facilitate reentry and reduces recidivism Reduce emergency room visits Create stronger and accountable

communities

Benefits of Peer Recovery Support Services

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.

When Are PRSS Delivered?

Continuum of Addiction Recovery

Pre-Recovery Engagement

Recovery Initiation &

Stabilization

Recovery Maintenance

Enhancement of Quality of Life in Long-

term Recovery

William White

Recovery community centers Faith and community-based organizations Emergency departments and primary care

settings Addiction and mental health treatment Criminal justice systems HIV/AIDs and other health and social service

agencies Children, youth, and family service agencies Recovery high schools and colleges Recovery residences and Oxford Houses

Where Are PRSS Delivered?

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

Peer Recovery Coach

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

NOT Just Recovery Coaches

Vision: creating a community institution like a Senior Center

Provides public and visible space for recovery to flourish in community: Recovery on Main Street

Serves as a “community organizing engine” for civic engagement and advocacy

Operates as a “hub” for PRSS and recovery activitiesIncludes participation of family membersProvides volunteer, service, and leadership

opportunitiesPositions the recovery community as a key

stakeholder with the greater community

Recovery Community Centers

Moving Forward with Many Faces 1 Voice And

The Anonmymous People Project

Q: Why don’t we treat addiction like other public health issues?

The numbers are staggering: Over 23 million Americans need helpCosts the nation $343 billion/yearNumbers of young people dying is climbing

We have the pictures of the brain.We know that 90% of the time it starts in adolescents. We have proof that people can and do recover:Over 23 million Americans are in long-term recovery from addiction to alcohol and other drugs

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• Discrimination • Marginalization • Stigma• Shame• Anonymity • Fear• Education / Training • Unaware of Their Power

Why have most of those directly impacted – people in recovery,

family members and friends – stayed so silent and disengaged?

Q: How Do We Activate A FRAGMENTED…CONFUSED… ANONYMOUS…MARGINALIZED…AMBIVALENT…

Constituency – over 23 Million Americans and their families – 10% of all Americans – to get engaged to address addiction?

2013: Released For Community Screenings -Grassroots Distribution -Over 80,000 Have Seen It-8.7 Out of 10 Rating On IMDB-Screened at The U.S. Capitol

A Social Action Filmmaker’s Dream Come True! The Most Common Question Asked After Watching The Film:

“I Am Inspired, I Want To Get Involved, What Can I Do In My Community?”

“A multi-faceted campaign to mobilize people in

recovery, family members, friends and allies to advance

the addiction recovery advocacy movement.”

As of April 2014 – Campaign Founders Include:

A New Campaign Brought To You By

Faces & Voices of Recovery

Free, online educational & inspirational short videos of people in recovery

who have stepped up to share their story with a purpose –

advancing recovery

Empowerment:Individual Story

Sharing & Taking Action

Community Screening Tools &Discussion Guide

• Outreach and PR Event Marketing Templates• Social Media Outreach Templates • Guide For Opening Remarks• Post-Film Discussion Guide• Q&A With Greg Williams • Advocacy With Anonymity brochure• A.A. World Services Letter About Film• Call-To-Action Post-Cards

Just want to use the film within your agency?

Institutional / Public Performance Rights are now available – see post-card hand-out for details.

Questions and Answers

Greg Williams | Filmmaker

Complementary, rather than opposing, paradigms

Search for potent combinations and sequences

Mutual respect for different ways of knowing and types of experience

Philosophy of choiceShared goal of people getting and

staying well

We Begin With Foundational Principles of Collaboration


Nothing about us without us (Inclusion as first thought versus afterthought)

Representation of multiple recovery pathways

Authenticity of representation

Avoiding problem of double agentry

Giving back versus cashing in

Collaboration with Recovery Representation

William White

Common and shared elements:

To be active agents of change in our own lives – not passive recipients of services

To manage/eliminate and move beyond our symptoms

To participate in valued social roles and relationships

To embrace purpose and meaning in our lives and make worthwhile contributions

To not be defined by our illness

To live a self-actutalized life abundantly!

Shared Vision for the Future


Recovery Works Recovery is Possible

Recovery is an Expectation!

Vision Renewed

The Latest in Recovery Advocacy Tools Many Faces 1 Voice & The Anonymous People Project

Documents

Transcript of The Latest in Recovery Advocacy Tools Many Faces 1 Voice & The Anonymous People Project