2/28/14 1 THE HISTORY OF RECOVERY IN THE UNITED STATES AND THE ADDICTION PROFESSION A presenta*on by the NAADAC, the Associa*on for Addic*on Professionals Presented by William “Bill” White March 6, 2014 Download the PowerPoint slides & access CE quiz here: www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddictionprofession Misti Storie, MS, NCC WEBINAR ORGANIZER Director of Training & Professional Development NAADAC, the Associa/on for Addic/on Professionals USING GOTOWEBINAR • Control Panel • Asking Ques:ons • PowerPoint Slides • Polling Ques:ons • Audio (phone preferred) www.naadac.org/ thehistoryofrecoveryintheuniteds tatesandtheaddic/onprofession A presenta*on by NAADAC, the Associa*on for Addic*on Professionals A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE www.naadac.org/recovery OBTAINING CE CREDIT o The educa/on delivered in this webinar is FREE to all professionals. o 1.5 CEs are FREE to NAADAC members who aFend this webinar. Non members of NAADAC receive 1.5 CEs for $20. o If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar) www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession www.naadac.org/webinars A CE cer/ficate will be emailed to you within 21 days of submiYng the quiz and payment (if applicable) – usually sooner. o Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer*ficate. Free to NAADAC Members!
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
2/28/14
1
THE HISTORY OF RECOVERY IN THE UNITED STATES AND THE
ADDICTION PROFESSION
A presenta*on by the NAADAC, the Associa*on for Addic*on Professionals
Presented by William “Bill” White March 6, 2014
Download the PowerPoint slides & access CE quiz here:
www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddictionprofession
Misti Storie, MS, NCC
WEBINAR ORGANIZER
Director of Training & Professional Development
NAADAC, the Associa/on for Addic/on Professionals
USING GOTOWEBINAR
• Control Panel
• Asking Ques:ons
• PowerPoint Slides
• Polling Ques:ons
• Audio (phone preferred)
www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession
A presenta*on by NAADAC, the Associa*on for Addic*on Professionals
A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE
www.naadac.org/recovery
OBTAINING CE CREDIT
o The educa/on delivered in this webinar is FREE to all professionals.
o 1.5 CEs are FREE to NAADAC members who aFend this webinar. Non-‐members of NAADAC receive 1.5 CEs for $20.
o If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar)
www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession
www.naadac.org/webinars
A CE cer/ficate will be emailed to you within 21 days of submiYng the quiz and payment (if applicable) – usually sooner.
o Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer*ficate.
Free to NAADAC Members!
2/28/14
2
WEBINAR LEARNING OBJECTIVES
o List at least three pairs of recovery mutual aid groups with each pair respec/vely represen/ng a secular, spiritual or religious pathway of recovery
o Discuss at least 3 issues addressed within AA Tradi/ons that contributed to AA’s survival and growth as an organiza/on
o List at least 4 recovery support ins/tu/ons that are not recovery mutual aid socie/es that are rapidly growing in the U.S.
o Discuss at least 2 clinical implica/ons of the diversifica/on of recovery mutual aid socie/es in the U.S.
William “Bill” White
WEBINAR PRESENTER
Emeritus Senior Research Consultant
Chestnut Health Systems
www.williamwhitepapers.com
AUDIENCE POLLING QUESTION
Are you aware of the many recovery mutual aid societies that existed before the founding
of Alcoholics Anonymous?
RECOVERY IN NATIVE AMERICA
o Delaware Prophets
o Handsome Lake Movement
o The Prophet Movements
o Indian Temperance Preachers
o Indian Shaker Church & Na/ve American Church
RECOVERY IN NATIVE AMERICA
o Ghost Dance & Sun Dance Movements
o Indianizaton of Alcoholics Anonymous
o The Red Road & the Wellbriety Movement
THE INTEMPERATE & THE REFORMED
2/28/14
3
19TH CENTURY RECOVERY MUTUAL AID
o Washingtonians
o Recovery-‐focused Fraternal Temperance Socie/es
o Ribbon Reform Clubs
o Ins/tu/onal Groups, e.g., Ollapod Club, Keeley Leagues
o Dashaways, Drunkards Club
o Transi/on groups: United Order of Ex-‐Boozers, Jacoby Club
WASHINGTONIAN MEETING
BLUE RIBBON REFORM CLUB PLEDGE CARD FREDERICK DOUGLASS & THE “COLORED TEMPERANCE MOVEMENT”
FAITH-BASED RECOVERY EARLY TREATMENT INSTITUTIONS
2/28/14
4
EARLY TREATMENT INSTITUTIONS
FACTORS LEADING TO COLLAPSE OF EARLY RECOVERY MUTUAL AID
o Poli/cal and religious controversy
o Lack of a closed mee/ng structure
o Conflicts over money and status
o Professionaliza/on of service ethic
o Co-‐opta/on by sponsoring treatment organiza/on
o Public drinking episodes of prominent leaders
MID-TWENTIETH CENTURY REBIRTH
o Alcoholics Anonymous
o The Modern Alcoholism Movement
o New Alcoholism Treatment Ins/tu/ons
o New Addic/on Treatment Ins/tu/ons
o Addicts Anonymous, Hypes & Alcoholics, Narco/cs Anonymous
o Addic/on Treatment Reform Movements
o Stage set for rise of modern addic/on treatment
AA SHARED WITH EARLIER GROUPS
o Problem admission
o Public or semi-‐public commitment to sobriety
o Sober fellowship
o Experience-‐sharing mee/ngs
o Storytelling (3-‐part style)
o Peer mentoring
AA INNOVATIONS
o Self-‐surrender versus self-‐asser/on
o Focus on long-‐term recovery maintenance versus recovery ini/a/on
o Middle path between religious and secular pathways of recovery
o Codifica/on of program in wri/ng prior to explosive growth
2/28/14
5
o Maintained its closed mee/ng framework
• import of mutual iden/fica/on in recovery process
o Unique organiza/onal structure (that all external advisors predicted could not work)
o Twelve Tradi/ons were/are key to AA’s survival
AA INNOVATIONS
Personality
Crea/ve management of the 5 Ps:
Power/ Privilege
Possessions (money & property)
Press Passion
AA INNOVATIONS
AA REMAINS STANDARD BY WHICH PRE-AA AND POST AA GROUPS ARE JUDGED
o Size (2.1 million members)
o Geographical Dispersion (150 Countries)
o Longevity as an Organiza/on
o Number & Methodological Rigor of AA Research
o Adapta/on to Other Problems of Living
o Influence on Addic/on Treatment
o Influence on Culture
RECOVERY MUTUAL AID, 1970-2000
o Growth of Twelve Step groups
o Growing varie/es of Twelve Step experience
o Drama/c growth in total membership
o Geographical dispersion in U.S. and interna/onally
o Diversifica/on of recovery frameworks
o Spiritual Frameworks of Recovery
TWELVE-STEP GROUPS
o AA (1935) and NA (1947, 1953)
o Primary Drug Adapta/ons: • marijuana (1968, 1989) • prescrip/on drugs (1975, 1998) • cocaine (1982) • nico/ne (1985) • benzodiazepine (1989) • methamphetamine (1995) • heroin (2004)
o Persons in recovery on methadone (1991) & generic groups i.e., Recoveries Anonymous (1983) Chemical Dependent Anonymous (1988)
NON-TWELVE STEP, SPIRITUAL ALTERNATIVES
o The Red Road to Wellbriety
2/28/14
6
FURTHER SPECIALIZATION
Emergence of Concept of “Family Recovery”
Al-‐Anon (1951)
Alateen (1957)
Nar-‐Anon (1968)
Families Anonymous
(1971) Co-‐Anon (1986)
Recovering Couples
Anonymous (1988)
Teen-‐Anon (1999)
FURTHER SPECIALIZATION
• Interna/onal Doctors in Alcoholics Anonymous (1949)
• Lawyers (1975) • Anesthe/sts (1984) • Nurses (1988) • Veterinarians (1990), etc.
Occupa/onal
FURTHER SPECIALIZATION
Co-‐Occurring Problem
Dual Disorders Anonymous (1982), Dual Recovery Anonymous (1989), Double Trouble in Recovery (1993)
FURTHER SPECIALIZATION
Criminal Jus/ce
Inner Circle
Winner’s Circle/
Community
MEETING SPECIALIZATION
o Gender
o Age or dura/on of sobriety
o Ethnicity
o Sexual orienta/on
o Smoking status
o Degree of religiosity
o Endless varie/es of mee/ng formats
AUDIENCE POLLING QUESTION
Are there faith-based and secular recovery support groups available as alternatives to 12-
step groups in your community?
2/28/14
7
SECULAR RECOVERY SUPPORT GROUPS
o Women for Sobriety (1975)
o Secular Organiza/on for Sobriety/Save Our Selves (1985)
o Ra/onal Recovery (1986)
o Men for Sobriety (1988)
o Smart Recovery® (1994)
o Modera/on Management (1994)
o LifeRing Secular Recovery (1999)
RELIGIOUS RECOVERY SUPPORT GROUPS
ü Calix Society (1947)
ü Alcoholics Victorious (1948)
ü Teen Challenge (1961)
ü Alcoholics for Christ (1976)
ü JACS (1979)
ü Celebrate Recovery (1991)
ü Free N’ One (1985)
ü Ladies Victorious
ü Overcomers in Christ (1977)
ü Liontamers Anonymous (1980)
ü Mountain Movers
ü Milla/ Islami (1989)
ü Buddhist Recovery Network (2008)
IMPORTANT RESOURCE
Mutual Support Resources regularly updated at Faces and Voices of Recovery -‐ www.facesandvoicesofrecovery.org
NEW RECOVERY ADVOCACY MOVEMENT
o History
o 2001 Recovery Summit in St. Paul
NATIONAL ORGANIZATION
o Faces and Voices of Recovery
o NCADD
o Johnson Ins/tute
o Legal Ac/on Center
o (CSAT Influence via RCSP & ATR)
MOVEMENT GOALS
o Poli/cal/Cultural Mobiliza/on of Communi/es of Recovery
o Recovery-‐focused Public & Professional Educa/on
o Advocacy of Pro-‐recovery Laws & Social Policies
o Push for Recovery-‐focused Redesign of Treatment
o Promo/on of Peer-‐based Recovery Support Services
o Recovery Celebra/on
o Promo/on of Recovery Research
2/28/14
8
CURRENT TRENDS
o From recovery community to communi/es of recovery
o Cultural & poli/cal awakening across religious, spiritual & secular frameworks of recovery
o New recovery support ins/tu/ons
o Cultural development
CULTURE OF RECOVERY UPDATE
o Diversifica/on of Peer-‐based Recovery Support Socie/es
o New Recovery Advocacy Movement
o Spread of Grassroots Recovery Community Organiza/ons & Recovery Support Centers
o Recovery Home Movement
o Recovery Industries
o Recovery School Movement
o Recovery Ministries, Churches & Colonies
AUDIENCE POLLING QUESTION
Have there been efforts to establish one or more of these recovery support
institutions in your community?
2/28/14
9
CULTURAL CONSCIOUSNESS; CULTURAL DEVELOPMENT
o Reconstruc/on of History
o Iden/ty Reconstruc/on
o Language Audit & Construc/on
o Values Defini/on
o New Symbols
o Musical Anthems
o Ar/s/c Expression
o Literature
GRASSROOTS RECOVERY COMMUNITY ORGANIZATIONS (RCOS)
① Organized by and on behalf of communi/es of recovery
② Focus on advocacy, educa/on and peer support services
③ Establishing Recovery Support Centers, e.g., CCAR’s Network of RSCs in CT
④ Some contrac/ng to do telephone-‐based, post-‐treatment recovery checkups
RECOVERY HOME MOVEMENT
o Halfway Houses (1950s) to Social Model Rehabilita/on Programs (1970s)
o Oxford House (1975) (1,200 homes, 48 states, 24,000 residents per year)
o Federal An/-‐Drug Abuse Act of 1988 (Loan Fund)
o Na/onal Associa/on Recovery Residences (2011)
o Philadelphia Survey (21 funded; 250 unfunded)
RECOVERY SCHOOL MOVEMENT
o High School and Collegiate Levels
o Associa/on of Recovery Schools (2002)
o Key Elements
• Ac/ve recruitment of people in recovery
• Scholarships
• On-‐campus recovery support
• Academic mentoring
o Early Evalua/ons (high rates of con/nuous recovery & academic excellence)
RECOVERY INDUSTRIES
o Formats range from “recovery friendly” (Zingerman’s Deli, Venturetech) to “recovery exclusive” employers (Recovery at Work)
o Preparatory or Permanent Employment
o Core Elements:
o Skill training
o Work-‐based peer recovery coaching
o Linkage to recovery communi/es
o Establishment of legi/mate work history
RECOVERY MINISTRIES, CHURCHES & COLONIES
o “Recovery friendly churches”
o Mega-‐churches with a “recovery pastor”
o Lay leaders of recovery support groups
o Recovery-‐focused worship services and workshops
o Recovery Churches, e.g., Central Park Recovery Church in St. Paul
o Faith-‐based recovery colonies, e.g., Dunklin Memorial Camp in Okeechobee, Florida
o Na/onal Associa/on for Chris/an Recovery
2/28/14
10
CULTURAL DEVELOPMENT BETWEEN COMMUNITIES OF RECOVERY
• Iden/ty Reconstruc/on • Reconstruc/on of History • A New Language • Values Defini/on • New Symbols • Musical Anthems • Ar/s/c Expression • Literature
Cultural Development Between
(rather than within)
Communi*es of Recovery
THE RECOVERY HOME MOVEMENT: 2010 OXFORD HOUSE CONVENTION
RECOVERY & EDUCATION RECOVERY WITHIN FAITH COMMUNITIES
CULTURAL VISIBILITY & ADVOCACY (WITH ANONYMITY) RECOVERY-FOCUSED COMMUNITY EDUCATION
2/28/14
11
RECOVERY COMMUNITY CENTERS RECOVERY MEDIA
RECOVERY & COMMUNITY SERVICE: BALTIMORE RECOVERY CORPS RECOVERY ARTS: PHILADELPHIA RECOVERY MURALS
RECOVERY SPORTS: PHOENIX MULTISPORT RECOVERY & MUSIC
2/28/14
12
RECOVERY AS A NEW ORGANIZING PARADIGM
o Policy level, e.g., CSAT, ONDCP
o Community level, e.g., recovery-‐oriented systems of care
o Treatment level, e.g., recovery management models
o Non-‐clinical recovery support level, e.g., new ins/tu/ons & roles
CHALLENGES THAT RECOVERY CONCEPT IS:
o Amorphous
o Redundant
o Faddish
o Imprac/cal
o Unscien/fic
o Dangerous
CRITICAL ISSUES
How can posi/ve effects of acute treatment be extended to long-‐term recovery?
Do new recovery support ins/tu/ons & roles effect recovery outcomes?
What is the rela/onship between RCOs (and recovery coach role) and addic/on treatment?
CRITICAL ISSUES
What is the poten/al role of recovery coach in other service seYngs, CJ, CW, primary medicine?
How will new recovery support roles be structured to avoid role ambiguity, conflict and poten/al harm to people seeking services?
What is role of addic/on professional in suppor/ng later stages of personal/family recovery?
IMPLICATIONS
o AOD arena at personal/family levels no longer limited to treatment and mutual aid
o Enhanced treatment effec/veness via potent combina/ons of treatment, mutual aid and par/cipa/on in new recovery support ins/tu/ons
o Needed clarifica/on of boundaries of ins/tu/ons and roles
o Increased interest in recovery without treatment
IMPLICATIONS
o Greater focus on role of community in recovery
o Greater focus on community recovery capital
o Growing interest in concept of community recovery
o Coyhis “Healing Forest” Metaphor
2/28/14
13
THANK YOU!
ASKING QUESTIONS
Ask ques/ons through the Ques/ons Pane
OTHER RTP WEBINARS
www.naadac.org/webinars
Defining Addic*on Recovery • Thursday, January 9, 2014 @ 3-‐4:30pm ET
What Does Science Say? Reviewing Recovery Research • Wednesday, February 5, 2014 @ 3-‐5pm ET
The History of Recovery in the United States and the Addic*on Profession • Thursday, March 6, 2013 @ 3-‐4:30pm ET
Defining Recovery-‐Oriented Systems of Care (ROSC) • Thursday, April 3, 2014 @ 3-‐4:30pm ET
Understanding the Role of Peer Recovery Coaches in the Addic*on Profession • Thursday, May 1, 2014 @ 3-‐4:30pm ET
Including Family and Community in the Recovery Process • Thursday, May 29, 2014 @ 3-‐5pm ET
Collabora*ng with Other Professions, Professionals, and Communi*es • Thursday, June 26, 2014 @ 3-‐4:30pm ET
Using Recovery-‐Oriented Principles in Addic*on Counseling Prac*ce • Thursday, July 24, 2014 @ 3-‐5pm ET
Exploring Techniques to Support Long-‐Term Addic*on Recovery for Clients and Families • Thursday, August 21, 2014 @ 3-‐5pm ET
WEBINARS ON DEMAND
• Medica:on Assisted Treatment • Building Your Business with SAP/DOT • SBIRT • Billing and Claim Submission • Ethics • Co-‐occurring Disorders • Test-‐Taking Strategies • Conflict Resolu:on • Clinical Supervision • ASAM Placement Criteria • DSM-‐5 Proposed Changes
www.naadac.org/webinars
CE credit s:ll available!
Free to NAADAC Members!
WWW.NAADAC.ORG OBTAINING CE CREDIT
o The educa/on delivered in this webinar is FREE to all professionals.
o 1.5 CEs are FREE to NAADAC members who aFend this webinar. Non-‐members of NAADAC receive 1.5 CEs for $20.
o If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar)
www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession
www.naadac.org/webinars
A CE cer/ficate will be emailed to you within 21 days of submiYng the quiz and payment (if applicable) – usually sooner.
o Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer*ficate.
Free to NAADAC Members!
2/28/14
14
William White: [email protected]
Thank You for Par*cipa*ng!
www.naadac.org/recovery
NAADAC, The Associa*on for Addic*on Professionals 1001 N. Fairfax St. Suite 201 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136
NAADACorg
Naadac
mis/@naadac.org
NAADAC
Related Documents
![(1935) The advent of Alcoholics Anonymous [ AA ] · 2018. 3. 8. · (1935) The advent of Alcoholics Anonymous [ AA ] (1950) E. M. Jellinek’sresearch postulates that many Alcoholics](https://static.cupdf.com/doc/110x72/6054a65ff4b14c04b54c5d1b/1935-the-advent-of-alcoholics-anonymous-aa-2018-3-8-1935-the-advent.jpg)
