Improving Substance Use Disorder Treatment and Recovery … · Improving Substance Use Disorder Treatment and Recovery Outcomes Using Peer-Based Recovery Supports Marge Hanna, MEd
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Improving Substance Use Disorder Treatment and Recovery Outcomes Using Peer-Based
Recovery Supports
Marge Hanna, MEdRosa Davis , MSW, ACSW
ASAP 2014 Conference
Objectives
• Understand urgency of adoption of ROSC and Recovery Management principles including collaboration with community-based recovery supports and resources
• Learn one process for designing a Learning Collaborative for substance use disorder treatment providers as relates to ROSC and Recovery Management with a specific focus on peer-based recovery support services (P-BRSS)
• Learn how P-BRSS can improve initiation, early engagement and retention in treatment and recovery
• Recovery-oriented systems of care (ROSC) are networks of formal and informal services developed and mobilized to promote community health and wellness for all
• Coordinated and collaborative multi-agency/community based system with goals:– Prevent the development of substance use disorders– Intervene earlier in the progression of the disease– Reduce the harm caused by addiction– Help individuals transition from brief experiments in
recovery initiation to sustained recovery maintenance– Promote good quality of life, community health and wellness
• Builds on the strengths and resilience of individuals, families and communities as individuals take responsibility for their long-term recovery, health and wellness
• Makes services and resources more available that people can use to meet their needs
• Offers a variety of supports that work for and with each person to restore their lives (an ongoing process)
• Acknowledges the value of many pathways to and cultural aspects of recovery
A philosophy for organizing treatment and recovery support services to enhance pre-recovery engagement, recovery initiation, long-term recovery maintenance, and the quality of personal/family life in long-term recovery….
• Recovery support needs span the periods of pre-recovery engagement, recovery initiation, recovery stabilization, and recovery maintenance
• Peer-based recovery support interventions can enhance treatment outcomes…– Draws on the power of example and lived experience.– Largely voluntary: draws on the desire to “give back”– Based on the notion that both people in a relationship
Social Support and Associated PeerRecovery Support Services
Type of Support Description Peer Support Service Examples
Emotional Demonstrate empathy, caring, or concern to bolster person‟s self esteem and confidence.
Peer mentoring
Peer-led support groups
Informational Share knowledge and information and/or provide life or vocational skills training.
Parenting class
Job readiness training
Wellness seminar
Instrumental Provide concrete assistance to help others accomplish tasks.
Child care
Transportation
Help accessing community health and social services
Affiliational Facilitate contacts with other people to promote learning of social and recreational skills, create community, and acquire a sense of belonging.
Community Care ROSC Centers of Excellence Initiative
Process improvement initiative focused on system wide alignment with the elements of Recovery-Oriented Systems of Care (ROSC) and principles of Recovery Management (RM)
Agencies will improve engagement and retention rates, increasing the number of days in active treatment of our members to a minimum of 90 days post initiation of treatment (minimum one year for MAT).
By April 2016, 80% of members receiving P-BRSS will report feeling highly supported by their provider to continue substance use disorder treatment.
Process AIM:
By April 2016, 80% of members receiving P-BRSS will have a recovery plan developed with a peer.
By April 2016, 80% of members receiving P-BRSS services will have at least one face-to-face meeting with a recovery coach every 30 days throughout their first 90 days of treatment.
• Connecticut Department of Mental Health and Addiction Services: Proposed Model for Mental Health Recovery and Recovery-Oriented Services http://www.ct.gov/dmhas/lib/dmhas/recovery/mhmodel.pdf
• Connecticut Department of Mental Health and Addiction Services: Practice Guidelines for Recovery-Oriented Care for Mental Health and Substance Use Conditions (2nd edition) & Appendices http://www.ct.gov/dmhas/cwp/view.asp?a=2913&q=376510
• Faces and Voices of Recovery: Guide to Mutual Aid Resources http://www.facesandvoicesofrecovery.org/resources/support/index.html
• Life Beyond Treatment: Recovery-Oriented Systems of Care with William White and Ijeoma Acharahttp://www.attcnetwork.org/regcenters/index_southeast.asp
• Overview of a Recovery Oriented System of Care: Characteristics, Structure and Development, Ijeoma Acharahttp://www.attcnetwork.org/regcenters/index_southeast.asp
• Peer-based Addiction Recovery Support History, Theory, Practice, and Scientific Evaluation, William L. White, MA, Great Lakes Addiction Technology Transfer Center, Philadelphia Department of Behavioral Health and Mental, Retardation Services http://www.attcnetwork.org/regcenters/productdetails.asp?prodID=510&rcID=3
• Addiction Recovery Peer Service Roles: Recovery Management in Health Reform, Face and Voices of Recovery, September 2010. http://www.google.com/cse?cx=014138928708248406068:ery9jlsrqj8&cof=FORID:0&q=health+care+reform