Strengthening Together Hope and Healing for Addiction Recovery

Transcription

1 Strengthening Tgether Hpe and Healing fr Addictin Recvery Fur Directins Tree f Healing Cnference Octber 1, 2013 Presented by Cynthia Mren Tuhy, NCAC II, CCDC III, SAP A presentatin by the NAADAC, the Assciatin fr Addictin Prfessinals

2 A presentatin by NAADAC, the Assciatin fr Addictin Prfessinals

3 A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE

4 DEFINING RECOVERY

5 DEFINING RECOVERY SAMHSA s Recvery Definitin A prcess f change thrugh which individuals imprve their health and wellness, live a self-directed life, and strive t reach their full ptential.

6 DEFINING RECOVERY HEALTH PURPOSE vercming r managing ne s disease(s) as well as living in a physically and emtinally healthy way HOME a stable and safe place t live meaningful daily activities, such as a jb, schl, vlunteerism, family caretaking, r creative endeavrs, and the independence, incme and resurces t participate in sciety COMMUNITY a stable and safe place t live

7 SAMHSA S GUIDING PRINCIPLES OF RECOVERY Accrding the SAMHSA, there are 10 guiding principles Recvery is f persn-driven recvery: Recvery is supprted by addressing trauma Recvery emerges frm hpe Recvery is based n respect Recvery is culturally based and influenced Recvery is hlistic Recvery ccurs via many pathways Recvery is supprted by peers and allies Recvery is supprted thrugh relatinship and scial netwrks Recvery invlves individual, family & cmmunity strengths & respnsibilities

8 DEFINING COMPETENCIES COMPETENCIES A set f related knwledge, skills and attitudes (KSAs) that are necessary t successfully perfrm jb duties and respnsibilities

9 RECOVERY IS PERSON- DRIVEN

10 RECOVERY IS PERSON-DRIVEN DEFINITION Self-determinatin and selfdirectin are the fundatins fr recvery as individuals define their wn life gals and design their unique path(s).

11 RECOVERY IS PERSON-DRIVEN Individuals in recvery are experts in their wn experiences, needs, preferences, and life gals. There are identifiable stages f change in the recvery prcess and individuals may be at different levels f readiness fr addressing different issues. KNOWLEDGE Treatment and services are tailred t meet the expressed needs and preferences f each persn. Language is pwerful.

12 RECOVERY IS PERSON-DRIVEN Attitude s Assumes individuals are experts in their wn recvery and they have learned much in the prcess f living and wrking thrugh life struggles. Acknwledges the value and imprtance f respecting persnal chice and preferences -- in life style and directin, as well as in treatment and service decisin making.

13 RECOVERY IS PERSON-DRIVEN Skills Engage individuals in respectful dialgue as full partners in all assessment, service planning and decisin making activities

14 RECOVERY IS PERSON-DRIVEN Skills Invlve family, allies and cmmunity in dialgue as useful and desired by individual

15 RECOVERY IS PERSON-DRIVEN Skills Ask the questin Hw can I help? in a manner which recgnizes and supprts that the service user is in the driver s seat.

16 RECOVERY IS PERSON-DRIVEN Skills Encurage and supprt individuals t identify, recgnize, and actualize persnal strengths, interests, resiliencies and resurces

17 RECOVERY IS PERSON-DRIVEN Skills Frame dialgue t highlight individuals strengths, effrts, and resurcefulness

18 RECOVERY IS PERSON-DRIVEN Skills Cach individuals n develping persnal recvery appraches that are meaningful and relevant t their persnal values, culture, gals, and preferences

19 RECOVERY IS PERSON-DRIVEN Skills Regularly revisit, review, and revise appraches and plans t ensure that changes in status, needs r preferences are addressed, and t incrprate new infrmatin, experiences, and satisfactin

20 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA

21 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA DEFINITION Services and supprts shuld be trauma-infrmed t fster safety (physical and emtinal) and trust, as well as prmte chice, empwerment and cllabratin.

22 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA The experience f trauma (such as physical, emtinal, r sexual abuse, dmestic vilence, war, disaster, and thers) is ften a precursr t alchl and drug use, mental health prblems, and ther behaviral health issues. Trauma is linked t scial issues such as invlvement with the criminal justice system, hmelessness, and disslutin f families. KNOWLEDGE Trauma is abut what happened t yu, rather than what is wrng with yu. Recvery frm trauma experiences intertwines with recvery frm addictin r and fllws a similar, nn-linear and highly individualized curse.

23 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA The impact f traumatic experiences f an individual can lk like as well as stimulate ther mental health prblems and addictin. Trauma infrmed and trauma-specific practices can help mitigate the negative cnsequences f trauma. KNOWLEDGE These include minimizing retraumatizatin, increasing safety, and helping individuals t identify triggers and use healthy cping skills and supprt. Trauma-infrmed practices include inclusin f service user vice, prcedural justice and transparency in practice. I wuld cver the five principles here: safety, trustwrthiness, cllabratin, empwerment, and crdinatin.

24 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Attitudes Acceptance that trauma in an individual s life may cntribute t current substance use.

25 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Skills Recgnize the need fr envirnmental as well as physical and emtinal safety

26 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Skills Help individuals t develp ability t recgnize emtinal, physical, envirnmental and relatinal triggers and t create and emply a set f cping tls and resurces t avid, reduce, and manage their emtinal, physical, and behaviral impact

27 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Skills Build n what has wrked t reduce distress in the past and ffer ideas fr new r additinal appraches

28 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Skills Open the dr fr discussin f traumatic experiences, but let individual set the pace fr disclsure and hw these events have impacted him r her

29 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Skills Seclusin, restraint, and ther cercive practices can be bth traumatizing and retraumatizing fr many service users and can negatively impact relatinships as well as treatment prcess and utcmes

30 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Skills Respect and ensure individual dignity and safety if/when pwer-based, invluntary, cercive r intrusive interventins are used

31 RECOVERY IS SUPPORTED BY ADDRESSING TRAUMA Skills Recgnize ne s wn vulnerability, including the ptential vulnerability t secndary trauma as a respnse t individual s experiences f trauma, grief, and lss, and be willing t seek apprpriate clinical supervisin and ther supprts. Need t emphasize untreated trauma in the prvider cmmunity

32 RECOVERY EMERGES FROM HOPE

33 RECOVERY EMERGES FROM HOPE DEFINITION The belief that recvery is real prvides the essential and mtivating message f a better future that peple can and d vercme the internal and external challenges, barriers, and bstacles that cnfrnt them.

34 RECOVERY EMERGES FROM HOPE Hpe is the catalyst f the recvery prcess. Hpe is internalized; and can be fstered by peers, families, prviders, and thers. KNOWLEDGE The prcess f change and recvery takes time and may entail setbacks. Understand the stages f change and strategies fr helping individuals t engage in health-seeking activities.

35 RECOVERY EMERGES FROM HOPE Attitude s Values the ptential, strength, and resilience f each individual

36 RECOVERY EMERGES FROM HOPE Skills Avid pressuring individuals t recver in specific ways r within a particular timeline

37 RECOVERY EMERGES FROM HOPE Skills Help individuals t wrk thrugh stuckness and setbacks, t learn frm them, and t sustain effrt and/r try new appraches

38 RECOVERY EMERGES FROM HOPE Skills Help individuals break large tasks r gals int smaller, d-able steps

39 RECOVERY EMERGES FROM HOPE Skills Keep small steps linked t the individual s desired larger gal s the pathway is always clear and practical

40 RECOVERY EMERGES FROM HOPE Skills Find many ways t acknwledge and celebrate prgress Have a ready supply f diverse recvery stries that can be used t inspire hpe

41 RECOVERY EMERGES FROM HOPE Skills Be familiar with twelve step prgram slgans such as suitup and shw-up fake-it til yu make it prgress nt perfectin, this t shall pass We will lve yu until yu lve yurself. that many peple use t maintain a hpeful utlk and take apprpriate risks

42 RECOVERY IS BASED ON RESPECT

43 RECOVERY IS BASED ON RESPECT DEFINITION Cmmunity, systems, and scietal acceptance and appreciatin fr peple affected by mental health and substance use prblems including prtecting their rights and eliminating discriminatin are crucial in achieving recvery.

44 RECOVERY IS BASED ON RESPECT Many wrds impart a set f assumptins by the speaker abut individuals, their circumstances, abilities, prscribed rles, and future. Recgnize envirnments, venues, situatins and interactins that are respectful and thse that are ptentially intimidating r discunting. KNOWLEDGE Stigma, discriminatin, and scial exclusin can have prfund impact n individuals and the prcess f recvery. Understanding and exercising ne s legal, civil, and human rights can be an empwering aspect f recvery.

45 RECOVERY IS BASED ON RESPECT Attitudes All individuals deserve respect Views service users as full citizens and members f a cmmunity, rather than patients

46 RECOVERY IS BASED ON RESPECT Attitudes Recgnizes ne s wn limitatins in terms f knwledge, skill, experience, and training and is willing t listen as well as t apprpriately refer individuals t thers.

47 RECOVERY IS BASED ON RESPECT Skills See each individual as a whle persn with unique set f circumstances that include a rich and individual histry, experiences, cultural nrms and wrld view

48 RECOVERY IS BASED ON RESPECT Skills Trust the authenticity f peple s accunts and takes their cncerns and issues seriusly

49 RECOVERY IS BASED ON RESPECT Skills Treat individual emtins, passins, disagreements and differences f pinins as persnal expressins and imprtant cncerns rather than as symptms r signs f pathlgy r disease

50 RECOVERY IS BASED ON RESPECT Skills Cnsistently use language that is des nt stigmatize r include assumptins, judgments, generalizatins and characterizatins that diminish peple

51 RECOVERY IS BASED ON RESPECT Skills Help peple establish and uphld bundaries regarding self-disclsure

52 RECOVERY IS BASED ON RESPECT Skills Recgnize discriminating plicies and actins as well as situatins in which individual s rights may be directly threatened r vilated

53 RECOVERY IS BASED ON RESPECT Skills Take steps t prtect and uphld rights, r help individuals make decisins abut their ptins t take direct actin t enfrce their rights

54 RECOVERY IS CULTURALLY BASED AND INFLUENCED

55 RECOVERY IS CULTURALLY BASED AND INFLUENCED DEFINITION Culture and cultural backgrund in all f its diverse representatins, including values, traditins, and beliefs, are keys in determining a persn s jurney and unique pathway t recvery.

56 RECOVERY IS CULTURALLY BASED AND INFLUENCED Services and supprts shuld be culturally grunded, attuned, sensitive, cmpetent, and persnalized. All assessment, planning, and service/supprt activities shuld address individual s cultural and ethnic backgrund. KNOWLEDGE Individuals place different imprtance and meaning n traditinal values, specific elements, and incrprate different practices int their lives. In additin t heritage, race, r ethnicity, culture can include belnging t a grup based n gender, age, sexual rientatin, disability, faith, ccupatin, financial status, family system, language, r shared experience

57 RECOVERY IS CULTURALLY BASED AND INFLUENCED Attitudes Trusts the authenticity f each individual s experiences.

58 RECOVERY IS CULTURALLY BASED AND INFLUENCED Attitudes Recgnizes that the cntext f culture, persnal histry and experiences, and relatinships impact and shape the individual recvery prcess.

59 RECOVERY IS CULTURALLY BASED AND INFLUENCED Attitudes Recgnize hw ne s wn scializatin, attitudes, and knwledge and biases may affect, expand, r limit attitudes r appraches t serving different ppulatins.

60 RECOVERY IS CULTURALLY BASED AND INFLUENCED Skills Cnduct all activities in a culturally sensitive and infrmed manner, including assessments, planning, and service/supprt interventin

61 RECOVERY IS CULTURALLY BASED AND INFLUENCED Skills Prvide r ensure availability f services in the language f a persn s chice

62 RECOVERY IS CULTURALLY BASED AND INFLUENCED Skills Respect nt nly the diversity f cultural issues, but the ways individuals understand and incrprate culture int their lives and thinking

63 RECOVERY IS CULTURALLY BASED AND INFLUENCED Skills Recgnize and respect that staff with shared gender, racial, and cultural backgrunds, r lived experiences, may mre easily develp trust and rapprt with individuals f similar backgrunds

64 RECOVERY IS HOLISTIC

65 RECOVERY IS HOLISTIC DEFINITION Recvery encmpasses an individual s whle life, including mind, bdy, spirit, and cmmunity. The array f services and supprts available shuld be integrated and crdinated. Psychlgical Bilgical Spiritual Scial

66 RECOVERY IS HOLISTIC The prcess f recvery entails mre than frmal substance use treatment and services and incrprates many supprts, resurces, and activities that help build and supprt wellness. Family, husing, emplyment, educatin, addictins and mental health treatment services and supprts, primary healthcare, dental care, cmplementary and naturalistic services, spirituality, creativity, scial netwrks, recreatin & cmmunity participatin. KNOWLEDGE The stress f nt meeting basic needs fr fd, shelter, safety, and ecnmic security has impacts n physical and behaviral health including emtinal health and substance use. Fr many these effects are cmpunded by lifestyle chices and lack f access t physical and behaviral health services.

67 RECOVERY IS HOLISTIC Attitude s Believes that the physical, mental, and spiritual aspects f recvery are intertwined and is willing t apply a brad definitin f therapeutic.

68 RECOVERY IS HOLISTIC Skills Assist individuals (and families, allies and supprters) t identify and access thse supprts and resurces they find mst relevant and helpful

69 RECOVERY IS HOLISTIC Skills This includes helping individuals understand and fulfill basic eligibility requirements fr needed services and supprts, as well as address ther access issues r barriers such as transprtatin and cmmunicatin

70 RECOVERY IS HOLISTIC Skills Recgnizes cmmn physical health prblems assciated with trauma, stress, lifestyle chices, medicatin side effects, and substance use

71 RECOVERY OCCURS VIA MANY PATHWAYS

72 RECOVERY OCCURS VIA MANY PATHWAYS DEFINITION Individuals are unique with distinct needs, strengths, preferences, gals, culture and backgrunds, including trauma experiences that affect and determine their pathway(s) t recvery. Abstinence is the safest apprach fr thse with substance use disrders.

73 RECOVERY OCCURS VIA MANY PATHWAYS Recvery is a nnlinear prcess and the pathways t change are highly persnalized. Fr many, it prgresses thrugh identifiable stages, thugh the pace and pathways thrugh the stages are highly individual. KNOWLEDGE There are a wide variety f ways and resurces t address difficult times and situatins, including activities individuals undertake and supprtive actin frm thers, including practitiners. Appreciates that services and treatment ffer tls, supprts, and resurces that can help individuals mve tward mre selfsufficient and meaningful lives.

74 RECOVERY OCCURS VIA MANY PATHWAYS Skills Recgnize and cmmunicate that medicatins and medicatin-assisted treatment are ne f many tls and ptins fr healing and wellness

75 RECOVERY OCCURS VIA MANY PATHWAYS Skills Help individuals t cnsider the risks/benefits f medicatins as well as their preferences and t be an active decisin making partner during cnsultatins abut medicatin ptins

76 RECOVERY OCCURS VIA MANY PATHWAYS Skills Help individuals desiring medicatin assisted treatment t access medicatins and peple preferring nt t use medicatins t utilize ther tls fr cping and symptm management

77 RECOVERY OCCURS VIA MANY PATHWAYS Skills Help individuals t identify and try ut different appraches, activities, and practices t see what wrks best fr them

78 RECOVERY IS SUPPORTED BY PEERS AND ALLIES

79 RECOVERY IS SUPPORTED BY PEERS & ALLIES DEFINITION Mutual supprt and mutual aid grups, including the sharing f experiential knwledge and skills, as well as scial learning, play an invaluable rle in recvery

80 RECOVERY IS SUPPORTED BY PEERS & ALLIES Peers peple with lived experience with trauma, mental health issues, and addictins bring unique perspective, experiences and high value as members f a service array r treatment team. Peers encurage and engage ther peers in recvery and prvide each ther with a vital sense f belnging, supprtive relatinships, valued rles, and cmmunity. KNOWLEDGE Practitiner use f persnal disclsure can be used t strengthen relatinships, validate experiences, and prvide examples f ther ways f viewing situatins and ptins. Mutual supprt and mutual aid grups - including the sharing f experiential knwledge and skills and scial learning - play an invaluable rle in recvery fr many peple.

81 RECOVERY IS SUPPORTED BY PEERS & ALLIES Attitudes Feeling part f smething larger than neself and cnnectins with family, friends, peers, faith cmmunities, and ther supprtive netwrks are cre elements f recvery

82 RECOVERY IS SUPPORTED BY PEERS & ALLIES Skills Help individuals identify, chse and access peer supprt ptins, including peer supprt frm infrmal surces such as persnal relatinships with family friends, clleagues, and cmmunity grups, as well as mre frmal peer-perated agencies

83 RECOVERY IS SUPPORTED BY PEERS & ALLIES Skills Develp psitive cllegial relatinships with peer supprt staff members wrking in traditinal behaviral health agencies

84 RECOVERY IS SUPPORTED BY PEERS & ALLIES Skills Treat these staff respectfully as partners in service prvisin Seek pprtunities t dialgue with and learn frm peer staff

85 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS

86 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS DEFINITION An imprtant factr in the recvery prcess is the presence and invlvement f peple wh believe in the persn s ability t recver; wh ffer hpe, supprt and encuragement; and wh als suggest strategies and resurces fr change

87 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS Peers, family members, prviders, faith grups, cmmunity members, and ther allies frm vital supprt netwrks. These relatinships carry meaning, even if current ties appear t be severed r unraveled. KNOWLEDGE Peple are intricately wven int their families, cmmunity and culture. Family dynamics are ften significantly impacted when ne r mre family member has a substance use and/r mental health prblem.

88 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS Sme individuals have strng scial skills and ability t interact with thers; while thers have difficulty initiating and maintaining healthy relatinships. Sexuality is a healthy part f adulthd and an imprtant element f recvery fr many individuals. KNOWLEDGE It can be challenging fr individuals t let g f relatinships that are difficult r nn-supprtive, t repair r reestablish frmer relatinships, and t establish new nes. This prcess can be painful and generate feelings f grief and lss, but fr sme it is an imprtant step f recvery.

89 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS Attitudes Believes that recvery is nt a slitary jurney, but ften a jurney tward better inter-cnnectin within ne s cmmunity f chice.

90 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS Skills Help and supprt individuals t understand the current status f persnal relatinships and his/her rle within them

91 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS Skills This may include cnsidering safety, reciprcity, and supprtiveness within the relatinships

92 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS Skills Help individuals identify and address challenges r barriers fr develping psitive and reliable persnal supprt netwrks, including scial and life skills such as selfpresentatin, cmmunicatin, bundary setting, prblem slving, cnflict reslutin, and s frth.

93 RECOVERY IS SUPPORTED THROUGH RELATIONSHIP AND SOCIAL NETWORKS Skills Supprt individuals t be a part f their netwrks by assuming r re-establishing valued scial rles within their netwrks, as well as finding ways t cntribute r give back t their relatinships and netwrks in meaningful ways

94 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITIES

95 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY DEFINITION Individuals, families and cmmunities have strengths and resurces that serve as a fundatin fr recvery

96 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Help individuals find persnal purpse and meaning in their lives including encuraging and supprting peple t create r reclaim valued adult life rles such as wrker, student, tenant, parent, care-taker, artist etc. Families may underg their wn recvery prcess, as individual family members and as a family unit. KNOWLEDGE (Re)building a life in the cmmunity and purpse are critical elements f recvery. This may include develpment f emplyment venues, creative utlets, parenting rles, vlunteering and citizenship activities.

97 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Attitudes Recgnizes and hnrs that individuals with substance use cnditins are able t be effective and caring parents, family members, and cntributing members f the cmmunity and smetimes need supprt.

98 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Skills Help individuals recgnize that they are active agents and decisin-makers in their wn lives; at the same time, they are als respnsible fr the cnsequences f their decisins and actins.

99 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Skills Understand the individual s definitin f family which may include children, parents, siblings, and unrelated imprtant thers.

100 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Skills Prvide r ensure supprt t families and significant thers t address their wn supprt needs and recvery activities.

101 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Skills Cach individuals and families n hw t access and engage in cmmunity resurces and activities t supprt recvery.

102 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Skills Help individuals understand the histry and accmplishments f the addictin recvery mvement.

103 RECOVERY INVOLVES INDIVIDUAL, FAMILY AND COMMUNITY STRENGTHS AND RESPONSIBILITY Skills Supprt individuals active engagement in assciated leadership and advcacy activities.

104 Giving Psitive & Energetic Service t Others Prmtes Synergy t Us and Strengthens Us t D the Wrk We are Given t D!

105 Cynthia Mren Tuhy NAADAC, The Assciatin fr Addictin Prfessinals 1001 N. Fairfax St. Suite 201 Alexandria, VA p f NAADAC NAADACrg Naadac misti@naadac.rg Thank Yu!