6/2/2014 Dual Recovery: Recovery Coaching and Peer Support Iden - PDF document

6/2/2014 Dual Recovery: Recovery Coaching and Peer Support Iden Campbell McCollum DEFINING PEER RECOVERY SUPPORT • Peer-base recovery support is the process of giving and receiving non-professional, non-clinical assistance to achieve long-term recovery from severe alcohol and/or other drug-related problems. This support is provided by people who are experientially credentialed to assist others in initiating recovery, maintaining recovery, and enhancing the quality of personal and family life in the long-term recovery. Peer-Based Recovery Support • Peer-based recovery support- is the process of giving and receiving non-professional, non-clinical assistance to achieve long-term recovery from alcohol and/or other drug-related problems. • Peer-based recovery support is provided by people who lived experience. • There are substantial differences between peer recovery support and professionally directed addiction treatment. • Peer-based recovery support can be delivered through a variety of organizational and service roles (including paid and volunteer recovery support specialists). 1

6/2/2014 Peer-Based Recovery Support Services • Peer-based recovery support services are a form of services delivered through more formal organizations and through more specialized roles. • The core functions of Peer-based recovery support services span the stages of recovery initiation/stabilization, recovery maintenance, and enhancement of quality of life in long-term recovery and may encompass support at individual, family, neighborhood, and community levels. Peer-Based Recovery Support Services • Peer-based recovery support services are distinguished by their recovery focus; mobilization of personal, family, and community recovery capital to support long-term recovery; respect for diverse pathways and styles of recovery; focus on immediate recovery-linked needs; use of self as a helping instrument; and emphasis on continuity of recovery support over time. • Peer-based recovery support services may serve as an compliment or alternative to professionally directed addiction treatment. The Beliefs and Principals of Recovery Coaching • Recovery Coaching uses a strength based approach. Peers help each other utilize their values, assets and strength while offering recovery support. The promotion of developing a healthy lifestyle and balanced living. 2

6/2/2014 The Scope and Limits of Recovery Coaching and Peer Support • In order to provide proper peer support/recovery coaching organizations must be able to answer several questions. We must know that recovery is different at all stages and individualized and support needs evolve through these stages and we must develop stage-specific recovery support. Questions to ask about Recovery Coaching and Peer Support • Are particular types of Peer-based recovery support services more effective at particular stages of recovery? • What are the effects of pre-treatment on treatment seeking, treatment, engagement, and long-term recovery outcomes? • What differences in linkage rates exist between peer- based and professional based linkage to recovery support groups? Questions to ask about Recovery Coaching and Peer Support • Do post treatment Peer-based recovery support services lower post-treatment relapse and re- admission rates? • What effects do Peer-based recovery support services exert on enhanced quality of life in long- term recovery? • Are their Peer-based recovery support services that lower the risk of late-stage relapse in recovery (e.g., relapse after ten or more years of stable sobriety)? 3

6/2/2014 Questions to ask about Recovery Coaching and Peer Support With the advent of new recovery support roles being created and widely replicated within recovery community organizations; addiction treatment institutions; and allied mental health and criminal justice agencies. Questions that are arising related to these roles include the following: • What qualities and characteristics of Peer-based recovery support services specialists are linked to enhanced recovery outcomes? • What qualities and characteristics of recovering people working in non-clinical recovery support roles? Questions to ask about Recovery Coaching and Peer Support • Do recovery outcomes differ by the duration or quality of recovery of those providing professional treatment or Peer- based recovery support services? • How can stability and quality of recovery be measured in the screening of those wishing to provide Peer-based recovery support services?. • Do recovery outcomes differ by recovery pathway (religious, spiritual, secular) of the professional or Peer-based recovery support services? • Are there differences in recovery outcomes when Peer-based recovery support services are delivered in voluntary versus paid roles? Questions to ask about Recovery Coaching and Peer Support • Do family members in recovery bring knowledge, experiences, and skills that uniquely qualify them for the delivery of Peer-based recovery support services? • What are the most frequent ethical dilemmas encountered in the delivery of Peer-based recovery support services? How do Peer-based recovery support services specialists respond to ethical dilemmas that arise during service delivery? 4

6/2/2014 Developing a Recovery Plan Have Complementary Plans and Documents • Do you have an Advance Directive? • Do you have a WRAP Plan or other wellness plan? Strengths and Interests • To help you meet your goals we need to think about what strengths you have. Sometimes people have a hard time remembering their strengths. • Could you tell me about some of your interests or skills? WHERE YOU LIVE (HOUSING/NEIGHBORHOOD) MONEY/FINANCES Developing a Recovery Plan • WORK • RELATIONSHIPS • EDUCATION/TRAINING • HEALTH • DAILY LIVING AND ROUTINE • SPIRITUALITY • MENTAL HEALTH/SYMPTOMS • DRUGS AND ALCOHOL • SAFETY • LEGAL ISSUES/ OTHER ISSUES Developing a Recovery Plan Hopes and Dreams • What are your hopes and dreams for the future? What are some of the most important things you want to have in your life? On a scale of 1-5, how hopeful do you feel about the future? Important persons in life and recovery • Please help me make a list of all of the people that are important to you or can help you in recovery. In addition to clinicians or other providers, think about including supportive people like friends, family, employers, or clergy members. These people may play some part in helping you to carry out your recovery plan and action steps. 5

6/2/2014 WRAP/Wellness Recovery Action Plan Developing a Wellness Toolbox- To develop this plan, the only materials you need are a three- ring binder, a set of five tabs or dividers, and lined three - hole paper. Before you begin working with the tabbed sections, you will create a resource list to keep in the beginning of your binder. This section is called the Wellness Toolbox. In it you identify and list the things you use to help yourself feel better when you are having a hard time. Some of them are things you know you must do, like eating healthy meals and drinking plenty of water; others are things you could choose to do to help yourself feel better. You can also list things you would like to try using to keep yourself well or to help yourself feel better. You will refer to this list for ideas when you are developing the tabbed sections of your plan. Some ideas for your Wellness Toolbox might be — • Eating three health meals a day, drinking water throughout the day • Reading a book, listening to music WRAP/Wellness Recovery Action Plan Daily Maintenance Plan -describe those things you need to do every day to maintain your wellness. Triggers-are external events or circumstances that may produce very uncomfortable emotional or psychiatric symptoms, such as anxiety, panic, discouragement, despair, or negative self-talk. Early Warning Signs -are internal and may or may not arise in reaction to stressful situations. In spite of your best efforts to take care of yourself, you may begin to experience early warning signs, subtle signs of change that indicate you may need to take further action. WRAP/Wellness Recovery Action Plan When Things Are Breaking Down or Getting Worse ; • feeling very oversensitive and fragile • responding irrationally to events and the actions of others • feeling very needy • being unable to sleep Crisis Planning -Identifying and responding to symptoms early reduces the chances that you will find yourself in crisis. It is important to confront the possibility of crisis. Post Crisis- Planning-Identifying when you are able and capable of taking responsibly of your life and daily activities after a crisis. 6