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(1935) The advent of Alcoholics Anonymous [ AA ]     (1950) E. M.  Jellinek’s research postulates that many Alcoholics have a disease. He uses the Greek alphabet to describe types of alcoholics and later develops the Jellinek chart. (1954)  Six key leaders in Minnesota came together to shape a new model for the treatment of Alcoholism.They were: Dan Anderson, Nelson Bradley, Jean Rossi, Ralph Rosen, Mel B. and Fred E.        (1955) American Medical Association ( A.M.A. ) supports Jellinek’s findings and declares Alcoholism a disease.  (1970) Under the leadership of Dan Anderson the Minnesota Model emerges out of Hazelden establishing the foundation on how Alcoholism is caused, treated, and how recovery is defined.(1970’s) The National Council on Alcoholism ( N.C.A. ) endorses  the 12 step Minnesota Model as the primary treatment model of Alcoholism in the U.S.A. 

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PHILOSOPHY:

a. ALCOHOLISM is a Primary Disease that is Genetically predisposed and can be described and diagnosed.

b. ALCOHOLISM is Chronic and Progressive.c. ALCOHOLISM has no cure, but can be treated and arrested.d. The most effective treatment of ALCOHOLISM is the 12 Step Disease 

Concept/Minnesota Model.e. Alcoholism is best met with a multi‐ disciplinary team with a less formal approach with 

activities that are individualized and client centered.f. Confrontation, Mutual support, AA, and Individual counseling are the most effective 

interventions in the treatment of ALCOHOLISM.

MAJOR TENETS:

a. It is critical that the alcoholic admits that they have a disease and accepts the diagnosis.

b. Alcoholics must subscribe to a lifetime of total abstinence from day one.  Any attempt 

to reduce or moderate will re‐activate the disease.

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c. Alcoholics tend to make poor clients with little to offer and therefore must be told what 

to do.

d. Any resistance to change is considered DENIAL ( a pernicious trait inherent in the 

alcoholic).

e. DENIAL is to be met with CONFRONTATION which is designed to break down the client’s 

defense mechanisms.

f. Refusal by the client to surrender to the diagnostic label resulting in a treatment failure is 

always the client’s fault.

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HISTORY/ORIGIN

(1998) Michael Boyle and William White begin work on the Recovery Management project.(2006) White, Kurtz, and Sanders develop the RECOVERY MANAGEMENT MODEL

PHILOSOPHY of the RECOVERY MANAGEMENT MODEL

a. Alcoholism is a” chronic disease” and should be treated as such.b. Chronic diseases such as Asthma have symptoms that wax and wane over time; as does 

addiction. c. Involvement with treatment should be ongoing with support, monitoring, and re‐

evaluation as deemed relevant to the individual’s needs.d. Recurrence of symptoms should not be a valid reason to discharge. e. Abstinence may or may not be a realistic goal for many individuals and should not be 

coerced.f. Service plans should be person centered and developed by the individual with 

assistance from staff; not the other way around.g. Service plans should be holistic encompassing multiple life domains and prioritized by 

the individual.h. Treatment and services follow the individual.

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OTHER MODELS OF CHANGE:

REDUCTION with long term abstinence as the goal. The ability to slowly reduce the frequency and amount of ATOD use over time and eventually abstain.REDUCTION without abstinence as a goal. The ability of the individual to safely reduce the frequency and/or the amount of ATOD’s over time without returning to problematic use.SELECTIVE ABSTINENCE – The ability of the individual to selectively eliminate use of an identified problem ATOD but without having to quit use of other drugs not deemed problematic.HARM REDUCTION – This model focuses on the ancillary problems ATOD use causes but not the use itself.

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17 ELEMENTS OF THE R.O.S.C.#1. Person CenteredIndividuals will have a menu of “stage” appropriate choices that fit their needs throughout the process.

#2. Include Family and Other Ally Involvement.Acknowledge the importance of their role in the planning and implementationof recovery plans. A source of support to assist individuals in entering and maintaining recovery.To address the treatment, recovery and other support needs of families and other allies.

#3. Individualized, Comprehensive, Services Across the Lifespan.Flexible approach that adapts to the needs of the individual.Shift from acute‐based model to one that views and manages chronic disorders over a lifetime.

#4. Systems Anchored in Community.Families, intimate social networks, community based institutions, supportive mutual recovery, housing, employment.

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#5. Continuity of CareTo include pre‐treatment, treatment, and continuing care throughout the recovery process.Full range of stage appropriate services from which to choose at any point in recovery.

#6. Partnership Consultant Relationship.Focus is on collaboration vs hierarchy.Individual empowerment to direct their own recovery vs being told what to do.

#7. Strength BasedRecovery plans will focus on strengths, individual’s recovery capital, and resiliency.

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#8. Culturally ResponsiveSystem that is culturally sensitive and competent. Recognition that beliefs and customs are diverse and can impact recovery efforts.

#9. Responsiveness to Personal Belief Systems.Respect of Personal Religious, Spiritual, or Secular Beliefs of Those Served.Provide linkages to those belief systems.

#10. Commitment to Peer Recovery Support Systems.Include peer recovery at all levels in the system of care.Individuals with personal recovery experience as well as 12 Step Programs.

#11. Inclusion of the Voices and Experiences of Individuals and Families.Contributions from and for the design and implementation of the system of care.Inclusion in decision‐making bodies.

#12. Integrated Services.Across service systems.Focus on individual needs, strengths, wants.

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#13. System‐wide Education and Training.To ensure concepts of recovery and wellness are foundational in curriculum, licensure, and accreditation. R.O.S.C. training is ongoing.

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#14. Ongoing Monitoring and OutreachThe provision of monitoring and outreach.                            Promote continual participation, re‐motivation, and re‐engagement.

#15. Outcome DrivenGuided by Recovery based Process and Outcome measures.Developed with the target population served.Will reflect long term effects on the individual in multiple life domains not just the arresting of symptoms.

#16. Research Based Informed by research.Research will be ongoing.Research will be augmented by experiential reporting.

#17. Adequately and Flexibly FinancedAllows for a full continuum of services.Services will evolve over time as needed

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TYPES OF RECOVERY SUPPORT SERVICES

EMOTIONAL: Demonstrate caring, empathy, genuine concern to bolster person’s self‐confidence and esteemINFORMATIONAL: Share knowledge and information and /or vocational and life skills training.INSTRUMENTAL: Provide concrete assistance in task completion.AFFILIATIONAL: Facilitate activities of all varieties to create a sense of belonging.

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ROLES OF RECOVERY COACHES

MOTIVATOR AND CHEERLEADEREncourages and shows faith in the ability to change. Enhances Self‐Efficacy.

ALLY & CONFIDANTCares & listens. Trusted with disclosure.

TRUTH TELLERProvides honest and helpful feedback when called upon. (not the same as confrontation)

ROLE MODEL AND MENTORProvides education and models the lifestyle of balanced recovery.

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ROLES CONTINUED

RESOURCE BROKERLinks individuals to sources such as housing, employment, support systems.

COMMUNITY ORGANIZERHelps develop and expand recovery resources.

LIFESTYLE CONSULTANTHelps develop recovery based daily rituals.

ADVOCATEPROMOTES THE RECOVERY PROCESS IN SERVICE SYSTEMS.

FRIEND Provides companionship.

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CORE COMPETENCIES OF RECOVERY COACH

• Build caring relationships.

• Provides support, hope, confidence, and validation.

• Share personal recovery and experiences on a need to know basis. 

• Consult on recovery planning.

• Act as link to ancillary services.

• Enhance skills necessary for wellness planning. 

• Promote leadership and advocacy.

• Enhance professional growth and development

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ETHICS /CODE OF CONDUCT

Autonomy – no one can choose for the client.

Non-Malfeasance - doing no harm.

Beneficence – acting for and promoting the good of others.

Justice – fair and equitable treatment of all clients.

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The same ethics and code of conduct with regard to Confidentiality, Release of Information, and Mandated Reporter that apply to Certified Drug and Alcohol Counselor ( C.A.D.C. ) will apply to the Recovery Coach. The one difference lies in the area of therapeutic boundaries which are very different. The Recovery Coach position is far more hands on and personal. Boundaries are therefore, less clearly defined and friendships may evolve out of the relationship.

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Client: _______________________________Coach:_______________________________Date:________________________________

Planning Form for Recovery Coaching SessionsUnder the Eight (8) Wellness Topics

Client is to circle all Areas in which assistance may be needed: 1

Recovery2

Occupation3

Relationships4

Finances5

Health6

Spiritual7

Emotional8

Society

A goal setting resume family budget setting goals meditation fun / recreation transportation

Brecovery options

meetingsinterviews romantic /

spouse

affordable food /clothes /

transportationnutrition

spiritual or religious centers

getting counseling housing

C sponsorship transportation friends (old or making new)

credit issues sleep acceptance boredom / complacency child care

D treatment job search boss / co-workers

medical/dental care

fitness / exercise setting goals

life balance(recovery/work/sleep/food/family/self/etc.)

public appearance

E relapse prevention

career goal setting children child support medical / dental

/ vision carepersonal growth

anger management social skills

F sober living education making new friends moving costs health chal-

lenges yoga emotional balance legal

GOther: Other: Other: Other: Other: Other: Other: Other:

Page 1

WHEEL OF WELLNESS

Society

Emotional

Spiritual

Health Finances

Relationships

Occupation

Recovery

Client: _____________________________Coach:_____________________________Date:______________________________

RECOVERY PLAN

1. Review the Areas the Client circled on Planning Form for Recovery Coaching Sessions;2. Identify up to three (3) Areas the Client wants to initially address;3. Identify which of the following five (5) types of Support the Recovery Coach plans to provide:

• Emotional (empathy, bolster self-esteem & confidence)• Informational (resource person)• Instrumental (manages task to completion)• Affliliational (facilitates contacts for skills, support & community)• Transportation (provides or arranges transportation)

WELLNESS TOPICS / AREAS

1st Wellness Topic: _____ Area:_____ Target Date:____________________

Check all support types that apply and make any notes:____Emotional __________________________________________________________Informational __________________________________________________________Instrumental __________________________________________________________Affiliational __________________________________________________________Transportation ______________________________________________________

2nd Wellness Topic: _____Area:_____ Target Date:____________________

Check all support types that apply and make any notes:____Emotional __________________________________________________________Informational __________________________________________________________Instrumental __________________________________________________________Affiliational __________________________________________________________Transportation ______________________________________________________

3rd Wellness Topic: _____ Area:______ Target Date:____________________

Check all support types that apply and make any notes:____Emotional __________________________________________________________Informational __________________________________________________________Instrumental __________________________________________________________Affiliational __________________________________________________________Transportation ______________________________________________________

I agree that I have developed this Wellness Plan with my Recovery Coach.

Client’s Signature: _______________________________ Date:_____________________Page 2

WHEEL OF WELLNESS

Society

Emotional

Spiritual

Health Finances

Relationships

Occupation

Recovery

Client: _______________________________Coach:_______________________________

RECOVERY PROGRESS REPORT

Evaluate progress as to each Area identified in the Recovery Coaching Plan from 1 to 5:

1 - No Progress2 - Some Progress3 - Substantial Progress4 - Completed

CLIENT’S EVALUATION OF PROGRESS:

Area #1 ____________________________________ 1 2 3 4

Area #2 ____________________________________ 1 2 3 4

Area #3 ____________________________________ 1 2 3 4

Comments: ______________________________________________________________

________________________________________________________________________

Client’sSignature: _______________________________ Date:________________________

RECOVERY COACH’S EVALUATION OF PROGRESS:

Area #1 ____________________________________ 1 2 3 4

Area #2 ____________________________________ 1 2 3 4

Area #3 ____________________________________ 1 2 3 4

Comments: ______________________________________________________________

________________________________________________________________________

Coach’s Signature: _______________________________ Date:________________________

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WHEEL OF WELLNESS

Society

Emotional

Spiritual

Health Finances

Relationships

Occupation

Recovery

Will you answer the call?

The Illinois Recovery-Oriented Systems of Care

( R OSC ) Steering Committee is seeking to identify

individuals and family members who meet the following criteria.

1. Willing to share personal substance use disorder and mental

health experiences.

2. Willing to serve on an advisory council, task force or workgroup.

3. Willing to have us give you a call when these opportunities arise.

If you are willing to share your personal experiences to positively

shape a recovery-oriented system of care, please send a one page

a letter of interest to Carolyn.Hartfield@illinois.gov. Include your

name, why you want to be involved with ROSC and your contact in-

The Illinois Recovery-Oriented Systems of Care

( R OSC ) Volunteer Letter of Interest

Individuals and family members who are willing to share personal substance use disor-

der experiences while serving an advisory council, task force or workgroup; are en-

couraged to submit a letter of interest to caroyn.hartfield@illinois.gov with the following

info.

1.Why do you want to be involved with ROSC?

2.Have you ever publically disclosed your recovery experiences?

or

Will this be the first time you are disclosing your experiences

outside of a treatment or twelve step setting?

3.The Substance Abuse & Mental Health Services Administration

( S AMHSA ) has identified ten guiding principles of recovery. Talk

about the principle which has most impacted your life.

4.Tell us about any committee or similar planning team experience

you have. It can be related to recovery or something else.