Nancy A. Roget, MS

RecoverySupportTechnologies:OneAnswerforRural/Fron<erAreas

developandstrengthentheworkforcethatprovidesaddic<onstreatmentandrecoverysupport

servicestothoseinneed

PurposeoftheAddic<onTechnologyTransferCenters(ATTCs)

(SAMHSAfunded)

ATTCNetworkCoordina<ngOffice

10RegionalCenters

2012–2017

Na%onalFron%er&Rural

ATTC

Na%onalAmericanIndian&AlaskaNa%ve

ATTC Na%onalSBIRTATTC

Na%onalHispanic&La%no

ATTC

4 Na%onal Focus Centers

Serves as the na%onal subject expert and key

to PROMOTE the awareness and implementa%on of telehealth technologies

in order to expand access and enhance treatment and recovery services, especially

in rural and fron%er areas

Substance use is a public health crisis in the rural United States and has been iden%fied as one of the top 10 priori%es Rural Healthy People 2020

Higherratesof substance use in rural communi%es compared to urban

areas have been well-documented.

(Mar<noetal.,2008;Smalletal.,2010;Shannonetal.,2010;Gammetal.,2003;Jacksonetal.,2006;Lambertsetal.,2008;Blazeretal.,1987;Jackson,2012)

Individuals in rural communi%es have unique barriers to treatment and

recovery services

(Fortney&Booth,2001;Fortney,2011;Browne,etal.,2015)

Crea<ngeffec<vemodelsandrecoveryspaceswillrequiremobilizingassetswithintheruralcommunity—includingindividualsandfamiliesinrecovery,recoverymutualaidorganiza<ons,newrecoverysupportins<tu<ons,andnewtechnology-basedrecoverysupports

(White,2016)

OnepromisingideaistocapitalizeonhealthtechnologysuchasInternet-based

resourcesandsmartphones,toproviderecoverysupports.

(Laudet&Humphreys,2013))

Thereisagrowingconsensusthatrecoveryismorethansimplyabs<nencefromalcoholandotherdrugs.

(Garneretal.,2014)

SAMHSA’sworkingdefini<onofRecoveryfromMentalDisordersand/or

SubstanceUseDisorders:

“Aprocessofchangethroughwhichindividualsimprovetheirhealthandwellness,liveaself-directedlife,andstrivetoreachtheirfullpotenAal.”

(hdp://www.samhsa.gov/recovery)

(hdp://www.samhsa.gov/recovery)

SAMHSA

hasdelineated

4majordimensionsthatsupportalifein

RECOVERY

Health•  Overcomingormanagingone’sDISEASE(s)orsymptoms

•  Makinginformed,healthychoicesthatsupportphysicalandemo<onalwell-being(hdp://www.samhsa.gov/recovery)

(hdp://www.samhsa.gov/recovery)

Home

HavingaSAFEandSTABLE

placetolive

(hdp://www.samhsa.gov/recovery)

Purpose

•  Conduc<ngmeaningfuldailyac<vi<es,suchasajob,schoolvolunteerism,familycaretaking,orcrea<veendeavors

•  Havingtheindependence,income,andresourcestoPARTICIPATEINSOCIETY

(hdp://www.samhsa.gov/recovery)

Community

HavingRELATIONSHIPSandSOCIALNETWORKS

thatprovidesupport,friendship,

love,andhope

RecoverySupportServices

RSS

(White,2009)

• referstothewholespectrumofservicesthatcansupportaddic<onrecovery

•  ismostolenappliedtonon-clinicalservices(i.e.,supportbeyondthearenasofclinicalassessment,diagnosis,andtreatment)

TYPES OF TECHNOLOGY USED FOR RECOVERY SUPPORT

TechnologiesUsedinRecoverySupport

•  Web-basedsupport•  Blogs,videos,andpodcasts•  MobileApps•  Socialnetworks

WEB-BASED SUPPORT

Primaryareasofbeneficialimpact

Emo<onalSupport

Informa<onSocializa<on

(McColletal.,2014)

OSGshaveadirecteffectonwell-beingandpersonalempowerment.

(Tanis,2007;Barled&Coulson,2011)

Onlinesupportgroupsareassociatedwithhigherlifesa%sfac%onandhighlydesiredbypeopleindistress,repor%ngposi%veandrelevantinterac%ons.

(McColletal.,2014)

•  Convenient•  24/7access•  Leadtomeaningfulpeerconnec<ons•  Preserveusers’anonymity•  Specialtygroupsaccessible•  Bridgebetweeninpa<entandoutpa<entprograms

•  Improvedoutcomesinmaintainingrecovery

BenefitsofOSGs

(Bartled&Coulson,2011;Clough&Casey,2011;McColletal.,2014)

ONLINE NARRATIVES

•  atypeofwebsitestartedbysomeoneinrecovery

•  containsentriesofpersonalcommentaryanddiscussionsondifferentaspectsofaddic<onrecovery

•  similartoanonlinediary•  usuallyinterac<ve,allowingvisitorstomakecommentsandmessageeachother

•  helpspeopleconnect,learn,andshareideas•  mayalsofeaturenewsormagazinear<cles

RecoveryBlogs

Sciencesupportstherapeu<cbenefitsofwri<ngaboutpersonalexperiences,

thoughts,andfeelings.

•  ExpressiveWri<ng–  improvesmemoryandsleep–  boostsimmunesystems–  reducesviralloadinAIDSpa<ents–  speedshealingalersurgery

(hdp://www.scien<ficamerican.com/ar<cle/the-healthy-type/)

Hereisthelistofthetopaddic<onandrecoveryblogsfor2014:1.TheFix,hNp://www.thefix.com(74,836)2.Momastery,hNp://momastery.com(95,935)3.Intervene,hNp://intervene.drugfree.org(110,853)4.SoberJulie,hNp://www.soberjulie.com(127,318)5.Addic%onBlog,hNp://alcohol.addic%onblog.org(237,073)6.SoberCollege,hNp://sobercollege.com(249,029)7.SpiritualRiver,hNp://www.spiritualriver.com(311,142)8.SoberNa%on,hNp://www.soberna%on.com(359,897)9.Chipur,hNp://chipur.com(399,373)10.SortMyLifeSolu%ons,hNp://www.smyls.co.uk(465,037)11.BreakingtheCycles,hNp://www.breakingthecycles.com(512,917)12.TheHurtHealer,hNp://carolynhughesthehurthealer.com(850,601)13.Addic%onToday,hNp://www.addic%ontoday.org(881,558)14.PaulGarrigan.com,hNp://paulgarrigan.com(883,526)15.RecoveryHealthCare,hNp://recoveryhealthcare.me(921,193)

(hdp://cathytaughinbaugh.com/55-top-addic<on-recovery-blogs-2014/)

Addic<onInbox

Example:partofarecoveryblogfromSobrietyCollec<ve,August2016

TheDiscoveringAlcoholicBlog

DrunkyDrunkGirlBlog

ShaderProofBlog

SoberGuy

XXX

#hashtags:

#recovery#sobriety#AA#onedayata%me#soberissexy#soberliving#teamsober#recoveryispossible#celebraterecovery#soberna%on#sobermovement#addic%onchat#HopeSharedHere

Addressanotheruserororganiza%onwith“@”

@Recovery_Org@OurYoungAddicts@NFAR_ATTC

Eleven podcasts with interviews and informa%on to help support all aspects of recovery

1.SmartRecoveryandSpecialEventPodcasts,hdp://smartrecovery.libsyn.com/webinar-act-smart(6,673)

2.Recovery101,hdp://recovery101.podoma<c.com/(18,151)3.AddictedtoAddicts,

hdp://webtalkradio.net/internet-talk-radio/addicted-to-addicts-survival-101/(844,757)

4.GrowingUpChao<c,hdp://growingupchao<c.com/(1,688,294)5.TheBubbleHour,hdp://www.thebubblehour.com/(5,459,624)6.100Pedals,

hdp://www.100pedals.com/category/addic<on-conversa<on-podcast/(2,575,911)

7.SoberConversa<ons,hdp://recoveryhealthcare.me/category/sober-conversa<ons/(5,750,285)

8.RecoveredPodcast,hdp://recoveredcast.blogspot.com/(12,615,234)9.Addic<onRecoveryRadio,

hdp://www.addic<onrecoveryradio.com/podcast/(17,635,126)10.TheRecoveryShow,hdp://therecoveryshow.com/(20,434,827)11.Addic<onandRecoveryPodcast,hdp://paulgarrigan.podbean.com/(24,174,581)

TheBubbleHour

12on12

AlerPartyPod

JoeWalshOneDayataTime

Appsprovide:•  Informa<on•  Mo<va<on•  Support•  Feedback

SobrietyGrid

UserscanlogintoSoberGridtofindsoberpeoplewherevertheyare:•  chatandmessagingfunc<onscanbeusedbyselec<ngindividualprofilesonTheGrid

•  hasafeaturethatallowsuserstosendtheirloca<ontoanotheruseriftheywouldliketomeetup.

•  geosocialnetworkingfeatureshelpusersfindandconnectwithsoberpeoplelocallyandanywhereintheworld.

SNSfacilitatehighlyinterac<veonlinecommuni<eswhereindividualsshare,co-create,discussand

modifyuser-generatedcontent

•  Easilyaccessedacrossdevices•  Allowsrapidsharingofresources•  Largereachandengagement•  Commonexperiencesreduces<gma

Socialnetworksitebenefits

Closedsocialmedianetworks

So,jumpin…

Doyourownresearch…•  Checkoutwebsites,blogs,apps,andpodcasts

•  Checkonthemfrequently(sign-upandfollowthem)

•  Askpa<entsandcolleagueswhattheyuseandsolicittheirrecommenda<ons

•  Keeptrackofpa<ent’sinterests’inspecificwebsites,blogs,apps,andpodcasts

•  Advisepa<entsaboutprivacy/securityandconfiden<alityissuesespeciallywithApps

“As a community of clinicians, stakeholders, and researchers, we need to understand that

those in need of care are more technologically savvy than ever before. Many already seek

informa%on about their condi%ons and treatments online or in an app store. It is

essen%al that we adapt our treatment models so that these individuals can benefit from

opportuni%es afforded by emerging technology. Not doing so because of our own

preferences and predilec%ons would be a great disservice”.

BEN-ZEEV,2014