the latest in recovery advocacy tools many faces 1 voice & the anonymous people project
TRANSCRIPT
The Latest in Recovery Advocacy Tools
Many Faces 1 Voice & The Anonymous People
Project
Kim Manlove Director
Indiana Addictions Issues Coalition?
*IAIC *Broad based organization whose mission is to
promote recovery through public education, advocacy and service
* The IAIC works to put a “face and voice” on recovery -to break down misperceptions that will change attitudes (stigma) and policies (discrimination)
*IAIC Founded upon 4 Tenets
Addiction is a brain disease
*Treatment for addiction is successful (treatment works)
*Treatment for addiction is cost effective
*Lack of health insurance parity for treatment is discrimination.
*IAIC Goals
*Increase access to treatment
*Increase the number of professionals and programs providing treatment
*Reduce stigma through public education
*Provide a voice to help shape public policy on addiction issues
Introduction and Setting the Context
*IAIC Goals* Organize and educate the recovering community on
how to advocate without violating traditions
* End discrimination – Health Insurance, Housing, Employment, Public Assistance
* Broaden social understanding to achieve a just response to addiction as a public health crisis
Introduction and Setting the Context
*IAIC Goals* Organize and educate the recovering community on
how to advocate without violating traditions
* End discrimination – Health Insurance, Housing, Employment, Public Assistance
* Broaden social understanding to achieve a just response to addiction as a public health crisis
Introduction and Setting the Context
*Advocacy is...
*Actively supporting a cause and trying to get others to support it
*Speaking up, drawing attention to an important issue and directing decision makers towards a solution
*.... Advocacy is Education
The Beginning WithFaces and Voices of Recovery
Organizing and mobilizing people in long-term recovery from addiction, our families, friends, and allies, to speak with one voice
Changing public perceptions of recovery Promoting effective Federal and State
public policy Focusing on the reality of recovery that
is making life better for over 23 million Americans, their families, and communities
2001 Recovery Summit; St. Paul, MN The recovery movement: includes people in recovery from
addiction from alcohol and other drugs, family members, friends, and allies
includes and honors all pathways to recovery
encompasses all the diverse perspectives, cultures, and experiences of the recovery community
Addiction Recovery Advocacy Movement
Current Climate: The Perfect Storm
Recovery Advocacy Movement Recovery-Oriented Systems of Care Mental Health Parity and Addiction
Equity Act Affordable Care Act Managed Care Expansion Peer Recovery Support Services Criminal Justice and Drug Policy
Reform Movement Many Faces 1 Voice The Anonymous People Movement
Recovery is the Focus
Shifting from a crisis-oriented, professionally-directed, acute-care
approach with its emphasis on discrete treatment episodes….
…to a person-directed, recovery management approach that provides
long-term supports and recognizes the many pathways to health and wellness.
Focus: Recovery and Wellness
Recovery-oriented Systems of Care
Build the capacity of communities, organizations, and institutions to support recovery
Build on the strengths of individuals, families, and communities to foster long-term recovery, health, and wellness
Expand the menu of services and supports across the entire recovery continuum
Ensure people in or seeking recovery receive dignity and respect
Lift discriminatory policies and barriers to recovery
Unmet Need: < 10 % who need Tx seek treatment or if they do, arrive under coercive influences
Low Pre-Treatment Initiation Rates Low Retention: > 50 % do not successfully complete
treatment
Inadequate Service Dose: significant % do not receive optimum dose of Tx as recommended by NIDA.
Lack of Continuing Care: only 1 in 5 receive post-discharge planning
Recovery Outcomes: most resume using within 3months to one year of discharge from Tx
Revolving Door: > 60% one or more Tx episodes, 24% 3 or more – 50% readmitted within 1 year.
Challenges Currently Facing Addiction Service Systems
Adapted from Ijeoma Achara
Love,
Work, &Play
Housing,Faith, &Belonging
PrimaryFocus
CommunityLife
Service System ProgressionModel 1: Effective Treatment
Treatment
Service System Progression
Arthur Evans
Love,
Work, &Play
Housing,Faith, &BelongingPeer
support
PrimaryFocus
CommunityLife
Service System ProgressionModel 2: Continuity of Care
Detox Tx-1
Tx-2Rehab
Service System Progression
Arthur Evans
Faith
Work orschool
Socialsupport
BelongingFamily
Housing
Peersupport
Treatment &rehab
PrimaryFocus
CommunityLife
In the model. clinical care is viewed as oneof many resources needed for successfulintegration into the community
Service System ProgressionModel 3: Recovery-oriented
System of Care
Service System Progression
Arthur Evans
Outreach and engagementStrength-based screening, assessment, and
service planningExpanded and service team composition and
collaborative relationshipsFocus on community integrationLinkages to recovery communityPost-treatment check ups
Recovery-oriented Clinical Services
Adapted from Ijeoma Achara
Develop the capacity and infrastructure of the organized recovery community to become a full partner and participant
Explore range of options regarding paid and volunteer peers
Expand PRSS and increase service menu options and points of access
Integrate PRSS into recovery community and diverse service settings, including treatment
Fully in the Mix: Peer Recovery Support Services
Setting the Context:Recovery Capital
What is Needed: Recovery Capital
Physical: includes health (access to care), financial assets, food/clothing/shelter, transportation
Human: includes culture, values, knowledge, education, inner- and interpersonal skills, judgment, and other capacities
Social: includes connectedness to social supports and resources, intimate/family/kinship relationships, and bonds to community and social institutions
Recovery Capital is the breadth and depth of internal and external resources that can be drawn upon to initiate and sustain recovery from addiction. (Granfield and Cloud, 1999, 2004; White, 2006)
Limited education Minimal or spotty work history Low or no income Criminal background Poor rental history Bad credit Accrued debt and/or back taxes Unstable family history Inadequate access to health care
Consequences of Addiction Can Deplete Recovery Capital
Essential Ingredients for Sustained Recovery:
Safe and affordable place to liveSteady employment and job readinessEducation and vocational skillsLife and recovery skillsHealth and wellnessSober social support networksSense of belonging and purposeConnection to family and community
Creating and Reinforcing Recovery Capital
With Many, a Need to Address: Legal issues Expunging criminal records Financial status: debt, taxes,
budgeting, etc. Restoring revoked licenses:
professional, business, driver’s Regaining custody of children Developing relationship and
parenting skills Developing sober social support
networks and community connections
Creating and Reinforcing Recovery Capital
Building Communities with Recovery Capital
Build on the strengths and resilience of individuals, families, and communities to be responsible for sustained recovery and wellness
Make services and resources available that help individuals and families throughout the recovery process
Build the capacity of communities, organizations, and institutions to support recovery: recovery-supportive rather than recovery-hostile
Lift discriminatory barriers that impede recovery and wellness
Peer Recovery Support Services
Services to help individuals and families initiate, stabilize, and sustain recovery
Provided by individuals with “lived experience” of addiction and recovery
Non-professional and non-clinical Distinct from mutual aid support, such as
12-step groups Provide links to professional treatment,
health and social services, and support resources in communities
Peer Recovery Support Services
Natural Reciprocal Accessible
Potentially enduringNon-commercialized
Non-regulated
Elements of a Peer Relationship
William White
Focuses on establishing trust and building relationship
Builds on a person’s strengths to improve Recovery Capital
Promotes recovery choices and goals through a self-directed Recovery Plan
Utilizes recovery community resources and assets, especially volunteerism
Provides entry and navigation to health and social service systems
Models the benefits of a life in recovery
What Makes Peer Work Effective?
Effective outreach, engagement, and portability
Manage recovery as a chronic condition Stage-appropriate Cost-effective Reduce relapse and promote rapid
recovery reengagement Facilitate reentry and reduces recidivism Reduce emergency room visits Create stronger and accountable
communities
Benefits of Peer Recovery Support Services
Across the full continuum of the recovery process:
Prior to treatment During treatment Post treatment In lieu of treatment
Peer services are designed and delivered to be responsive and appropriate to all stages of recovery.
When Are PRSS Delivered?
Continuum of Addiction Recovery
Pre-Recovery Engagement
Recovery Initiation &
Stabilization
Recovery Maintenance
Enhancement of Quality of Life in Long-
term Recovery
William White
Recovery community centers Faith and community-based organizations Emergency departments and primary care
settings Addiction and mental health treatment Criminal justice systems HIV/AIDs and other health and social service
agencies Children, youth, and family service agencies Recovery high schools and colleges Recovery residences and Oxford Houses
Where Are PRSS Delivered?
Personal guide and mentor for individuals seeking to achieve or sustain long-term recovery from addiction, regardless of pathway to recovery
Connector to instrumental recovery-supportive resources, including housing, employment, and other services
Liaison to formal and informal community supports, resources, and recovery-supporting activities
Peer Recovery Coach
Peer telephone continuing support Peer-facilitated educational and
support groups Peer-connected and –navigated
health and community supports Peer-operated recovery residences Peer-operated recovery community
centers
NOT Just Recovery Coaches
Vision: creating a community institution like a Senior Center
Provides public and visible space for recovery to flourish in community: Recovery on Main Street
Serves as a “community organizing engine” for civic engagement and advocacy
Operates as a “hub” for PRSS and recovery activities
Includes participation of family membersProvides volunteer, service, and leadership
opportunitiesPositions the recovery community as a key
stakeholder with the greater community
Recovery Community Centers
Moving Forward with Many Faces 1 Voice And
The Anonmymous People Project
Q: Why don’t we treat addiction like other public health issues?
The numbers are staggering: Over 23 million Americans need helpCosts the nation $343 billion/yearNumbers of young people dying is climbing
We have the pictures of the brain.We know that 90% of the time it starts in adolescents. We have proof that people can and do recover:Over 23 million Americans are in long-term recovery from addiction to alcohol and other drugs
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• Discrimination • Marginalization • Stigma• Shame• Anonymity • Fear• Education / Training • Unaware of Their Power
Why have most of those directly impacted – people in recovery,
family members and friends – stayed so silent and disengaged?
Q: How Do We Activate A FRAGMENTED…CONFUSED… ANONYMOUS…MARGINALIZED…AMBIVALENT…
Constituency – over 23 Million Americans and their families – 10% of all Americans – to get engaged to address addiction?
2013: Released For Community Screenings -Grassroots Distribution -Over 80,000 Have Seen It-8.7 Out of 10 Rating On IMDB-Screened at The U.S. Capitol
A Social Action Filmmaker’s Dream Come True! The Most Common Question Asked After Watching The Film:
“I Am Inspired, I Want To Get Involved, What Can I Do In My Community?”
“A multi-faceted campaign to mobilize people in
recovery, family members, friends and allies to advance
the addiction recovery advocacy movement.”
As of April 2014 – Campaign Founders Include:
A New Campaign Brought To You By
Faces & Voices of Recovery
Free, online educational & inspirational short videos of people in recovery
who have stepped up to share their story with a purpose –
advancing recovery
Empowerment:Individual Story
Sharing & Taking Action
Community Screening Tools &Discussion Guide
• Outreach and PR Event Marketing Templates• Social Media Outreach Templates • Guide For Opening Remarks• Post-Film Discussion Guide• Q&A With Greg Williams • Advocacy With Anonymity brochure• A.A. World Services Letter About Film• Call-To-Action Post-Cards
Just want to use the film within your agency?
Institutional / Public Performance Rights are now available – see post-card hand-out for details.
Questions and Answers
Greg Williams | Filmmaker
Complementary, rather than opposing, paradigms
Search for potent combinations and sequences
Mutual respect for different ways of knowing and types of experience
Philosophy of choiceShared goal of people getting and
staying well
We Begin With Foundational Principles of Collaboration
Adapted from Ijeoma Achara
Nothing about us without us (Inclusion as first thought versus afterthought)
Representation of multiple recovery pathways
Authenticity of representation
Avoiding problem of double agentry
Giving back versus cashing in
Collaboration with Recovery Representation
William White
Common and shared elements:
To be active agents of change in our own lives – not passive recipients of services
To manage/eliminate and move beyond our symptoms
To participate in valued social roles and relationships
To embrace purpose and meaning in our lives and make worthwhile contributions
To not be defined by our illness
To live a self-actutalized life abundantly!
Shared Vision for the Future
Adapted from Ijeoma Achara
Recovery Works Recovery is Possible
Recovery is an Expectation!
Vision Renewed