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8esearch shows LhaL Lhe sysLemlc burden of unLreaLed


subsLance use dlsorder ls cosLly Lo lndlvlduals famllles and
socleLy
Crowlng recognlLlon LhaL servlces musL lncorporaLe pre
recovery ldenLlflcaLlon and engagemenL recovery lnlLlaLlon
and sLablllzaLlon (formal LreaLmenL) longLerm recovery
malnLenance and quallLyofllfe enhancemenL for lndlvlduals
and Lhelr famllles
8ecognlLlon of Lhe need Lo lmprove access Lo servlces and
engage and reLaln lndlvlduals ln approprlaLe servlces

A8S1INLNCL DUkA1ICN S1AGL


mos
n 10
18 mos
n 94
18 3 m
n 74
3 yrs +
n 82
kecovery from substance use 499 432 327 341
Lmp|oyment 311 32 331 341
Iam||y and soc|a| re|at|onsh|ps 198 233 230 244
Lducat|on and tra|n|ng 179 10 230 14
Ach|eve and en[oy |mproved 'norma|' product|ve
||fe
170 193 28 279
Iam||y reun|f|cat|on 131 117 189 73
Lmot|ona| hea|th and se|fwork 131 148 217 1
nous|ng and ||v|ng env|ronment 123 213 13 8
hys|ca| hea|th 113 117 8 207
Sp|r|tua||ty and re||g|on 94 9 27 24
I|nanc|a| and mater|a| 149 81 73
G|ve back he|p others 19 32 8 37
Lega| |ssues 0 11 14 0
Current ||fe pr|or|t|es by abst|nence durat|on stage (Laudet Wh|te 2010)
Continuum oI care Ior excessive drinking and alcohol use disorders. (Percentages represent the approximate
proportion oI the U.S. population age 18 and older in each category in any given year.) |Mark Willenbring, MD|
Whc cre we IrecIing
@reaLmenL
pald
professlonally
gulded
LlmellmlLed
LherapeuLlc
and/or medlcal
lnLeracLlons

%$
recovery monoqement
opprooch LhaL
provldes longLerm
supporLs
recognlzes Lhe many
paLhways Lo healLh and
wellness
develops a susLalned
healLh managemenL
parLnershlp
A 8CSC undersLands LhaL we are respondlng Lo a CP8CnlC
lLLnLSS
SHFT
ocutecore opprooch
LhaL ls
#admlL LreaL (#Cu8L!)
and dlscharge"
crlslsorlenLed
professlonally
dlrecLed
wlLh an emphasls
on lsolaLed
LreaLmenL eplsodes
20 & over
10%
Ten to 19
17%
Six to nine
7%
Four to five
16%
Three
11%
Two
22%
One
17%
Number of
obsf|nenf per|ods
one monfh or
|onger fo||owed
by refurn fo drug
use pr|or fo
currenf
obsf|nence*
50% reported 4
or more
obst|nent per|ods
|o||owed by o
return to oct|ve
odd|ct|on
Outside of controIIed environment, among those who report one or
more such periods: 71% N=248 Laudet & White 2004
9rovlde approprlaLe
sLablllzaLlon
-physlcal
-emoLlonal
-soclal
MeeL Lhe ouLcomes
esLabllshed by
-@he cllenL/paLlenL
-@he payer
-8egulaLors
-Agency mlsslon
lnlLlaLe and enhance
Lhe knowledge sklll and
aLLlLudes LhaL supporL
and susLaln recovery
#ecucIicn cnc/cr e|imincIicn cf
:ympIcm:
lmprcving inIernc| we||ne:: cnc
hec|Ih
{#e)jcining cnc {re)Lui|cing c |ife in
Ihe ccmmuniIy.
!rov|de
oppropr|ot
e
stob|||zot|on
Meet
estob||shed
outcomes
In|t|ote ond
enhonce
recovery
by
reduc|ng
vu|nero-
b|||t|es
ond
|ncreos|ng
res|||ence
[recovery
cop|to|}
keduct|on
ondJor
e||m|not|on
o|
symptoms
Improv|ng
|nterno|
we||ness
ond heo|th
(ke}jo|n|ng
ond
[re}bu||d|ng
o |||e |n the
commun|ty.
Treatment goals Recovery goals
posLsLablllzaLlon
monlLorlng
(recovery check
ups)
sLageapproprlaLe
recovery educaLlon
recovery coachlng
acLlve llnkage Lo
communlLles of
recovery
recovery
communlLy
resource
developmenL
when needed
early
relnLervenLlon
#eccvery-crienIec :y:Iem: cf ccre cre ne:Iec
in Ihe ccmmuniIy fcr Ihe purpc:e cf
enhcncing Ihe cvci|cLi|iIy cnc :uppcrI
ccpcciIie: cf fcmi|ie:, inIimcIe :ccic|
neIwcrk:, ccmmuniIy-Lc:ec in:IiIuIicn: cnc
cIher pecp|e in reccvery.
u|| recovery tokes p|oce |n the commun|ty -
where we ||ve, work ond p|oy.
ndividuaIs
and
FamiIies
HOME
Permanent
Housing
COMMUNTY
Peer/FamiIy/
Recovery
Network
Supports
PURPOSE
EmpIoyment/
Education
HEALTH
Recovery
14
SAMHSA/Hyde, P. 2001
13

ln 3 groups move Lo Lhe 3 sLaLlons around Lhe room


Lo bralnsLorm Lhe Lypes of recoveryfocused servlces
and supporLs LhaL can be enllsLed Lo faclllLaLe
movemenL Lhrough Lhe phases of recovery
AlLernaLe among Lhe sLaLlons as Llme ls called
1) rerecovery Ident|f|cat|on and Lngagement
2) kecovery In|t|at|on and Stab|||zat|on
(LreaLmenL/recovery acLlvlLles) and
3) kecovery Ma|ntenance (posLLreaLmenL
recovery supporL servlces)