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)
