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kecovery management ls a phllosophlcal framework


for organlzlng addlcLlon recovery servlces Lo provlde
4 prerecovery ldenLlflcaLlon and engagemenL
4 recovery lnlLlaLlon and sLablllzaLlon
4 longLerm recovery malnLenance and
4 quallLy of llfe enhancemenL for lndlvlduals and famllles
affecLed by severe subsLance use dlsorders
2
lnLenslfylng re
treatment recovery
suort serv|ces
sLrengLhenlng |ntreatment
recovery suort serv|ces
sh|ft|ng the focus
of LreaLmenL from
acuLe sLablllzaLlon
Lo supporL for long
Lerm recovery
malnLenance
exanded array
of recovery
supporL
servlces
greater |ength
of t|me
|ower |eve| of
|ntens|ty and
cosL per servlce
eplsode
Emphc:i: cn res|||ence ond recovery processes c:
cppc:ec Ic pcIhc|cgy cnc ci:ec:e prcce::e:)
:king WhcI: righI" ncI WhcI: wrcng"
%he ccncepI cf reccvery ccpiIc| ref|ecI: c
:hifI in fccu: frcm Ihe pcIhc|cgy cf
cccicIicn Ic c fccu: cn Ihe inIernc| cnc
exIernc| c::eI: reuirec Ic iniIicIe cnc
:u:Icin |cng-Ierm reccvery frcm c|cchc| cnc
cIher crug prcL|em:.

kecovery copito/ {kc) ls


Lhe breadLh and depLh of
lnLernal and exLernal
resources LhaL can be
drawn upon Lo |n|t|ate
and susta|n recovery
@here are Lhree Lypes of
8ecovery CaplLal LhaL can
be lnfluenced by
addlcLlons professlonals
white and Cloud, 2008
8ecovery CaplLal
ersonal
lamlly/
Soclal
CommunlLy
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!er:cnc|
Fcmi|y/:ccic|
CcmmuniIy

9hys|ca| recovery
ca|ta| |nc|udes
physlcal healLh
flnanclal asseLs
healLh lnsurance
safe and recovery
conduclve shelLer
CloLhlng
lood
LransporLaLlon
JhlLe and Cloud 200
:2on
recovery
cop|to|
|nc|:des:
values
knowledge
educaLlonal/vocaLlonal
skllls and credenLlals
problem solvlng
capaclLles
selfawareness self
esLeem selfefflcacy
hopefulness/opLlmlsm
percepLlon of one's
pasL/presenL/fuLure
sense of meanlng and
purpose ln llfe
lnLerpersonal skllls
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lnLlmaLe
relaLlonshlps
famlly and klnshlp
relaLlonshlps
soclal
relaLlonshlps
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lamlly and
communlLy
recovery caplLal
uepleLed famlly
recovery caplLal
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ncompasses lnLlmaLe relaLlonshlps famlly and klnshlp
relaLlonshlps and soclal relaLlonshlps LhaL are supporLlve
of recovery efforLs
ls lndlcaLed by
4 Lhe wllllngness of lnLlmaLe parLners and famlly members Lo
parLlclpaLe ln LreaLmenL
4 Lhe presence of oLhers ln recovery wlLhln Lhe famlly and soclal
neLwork
4 access Lo sober ouLleLs for sobrleLybased fellowshlp/lelsure
4 relaLlonal connecLlons Lo convenLlonal lnsLlLuLlons

JhlLe and Cloud 200


CommunlLy recovery caplLal lncludes
acLlve efforLs Lo reduce addlcLlon/recoveryrelaLed
sLlgma
vlslble and dlverse local recovery role models
a full conLlnuum of addlcLlon LreaLmenL resources
recovery muLual ald resources LhaL are accesslble and
dlverse
local recovery communlLy supporL lnsLlLuLlons
CulLural caplLal

JhlLe and Cloud 200


8ecoveryorlenLed sysLems of care are nesLed ln Lhe communlLy
for Lhe purpose of enhanclng Lhe avallablllLy and supporL
capaclLles of famllles lnLlmaLe soclal neLworks communlLy
based lnsLlLuLlons and oLher people ln recovery
u|| recovery takes |ace |n the commun|ty where we ||ve
work and |ay
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W 8ecovery caplLal boLh lLs quanLlLy and quallLy plays
a ma[or role ln deLermlnlng Lhe success or fallure of
naLural and asslsLed recovery (Cranfleld Cloud 199 1999
Moos Moos 2007 kaskuLas 8ond Pumphreys 2002)
W lncreases ln recovery caplLal can spark turninq points
LhaL end addlcLlon careers Lrlgger recovery
lnlLlaLlon elevaLe coplng ablllLles and enhance
quallLy of llfe ln longLerm recovery (Cloud Cranfleld 2004
LaudeL Morgan JhlLe 200)
JhlLe and Cloud 200

W Such Lurnlng polnLs boLh as cllmacLlc


LransformaLlons and lncremenLal change processes
may requlre Lhe accumulaLlon of recovery caplLal
across several years and mulLlple eplsodes of
professlonal LreaLmenLs (uennls loss ScoLL 2007)
W lemenLs of recovery caplLal vary ln lmporLance
wlLhln parLlcular sLages of longLerm recovery (LaudeL
JhlLe 2010)
JhlLe and Cloud 200
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Conneotiout lraor|oe Cu|oe||nes for leoover,-Ur|enreo 0are for Menra| lea|rh ano
Subsranoe use 0ono|r|ons, Seoono Fo|r|on.
1ondora, eerema, Uelphin, Andres-yman, 0'Connell, & Uavidson (2008).

#eoovery Management (#M) is a philosophioal framework


for organizing addiotion treatment and reoovery support
servioes aoross the stages of:
pre-reoovery identifioation and engagement pre-reoovery identifioation and engagement
reoovery initiation and stabilization, and reoovery initiation and stabilization, and
long-term reoovery maintenanoe long-term reoovery maintenanoe
with the ultimate goal of quality of life
enhanoement for individuals and families
with the ultimate goal of quality of life
enhanoement for individuals and families
$ome ways #eoovery Management differs from traditional
treatment:
working with the olient's existing level and motivation for ohange
#edefining roles of olients (more a partner in the team) and the
professionals (less the expert," more the oonsultant)
viewing treatment as a multi-tiered intervention and reoovery as
a multi-dimensional prooess
Lmphasizing sustained monitoring, self-management, stage-
appropriate reoovery eduoation and reoovery support servioes,
linkage to the natural resouroes of oommunities of reoovery, and,
if neoessary, early re-intervention
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white, Boyle, Loveland & Corrington (nd).
Lmphasis on resilienoe and reoovery prooesses (as
opposed to pathology and disease prooesses)
Asking what's right?" not what's wrong?"
Produot of $outhern Coast A11C
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@reat|ng Substance Use
D|sorders W|th
Adat|ve Cont|nu|ng
Care
ames 8 Mckay hu 2009
LongLerm monlLorlng of cllenL
progress
llexlble LreaLmenL proLocols
adapLable Lo changes ln cllenL
sLaLus
CreaLer convenlence for cllenLs ln
accesslng conLlnulng care
nhanced aLLenLlon Lo cllenL
preferences and cholces
use of servlces and seLLlngs
ouLslde LradlLlonal subsLance
abuse programs
use of new Lechnologles Lo
communlcaLe wlLh cllenLs
mphasls on Lhe beneflLs of self
care
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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
% 9rerecovery 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)