peer recovery support services 02.14.13
DESCRIPTION
Michaelanne Hurst, Executive Director, Communities for Recovery, shared at the Behavioral Health Educational Forum for One Voice Texas.TRANSCRIPT
PEER RECOVERY SUPPORT
AND RECOVERY SERVICES
Mission
Supporting long-term recovery for people with substance use
and co-occurring mental health conditions by
partnering with communities to provide peer supported
recovery programs and services
What are Peer Recovery Support Services?
Peer-based recovery support is the process of giving and receiving nonprofessional, non-clinical assistance to achieve long-term recovery from severe alcohol and/or other drug-related problems. This support is provided by people who are experientially credentialed to assist others in initiating recovery, maintaining recovery, and enhancing the quality of personal and family life in long-term recovery. (William White. 2009)
www.williamwhitepapers.com
Where are Peer Recovery Support Services Provided?
Peer recovery support services can be delivered across the full continuum of recovery, regardless of whether or not a person uses clinical treatment services. Before an individual enters treatment When an individual is on a wait-list for a service opening. Coincide with treatment services - providing a connection to
community while a person is in treatment. Following treatment
Peer recovery support services help people manage their own recovery by developing recovery skills, accessing resources to support ongoing recovery and giving them an opportunity to further enrich their recovery through volunteer work in recovery support settings.
Service Role Social Support Domain
Modality
Peer/Recovery Coach EmotionalInformational Instrumental
Individual
Peer Resource Coordinator InformationalInstrumental
Individual
Support Group Facilitator EmotionalInformational
Group
Workshop Facilitator Informational Group
Substance-free Activities Affiliational Community
Recovery Community Centers Affiliational Community
DOMAINS / TYPES OF SUPPORT
• Emotional (supports that foster hope, resiliency, confidence, and self-esteem);
• Informational (develops knowledge and skill-building);
• Instrumental (provides concrete assistance with housing, transportation, employment, etc.); and
• Affiliational (fosters community kinship and social inclusion).
History2004 – 2006oOne Collaborator
o Seton Shoal Creek Hospitalo Back to Basicso Facilitated: DRA
Meetingso Escorted Patients to 12
Step MeetingsoMany patients completed the Back to Basics programming and subsequently became volunteers.
oPeer Volunteer base grew from 6 to 45.
2007 – 2008oTwo Collaborators
o Texas Star Recoveryo Seton Shoal Creek
Hospitalo Back to Basicso Dual Disorders
Recovery Achieverso Cross-Talko Facilitated 12 Step
Meetingso Peer Volunteer base grew
from 56 to 67 through this time period.
History2009 – 2010Four Collaborators
Seton Shoal Creek Texas Star Recovery Austin State Hospital Foundation
Communities Back to Basics Dual Disorders
Recovery Achievers DRA Cross-Talk
Our Peer Volunteer base grew from 86 to 107.
2011 – 2012Six Collaborators
Seton Shoal Creek Hospital
Texas Star Recovery Austin State Hospital Foundation Communities Austin Recovery Family Drug Treatment
Court Added Peer Recovery
Coaching ServicesOur Peer Volunteer base grew from 122 to 140
2013150 PeersAdding Teenager & Young Adult Recovery Support Services Programming
Expanding Mother and Child Recovery Support Services and Programming
Peer Support Volunteer Programs
o Back to Basics (B2B)o Educational introduction to
the 12 Steps of AA over a 4 week period
o Dual Disorders Recovery Achievers (DDRA)o Educational introduction to
the 12 Steps of DDRA over a 4 week period
o Cross-Talko Informational, Educational,
Conversational format for newcomers to participate in Q & A and solution based Storytelling
o Peer Recovery Coachingo Weekly one-on-one in
person meetings to support a person’s ongoing recovery process
o Family Cross Talko Informational, Educational
and Conversational format for family members who have loved ones in or seeking Recovery. It is solution based Q & A and Storytelling for family members.
PEER RECOVERY COACHING
Educational & Training Programs
oWorkshop Serieso Tools for Women in
Recoveryo Wally P and the
Basic Recovery Workshop
o Self-Esteem & Recovery: Building a Positive Plan for Action
o Wellness Planning – Nutrition & Exercise
o Peer Recovery Coach Instituteo 5 dayso 46 classroom hours
o Science of Addictiono Motivational
Interviewingo Cultural Competencyo People First Languageo Stage Appropriate
Supporto Stages of Changeo Ethics & Boundaries
Peer Support Volunteer Annual Comparison: 2007 - 2012
2007 2008 2009 2010 2011 2012
Q1 491 653 423 2199 3921 5590
Q2 396 738 1027 3842 6385 5907
Q3 509 816 1168 3746 6912 5679
Q4 614 623 1839 3064 4434 5224
2010 2830 4457 12851 21652 22400
Q1 577 510 619 725 853 871
Q2 687 523 585 854 1037 1164
Q3 639 785 697 889 950 958
Q4 508 708 741 755 563 957
2411 2526 2642 3223 3403 3950
Q1 32 24 34 69 72 54
Q2 28 28 54 66 88 67
Q3 37 46 54 72 86 73
Q4 36 46 55 87 64 91
133 144 197 294 310 285
33 36 49 74 78 71
56 67 86 107 122 140
Average Active
Active Total
Recovery Connections
Peer Volunteer Hours
Active Peer Volunteers
October November December Total 1st QTR 2nd QTR 3rd QTR 4th QTR Total
Austin State HospitalAustin Recovery 1 1 1 1St. David's 3 5 9 17 2 17 19Family Drug Court 15 16 16 47 29 13 27 47 116Foundation Communities 1 1 2 7 3 2 12Community 0 1 1
Total 19 22 26 67 36 13 33 67 149
Peer Recovery Coach Hours
Austin State HospitalAustin Recovery 1 2 3 3 3St. David's 7 12 9 28 4 28 32Family Drug Court 32 53 40 125 83 35 63 125 306Foundation Communities 6 1 7 22 7 7 36Community
Total 45 67 51 163 105 35 74 163 377
Individual Active Volunteer Peer Recovery Coaches QTR 1 QTR 2 QTR 3 QTR 4Jan Feb March April May June July August Sept Oct Nov Dec
# of Volunteer PRCs 4 3 2 1 3 2 4 4 2 1 1 1
Total 3 3 1 1 3 2 4 4 1 1 1 1
Individual Active CforR PRC Staff QTR 1 QTR 2 QTR 3 QTR 4Jan Feb March April May June July August Sept Oct Nov Dec
# of Staff PRCs 1 1 1 1 1 1 3 3 2 2 3 3
Total 1 1 1 1 1 1 3 3 2 2 3 3
Recovery Coaching Participants (Recoverees)
Fourth Quarter 2012 Quarterly 2012
RECOVERY COACH QUARTERLY REPORT - 2012
THREE YEAR OUTCOMES2010 – 2012
Time Referrals %90 Days 310 93%6 Months 246 74%9 Months 184 55%1 Year 130 39%2 Years 60 18%3 Years 24 7%4 Years 9 3%5+ Years 7 2%
# & % of 333 Referrals with % Increased Recovery with CforR
from 1-1-2010 thru 12-31-2012:
Total # of Connections 12465Total # of Referrals to CforR 333Percentage of Referrals 3%Total # of Referrals still Active 148Percentage of Active Peers 44%
Communities for Recovery 1-1-2010 to 12-31-2012
Sustainability Supports:
7 – Full Time Staff 2 – Part-Time Staff
5 – Recovery Support Programs 2 – Basic Needs Programs – Career Closet and Computer
Access & Training Lab152 – Peers Support Volunteers3 – Peer Recovery Coaches
Recovery Support & Resource Center 7,000 sq. ft.
$ 550,000
Annual Budget
Official Partnerships
Austin State HospitalAdult, Young Adult & Adolescent
Austin RecoveryEdith Royal & Detox, South Congress IOP, The Lodge
and The Ranch
Texas Star Recovery
Seton Shoal Creek Hospital
Official Partnerships
Foundation CommunitiesGarden Terrace, Spring Terrace & Skyline Terrace
Family Drug Court – Parenting in Recovery
New Programs in 2013Del Valle Travis County Jail
Adult Men and Women
ATCIC Adult Substance Use & Co-Occurring Mental Health
Peer Recovery Support
Family Drug
Treatment Court
Seton Shoal Creek Hospit
al
Austin Recover
y Men’s IOP
Texas Star
Recovery
Austin Recovery Edith Royal
Austin Recover
y The Lodge
Foundation Communitie
sSpring Terrace
Foundation Communitie
sGarden Terrace
Austin Recover
yThe
Ranch
Foundation Communitie
sSpring Terrace
Men & Wome
n
Adolescent &
Youth
Austin State
Hospital
The Arbor
Del Valle TCC
C
ATCIC
Peer Recover
y Support Center
4110 GuadalupeBldg. 635
The BIG Room
MEDITATION ROOM
GIVE IT FORWARD LIBRARY
4.17
CAREER CLOSET
Computer Access & Training Lab
Recovery Café & Resource Center
4.14
Recovery Book Store