peer recovery support services 02.14.13

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PEER RECOVERY SUPPORT AND RECOVERY SERVICES

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Michaelanne Hurst, Executive Director, Communities for Recovery, shared at the Behavioral Health Educational Forum for One Voice Texas.

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Page 1: Peer Recovery Support Services 02.14.13

PEER RECOVERY SUPPORT

AND RECOVERY SERVICES

Page 2: Peer Recovery Support Services 02.14.13

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

Page 3: Peer Recovery Support Services 02.14.13

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

Page 4: Peer Recovery Support Services 02.14.13

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.

Page 5: Peer Recovery Support Services 02.14.13

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

Page 6: Peer Recovery Support Services 02.14.13

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).

Page 7: Peer Recovery Support Services 02.14.13

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.

Page 8: Peer Recovery Support Services 02.14.13

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

Page 9: Peer Recovery Support Services 02.14.13

2013150 PeersAdding Teenager & Young Adult Recovery Support Services Programming

Expanding Mother and Child Recovery Support Services and Programming

Page 10: Peer Recovery Support Services 02.14.13

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.

Page 11: Peer Recovery Support Services 02.14.13

PEER RECOVERY COACHING

Page 12: Peer Recovery Support Services 02.14.13

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

Page 13: Peer Recovery Support Services 02.14.13

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

Page 14: Peer Recovery Support Services 02.14.13

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

Page 15: Peer Recovery Support Services 02.14.13

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

Page 16: Peer Recovery Support Services 02.14.13

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.

Page 17: Peer Recovery Support Services 02.14.13

$ 550,000

Annual Budget

Page 18: Peer Recovery Support Services 02.14.13

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

Page 19: Peer Recovery Support Services 02.14.13

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

Page 20: Peer Recovery Support Services 02.14.13

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

Page 21: Peer Recovery Support Services 02.14.13

Peer Recover

y Support Center

4110 GuadalupeBldg. 635

Page 22: Peer Recovery Support Services 02.14.13

The BIG Room

Page 23: Peer Recovery Support Services 02.14.13

MEDITATION ROOM

Page 24: Peer Recovery Support Services 02.14.13

GIVE IT FORWARD LIBRARY

4.17

Page 25: Peer Recovery Support Services 02.14.13

CAREER CLOSET

Page 26: Peer Recovery Support Services 02.14.13

Computer Access & Training Lab

Page 27: Peer Recovery Support Services 02.14.13

Recovery Café & Resource Center

4.14

Page 28: Peer Recovery Support Services 02.14.13

Recovery Book Store