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Stand by me: Recovery-oriented, person- directed & outcome-informed peer services Heart & Soul of Change Project June 30th Webinar Brauchtworks Consultation & Training [email protected] Applying Science to Practice 1 The Heart and Soul of Change Project CDOI Members Webinar Stand By Me: Recover- Oriented, Person Stand By Me : George S. Braucht George S. Braucht, LPC , LPC Person- Directed, & Outcome- Informed Peer Certified CDOI & Recovery Coach Trainer Certified CDOI & Recovery Coach Trainer Brauchtworks Consultation & Training and Brauchtworks Consultation & Training and The Georgia State Board of Pardons & Paroles The Georgia State Board of Pardons & Paroles [email protected]; 404.310.3941 [email protected]; 404.310.3941 Services Addiction Treatment & Recovery Addiction Treatment & Recovery 1970 Comprehensive Alcohol Abuse and Alcoholism Prevention and Treatment Rehabilitation Act: Created NIAAA & an advocacy vision Recovery Treatment Recovery Treatment 1970 Treatment Recovery Today

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George Braucht highlights an application of CDOI skills and tools that blend recovery-oriented systems of care model with person (instead of client)-directed (PD) and outcome-informed (OI) peer-delivered services. Building on Georgia’s seminal work on mental health peer specialists, the webinar focuses on the service delivery tools used by peer recovery coaches who have completed the Certified Addiction Recovery Empowerment Specialist (CARES) Academy.

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Page 1: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice1

The Heart and Soul of Change ProjectCDOI Members Webinar

“Stand By Me”:

Recover-Oriented, PersonStand By Me :

George S. BrauchtGeorge S. Braucht, LPC, LPC

Person-Directed, & Outcome-Informed Peer

Certified CDOI & Recovery Coach TrainerCertified CDOI & Recovery Coach TrainerBrauchtworks Consultation & Training and Brauchtworks Consultation & Training and The Georgia State Board of Pardons & ParolesThe Georgia State Board of Pardons & [email protected]; [email protected]; 404.310.3941

Services

Addiction Treatment & RecoveryAddiction Treatment & Recovery1970 Comprehensive Alcohol Abuse and Alcoholism Prevention

and Treatment Rehabilitation Act:

Created NIAAA & an advocacy vision

Recovery TreatmentRecovery

Treatment

1970

Treatment

Recovery

Today

Page 2: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice2

2010 Patient Protection & Affordable Care LawDr. A. Thomas McLellan, Director TRI

AOD Treatment in the US: AOD Treatment in the US: 77% publically funded,77% publically funded,

13,000 AOD Specialty 13,000 AOD Specialty Treatment Programs ServeTreatment Programs Serve

“Untreated” Abuse/Dependent ~ 25 million = 8%

“Harmful Users”??,000,000

77% publically funded, 77% publically funded, 12% insurance12% insurance

Treatment Programs Serve Treatment Programs Serve ~ 2.3 million <1%~ 2.3 million <1%

Healthcare Reform + Healthcare Reform + Parity Law ~ Parity Law ~

Medicaid ExpansionMedicaid Expansion

Abstinent & Non-Problem AOD Users ~ 83%2008 National Survey on Drug Use and Health

US Population = 309,800,000

Medicaid ExpansionMedicaid Expansion

Emerging RecoveryEmerging Recovery--Oriented Systems of CareOriented Systems of Care

Traditional Acute-Care Addiction Treatment Continuum

Outpatient Inpatient Residential

Long-Term Recovery-Oriented Systems of Care

Recovery Support Services: Before, During (instead of) & After Tx

Short-Term, Expert-Determined Environmental Restriction and Treatment Intensity

is being enhanced by…

Risk Level & Recovery Capital Service Type & Intensity Person-Directed, Outcome-Informed Recovery Services

Peer Recovery Coaching Linkages with Recovery CommunitiesIndigenous Recovery Supports Telephone/Internet Contacts

In-Community Recovery Check-ins

Page 3: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice3

Georgia CARES:Certified Addiction Recovery

Empowerment Specialists

Georgia CARESGrant from the Georgia Department of

Behavioral Health and Developmental pDisabilities to the Georgia Council on Substance Abuse to train 40 CARES (recovery coaches) in 2010

Builds on the Georgia Mental Health k ’ i l ifi dConsumer Networks’ seminal Certified

Peer Specialist

Medicaid billable services

Page 4: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice4

Georgia CARES

23 member CARES Advisory Coalition = 296+ f l t 296+ years of long-term recovery

Georgia CARES Vision

We envision recovery-oriented systems ofWe envision recovery oriented systems of care that support self-directed pathways to recovery by building on the strengths and

resilience of individuals, families and communities

Page 5: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice5

Georgia CARES Mission

Promote long-term recovery from substance g yuse disorders by providing experienced peer support and advocating for self-directed care.

Georgia CARES ValuesHope demonstrated through lived experience

Wellness of mind, body and spirit

Integrity by showing Positive regard Respect Openness

Commitment to recovery & wellness and livingCommitment to recovery & wellness and living with Compassion Dignity Stability

Page 6: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice6

CARES Academy: 40-hours/5-daysObjectives:

1. Confidently deliver peer recovery support services within a team of addiction treatment service providerswithin a team of addiction treatment service providers

2. Fill a role that is valued by myself, the peers with whom I engage, and your employer

3. Assess my recovery coach knowledge and skills

4. Identify my recovery coach development goals and tasks for moving toward a mastery level oftasks for moving toward a mastery level of competence

5. Engage a network of peers with which I give and receive ongoing support that promotes our work, recovery coach development and on-going recovery

CARES Academy: Key Content

ROPDOI service principles & core practicespractices

Relationship enhancement and motivational interviewing skills

Self and cultural sensitivity

Ethical decision makingEthical decision making

Co-supervision

Page 7: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice7

ROPDOI Core Services

Recovery check-ins F f Face-to-face Telephone Texting, IM, etc. Recovery community centers

Recovery groups Recovery groups

Assertive recovery community linkages

Many Pathways to Recovery

Mutual support groups

Professional treatment

Faith-based groups

Medication-assisted treatment

“Natural” or on your own

And more indigenous routes

Page 8: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice8

CARES Academy: Pre-training reading

Page 9: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice9

33

P P P PP

P

PP P

P P

PP

Page 10: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice10

White W L (2008) Recovery

Recovery-OrientedSystems of Care

White, W. L. (2008). Recovery management and recovery-oriented systems of care: Scientific rationale and promising practices. Available at www.williamwhitepapers.com.

www.facesandvoicesofrecovery.org

Page 11: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice11

Page 12: StandByMeSlides

Stand by me: Recovery-oriented, person-directed & outcome-informed peer services

Heart & Soul of Change ProjectJune 30th Webinar

Brauchtworks Consultation & [email protected]

Applying Science to Practice12

The Heart and Soul of Change Project

“Stand By Me”: Recover-Oriented, PPerson-Directed, and Outcome-Informed Peer

George S. Braucht, LPCGeorge S. Braucht, LPCCertified CDOI Certified CDOI & Recovery Coach Trainer& Recovery Coach TrainerBrauchtworks Consultation & Training and Brauchtworks Consultation & Training and The Georgia State Board of Pardons & ParolesThe Georgia State Board of Pardons & [email protected]; [email protected]; 404.310.3941

Services