Recovery and Continuing Care

Learning Objective

Answer the following question What does recovery look like?

“If this is what Recovery looks like then how do we get our clients there?”

Stimulate thinking about how we as professionals view recovery and how we approach assisting our clients to get there.

Try to make this information relevant no matter what setting you are working in, i.e. residential, out patient, private practice etc.

Who we are Harbor Hall, Inc.

Long-term Residential Sub-acute Detoxification Out-patient 2 Transitional Sober Living Houses

Pat McGinn MS, MA, LLP, CAADC, CCS-M,

Clinical Director

Steve Mindel, BS

Resident Life Coordinator Continuing Care Coordinator

2009 State Substance Use Disorders (SUD) Conference

We are engaging in a ROSC transformation, because research tells us the current SUD system has: Limited Attraction Poor Engagement and Retention Lack of Continuing Care High Rates of Relapse Unbalanced Resource Expenditures

10 Fundamental Components of Recovery (SAMHSA 2009)

1. Hope2. Individualized and

self-directed3.Non-linear 4.Holistic5.Supported by

Peers

6. Strength based and culturally influenced

7. Empowering8. Supported by

addressing trauma9. Individual

responsibility10.Based on Respect

Continuum of Care

“What is Recovery” from the Client Perspective.

“”

If this is what recovery looks like, then how do we get our clients there?

Continuing Care

Introduction

Who is our Resident Life Coordinator?

Why was he hired by Harbor Hall?

Ships in a harbor are safe, but that is not what ships are built for.

Our Message of “We”.- How do I get this message across. - It is all about Team!

The Battle with Selfishness

By our nature we are basically selfish people. All people have a measure of this, some more than others. We have to purposefully practice being selfless. We set aside our own wants and sometimes needs for the benefit of others.

Practical Approach

WelcomingAssigned to teams (group, chores, etc)Conflict resolutionRecreationCommunity activities (volunteering, car wash, AA/NA meetings)The real treatment begins when the staff goes home.

Testimonials “I caught my first fish. When I get home, I am going to buy gear

and introduce my family to this.” “I didn’t know I could bowl sober.” “I never thought I could set with somebody for 4 hours in a

canoe. I got wet, bitten by mosquitoes but it was the best time I have had since I was a kid.”

“I can’t believe Mackinaw Island is so beautiful. I’m going to take a second honeymoon with my wife if she’ll have me.”

I petted some horses, tossed a Frisbee to a Great Dane and threw some horseshoes. I have to change my life, because I want this stuff.”

Jason said after playing cheesy office Olympics, “I laughed so hard my cheeks hurt.”

Connections

We are designed for connections. (biopsychosocial creatures) We have a body to connect with our environment We have a soul to connect with others. We have a spirit to connect with ourselves. The disease disconnects us……we need to reconnect

All of these, we believe, are designed to connect to each other and to our Higher

Power.

WellnessWheel

Hurdles

Housing Employment Transportation Access to health care Legal Issues Damaged relationships Structure/Accountability

Personal Recovery Plan 

Life Domains 

Individual Goals and AspirationsWhat do I want?

Resources, Strengths, and SkillsWhat do I have access to or what have I used in the past?

Barriers and ProblemsWhat barriers or issues do I need to remove or overcome to

achieve my goals?

(1) Recovery from substance use or

abuse

     

   

(2) Living and financial

independence

     

   

(3) Employment and Education

     

   

(4)Relationships and social support

     

   

(5)Medical health

     

   

(6)Leisure and recreation

      

   

(7)Independence from legal problems and institutions

      

   

(8)Mental wellness and spirituality

      

   

Personal Continuing Recovery Plan Rate the following areas of your life on a scale of 1 – 10 where 1 is the biggest problem you can imagine and 10 is no problem at all.

1. Recovery from substance use or abuse: ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

2. Living and financial Independence: ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

3. Employment and Education: ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

4. Relationships and social supports: ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

5. Medical Health: ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

6. Leisure and Recreation ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

7. Independence from legal problems: ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

8. Mental wellness and spirituality: ______1_____2_____3_____4_____5_____6_____7_____8_____9_____10

1

8

7

6

5

4

3

2

Changing the way we think about Treatment and Recovery

Are we welcoming to the client? How do we conduct our team meetings?

Language Practice Schedules

Do we meet the client where the client is at? What is really important? What works…what doesn’t work? Why do we do the things that we do?

Creating a Statement of Organizational Values

Primary Values Team Respect Honesty Integrity Autonomy

“Core values are the principles and standards at the very center of our organizational character and from which we will not budge or stray.”

Purpose1. Create a safe and supportive

environment for all2. Encourage learning by provide

opportunities to learn3. To be respectful to clients and

each other4. Increase time spent on recovery

related subjects5. Role model positive experiences

of getting along and solving problems

Activity…….if there is time

Men of Honor

The Mission

“”

All I Need to Know I Learned in Kindergarten

Simple Wisdom