recovery messaging - expect recovery 2017 orh conference … · 2017-02-27 · brauchtworks...

Brauchtworks Consulting Applying Science to Practice

www.brauchtworks.com

2017 Ohio Recovery Housing Conference

Before this session, please complete the Understanding of Alcoholism Scale beginning on page 20 of this handout (~20 minutes)

Recovery Messaging:

Expect Recovery!

George S. Braucht, LPC & CPCS

Brauchtworks Consulting Email: [email protected]

The endless vine: Ancient symbol of Life, Infinity, or Discoverable Possibilities in the Interweaving Flows of Being and Movement Within and Without

Recovery Messaging:Expect Recovery!

2017 Ohio Recovery Housing ConferenceGeorge S. Braucht, LPC & CPCS

www.brauchtworks.comApplying Science to Practice

2017 Conference

Identify terms that research shows should and should not be included in recovery messages.

Write a first‐draft recovery introduction that follows best practices.

Self‐assess your recorded introduction to new clients/peers/residents.

ObjectivesAt the end of this session your will be able to:

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3

A Moment of Silent Stillness

“If we had a keen vision of all that is ordinary in human life, it would be like hearing the

grass grow or the squirrel’s heart beat,and we should die of that roar which

is the other side of silence.”George Eliot (Mary Ann Evans). (1872). Middlemarch.




ResponseWare Log‐In

Participate in this session’s audience polls by going to

www.responseware.comvia your smart phone, tablet or

computer web browser

Enter Session ID: ??????Brauchtworks Consulting

Applying Science to Practicebrauchtworks.com

Promoting currently experiencedand cumulative career growth

George just wants tohelp people.

Physiological Psychology then Community Psychology: Crisis intervention, MH & AOD

Licensed Professional Counselor and Certified Professional Counselor Supervisor

Co‐founder, Certified Addiction Recovery Empowerment Specialist (CARES) Academy

Lead Curriculum Developer and Instructor, Texas Recovery Residence Manager Training

NARR Charter Board Member

0%

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Audience Poll

I am a…: Select all that apply

Who are you?

A. Person in recoveryB. Certified peer recovery support service providerC. Licensed or certified counselor, social worker,

marriage and family therapist, etc.D. Licensed medical professional: physician, nurse,

etc.E. News reporterF. Ally of people in recoveryG. Apparently in the wrong room!

Recovery-Oriented Systems of Care (ROSC)Paradigm Shift to Enhance Acute Care with Chronic Support

Acute Care Focus on the

Disease Process Disease Experts

& Treatment

Chronic Care Focus on the

Recovery Process Recovery Experts

& Support

Expect relapse! Expect

recovery!




Our mission is to support persons in recovery from addiction by improving their access to

quality recovery residences throughstandards, support services,

placement, education,research andadvocacy.

Recovery Residences

ServiceProvider

SupervisedMonitoredPeer Run

Long‐term recovery:Independent, meaningful living in the community

Service intensity

Recovery process duration

High

Low

Stabilization

Acute care (inpatient, medical, psychiatric)

Level 4

Level 3

Level 2

Level 1

Recovery residences: Enter at any

level

NARR. (2012). A primer on recovery residences: Frequently asked questions. National Association of Recovery Residences. Accessible at www.narronline.com.

A. B. C. D.

0% 0% 0% 0%

A. DiseaseB. Behavior problemC. Moral or emotional problemD. Different causes for different people

Audience Poll

Substance use disorders are a: pick one

What do you think?

Each view values

particular recovery pathways




A. B. C. D.

0% 0% 0% 0%

A. DiseaseB. Behavior problemC. Moral or emotional problemD. Different causes for different peopleAudience

Poll

People who come to me for help with substance use disorders are a: pick one

What do you think?

Each view values

particular recovery pathways

15

Tip

14

Many Recovery Pathways

Mutual support groups

Professional treatment

Faith-based

Medication-assisted treatment

“Natural” or on your own

Other indigenous routes

Based on research, what percentage of people who achieve 1-3 years of abstinence do not return to AOD use?

a. 26%

b. 36%

c. 66%

d. 86%15

The Likelihood of Sustaining Abstinence Another Year Grows Over Time

36%

66%

86%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1 to 12 months 1 to 3 years 4 to 7 years

Duration of Abstinence

% Sustaining Abstinen

ceAnother Year

.

After 1 to 3 years, less than half return to AOD use

After about 5 years, only 14% resume AOD use

Dennis, Foss & Scott (2007). An eight‐year perspective on the relationship between the duration of abstinence and other aspects of recovery. Evaluation Review, 31(6), 585‐612.

Over a third of people with

less than a year of abstinence will sustain it another year




Recovery Screening Test

1. Place both feet on the floor

2. Lift your right foot off thefloor and make clockwisecircles.

3. With your right hand, drawa "6" in the air.

If your foot stopped or changed direction,recovery is possible for you!

18

Understanding of Alcoholism Scale:

Moyers and Miller (1993)

Tip

Understanding of Alcoholism Scale

Disease Model

19

1. Adhere to the disease model of alcoholism (Jellinek, 1946 & 1960)

2. Emphasize character defects/flaws

3. Impose instead of negotiate goals

Expert-determined rather than personal choice

Unwilling to consider an initial goal of moderation

Tip


Psychological (Learning) Model

20

1. Influenced by or learned from cultural and/or familial experience

2. Allow for self-determined goals

3. Active in motivation/retention efforts

Assertive engagement after no-shows or treatment interruptions




Tip


Heterogeneity Model

21

1. Rejects homogeneity: avoids assuming that people with SUDsare similar

Recognizes diverse symptoms, motivations, and responses

2. Negative correlation with the disease model

Tip


Moral/ Spiritual Model

22

1. People with SUDs have weak morals

Character flaws

2. Recovery requires spiritual faith and action

3. Correlated with the disease model

Tip

23

Disease vs. Heterogeneity Models

Goal-choice: abstinence vs. moderation

Goal-selection: impose vs. negotiate

Motivational assistance: traditional confrontation vs. motivational enhancement


Tip

24

Responsively Potential: Your Results

1. Highest score suggests your model preference

Easiest to work with like-minded others

2. Heterogeneity score

Implies willingness to use a variety of recovery resources

3. Moral/Spiritual score

Suggests tolerance for faith-based resources





25

“Stretch”

High scores on all four scales

reflect an ability to

“meet people where they are.”


What language is spoken by the most people?

Language both reflects and creates culture.

Promote a new language of recovery that highlights the strengths, resilience and passions of individuals, families and

communities.

Language of Recovery

“The Language of Recovery Advocacy”

“I urge you to participate in these discussions and debates about language. This is not about superficial political correctness. It is about the future of recovery in America. It is time we embraced a new language that helps us talk about how we heal ourselves, our families and our communities. It is time we as a country abandoned a rhetoric that declares war on our own people.”

William L. White, 2014




Words Are Important

If you want to care for something, you call it a “flower”; if you want to kill something, you call it a “weed”

~ Don Coyhis

29

B = P X E: Behavior is alwaysa function of the (X) interaction

between people and environments.

First, learn about who you are speaking with and explore her/his experience. Think:

Practice intentionally

not knowing

PINK OARSI

Attitudes Inform Topics

Attitudes Inform Topics

First, learn about who you are speaking with and explore her/his experience using:

Begin with the assumption that

‘recovery’ means different things

to different people

Then, structure your “mind map” of the other person’s DNA (demographics, needs & attitudes) during the conversation

PINK OARI




NAcc = Releases oxytocin, dopamine, etc. VTA = Prediction errors and learning FC = Integrates body‐based AND others’

emotions into decision‐making

B =P X E

00 6060 120120 180180

Source: Di Chiara et al.Source: Di Chiara et al.

FOODFOOD

1515

00551010

1122 33 55667788 9910101111121213131414 1717ScrScr ScrScr

Sorce: Fiorino and PhillipsSorce: Fiorino and Phillips

SEXSEX

00100100200200300300400400500500600600700700800800900900

1000100011001100

00 11 22 33 44 5 hr5 hrTime After AmphetamineTime After Amphetamine%

of

Ba

sa

l Re

lea

se

% o

f B

as

al R

ele

as

e

DADADOPACDOPACHVAHVA

AccumbensAccumbensAMPHETAMINEAMPHETAMINE

00

100100

200200

300300

400400

00 11 22 33 44 5 hr5 hrTime After CocaineTime After Cocaine%

of

Ba

sa

l Re

leas

e%

of

Ba

sa

l Re

leas

e

DADADOPACDOPACHVAHVA

AccumbensAccumbens COCAINECOCAINE

00

100100

150150200200250250

00 11 22 33 44 5hr5hrTime After MorphineTime After Morphine

% o

f B

as

al R

ele

as

e%

of

Ba

sa

l Re

lea

se

AccumbensAccumbens0.50.51.01.02.52.51010

Dose (mg/kg)

Dose (mg/kg)

MORPHINEMORPHINE

00

100100

150150

200200

250250

00 11 22 3 hr3 hrTime After NicotineTime After Nicotine

% o

f B

as

al R

ele

as

e%

of

Ba

sa

l Re

lea

se

AccumbensAccumbensCaudateCaudateNICOTINENICOTINE

The opposite of addiction

is not abstinence,

it’s connection!

Recovery capital (B=PXE)

13

Our Goals: Learn…

about messaging

how to speak with legislators and policymakers

how to tell your recovery story to your friends and family

how to use recovery messages in all parts of your life, including representing the organized recovery community in the media and other public places 8

Faces & Voices’ recovery messaging is based on research

• Survey of the Recovery Community• Survey of the General Public • Focus groups of the recovery community & the general public (eight groups in four cities)

Conducted by Peter D. Hart & Associates & Robert M. Teeter’s Coldwater Corporation http://www.facesandvoicesofrecovery.org/resources/public_opinion.php




16

Grounded in Research

Recovery Community 88% believe it is very important for the

American public to see that thousands get well every year

General Public A majority of Americans (63%) have

been affected by addiction A majority (67%) believe that there is

a stigma toward people in recovery A majority (74%) say that attitudes &

policies must change17

What’s Not in an “Expect Recovery” Message and Why

I’m an addict (or alcoholic)

I’m a recovering addict (or alcoholic)

Addiction is a disease, moral problem, etc.

Information about a particular recovery pathway

A “definition” of recovery

Returning citizen

9

"Expect Recovery”Messaging Goals

Use effective, credible language to talk about yourlife and experiences

Alter the message for different situations and audiences

Promote progressive wellnessfor more people




11

Your Worldview❖ Speak with others using one voice

❖Making it personal addscredibility and dispels misperceptions

❖ Talk about your recovery,not your addiction – share yourrecovery story

Addressing Stigma and Discriminationwith the Language of Recovery

Addict

Junkie

Enabler

Relapse

Hit bottom

Denial

Disorder

Person in or seeking recovery

Person who uses AOD

Ally

Slip or set back

Elevator can stop at every floor!

Ambivalence

Chronic health condition

43

Abandon Abuse

Self‐help

Untreated Alcoholics/Untreated Addicts

Self‐pity Language

Discuss and Debate Treatment Works vs. Recovery Works

Consumer vs. Person in Recovery

Stigma vs Discrimination

Recovering and Recovered* 44

Elevate and Celebrate

Recovery, Recovery Community Organization, Communities of Recovery

Advocacy, Sustainability Recovery Support Services/Recovery Coach

Recovery‐Oriented Systems of Care

Living Proof

Story

Responsibility, Gratitude, & Service




Journaling:Peer support is…

In 2 minutes, write what you would say in 30 seconds to explain peer support to someone who knows nothing about it.

First draft: Not to be shared

Three Peer Support GuidelinesAdapted from Mead, S. (2015). Intentional peer support.

1. Support: mutually supportive relationships

2. Challenge: mutually beneficial relationships

3. Practice intentionally not knowing (PINK)

What is peer support?

Three Peer Support Guidelines (cont.)

1. Support: No wrong statements or answers.

The primary question: Was “it” effective for promoting a mutually supportive relationship?

My last response

My last interaction

My service/program

What is peer support?Three Peer Support Guidelines (cont.)

2. Challenge: Stretch into mutually beneficial relationships.

a) Clarify your understanding of what your peer said is needed, b) Express what you need, and c) Negotiate with measured judgement

Communicate in ways that encourage both you and your peer to step out of your current worldviews and re‐write your stories and their temporary endings





Three Peer Support Guidelines (cont.)

3. Practice intentionally not knowing (PINK OARSI)

To “meet them where they are” and “walk beside” to where the peer wants to go

With curiosity, intuition, and wonder: PINK OARSI, solicit feedback, PINK OARSI, solicit feedback,….


“All you need is the ability to be challenged, to stick with the process, and to express your needs

while negotiating the needs of others.”Mead, S. (2015). Intentional Peer Support: An Alternative Approach

My peer support introduction (cont.)

For example…

Journaling:My peer support introduction (cont.)

Write a 2nd-draft peer support introduction based on your experience-credentials without clinical or medical terms

No “…ics”, “…isms”, “…ias”, “...ions“, “Killer Ds”, etc.

Instead of what you are in recovery from, focus on:

1) describing what you experienced,

2) what helped,

3) what peer support is, and

4) your goal as a peer service provider




2017 Conference

THANKS

FOR YOUR ATTENTION

&

PARTICIPATION!

Brauchtworks Consulting Applying Science to Practice www.brauchtworks.com Email: [email protected]

Relationship Enhancement Skills: PINK OARSI 2013 George S. Braucht, LPC & CPCS; brauchtworks.com

Interaction Analysis by: ___________________________ Date: ________________________ With: _______________________ Location: ______________________ Recording #: ______

Type Description Number

Open-ended question Express curiosity, interest, concern, puzzlement, etc.; Who, What, When, Where, How (Why)

Closed question Receive a simple, short answer, often “Yes”, “No” or specific information

Affirmation/Validation Build feelings of empowerment and self-efficacy in the other person – may or may not be questions; observed strengths or character

Reflection/Paraphrase Stay “within an inch” of what the other person says

Simple Use the other person’s exact words or phrases; communicate attention, following and interest

Complex Go beyond what the other person has said; cognitively reframe the content or reflect the emotion expressed, infer greater meaning; move the conversation forward

Amplified Over-or under-state an absolute statement to ensure this is an accurate stance; prompt re-considering a statement; avoid sarcasm - typically leads to anger or a counter-argument

Double-sided Highlight both sides of an issue; Use “and” not ‘but”: “on the one hand… and on the other…”

Metaphor Move beyond stated content; provide a new framework or model for understanding what was said; if familiar to the other person, the metaphor may introduce and organizational scheme for incorporating new information/observations

Summary Succinct; organize what’s been said; highlight change talk and contrast ambivalence stated in the moment or previously; transition to new topic or focus; always end with a summary

Information-giving Use OARS first; ask for permission; use 3rd person references - add personal experience if clarification needed; share as potential options; state how you fell and what you need for this to be a mutually-beneficial relationship; determine level of confidence and obtain level of commitment

http://www.brauchtworks.com/

mailto:[email protected]


First Interaction Roles and Goals: Self-assessment and Feedback ©2015 George S. Braucht. LPC & CPCS; brauchtworks.com; Page 1 of 3

Brauchtworks Consulting Applying Science to Practice brauchtworks.com Email: [email protected]

Name: Recording date (YYMMDD): This skill recording #

Please submit another recording and self-assessment using this skill by (YYMMDD):

Document what was said in the right column. In the left column, ✓ one box to rate* each step

(electronic version: delete and insert a ✓ ) and then explain your rating.

Step One Introduce yourself and describe the agency/program mission in 2 minutes or less.

Missed My statement: Partial Completed Advanced Justification: Step Two Identify what the peer/client hopes to accomplish during and after this

interaction.

Missed Partial Completed Advanced Justification:

My statement: Peer/client-identified goals: PINK OARSIs used to encourage exploration and/or evoke change talk or PINK OARSI Interaction Analysis is attached:

*Missed = no clear demonstration of the step/sub-step; terms/concepts missing: Partial = some aspects of step/sub-step missing; all/majority of questions are closed-ended; no reflections & lack of thorough follow-up; educated versus elicited: Completed= all aspects of step/sub-step present, Advanced = demonstrated all aspects of step/sub-step; created engagement; used open-ended questions, affirmations, reflections, summaries; responses thoroughly explored.

mailto:brauchtworks.com




Step Three Describe your dual role as the peer/client’s ally and as a representative of the program, and what you hope to accomplish during interactions.


My statement:

Step Four Define the program’s expectations and guidelines (rules). Missed Partial Completed Advanced Justification:

My statements: Conditions: Non-negotiables/Negotiables: Others’ roles:

Step Five Identify allies, discuss their roles, and clarify confidentiality expectations. Missed Partial Completed Advanced Justification:

My statement: Peer/client statement:

Step Six Administer the Outcome Rating Scale and complete the recovery check-in. Missed Partial Completed Advanced Justification:

My statement: Peer/client statements:

Step Seven Summarize main learnings from this interaction, review next steps, schedule the next interaction. and administer the Session Rating Scale.


My statement: Peer/client statements:

*Missed = no clear demonstration of step/sub-step; terms/concepts missing: Partial = some aspects of step/sub-step missing; all/majority of questions are closed-ended; no reflections & lack of thorough follow-up; educated versus elicited: Completed= all aspects of step/sub-step present, Advanced = demonstrated all aspects of step/sub-step; created engagement; used open-ended questions, affirmations, reflections, summaries; responses thoroughly explored.





Overall Observations

Was the situation appropriate for this skill? Yes No 1. Strengths: What you did well during the interaction

2. Improvement Areas: What you will work on before your next first interaction?

3. What you did during this interaction to foster the working alliance 4. How the peer/client responded to your use of First Interaction Roles and Goals

5. For this interaction using First Interaction Roles and Goals, I am at the level of:

A. Fundamental: Basic knowledge of the techniques and concepts; focus on practice ............................ B. Novice: Limited experience; could use help performing these skills; focus on on-the-job-training ...... C. Intermediate/Standard: Successfully performs skills; focus on receiving regular feedback/support ... D. Advanced: Performs skills/tasks without assistance and with diverse people, capable of coaching

others and translating complex nuisances in easy to understand terms; focus on process or practice improvement ..........................................................................................................................................

E. Expert: Demonstrates consistent excellence in applying this competency across diverse individuals and/or settings; focus on strategic development ...................................................................................

Comments: Feedback by: Feedback date (YYMMDD):

Proficiency level demonstrated: Fundamental Novice Intermediate/Standard Advanced Expert

Comments:



UNDERSTANDING OF ALCOHOLISM SCALE 3AC016-130131 Theresa Moyers & William R. Miller

Center on Alcoholism, Substance Abuse and Addiction; casaa.unm.edu Distributed by George S. Braucht, LPC & CPCS; brauchtworks.com/toolkit

INSTRUCTIONS: If you would like this completed scale returned to you while ensuring these results are anonymous, complete the anonymity code. Anonymity Code: ____ ____ ____ ____ 1) First letter of your mother’s first name 2) Last letter of your mother’s last name 3) First digit of your social security number 4) Last digit of your social security number For each of the following statements, circle one number that indicates the degree to which you agree or disagree. If you neither agree nor disagree with a statement, circle “3” (Unsure). Do you agree?

Strongly Disagree

Mostly Disagree

Unsure

Mostly Agree

Strongly Agree

1

A person’s environment plays an important role in determining whether he or she develops alcoholism.

1

2

3

4

5 2

If an alcoholic has a drink, he or she loses control and is unable to keep from getting drunk.

1

2

3

4

5 3

Anyone can develop alcoholism if he or she drinks enough.

1

2

3

4

5 4

Denial is not a part of the personality of alcoholics.

1

2

3

4

5

5

People can be born alcoholic.

1

2

3

4

5

6

Alcoholics tend to be weak in morals or character.

1

2

3

4

5

7

Alcoholics Anonymous (AA) is the only really successful route to recovery.

1

2

3

4

5 8

Spiritual problems lie at the core of alcoholism.

1

2

3

4

5

9

Alcoholism is caused, in part, by growing up in a troubled family.

1

2

3

4

5 10

Alcoholics can sometimes learn to control their drinking.

1

2

3

4

5 11

Alcoholics who are drinking usually lie about how much they drink.

1

2

3

4

5 12

Anyone who has a blackout is an alcoholic.

1

2

3

4

5

13

As long as an alcoholic keeps drinking, the problems get worse.

1

2

3

4

5 14

There are alcoholics in the world who have never had a drink.

1

2

3

4

5 15

The more a person drinks, the greater the chances of becoming alcoholic.

1

2

3

4

5 (over)

http://www.casaa.unm.edu/

http://www.brauchtworks.com/toolkit

Do you agree?

Strongly Disagree

Mostly Disagree

Unsure

Mostly Agree

Strongly Agree

16 A person’s genes determine whether he or she will be an alcoholic.

1

2

3

4

5

17

Once a person is an alcoholic, he or she will always be an alcoholic.

1

2

3

4

5 18

Alcoholism is, in part, a spiritual problem.

1

2

3

4

5

19

Alcoholics who are drinking can’t make good decisions for themselves.

1

2

3

4

5 20

Alcoholism is caused, in part, by what one learns about alcohol and the drinking patterns of one’s family and friends.

1

2

3

4

5 21

Every alcoholic must accept that he or she is powerless over alcohol and can never drink again.

1

2

3

4

5

22 In the long run, most alcoholics recovery and live relatively normal lives.

1

2

3

4

5

23

Drinking alcoholics are liars and cannot be trusted.

1

2

3

4

5

24

There are only two possibilities for an alcoholic: lifelong abstinence or death.

1

2

3

4

5 25

Unless alcoholics rely on God or a Higher Power, they will not recover.

1

2

3

4

5 26

Some alcoholics recover without AA or any kind of treatment.

1

2

3

4

5 27

The society or culture in which one grows up has a significant influence on whether or not one becomes alcoholic.

1

2

3

4

5 28

Even when they are not drinking, alcoholics’ bodies are different from those of nonalcoholics.

1

2

3

4

5 29

A person can develop alcoholism because of underlying psychological problems.

1

2

3

4

5 30

There are “problem drinkers” who have significant problems with alcohol, but who are not alcoholic.

1

2

3

4

5 31

Most alcoholics relapse after treatment.

1

2

3

4

5

32

The development of a spiritual faith is critical for recovery from alcoholism.

1

2

3

4

5 33

Every alcoholic is one drink away from a relapse.

1

2

3

4

5

34

There are no shades of gray; either you are an alcoholic or you aren’t.

1

2

3

4

5 35

Weakness of character is an important cause of alcoholism.

1

2

3

4

5 (over)

Do you agree?

Strongly Disagree

Mostly Disagree

Unsure

Mostly Agree

Strongly Agree

36 Alcoholics do not have a different personality than other people.

1

2

3

4

5

37

Alcoholism is not caused by drinking.

1

2

3

4

5

38

Alcoholics are more self-centered than other people.

1

2

3

4

5

39

Compared to other people, alcoholics often show a lack of strong moral values, even before they begin drinking.

1

2

3

4

5 40

Alcoholism is often caused, at least in part, by underlying emotional problems.

1

2

3

4

5

Demographics A. Gender: all that apply ............................................................................................ Female Male Trans B. Race: all that apply ................ African American or Black Asian American Indian Alaska Native Native Hawaiian/Other Pacific Islander Caucasian/White Other: _______________________ C. Are you Hispanic or Latino? ................................................................................................................ Yes No D. Age ................................................................................................................................................................. ______ E. Marital status: all that apply ..... Single Separated Divorced Widowed Cohabitating Married F. Highest grade of school you have completed: only one. ......... 4-year college degree Some graduate school Master’s or professional degree Doctorate G. In what area is your highest degree? only one. ..................... Criminal justice Social Work Counseling Education Psychology, sociology or other social science Other: ______________________________

H. How long have you been employed in the following field? only one. .......Other: _______________________ Criminal/juvenile justice human services (counseling, etc.) _______ _______ Months Years I. Current job title: ______________________________________________ How long? ............ _______ _______ Months Years J. I am in recovery from alcohol or other drug use. ....................................................... Yes No Don’t know K. I am in recovery from a mental health condition. ..................................................... Yes No Don’t know

Distributed by George S. Braucht, LPC & CPCS; brauchtworks.com/toolkit



UNDERSTANDING OF ALCOHOLISM SCALE 3AC016-130131 Theresa Moyers & William R. Miller

Center on Alcoholism, Substance Abuse and Addiction; casaa.unm.edu Record the number you circled for each item in the corresponding space below. Then, sum each column of numbers and divide by the number indicated at the bottom of each column. #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 #11 #12 #13 #14 #15 #16 #17 #18 #19 #20 #21 #22 #23 #24 #25 #26 #27 #28 #29 #30 #31 #32 #33 #34 #35 #36 #37 #38 #40 #39 Sum: Divide by: 90 50 25 35 = (%):

Disease Model Psychosocial Model Heterogeneity Model Moral/Spiritual Model

Distributed by George S. Braucht, LPC & CPCS brauchtworks.com//toolkit



UNDERSTANDING OF ALCOHOLISM SCALE 3AC016-130131 Center on Alcoholism, Substance Abuse and Addiction; casaa.unm.edu

Moyers, T. B. & Miller, W. R. (1993). Therapists’ conceptualization of alcoholism: Measurement and implications for treatment. Psychology of Addictive Behaviors, 7, 238-245.

My Anonymity Code: ____ ____ ____ ____ Today’s Date: ___________________ Disease Model

Reflect adherence to the disease model of alcoholism and characterological flaws in alcoholics (e.g., “Drinking alcoholics are liars and cannot be trusted.”) Associated with imposing, instead of negotiating, treatment goals (helper determined vs. client choice) and an unwillingness to consider a moderation goal (as opposed to abstinence).

Psychosocial (Learning) Model

Believe alcoholism is influenced by cultural experience, familial experience, or both. Tend to be more willing to allow client choice and actively support pursuing client-determined goals. Also have been shown to be active in retention efforts like making phone calls and/or sending letters, even after treatment has been interrupted.

Heterogeneity Model

Reject the similarity (homogeneity) of alcoholics and believe that individuals show diverse symptoms, have diverse reasons for drinking, and require different strategies for recovery. Has a significant, negative correlation with Disease Model beliefs.

Moral/Spiritual Model

Believe alcoholics have weak morals and negative characterological factors (e.g., self-centeredness) and that recovery requires reliance on a spiritual faith. Strong correlation with the Disease Model beliefs, especially by people who are in recovery.

My Percentages: Disease Model = ______________ Psychosocial Model = ______________ Heterogeneity Model = ______________ Moral/Spiritual Model = ______________ Interpreting Your Results

1. Highest percentage(s) suggests your model preference = who you likely find it easiest to work with (like-minded people)

2. Disease vs Heterogeneity: Often high percentages on one are accompanied by low percentages on the other (Strong negative correlation)

a. Goal-choice: Disease prefers abstinence; Heterogeneity prefers moderation b. Goal-selection: Disease typically imposes goal; Heterogeneity typically negotiates goal c. Motivational-assistance: Disease more often uses traditional confrontation;

Heterogeneity more often uses motivational enhancement 3. Heterogeneity score: implies your willingness to use a variety of recovery resources 4. Moral/Spiritual score: suggests your preference/tolerance for faith-based resources

Professional Development Goal: High scores on all four scales suggests an ability to

“meet people where they are!” in terms of the other person’s understanding of alcoholism

Distributed by George S. Braucht, LPC & CPCS brauchtworks.com//toolkit



Brief Opioid Overdose Knowledge (BOOK) Questionnaire

From: Dunn et al (2016). Brief Opioid Overdose Knowledge (BOOK): A questionnaire to assess overdose knowledge in individuals who use illicit or prescribed opioids. Journal of Addiction

Medicine, 10 (1), 314-323. Distributed by George S. Braucht, LPC & CPCS: brauchtworks.com;

Don’t Run, Call 911: See georgiaoverdoseprevention.org for more information about the State of Georgia’s 911 Medical Amnesty Law

Name: ______________________________________ Date: ___________________________ Instructions: For each of the following items, please whether you believe the answer is TRUE

or FALSE. If you are not certain, “I DON’T KNOW”. I

TRUE FALSE DON’T KNOW 1. Long-acting opioids are used to treat chronic “round

the clock” pain ...............................................................

2. Methadone is a long-acting opioid ................................. 3. Restlessness, muscle and bone pain, and insomnia are

symptoms of opioid withdrawal.....................................

4. Heroin, OxyContin, and fentanyl are all examples of Opioids ...........................................................................

5. Trouble breathing is NOT related to opioid overdose. .. 6. Clammy and cool skin is NOT a sign of an opioid

overdose. ........................................................................

7. All overdoses are fatal (deadly). .................................... 8. Using a short-acting opioid and a long-acting opioid at

the same time does NOT increase your risk of an opioid overdose ..............................................................

9. If you see a person overdosing on opioids, you can begin rescue breathing until a health worker arrives ...............

10. A sternal rub helps you evaluate whether someone is unconscious ....................................................................

11. Once you confirm an individual is breathing, you can place him/her into the recovery position ........................

12. Narcan (naloxone) will reverse the effect of an opioid overdose .........................................................................

TRUE FALSE DON’T KNOW


http://www.georgiaoverdoseprevention.org/

Brief Opioid Overdose Knowledge (BOOK) Questionnaire Scoring Instructions

A. Opioid Knowledge Subscale

Items 1, 2, 3, 4: Number of TRUE = _______ divide by 4 = _______%* B. Opioid Overdose Knowledge Subscale

Items 5, 6, 7, 8: Number of FALSE = _______ divide by 4 = _______%* C. Opioid Overdose Response Subscale

Items 9, 10, 11, 12: Number of TRUE = _______ divide by 4 = _______%* D. BOOK Total Score = _______ divide by 12 = _______%**

*4/4 = 100%, wow, you’re good!; 3/4 = 75%; 2/4 = 50%; 1/4 = 25%

**12/12 =100%,, wow, you’re ready!; 11/12 = 92%; 10/12 = 83%; 9/12 = 75%;

8/12 = 67%; 7/12 = 58%; 6/12 = 50% Brauchtworks Consulting Applying Science to Practice brauchtworks.com Email: [email protected]



recovery messaging - expect recovery 2017 orh conference … · 2017-02-27 · brauchtworks...

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