webinar 7: from dual recovery to recovery of the whole person 1
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PLEASE NOTE : These webinars will be recorded and be made available on our website for future viewing. As a participant in the webinar, your name, voice and any interactions you have in the Q and A session may be included in the recording.. Thank you for your participation!TRANSCRIPT
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Webinar 7: From Dual Recovery to Recovery
of the Whole Person
Telephones will be muted
You may submit questions during the webinar using the chat function or wait until the end of the webinar when telephones will be unmuted
for questions and answers.
DISCLAIMER
PLEASE NOTE: These webinars will be recorded and be made available on our
website for future viewing. As a participant in the webinar, your name,
voice and any interactions you have in the Q and A session may be included in the
recording.. Thank you for your participation!
Webinar 7: Dual to WholeWelcome to the seventh in a series of webinars for peer
supporters drawn from the Recovery to Practice (RTP) project, a SAMHSA-funded project to foster recovery-
oriented practice in behavioral health professions.
This webinar series is presented by members of the International Association of Peer Supporters (iNAPS) with generous assistance of Optum, without whom this series
would not be possible.
iNAPS is solely responsible for the content of the webinars.The webinar will begin at noon, Eastern.
Thank you for your participation!
Presenters:
Patrick HayesRegion 4 Recovery
Support Specialist for the Illinois Dept. of
Human Services/Division of
Mental Health
Erik SimkinsWellness Coach and Certified Recovery
Support Specialist from the Human Service Center in Peoria, IL
Moderator:Peter Ashenden
Director of Consumer AffairsOptumHealth Behavioral Solutions
Contact InformationT +1 612-632-2963 F +1 877-309-8548
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ObjectivesFor you to be able to:
Define co-occurring disorders and reasons why they may co-exist
Explain what is meant by integrated treatment
Describe three types of recovery capital that can be used in recovery of the whole person
DUAL
RECOVER
Y
What is….
(Canadian Foundation for Drug Policy – Public Health Approach to Drug Control 2005)
Risk Factors for Co-occurring Conditions
• poverty or unstable income• difficulties at home or school• unemployment or problems at work• isolation or lack of a social network• homeless or lack of decent housing• family problems• family history of mental illness, substance abuse, or concurrent disorders
• past or ongoing trauma, abuse, or neglect• discrimination• biological or genetic factors• those who are native or indigenous people• involvement in the criminal justice system
ACE Study17,000 peopleAdverse childhood
experiencesMajor risk factors for
illness, poor quality of life, and death
Worst health and social problems are a consequence of ACEs
ADVERSE CHILDHOOD EXPERIENCE (ACE)
Source: SAMHSA 2008/2009 Survey on Drug Use and Health
8.9 million adults have co-occurring mental and substance use conditions
Less than 8% receive treatment for both conditions
More than 50% receive no treatment at all
How Many?
Trauma and substance use66% of men and women in substance abuse
treatment report childhood abuse and neglect
77% of male veterans in substance abuse inpatient units were exposed to severe childhood trauma; 58% had a history of lifetime PTSD
50% of women in substance abuse treatment have a history of rape or incest (Huckshorn, 2012)
Co-occurring conditions is an expectation… …not an exception.
~~Ken Minkoff
Signs of Substance Use
Four “C’s” to look for: Loss of ControlCompulsive useCravingConsequence
Recovery may occur whether one views the illness as
biological or not.
The key is understanding there is hope for the future,
rather than understanding there was a cause in the past.
~ William Anthony
Assumptions about Recovery
What’s Strong
Recovery of the Whole Person
A word about languageTriple Stigma
Mental disorderSubstance use disorder
Stereotype / stigma
MICA (mentally ill, chemical abuser)MISA (mentally ill, substance abuser)MISU (mentally ill, substance using)CAMI (chemically abusing, mentally ill)SAMI (substance abusing, mentally ill)MICD (mentally ill, chemically dependent)Dual diagnosis or Dually disorderedCo-morbid disorders
Language is powerful
Language Matters
Source: Language Matters Brochure – Hogg Foundation
Language is powerful
PerceptiveSensitive
ShyExuberant
Reframe
Origins of Addiction - Vincent Felitti, MD. (ACE Researcher)
Environmental Factors
The whole is greater than the sum of its parts.
~~Aristotle
Mental health and addiction fields have different historical roots and traditions.
Two distinct groups of practitioners have different training and approaches.
Integration has been difficult because of political, fiscal, structural, and attitudinal influences that have been hard to overcome.
Focus on deficits, dysfunction, illness, and treatment has hindered integration.
Segregated Systems
Research has consistently shown that for individuals to receive effective care, mental health and addiction services
must be integrated.
~~ Davidson & White
Integrated Treatment
Stages of Change
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Physical
Financial
Social
Spiritual
Occupational
Intellectual
EnvironmentalEmotional
Stages of Change
Stage-wise Treatment
Harm Reduction
AlcoholCigarettes
Street Drugs Prescription Drugs
Harm Reduction
Self-Help Resource
Search for “HARM REDUCTION” and “ICARUS PROJECT”
DUA
L RE
COVE
RY
http://www.nytimes.com/interactive/science/lives-restored-series.html#/antonio-lambert
Recovery Capital
Things we can be grateful for…
• Social• Physical• Human
SMAL
L G
ROU
PS
Finding Hidden TreasureSteps:
1. Three types (social, physical, human)2. Give one example of recovery capital
(in each category)3. Four rounds, list examples4. Share ‘aha’ moments in group5. Share with large group
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ROLE
PLA
Y
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SummaryAre you able to:
Define co-occurring disorders and reasons why they may co-exist?
Explain what is meant by integrated treatment?
Describe three types of recovery capital that can be used in recovery of the whole person?
? ? ? Questions….
To unmute your line, press *6.
To mute your line again, press *6
For more information:Overall RTP Project
www.samhsa.gov/recoverytopractice
Resource Librarywww.dsgonline.com/rtp/resources.html
Peer Supporter Disciplinewww.inaops.org
Wounded Healer Videohttp://www.youtube.com/watch?v=orxEawi9qro
Certificate
E-mail: [email protected]
A link to the self-check quiz is now on the iNAPS website: www.naops.org
Within 30 days, a certificate will be mailedto the address you provide
when you complete the quiz.
Slides are available after taking the quiz – or by request.
Special thanks…
Special thanks to Chacku Mathai, for his generous help in developing
this module
Next WebinarRecovery Relationships
December 2, 2013
Go to our website: www.naops.org for up-to-date information
On behalf of the International Association of
Peer Supporters (iNAPS) and Optum
Thank you!