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Webinar 7: From Dual Recovery to Recovery of the Whole Person

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.

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Webinar 7: From Dual Recovery to Recovery of the Whole Person

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  1. Webinar 7:From Dual Recovery to Recovery of the Whole Person

  2. 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.

  3. 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!

  4. Webinar 7: Dual to Whole Welcome 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!

  5. Presenters: Patrick Hayes Region 4 Recovery Support Specialist for the Illinois Dept. of Human Services/Division of Mental Health Erik Simkins Wellness Coach and Certified Recovery Support Specialist from the Human Service Center in Peoria, IL

  6. Moderator: Peter Ashenden Director of Consumer Affairs OptumHealth Behavioral Solutions Contact Information T +1 612-632-2963 F +1 877-309-8548 Peter.ashenden@optum.com www.optum.com

  7. Objectives For 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

  8. Dual Recovery What is….

  9. (Canadian Foundation for Drug Policy – Public Health Approach to Drug Control 2005)

  10. 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

  11. ACE Study ADVERSE CHILDHOOD EXPERIENCE (ACE) 17,000 people Adverse childhood experiences Major risk factors for illness, poor quality of life, and death Worst health and social problems are a consequence of ACEs

  12. How Many? • 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 Source: SAMHSA 2008/2009 Survey on Drug Use and Health

  13. Trauma and substance use • 66% 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)

  14. Co-occurring conditions is an expectation… …not an exception.~~Ken Minkoff

  15. Signs of Substance Use Four “C’s” to look for: • Loss of Control • Compulsive use • Craving • Consequence

  16. Assumptions about Recovery 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

  17. What’s Strong Recovery of the Whole Person

  18. A word about language Triple Stigma Mental disorder Substance use disorder Stereotype / stigma

  19. Language is powerful • 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 disordered • Co-morbid disorders

  20. Language Matters Source:Language Matters Brochure – Hogg Foundation

  21. Language is powerful Reframe Perceptive Sensitive Shy Exuberant

  22. Origins of Addiction - Vincent Felitti, MD. (ACE Researcher)

  23. Environmental Factors

  24. The whole is greater than the sum of its parts. ~~Aristotle

  25. Segregated Systems 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.

  26. Integrated Treatment Research has consistently shown that for individuals to receive effective care, mental health and addiction services must be integrated. ~~ Davidson & White

  27. Stages of Change

  28. Stages of Change Physical Emotional Environmental Intellectual Financial Occupational Social Spiritual

  29. Stage-wise Treatment

  30. Harm Reduction Alcohol Cigarettes Street Drugs Prescription Drugs

  31. Harm Reduction Self-Help Resource Search for “HARM REDUCTION” and “ICARUS PROJECT”

  32. DUAL RECOVERY http://www.nytimes.com/interactive/science/lives-restored-series.html#/antonio-lambert

  33. Recovery Capital • Things we can be grateful for… • Social • Physical • Human

  34. SMALL GROUPS

  35. Finding Hidden Treasure • Steps: • Three types (social, physical, human) • Give one example of recovery capital (in each category) • Four rounds, list examples • Share ‘aha’ moments in group • Share with large group

  36. ROLE PLAY

  37. Summary Are 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?

  38. ??? Questions…. To unmute your line, press *6. To mute your line again, press *6

  39. For more information: Overall RTP Project www.samhsa.gov/recoverytopractice Resource Library www.dsgonline.com/rtp/resources.html Peer Supporter Discipline www.inaops.org Wounded Healer Video http://www.youtube.com/watch?v=orxEawi9qro

  40. Certificate A link to the self-check quiz is now on the iNAPS website: www.naops.org Within 30 days, a certificate will be mailed to the address you provide when you complete the quiz. Slides are available after taking the quiz – or by request. E-mail: webinars@naops.org

  41. Special thanks… Special thanks to ChackuMathai, for his generous help in developing this module

  42. Next Webinar Recovery Relationships December 2, 2013 Go to our website: www.naops.orgfor up-to-date information

  43. On behalf of the International Association of Peer Supporters (iNAPS) and Optum Thank you!

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