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Post Treatment: How Do We Support Problem Gamblers in Recovery

Post Treatment: How Do We Support Problem Gamblers in Recovery. Mark Vander Linden, MSW Iowa Department of Public Health Jim Wuelfing, NRPP Massachusetts Council on Compulsive Gambling. Overview of the Session. What do we do now to support recovery? Defining recovery

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Post Treatment: How Do We Support Problem Gamblers in Recovery

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  1. Post Treatment: How Do We Support Problem Gamblers in Recovery Mark Vander Linden, MSW Iowa Department of Public Health Jim Wuelfing, NRPP Massachusetts Council on Compulsive Gambling

  2. Overview of the Session • What do we do now to support recovery? • Defining recovery • Supporting all pathways to recovery • What do we mean by recovery support services? • Two state experiences • Iowa • Massachusetts • Where do we go from here?

  3. How would you define recovery?

  4. A recovery definition • A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

  5. Four major dimensions that support a life in recovery • Health: Overcoming or managing one's disease(s) as well as living in a physically and emotionally healthy way. • Home: A stable and safe place to live. • Purpose: Meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income, and resources to participate in society. • Community: Relationships and social networks that provide support, friendship, love, and hope.

  6. Supporting All Pathways to Recovery • Scope of Recovery • Primary • Primary and Secondary • Types of Recovery • Abstinence-based • Moderation-based • Medicated-assisted • Context of Recovery • Solo • Treatment-assisted • Peer-assisted • Framework of Recovery • Religious • Spiritual • Secular • Recovery Identity • Neutral • Recovery-positive • Recovery-negative • Recovery Termination • In Recovery • Recovered • Recovering

  7. ROSC • Recovery oriented systems of care are health and human service organizations that affirm hope for recovery, exemplify a strength-based (as opposed to pathology-focused) orientation, and offer a wide spectrum of services aimed at the support of long-term recovery.

  8. Recovery Oriented Systems of Care (ROSC) • Focus on • A strength-based recovery focus (rather than pathology focus) on all services • Long-term recovery moving away from an acute care model for the treatment of a chronic illness • Partnerships emphasizing recovery-linked service practices • Community components geared toward building recovery capital.

  9. Recovery Community Organization • Is an independent, non-profit organization led and governed by local communities of recovery. The broadly defined recovery community – people in long-term recovery, their families, friends and allies, including recovery-focused addiction and recovery professionals – includes organizations whose members reflect many pathways to recovery.

  10. Defining Peer Recovery Support • Peer-based recovery support is the process of giving and receiving non-professional, non-clinical assistance to achieve long-term recovery from severe alcohol and/or other drug-related problems. This support is provided by people who are experientially credentialed to assist others in initiating recovery, maintaining recovery, and enhancing the quality of personal and family life in long-term recovery. From Peer-based Addiction Recovery Support: History, Theory, Practice and Scientific Evaluation by William L. White

  11. Recovery Support Services All-Recovery Groups Recovery Training Series Family Support Groups Recovery Housing Project Recovery Social Events Recovery Works! Telephone Recovery Support Recovery Coaching

  12. The Iowa Experience

  13. Iowa’s ROSC Definition ROSC supports person-centered and self-directed approaches to care that build on the strengths and resilience of individuals, families and communities to take responsibility for their sustained health, wellness, and recovery from alcohol and drug problems and problem gambling. A ROSC offers acomprehensive menu of services and supports thatcan be combined and readily adjusted to meet the individual’s needs and chosen pathway to recovery.

  14. A ROSC is a coordinated network of community-based services and supports that is person-centered and builds on the strengths and resilience of individuals, families, and communities to achieve abstinence and improved health, wellness, and quality of life for those with or at risk of alcohol and drug problems. Recovery V Individual Family Community Wellness Health SAMHSA/CSAT

  15. ROSC encompass and coordinates the operations of multiple systems… Recovery Systems of Care Addiction Services System Child Welfare and Family Services Social Services Services & Supports Mental Health System Alcohol and Drug Family/Child Care Problem Gambling Housing System Educational Individual Family Community Primary Care System Vocational Housing/ Transportation PTSD & Mental Health Physical Health Care Faith Community Vocational Services Spiritual HIV Indian Health Services Financial VSO & Peer Support Legal Case Mgt Health Insurance Criminal Justice System Wellness Health DoD & Veterans Affairs SAMHSA 2010

  16. RECOVERY Abstinence Systems of Care Evidence Based Practice Employment Child Welfare Addiction Services & Supports SA/GA Treatment Mental Health SA/GA Prevention Cost Effective Reduced Crime Housing Coalitions Transportation Individual Family Community Criminal& Juvenile Justice Care Coordination Access/ Capacity Vocational Insurance Education Recovery Calls Peer Support Safe Housing Housing Employment Recovery Peer Coaching Life Skills Human Service Mental Health Treatment Retention Sober Living Vocational Intervention Spiritual Public Health Child Care Family Treatment HEALTH WELLNESS Primary Care Veterans Affairs DOD Social Connectedness Perception of Care Iowa’s System of Care Medication Assisted Treatment 2011

  17. Problem Gambling Recovery Support Services • A broad array of client-selected provider or community-based supports and services intended to further enhance and further the client’s recovery journey. • Introduced in July 2011 • Maximum client benefit = $1,400 or amount approved by IDPH. • Based on Access to Recovery (ATR) menu of services

  18. Principles of Recovery Support • Individuals have the right to choose recovery and the recovery-related services and supports that best meet their needs. • Client choice is enhanced by a recovery-oriented system of care that honors each client’s familial, cultural, spiritual, economic and logistical needs. • Individualized choice enhances client retention in treatment and strengthens client commitment to and success in recovery.

  19. Eligibility to receive Recovery Support Services • Resident of the state of Iowa. • Admitted to treatment as a problem gambler for a minimum of 30 days. • Inability to pay for recovery support service based on one of the following: • Client at or below 200% of the Federal Poverty Level • Burden of gambling related debt drives the client income at or below 200% of the Federal Poverty Level • Client is without other financial resources to pay for the service(s)

  20. Recovery Support Services

  21. Recovery Support – Supplemental Needs

  22. Recovery Support – Supplemental Needs (cont’d)

  23. The Massachusetts Experience

  24. Development of an Internal Policy • Affirms support of all employees in recovery • List some supports and the willingness to make accommodations • Discusses relapse and possible responses.

  25. Recovery Rationale • Affirms that intervention and treatment works but there is a need to better support recovery • Affirms 12 step programs in supporting recovery • Discusses singleness of purpose • Discusses the need to assist in overcoming obstacles in early recovery • Lists recovery support services

  26. Recovery Support Services • Recovery space • An array of weekly 12-step and other self-help meetings at the office • Collaborating with the six recovery centers and four recovery high schools • Collaborating with Massachusetts Organization for Addiction Recovery • Annual weekend retreat • All Recovery Retreat • Telephone Recovery Support • Recovery Coaching • Social Enterprise • Recovery Advisory Board

  27. So . . . Where do we go from here?

  28. Thank you! • Any further questions or comments?

  29. Contact Information • Mark Vander Linden Executive Officer Iowa Department of Public Health 515-281-8802 mark.vanderlinden@idph.iowa.gov • Jim Wuelfing Director of Prevention and Recovery Massachusetts Council on Compulsive Gambling 617-426-4554 or jim@masscompulsivegambling.org

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