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Supporting the Recovering Lifestyle

Supporting the Recovering Lifestyle. Agency Based Support for Recovering Addicts and Alcoholics. Jewish Family Service of Metro Detroit Jewish Vocational Service Los Angeles. Jewish Family Service Background. Incorporated in 1928

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Supporting the Recovering Lifestyle

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  1. Supporting the Recovering Lifestyle Agency Based Support for Recovering Addicts and Alcoholics Jewish Family Service of Metro Detroit Jewish Vocational Service Los Angeles

  2. Jewish Family ServiceBackground • Incorporated in 1928 • Broad range of services including clinical services, community support services, immigration services, transportation • State of Michigan substance abuse license granted in 1998

  3. JVS Los Angeles Background • Founded in 1930; currently serves over 24,000 annually • Broad range of services • Career • Employment • Training • Mission: Assist people by helping them help themselves achieve self sufficiency • “Building better lives. One job at a time.”

  4. Recovery Management • William White: “Nesting recovery in the community” • We understand what it takes to stop using • We must understand what it takes to maintain recovery

  5. What is community? • Thinking is broader terms: more than 12 Step meetings • What are the purposes of community? • Reducing isolation • Reducing shame • Increasing supports • Increasing competence • Increasing worth • Being creative in how we imagine community connections • New people, places and things

  6. Linking Recovery with Other Significant Life Factors • Linking with the cultural environment • Linking with familiar geography • Linking with socialization • Linking with acceptance, openness and the truth • Linking with activities that offer a sense of purpose

  7. Recovery is More than a Clinical Phenomenon • Wraparound recovery includes: • Therapy: trauma reduction, insight development, motivational processes • 12 Steps or other recovery programs • Community: reducing the isolation and returning to connection • Connection to other supportive assists

  8. JEWISH FAMILY SERVICE ADDICTION RECOVERY TREATMENT

  9. EVOLUTION OF SERVICES • FROM PROGRAM TO INDIVIDUAL • FROM SEPARATION TO INTEGRATION • FROM CLINICIAN-CENTERED STABILIATION OF ACUTE SYMPTOMS TO CLIENT-DIRECTED MANAGEMENT OF LONG TERM RECOVERY • FROM FOCUS ON DISEASE PROCESS TO FOCUS ON RECOVERY PROCESS • FROM EXCLUSION OF CO-OCCURRING DISORDERS TO WELCOMING THE WHOLE INDIVIDUAL

  10. TREATMENT PHILOSOPHY • Welcoming • Empathic and hopeful • Client centered • Interdisciplinary team • Liaison with culturally sensitive community supports

  11. INDIVIDUALIZING TREATMENT COMPONENTS • Comprehensively assessing client to identify strengths • Engaging client in treatment/transition planning • Optimizing client/therapist match • Varying options for modality and frequency • Using motivational enhancements to move client through stages of change

  12. PERFORMANCE TARGETS • Rapid assessment • Optimized length of stay • Successful treatment outcome • Increasing “mission –driven” culturally relevant services and supports

  13. DEVELOPING CULTURAL RELEVANCE • Replacing community denial with acceptance • Increasing community awareness • Identifying the prescription drug trap • Addressing ritualized use of alcohol • Recognizing historical roots of enabling

  14. IMPROVED TREATMENT OUTCOMES • CONTINUAL EVALUATION/ASSESSMENT • ENHANCED QUALITY OF LIFE AND PERSONAL GROWTH • EVOLVING CLIENT NEEDS ARE MET AS RECOVERY PROGRESSES.

  15. New Boundaries for Strengthened Recovery • Reducing hierarchies: walking the road together • Open relationships between therapist and community supports • Open relationship between therapist and client in community settings

  16. A Successful AgencyCollaborationin Los Angeles Jewish Vocational Service And Beit T’Shuvah

  17. Beit T’Shuvah • Mission: to treat and prevent addictive and behavioral disorders through the combination of Jewish spirituality, the 12 Steps of Alcoholics Anonymous and psychotherapy. • Driven by the philosophy that employment—representing renewed integration with the community and critical to achieving self-sufficiency—is a necessary element of the recovery process • JVS collaboration since 1998

  18. The Missing Piece • Support in redefining one’s sense of self in the context of work is absent from most recovery approaches and programs • Career planning and employment equals: • Restored self-esteem • Renewed integration with the community • Critical to the achievement of self-sufficiency

  19. Clients Served by JVS • Alcohol and substance abuse residents • Sober living residents • Independent living residents • Alumni • Approximately 400 served annually

  20. Client demographics • Ages range from 18 to 70 • Educational background • Professional background

  21. Client Needs • Career change • Return to previous career • Balancing sobriety and employment • Employment retention • Ex-felon re-entry • Educational guidance • Securing academic financial aid

  22. Program offerings • Workshops and individual counseling • Entering or re-entering the world of work • Career assessment and planning • Job search preparation • The transition to employment • Job development support • Job retention support

  23. Program Success Factors • On-site career center and staffing • Collaboration and coordination between Beit T’Shuvah and JVS; each organization doing what it does best • Expectations around utilization of JVS services and securing employment • Inclusion of alumni in the support process • The “Get Well” job

  24. Career Counselor Success Factors • Familiarity with population’s needs • Use and interpretation of assessment tools • Expertise in career counseling and employment support • Communication and interpersonal skills • “Street cred”

  25. A Case Study

  26. Discussion • What expertise does your agency hold that could benefit the clients of another agency? • How might you approach the other agency to explore opportunities for collaboration and the creation of synergy? • Where and in what ways might you develop funding to support such a partnership?

  27. Benefits of Community Collaboration • De-stigmatizing of experience • Partnering with intimate social network and indigenous institutions • Extending the locus of service delivery from the clinical environment to the client’s natural environment • Creating physical, psychological, vocational, and social space within which recovery can flourish • Allowing for re-engagement and early re-intervention when needed

  28. Thank you!

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