Innovative Recovery Supports – Pays to Ask, Pays to Know: Peer-based Recovery Support Services Beverly J. Haberle, MHS, LPC, CAADC, CIP Executive Director The Council of Southeast PA, Inc. 6/10/16

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Objectives • Roles in peer-based recovery support • Identify the ways peers can enhance recovery management strategies • Structured peer roles • Tools to track progress and outcomes

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What Are Peer-Based Recovery Support Services? • Services to help individuals and families initiate, stabilize, and sustain recovery • Non-clinical services that assist in removing barriers and providing resources to those contemplating, initiating, and maintaining recovery • Provide links to clinical treatment, traditional resources and indigenous communities of support They are not: • Clinical addiction treatment services • Mutual aid support 3

Rationale for PBRSS • Research suggests that providing holistic, community-based support services enhances treatment outcomes. (McLellan, 2003; Work Group on Substance Abuse Self-Help Organizations, 2003)

• Experience shows that ongoing community support is important to sustaining recovery. (White, 2000; 2002) • Lessons learned from mental health consumer and HIV/AIDS peer communities support these services. • Research on and lessons learned from almost 81 years of 12-step groups. (e.g., McLellan, 2003,Work Group on Substance Abuse SelfHelp Organizations, 2003)

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Where are peers providing services? • Linked to treatment programs • Free-standing programs – Recovery Community Centers – Community Based Programs

• Mobile in the community

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Recovery Coaches: What’s In a Name? Commonly used recovery coach titles include: • • • • • • • •

Certified Recovery Specialist Certified Peer Specialist Recovery Mentor Recovery Support Specialist Recovery Guide Personal Recovery Assistant Helping Healer Recovery Support Coordinator 6

What is a CRS? • A Certified Recovery Specialist provides peer-topeer Recovery Support services. • A professionally trained and supervised individual with “lived experience” of addiction and recovery. • Is a role model and mentor (offers his/her life as living proof of the transformative power of recovery.) • Provides stage-appropriate addiction recovery education, recovery planning and support to grow recovery capital. • Acts as an advocate (helps individuals and families navigate the service system, assuring service access, service responsiveness, and protection of rights.) 7

Goals of the Certified Recovery Specialist • Assist individual in assessing their recovery capital • Assist individual in building or rebuilding recovery capital • Document life issues • Document progress in stages of recovery • Guide the new person into the recovery community 8

PCB Job Task Analysis • Domains requiring knowledge and skills – Recovery Management – Education and Advocacy – Ethics and Responsibilities

• Each domain lists multiple tasks • Each task has corresponding required knowledge and skills

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Core Competencies The capacity to easily perform a role or function; clusters of the knowledge, skills, and attitudes a person needs to have in order to successfully perform a role or job

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Principles & Values Competencies reflect foundational principles identified by recovery communities: • • • • •

Recovery-Oriented Person-Centered Voluntary Relationship-Focused Trauma-Informed

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12 Competency Categories 1. 2. 3. 4. 5. 6. 7.

8. 9. 10. 11. 12.

Engages peers in collaborative and caring relationships. Provides support. Shares lived experiences of recovery. Personalizes peer support. Supports recovery planning. Links to resources, services, and supports. Provides information about skills related to health, wellness, and recovery. Helps peers to manage crises. Values communication. Supports collaboration and teamwork. Promotes leadership and advocacy. Promotes growth and development.

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Benefits of Peer Driven, Peer Delivered Recovery Support Services

Newly Recovering: 1. Having a Recovery Coach 2. Life Skills beginnings 3. Help with housing 4. Getting that GED 5. Job readiness 6. Health management 7. Developing sober relationships

Maintaining Recovery: 1. Being a Recovery Coach 2. Life Skills growth 3. Spiritual growth 4. Motivation for higher education 5. Career counseling 6. Health, wellness focus 7. Expanding sober relationships 13

The supervision, outreach, and training required to maintain a program of this sort will always be subject to transition. This is because responding to people during their initial stages of recovery can be very fluid. The Recovery Support needs of those in longer term recovery may also be very diverse and require an additional perspective that a supportive supervisor can bring. Recovery is an ongoing process, which requires continuing adjustments, re-engagement, and encouragement. 14

Evaluation • Primary intervention is relational • Link to social support literature for other chronic conditions/recovery management

• How to measure success

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PA Outcomes • Recovery Community Organization Data – RASE – PRO-ACT

• Recovery Support Services in Western PA: A Review of Promising Practices, Cost Benefits and Cost Savings and Recommendations (Wald et al, 2013)

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Outcomes Notable Improvements: • Increase in education/employment • Increased stability in housing • Increase in social connectedness • Decrease in criminal justice involvement • Decrease in mental health issues • Increase in abstinence • Decrease in social consequences related to substance use 17

“From top to bottom , my CRS went beyond the call of duty to help me in any way allowable. Their help relieved stress and gave me confidence that life would get better in the areas of employment, living conditions, mentally, spiritually, and physically.”

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Beverly Haberle, Executive Director 252 West Swamp Rd, Unit 12 Doylestown, PA 18901 215-345-6644 [email protected]

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References • Recovery Support Services in Western Pennsylvania: A Review of Promising Practices, Cost Benefits and Cost Savings and Recommendations. Wald et al, 2013. • McLellan, 2003,Work Group on Substance Abuse Self-Help Organizations, 2003. • Bill White,www.williamwhitepapers.com. 2000; 2002 21