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OMHSAS Advisory Committee January 4, 2006 Beverly Haberle OMHSAS Advisory Committee January 4, 2006 Beverly Haberle

Our History, Our Purpose: PRO-ACT, Pennsylvania Recovery Organization - Achieving Community Together, was formed Our History, Our Purpose: PRO-ACT, Pennsylvania Recovery Organization - Achieving Community Together, was formed in 1998 by Bucks County Council on Alcoholism and Drug Dependence, which has been providing prevention, intervention, and recovery support services in the community for 31 years. PRO-ACT, is a grassroots advocacy initiative founded to promote the rights of - and ensure opportunities for - those still suffering from the disease of addiction, members of the recovery community, and their family members who wish to advocate in southeastern Pennsylvania (Bucks, Chester, Delaware, Montgomery and Philadelphia Counties. )

Defining the Recovery Community 12 Step Programs Women for Sobriety Recovery Community Other Medication Defining the Recovery Community 12 Step Programs Women for Sobriety Recovery Community Other Medication Management Grassroots Organizations Family Faith Based

Mobilizing Model Engage Educate Activate Support Mobilizing Model Engage Educate Activate Support

SUPPORTING PEOPLE IN RECOVERY Building Communities of Recovery ¡ ¡ Long history of mutual SUPPORTING PEOPLE IN RECOVERY Building Communities of Recovery ¡ ¡ Long history of mutual support groups like AA/NA/faith-based groups Bridging gaps between professional/clinical treatment and long-term recovery l Providing holistic community-based support services enhances treatment outcomes. (Mc. Lellan, 2003; Work Group on Substance Abuse Self-Help Organizations, 2003)

PEER RECOVERY SUPPORT SERVICES ¡ ¡ Peer support services are not professional treatment or PEER RECOVERY SUPPORT SERVICES ¡ ¡ Peer support services are not professional treatment or post-treatment services provided by professionals. They are support services from people in recovery or their family members who share the lived experiences of addiction and recovery. l l l ¡ ¡ ¡ Improve quality of life Prevent relapse Promote sustained, long-term recovery Help people initiate and/or sustain recovery from alcohol and other drug problems. Guide individuals into the recovery community Help individuals who relapse back into treatment and recovery supports.

SUPPORTING PEOPLE IN RECOVERY Building Communities of Recovery ¡ Help people, in their communities, SUPPORTING PEOPLE IN RECOVERY Building Communities of Recovery ¡ Help people, in their communities, initiate and sustain recovery and gain overall wellness by reengaging with their families, friends and neighbors. l ¡ Ongoing community support is important to sustaining recovery (White, 2000; 2002). Maintain effective, formal linkages with community resources to support …recovery. l Providing Recommendation from National Academy of Sciences Institute of Medicine report crossing the Quality Chasm: Improving the Quality of Health Care for Mental and Substance-Use Conditions, 2005.

Peer to Peer Recovery Support Services Peer-Driven Peer-Delivered Peer to Peer Recovery Support Services Peer-Driven Peer-Delivered

Recovery Community Organizations like PRO-ACT… Recovery Community Treatment Community …Bridge the Gap Recovery Community Organizations like PRO-ACT… Recovery Community Treatment Community …Bridge the Gap

…My clients don’t hit bottom; they live on the bottom. If we wait for …My clients don’t hit bottom; they live on the bottom. If we wait for them to hit bottom, they will die. The obstacle to their engagement in treatment is not an absence of pain; it is an absence of hope. --Outreach Worker (Quoted in White, Woll, & Webber, 2003)

Five strategies to support our belief & Five volunteer-driven committees with common goals: Reduce Five strategies to support our belief & Five volunteer-driven committees with common goals: Reduce stigma, Give back to community & Build relationships to strengthen recovery Amends In Action Educating The Community Recreation & Celebration Public Policy Recovery Support Services

Amends in Action Habitat for Humanity Family works together to reduce stigma Amends in Action Habitat for Humanity Family works together to reduce stigma

Amends in Action Suitcases For Kids v The whole community bought into project v Amends in Action Suitcases For Kids v The whole community bought into project v Minimal time & effort v Easily duplicated in other areas

Educating the Community: Dispelling myths about recovery and help bridge the gaps in education Educating the Community: Dispelling myths about recovery and help bridge the gaps in education and resources.

Educating the Community • Speaker’s Bureau - become a trained volunteer who introduces PRO-ACT’s Educating the Community • Speaker’s Bureau - become a trained volunteer who introduces PRO-ACT’s message and giving back opportunities at various venues. • National Alcohol Screening Day - get trained to plan and implement free, educational alcohol screenings for National Alcohol Screening Day (April 6 th) • Distribute and advertise helpful community resources, including PRO-ACT’s 24 hr. Information telephone recovery support. • Consumer Guides • Family Program – (see next slide)

Educating the Community Family Education Program: v One of PRO-ACT’s first outreach v v Educating the Community Family Education Program: v One of PRO-ACT’s first outreach v v v efforts – started in 2001. It is an education program for families of those addicted to alcohol or other drugs (nearly 800 families have attended). Provides a direct service needed within community Volunteers act as educators and mentors Project can be duplicated in other areas Reduces stigma & increases understanding of disease Provides practical skill building and resources.

Celebration/Recreation Committee: Bringing the recovery community together Celebration/Recreation Committee: Bringing the recovery community together

Celebration/Recreation Committee Activities : Recovery Walks!! Recovery Day Picnic Baseball Initiative Comedy Show Tree Celebration/Recreation Committee Activities : Recovery Walks!! Recovery Day Picnic Baseball Initiative Comedy Show Tree of Hope New Year’s Eve

Public Policy Committee: Provide a voice for the Recovery Community through political venues (i. Public Policy Committee: Provide a voice for the Recovery Community through political venues (i. e. educating policy makers, community members and the recovery population)

Public Policy Committee Members will meet with legislators & attend rallies PRO-ACT Members serve Public Policy Committee Members will meet with legislators & attend rallies PRO-ACT Members serve on Consumer Boards Sit in on Policy meetings Learn about and encforce ACT 106 Plan Legislator’s Breakfast Help run a voter Registration Campaign Hold focus groups & identify issues through consumer satisfaction surveys

Public Policy Committee Learn about and encforce ACT 106 Advocates for Act 106 What Public Policy Committee Learn about and encforce ACT 106 Advocates for Act 106 What Act 106 states: Insurance companies must provide as minimum treatment: §Up to 7 days detox per calendar year (28 days lifetime) § 30 days inpatient care per calendar year (90 days lifetime) § 30 outpatient visits per calendar year (120 visits lifetime)

Public Policy Committee Hold focus groups & identify issues through consumer satisfaction surveys Making Public Policy Committee Hold focus groups & identify issues through consumer satisfaction surveys Making a difference through the use of focus groups & consumer satisfaction surveys: ü Members have a voice ü Have impact on system change ü Results are communicated through consumer and family advisory boards ü Results are communicated to providers

Recovery Support Services: Making a difference through support Recovery Support Services: Making a difference through support

Support Services Programs include: Ø Mentor Plus – Prison Project Ø Career Transition Ø Support Services Programs include: Ø Mentor Plus – Prison Project Ø Career Transition Ø Safe Sober Housing Ø 24 hr. Information/Support Ø 12 Session Life Skills Program Ø Recovery Coaching

Opportunities Developed first gender-specific Community recovery Center in the nation. National Ethics Guidelines for Opportunities Developed first gender-specific Community recovery Center in the nation. National Ethics Guidelines for Peer Specialists/Recovery Coaches/Mentors. Regional coordination of nation-wide HBO special on addiction to air March, 2007. Pennsylvania is highlighted throughout the show.

RECOVERY SUPPORT SERVICES ¡ Recovery skills development l ¡ Sober social activities l ¡ RECOVERY SUPPORT SERVICES ¡ Recovery skills development l ¡ Sober social activities l ¡ Recreational activities, dances Community center l ¡ Stress reduction, spirituality/meditation, expressive arts Drop-in resource Leadership l Volunteering, providing peer supports

PEER RECOVERY SUPPORT SERVICES One-on-One support l ¡ Group Support l ¡ Emotional, educational, PEER RECOVERY SUPPORT SERVICES One-on-One support l ¡ Group Support l ¡ Emotional, educational, and spiritual support, life skills Resource connection l ¡ Recovery Coaching, mentoring Help with housing, food, clothing, transportation General skill development l Education, vocational, employment

Co-Occurring Disorders A recent snapshot of 14 clients who received support services through the Co-Occurring Disorders A recent snapshot of 14 clients who received support services through the Recovery Center showed: 13 received at least 1 Mental Health (MH) diagnosis in addition to their Drug and Alcohol diagnosis. Of these 13: 8 had one MH diagnosis 5 had more than one MH diagnosis (2 had 2 diagnoses, 1 had 3 diagnoses, 2 had 4 diagnoses): 10 MH diagnoses of bipolar disorder 4 MH diagnoses of major depression 3 MH diagnoses of severe anxiety disorder 1 MH diagnosis of PTSD 1 MH diagnosis of ADHD/1 diagnosis of ADD 1 MH diagnosis of panic attacks

Housing Support Recovery House Association Resource List Consumer Guide to Sober Housing Housing Support Recovery House Association Resource List Consumer Guide to Sober Housing

Recovery Support Brings Resources Together! Recovery Coaching Community Recovery Capital Information Case Management Life Recovery Support Brings Resources Together! Recovery Coaching Community Recovery Capital Information Case Management Life Skills Access to local and national resources MOMS Program/P-CAP Motivational Enhancement FASD Prevention Early Intervention Supportive Living Environment

Comprehensive Women’s Services: Helping Women Access and Sustain Recovery FASD Prevention Parent-Child Assistance Program Comprehensive Women’s Services: Helping Women Access and Sustain Recovery FASD Prevention Parent-Child Assistance Program via the MOMS Program Recovery Coaching by PRO-ACT volunteers Life Skills by PRO-ACT volunteers Supportive Living Environment Motivational Interviewing and Enhancement Therapy for Early Intervention Community-Based Recovery Support Woman-to-Woman Telephone Support

Recovery Coaching: one-on-one peer coaching and support Life Skills: weekly programs open to residents Recovery Coaching: one-on-one peer coaching and support Life Skills: weekly programs open to residents and the community covering various topics important to those in recovery Supportive Living Environment & Community-Based Support: connecting women with staff, volunteers, and members of the community to build and strengthen a recovery support network Early Intervention: Services for women who are using or abusing alcohol or other drugs or in risk of relapse Coordination with Case Management: through MOMS and other staff members

Volunteer- Facilitated Life Skills Program Topics Understanding Your Illness Recovery 101 Sustaining Recovery Taking Volunteer- Facilitated Life Skills Program Topics Understanding Your Illness Recovery 101 Sustaining Recovery Taking Care of Yourself Impact of Addiction on the Family Women’s Health Fitness Employability Money Management Credibility Spirituality Nutrition This model will be replicated in Lower Bucks County

Recovery Coaches Provide: An additional source of support and assistance for women A peer-based Recovery Coaches Provide: An additional source of support and assistance for women A peer-based perspective from another woman in recovery One-on-one review of Life Skills sessions to figure out “what this means to me” An opportunity for women to build a healthy relationship with a peer

Recovery Support Services Newly Recovering: Having a Recovery Coach Life Skills beginnings Help with Recovery Support Services Newly Recovering: Having a Recovery Coach Life Skills beginnings Help with housing Getting that GED Job readiness Health Management Meeting sober friends Maintaining Recovery: Being a Recovery Coach Life skills growing Spiritual growth Going to college Career counseling Health, wellness focus Keeping sober friends

Recovery Community Members Guide and Participate In: Leadership Training Policy Development Topic/Program Development Problem Recovery Community Members Guide and Participate In: Leadership Training Policy Development Topic/Program Development Problem Solving Processes

CHALLENGES A new approach Coordination with Treatment Providers Available Funding Ongoing support and supervision CHALLENGES A new approach Coordination with Treatment Providers Available Funding Ongoing support and supervision for peers, providing one on one activities Time needed to mobilize, train, and support recovery community into a high functioning entity

Support Services Mentor Plus • 73 individuals have been mentored since the inception of Support Services Mentor Plus • 73 individuals have been mentored since the inception of the program in 2003. • Year one, 25 mentees, 3 either relapsed/reincarcerated (12%) • Year two, 25 mentees, 5 either relapsed/reincarcerated. (20%) • Year three, 22 mentees, data still being collected. (National average recidivism rate for same population, 60% or higher)

PRO-ACT TODAY: • Over 8500 participants • 2, 538 members • Over 300 volunteers PRO-ACT TODAY: • Over 8500 participants • 2, 538 members • Over 300 volunteers • Over 259 new registered voters this year • Recovery Community is engaged in advocacy, peer driven problem identification, and resolution. • Provide on one direct support.

For More Information, Contact: Beverly Haberle, M. H. S. , L. C. A. C. For More Information, Contact: Beverly Haberle, M. H. S. , L. C. A. C. Project Director PRO-ACT 215 -345 -6644, extension 3106 bhaberle@bccadd. org