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

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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.

Webinar 7: Dual to WholeWelcome 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!

Presenters:

Patrick HayesRegion 4 Recovery

Support Specialist for the Illinois Dept. of

Human Services/Division of

Mental Health

Erik SimkinsWellness Coach and Certified Recovery

Support Specialist from the Human Service Center in Peoria, IL

Moderator:Peter Ashenden

Director of Consumer AffairsOptumHealth Behavioral Solutions

Contact InformationT +1 612-632-2963 F +1 877-309-8548

Peter.ashenden@optum.comwww.optum.com

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ObjectivesFor 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

DUAL

RECOVER

Y

What is….

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

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

ACE Study17,000 peopleAdverse childhood

experiencesMajor risk factors for

illness, poor quality of life, and death

Worst health and social problems are a consequence of ACEs

ADVERSE CHILDHOOD EXPERIENCE (ACE)

Source: SAMHSA 2008/2009 Survey on Drug Use and Health

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

How Many?

Trauma and substance use66% 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)

Signs of Substance Use

Four “C’s” to look for: Loss of ControlCompulsive useCravingConsequence

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

Assumptions about Recovery

What’s Strong

Recovery of the Whole Person

A word about languageTriple Stigma

Mental disorderSubstance use disorder

Stereotype / stigma

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 disorderedCo-morbid disorders

Language is powerful

Language Matters

Source: Language Matters Brochure – Hogg Foundation

Environmental Factors

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.

Segregated Systems

Research has consistently shown that for individuals to receive effective care, mental health and addiction services

must be integrated.

~~ Davidson & White

Integrated Treatment

Stages of Change

Harm Reduction

AlcoholCigarettes

Street Drugs Prescription Drugs

Harm Reduction

Self-Help Resource

Search for “HARM REDUCTION” and “ICARUS PROJECT”

DUA

L RE

COVE

RY

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

Recovery Capital

Things we can be grateful for…

• Social• Physical• Human

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ROLE

PLA

Y

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SummaryAre 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?

? ? ? Questions….

To unmute your line, press *6.

To mute your line again, press *6

For more information:Overall RTP Project

www.samhsa.gov/recoverytopractice

Resource Librarywww.dsgonline.com/rtp/resources.html

Peer Supporter Disciplinewww.inaops.org

Wounded Healer Videohttp://www.youtube.com/watch?v=orxEawi9qro

Certificate

E-mail: webinars@naops.org

A link to the self-check quiz is now on the iNAPS website: www.naops.org

Within 30 days, a certificate will be mailedto the address you provide

when you complete the quiz.

Slides are available after taking the quiz – or by request.

Presenter contact information:

Patrick Hayes•Email: Patrick.Hayes@Illinois.gov

Erik Simkins•Email: ESimkins@fayettecompanies.org

Special thanks…

Special thanks to Chacku Mathai, for his generous help in developing

this module

Next WebinarRecovery Relationships

NOVEMBER 2013Date tbd

Go to our website: www.naops.org for up-to-date information

On behalf of the International Association of

Peer Supporters (iNAPS) and Optum

Thank you!