1. Virgil Boysaw and Sue Jenkins, Presenters

2.  Seeks to support recovery and wellness for all community members affected by substance misuse, not just those who participate in treatment  Seeks to intervene earlier in the disease process to prevent or mitigate co-morbidity and complications that worsen as disease progresses  Seeks to support sustained recovery

3.  Active Relationship with Community “The community, not treatment, is the agent of recovery”  Advocacy ▪ Confront AOD promotional forces in the local community ▪ Promote pro-recovery policies  Recovery resource development ▪ Recovery community centers ▪ Alternative peer recovery support groups  Stigma reduction efforts

4.  Many of the same interventions  Support prevention of substance use,  Support prevention of substance misuse, and  Support recovery from substance use disorders

5.  Environmental Strategies  Limit availability of substances  Social norms marketing/campaigns  Promote alternative activities that do not include substance use  Education – stigma reduction  Problem Identification and referral  Community Mobilization

6.  Create communities in which people have a quality life including  healthy environments at work and in school;  supportive communities and neighborhoods;  connection to families and friends and  an environment which is free of alcohol, tobacco, and other drugs and crime free (SAMHSA/CSAP, 2006)

7. Factors causing loss of sustained recovery Factors lessening wellness Factors leading to use of substances

8.  Focus is on building resiliency  The strength individuals and communities attain by reducing risk factors and increasing protective factors  Rather than addressing a single problem or condition, it simultaneously considers a potential wide-ranging set of ATOD-involved problems

9.  Community Risk Factors  Availability of Drugs  Community Laws and Norms favorable toward drug use  Individual Risk Factors  Friends who engage in the problem behavior

10.  Family Risk Factors  Family history of the problem behavior  Family management problems  Family conflict  Favorable parental attitudes and involvement in the problem behavior

11.  Rather than focusing on individuals at risk, it studies the entire community  Rather than basing prevention strategies on single assumptions about deterministic behavior, it employs interventions that alter the social, cultural, economic and physical environment in such a way as to promote shifts away from conditions that favor the occurrence of ATOD- involved problems. (Holder, 1998)

12.  Stigma reduction - community education  Promotion of pro-recovery policies  Environmental Strategies Limiting availability Social Norming

13. Special Report A Unified Vision for the Prevention and Management of Substance Use Disorders: Building Resiliency, Wellness and Recovery – A Shift from an Acute Care to Sustained Care Recovery Management Model Complied by: Michael T. Flaherty, PhD Institute for Research, Education and training in Addictions (IRETA)