1. Transformation Leadership in a Diverse World of Recovery www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 1

2. SPEAKER INTRODUCTION www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 2

3. Recovery: A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential (SAMHSA, 2011). RECOVERY www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 3

4. EIGHT DIMENSIONS OF WELLNESS www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 4

5. Recovery Oriented Systems of Care  Networks of services  Support long term recovery  Involves individuals, families, organizations, communities Recovery Management  Driven by ROSC philosophy  Pre-recovery engagement  Recovery initiation  Early recovery  Long-term maintenance of recovery  Long term quality of life STRATEGY TO SYSTEM TRANSFORMATION www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 5

6. Motivation cannot be forced, it must originate from the client and be enhanced. Some obstacles to treatment  Ambivalence  Location  Long waits  Personal reasons  Family reasons  Environment reasons  Financial  Coercion EIGHT OBSTACLES TO CHANGE www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 6

7.  Motivation cannot be forced, it must originate from the client and be enhanced.  Engage people in treatment.  Provide treatment in a timely and cost effective manner.  Get paid for the services provided.  Promote successful outcomes.  Secure further funding.  Maintain positive PR in the community. GOALS OF TREATMENT CENTERS www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 7

8.  Pre-recovery engagement.  Recovery initiation.  Early recovery.  Long-term maintenance of recovery.  Long term quality of life. RECOVERY MANAGEMENT SYSTEM COMPONENTS www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 8

9.  Accessible services that engage and retain people seeking recover.  A continuum of services rather than crisis-oriented care.  Care that is age-and gender appropriate and culturally competent.  Where possible, care in the person’s community and home using natural supports. “SPIRIT OF RECOVERY” INCLUDES www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 9

10.  High caseloads + low pay = high turnover rates.  Demographics of counselors and staff are increasingly older white females and demographics of clients are getting younger, more diverse and male.  Those with the greatest and most valuable clinical experience end up serving in administrative positions.  Knowledge is derived from education and most do not have personal experience with recovery.  Clinicians trained in “clinical detachment”. WHAT DOES THE RESEARCH SAY ABOUT ADDICTION COUNSELORS AND PROFESSIONALS? www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 10

11.  People need to have a reflection of themselves as a part of their own recovery experience.  It makes more sense to provide services in communities and build recovery supports within the natural environment.  People need an example of recovery success to instill hope. MARK SANDERS www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 11

12. HOW DO PEERS COMPLEMENT CLINICIANS? (PARTIAL LIST) PeersCliniciansComplement Role based on lived experience Role based on education  Peers serve as translators, reinforcers, reminders to client about clinical interventions  Peers can educate clinicians regarding lived experience to create more empathy  Peer serves as an example of recovery, instilling hope  Peer able to break down cultural barriers and reach underserved or stigmatized groups  Peers provide emotional support www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 12

13. HOW DO PEERS COMPLEMENT CLINICIANS? (PARTIAL LIST) “Equal” relationship with client; sharing recovery stories and experiences; nondirective Directive, results-oriented relationship with clinician in a position of power over client  Peer can address ambivalence  Peer will likely be closer to client, able to help clinician understand client better Helps client overcome challenges of treatment engagement Initiates and supports recovery decision making  Clinician teaches peer how to use motivation interviewing with the client  Peer can spend time with client in between treatment phases to keep them engaged Time spent with client dependent upon client needs Time spent with client dependent upon treatment plan, funding requirements  Peer can spend more time with the client, lending more insight into clinical sessions making them more effective www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 13

14. HOW DO PEERS COMPLEMENT CLINICIANS? (PARTIAL LIST) Help peer access resources, help client practice self-advocacy Directs client toward resources and generates treatment plan  Clinician acts as director, peer guides client through actions improving the likelihood that the client will follow through  Peer can help client navigate the system by providing interpretation and guidance  Peer provides informational support by connecting client with programs and services to address barriers to treatment (transportation, childcare, financial resources, working with employer)  Peer can provide instrumental support by offering concrete assistance with tasks www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 14

15. HOW DO PEERS COMPLEMENT CLINICIANS? (PARTIAL LIST) Connects clients to recovery community, extends relationship to long-term recovery if necessary Limited connection to recovery community and constrained time limits on relationship  Peer provides affiliation support by guiding clients to recovery community resources because they’ve likely been there and experienced it themselves  Peer is able to check in with client indefinitely, making sure client is staying true to their recovery plan  Peer can guide clients back into clinical treatment as needed Involved in recovery community and system Limited involvement in recovery community and system  Can facilitate cross-system partnerships  Bridge gaps and establish partnerships with community organizations  Provide education in the community to establish recovery oriented communities  Provide prevention education and outreach www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 15

16.  Organizational culture lacks flexibility.  Lack of recovery values.  Commitment.  Lack of knowledge about peer support.  Untrained peers.  High turnover and burnout.  Fear of peer relapse. BARRIERS TO PEER SUPPORT INTEGRATION www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 16

17. CHANGE ARE YOU READY? www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 17

18.  Determine readiness and ability to implement recovery oriented systems.  Identify strengths, weakness in current system.  Create a conceptual framework.  Conduct a needs assessment.  Build capacity.  Develop a strategic plan.  Implement the strategic plan by aligning financing, policies and procedure. and  Evaluate the process and outcomes (which affects the conceptual framework). MODELS FOR IMPLEMENTATION www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 18

19.  Align treatment.  Provide individualized and high quality services.  Integrate recovery support services (RSS).  Culture of peer leadership.  Intentional strategies of supporting communities.  Facilitate processes and partnerships.  Align administrative structures. PHILADELPHIA’S PROCESS: www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 19

20.  Assess your organization and staff for recovery oriented competency using existing models.  Identify strengths and weaknesses of your programs and staff; include clients in the assessment.  Train your staff about recovery and integrate recovery into current treatment.  Create organizational and personal goals for achieving recovery oriented milestones.  Write policies consistent with recovery values.  Create job descriptions and evaluations/expectations for peer support and clinicians to include how they work together.  Hire properly trained, certified peer support and/or make sure they receive proper training and certification.  Involve peers in treatment teams, provide cross-training to clarify roles and responsibilities as well as how to work together.  Provide continuing education and supervision for peers and clinicians that have a recovery focus. IMPLEMENTING CHANGE www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 20

21. HOW PARfessionals CAN HELP It is our mission to provide affordable and accessible training and continuing education in a culturally sensitive manner to those interested in becoming certified in Addictions Recovery Coaching or Peer Recovery Support Services. Our training program is approved by many credentialing organizations including NAADAC. www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 21

22. We have also created the International Certification Board of Recovery Professionals with the goal of assisting behavioral health and substance abuse treatment agencies to develop a diverse, qualified and skilled recovery workforce. For more information, please visit us at www.recoveryprofessionals.org. www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 22 INTERNATIONAL CERTIFICATION BOARD OF RECOVERY PROFESSIONALS

23. CONTRIBUTORS Shema Carter Hanks, LMBT, MA, Ph.D.(c) Trudi Griffin, MA, MS, LPC-I Jorea Kelley Hardison, NCPT, PRS, APS, CVA, PM-PRC, CCJP-A Racquel Moonlan www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 23

24. Special thanks to Arthur Evans, Ph.D and the Philadelphia’s Department of Behavioral Health and Intellectual disAbility Services (DBHIDS) for leading the Nation in Transformation Leadership. For more information about DBHIDS and its free online transformation tools and publications visit www. http://dbhids.org/. www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 24

25. SPONSORS Original continuing education credits is sponsored by Presentation sponsored by www.parfessionals.org Transformation Leadership in a Diverse World of Recovery PARfessionals 25