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Shootout at the "I'm Okay" Corral - Open Community Models of Care for Treatment of Relapsing Addicts and Alcoholics
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Shootout at the I’m Okay Corral
Shootout at the I’m Okay Corral
The Case for “Open Community Care” in the Treatment of Chronic Relapsing Addicts and Alcoholics
Bob Ferguson
CEO / Founder, Jaywalker Lodge
© Jaywalker Lodge, LLC. All rights reserved.
Title of your presentation
William White, MA
“The collaboration that once existed between treatment agencies and local recovery communities has dissipated in the professionalization of addiction counseling and the industrialization of addiction treatment.”
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Shootout at the I’m Okay Corral
An “Open Community” Model of Care
How It Works Into Action
Working with Others
A Vision
for You
© Jaywalker Lodge,LLC. All rights reserved.
© Jaywalker Lodge, LLC. All rights reserved. Shootout at the I’m OkayCorral
How it works
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How it Works
PRIMARY CARE
Arresting Addiction Education Counselor directed Secluded setting Intro to 12 Steps Safe, secluded time out
from life’s distractions
Letting go of substances
EXTENDED CARE
Initiating Life in Recovery Application Peer directed Community setting 12 Step Immersion Structured, hectic re-entry
into real life recovery
Letting go of self
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How it works
Primary Care
30 – 45 days
Extended Care
90+/- days
Transitional Care
90+/- days
A – Extended Treatment811 Main Court (90 days)
B – Transitional Treatment725 Main Street (90 days)
C – Admin & Sober Living734 Main Street (3-6 mos)
D – Outpatient Offices1152 Hwy 133 (90 days)
A B
C
D
How It Works
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How it works
Self Group Community
Primary Care
30 – 45 days
Extended Care
90+/- days
Transitional Care
90+/- days
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How it works…
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How it works…
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Rehab -itationThe migration of “traditional treatment” from the mountain top to Main Street...
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Into Action
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Hurdles• Relapse / Atypical Discharges• New Concepts• Boundaries • Financial • NIMBY
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Into Action
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Into Action
2009 2010 2011 Avg
153145
178
159
64 64 62 6371 65 71 69
Completion Rates – 90 day program
Census WSA % Avg LOS
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Into Action
Broken Windows Theory (1982)
New York City saw a 50% reduction in violent
crimes (such as murder, rape and robbery) as the result of a “community policing” campaign which focused repairing broken windows, cleaning up graffiti, and a crack down on minor offenses such as subway fare-scoffers and squeegee-wielding panhandlers.
* But the Jets STILL didn’t make the playoffs!
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Keys to the Kingdom• Trust & Consequences• Community meeting• Alumni Involved• Intimacy • Service
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Into Action
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Into Action
Trust:
• Phase 1: 80/20 containment to community in first 90 days…
• Phase 2: Trust ratio “evolves” to 20/80 containment to community
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Into Action
Effective (+)
• Experience = educational• Adopt-A-Highway • Extended Table Soup Kitchen
• Organized, structured
• Staff and community participate with and among clients
• Prior preparation, supervision during, process experience afterwards
Ineffective (-)
• Experience = punitive• Sustainable Settings• Set up for sweat lodge
• Random, unprepared, disorganized, not structured
• Clients are separated, isolated, working alone.
• Lack of information
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Into Action
Alumni:
• Networking (social/recovery)• Events Calendar• Volunteer programs• Outcomes
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Into Action
AA sponsor Home Group Volunteer FT job/school
8071
60 60
9180
7565
100 100
80
100
Alumni After Treatment
3 mos (35) 6 mos (31) 6 - 18 mos (25)
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The model evolves…• New Found Life – Long Beach, CA• The Right Door – Aspen, CO• Phoenix Multisport – Front Range, CO
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Working with Others
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New Found Life
• Ocean Blvd., Long Beach, CA
• Separate Men’s / Women’s Houses
• Primary and extended care residential
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Working with Others
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Rides to AA Meetings• You cannot:
• walk / ride a bike• take public transportation• take a taxi
•You can: • call known alcoholics and addicts with time
• When you ride with an alcoholic• meeting before meeting• meeting at a meeting• meeting after a meeting
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Working with Others
Title of your presentation
The Right Door
• Aspen, CO• Non-profit agency
established in 2003• Provides low cost
intervention, case management, treatment and scholarships
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Working with Others
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Roots in Recovery
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Working with Others
• Started by AA members driving defendants from jail to detox to meetings.
• Battles addiction at the intersection of public safety and public health
• Sliding scale, no client turned away.
• Random UA’s and daily phone check ins.
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Phoenix Multisport
• Boulder, Denver, and Colorado Springs
• Sober Activities• Recovery Network• NO Charge for
services, events!
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Working with Others
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Action, Action, Action!• Since 2007, Phoenix had
provided programs to 3,620 people…
• Hosts 40 – 50 events a week, all at NO charge to the participants!
• Average age: 34 years• Gender split: 40% women, 60%
men• No treatment… Just recovery!
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Working with Others
Title of your presentation
What’s next?
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A Vision
for You
• Friendship – our new “goal-ed” standard?
• Sober College Programs… Everywhere!
• Future focused care
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Shootout at the I’m Okay Corral
Bob Ferguson bferguson@jaywalkerlodge.comwww.jaywalkerlodge.comwww.slideshare.com KEYWORD: “Colorado Model of Care”
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