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Core Concepts of the Model Clyde Harper Chris Budnick Louisville, KY Raleigh, NC Working Together for What Works 3 rd Annual Healing Place Summit October 13 – 14, 2011 Richmond, VA

Core Concepts of the Model

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3 rd Annual Healing Place Summit October 13 – 14, 2011 Richmond, VA. Core Concepts of the Model. Clyde HarperChris Budnick Louisville, KY Raleigh, NC. Working Together for What Works. Replicating Success. - PowerPoint PPT Presentation

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Page 1: Core Concepts of the Model

Core Concepts of the Model

Clyde Harper Chris BudnickLouisville, KY Raleigh, NC

Working Together for What Works

3rd Annual Healing Place Summit

October 13 – 14, 2011Richmond, VA

Page 2: Core Concepts of the Model

Replicating Success

• Since 1993, consistently high

sobriety outcomes have been

achieved very cost efficiently for

persons with:

High problem severity/problem

complexity; and

Low recovery capital

Page 3: Core Concepts of the Model

Replicating Success

• Replicating success begins with

having the right elements in place:

This can be done while being flexible

with the model to account for various

differences between communities

Page 4: Core Concepts of the Model
Page 5: Core Concepts of the Model
Page 6: Core Concepts of the Model

Addiction as an acute illness

Similar to treatment for an infection or broken bone

Expect people to achieve complete & enduring sobriety following a single, brief episode of treatment

Crisis-oriented responses

Professionally dominated decision making

Punitively discharge clients for becoming symptomatic

Terminate the service relationship following treatment

Treatment in serial episodes of self-contained, unlinked interventions

Similar to treatment for hypertension or diabetes

Does not limit the number of recovery attempts

Focus on interventions to increase readiness and to support recovery initiation

Emphasis on peer and indigenous recovery supports

Do discontinue help when a person is symptomatic

Continuing care interventions to enhance the durability and quality of recovery maintenance

Emphasize a sustained continuum of pre-recovery, treatment and post-treatment recovery supports

Addiction as chronic illness

Page 7: Core Concepts of the Model

• “As many times as it takes” Clients are always given a way to get back into the recovery

program

• Outreach and engagement

• Assertive linkage to recovering communities

• Continuing-care support

• Integration of alumni in the program and milieu

What this looks like at THP

Page 8: Core Concepts of the Model
Page 9: Core Concepts of the Model

• Based upon certain beliefs:

1. Individuals present with different levels of readiness for change

2. It is unrealistic to expect someone to resolve their problems before receiving services

3. Eliminate unnecessary barriers

i.e. waiting lists, pre-admission abstinence/sobriety requirements

4. Provide help when someone presents in need of help

Low Threshold for Engagement/ Services on Demand

Page 10: Core Concepts of the Model

• Wet shelter

• Motivational component of the program

• Community Assistance Program (CAP Van)

• 24/7 admissions into SUC

• Open referral for law enforcement

What this looks like at THP

Page 11: Core Concepts of the Model
Page 12: Core Concepts of the Model

• Based upon certain beliefs:1. Sobriety is the first and foremost focus

Other services are provided as a person becomes capable of assuming these responsibilities

(i.e. employment/housing/legal assistance)

2. Attraction is essential For many people, what is missing is hope

3. Current treatment services (i.e. 7 – 14 days inpatient treatment) are inadequate for individuals with high problem severity and low recovery capital

Long-term, Peer-driven Social Model Recovery Program

Page 13: Core Concepts of the Model

• Utilizes the shared experiences of those

who have found a common solution to a

seemingly hopeless condition

• Provides mentoring

• Networking in the community

• Not clinical/professionally conducted

treatment

Long-term, Peer-driven Social Model Recovery Program

Page 14: Core Concepts of the Model

• Important concepts of social model recovery

programs:

Recovery is the responsibility of the recovering

person within the context of peer support

Primary relationship is between the participant and

their peers, not the participant and therapist/MD

Increased program responsibilities result in

increased input into program decisions

Long-term, Peer-driven Social Model Recovery Program

Page 15: Core Concepts of the Model

• Important concepts of social model recovery

programs:

Recovery is self-paced

Program participation is voluntary

Few professional clinicians within the program

Mentoring

Responsibility and ownership for the physical and

recovery environment

Long-term, Peer-driven Social Model Recovery Program

Page 16: Core Concepts of the Model

• Decision to initiate participation in the

program rests with the individual

• Peer mentors

• Working with new clients

• Community process

• Job assignments

What this looks like at THP

Page 17: Core Concepts of the Model

• Hiring alumni into key positions

• Diversity in lengths of time to complete

the program

• Responsibility of participants to maintain,

reinforce and support a culture conducive

to recovery

What this looks like at THP

Page 18: Core Concepts of the Model
Page 19: Core Concepts of the Model

• Recovery is firmly rooted in the program

and fellowship of Alcoholics Anonymous and

other mutual aid societies (CA/NA)

• Assertive linkage into the 12-step

communities

• Exposure to 12-step fellowships is not

limited to meetings held at THP

Twelve Step Based

Page 20: Core Concepts of the Model

• Participants begin attending 12-step

meetings, both at THP and in the

community, from the beginning

• Sponsorship/home group requirements as

participants advance in the program

• Sponsors are able to visit at THP

What this looks like at THP

Page 21: Core Concepts of the Model
Page 22: Core Concepts of the Model

• Integral to the success of The Healing

Place model has been intensive instruction

and study of the Twelve Steps of

Alcoholics Anonymous

Teach a 12-Step Curriculum

Page 23: Core Concepts of the Model
Page 24: Core Concepts of the Model

• The “Community Process” is a vehicle for

change in a recovery program that

significantly shifts the dynamics from staff

to peer accountability

Community Process

Page 25: Core Concepts of the Model
Page 26: Core Concepts of the Model

• All components of the program must be

present and sized proportionately in order

to:

Provide services on demand

Operate cost-efficiently

Operate effectively

Program Elements and Size

Page 27: Core Concepts of the Model

• Program components need to include:

Non-medical detoxification

Motivational Component (Off The Street)

Educational Component (Phase I)

Transitional Component (Phase II)

Continuing Care Component (Silver Chip)

Program Elements and Size

Page 28: Core Concepts of the Model

• The right leadership

One new Core Concept

Page 29: Core Concepts of the Model