6-26-14 collaboration webinar draft 3 - naadac · download the powerpoint slides & access ce...

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A presenta*on by the NAADAC, the Associa*on for Addic*on Professionals

COLLABORATING WITH OTHER PROFESSIONS, PROFESSIONALS

AND COMMUNITIES

Presented by Gerry Schmidt, MA, MAC, LPC, and Sherri Layton, MBA, LCDC, CCS

June 26, 2014

Download the PowerPoint slides & access CE quiz here:

www.naadac.org/collaboratingwithotherprofessionsprofessionalscommunities

Misti Storie, MS, NCC

WEBINAR ORGANIZER

Director of Training & Professional Development

NAADAC, the Associa/on for Addic/on Professionals

USING GOTOWEBINAR

•  Control Panel

•  Asking Ques:ons

•  PowerPoint Slides

•  Polling Ques:ons

•  Audio (phone preferred)

www.naadac.org/collabora/ngwithotherprofessionsprofessionalscommuni/es

A presenta*on by NAADAC, the Associa*on for Addic*on Professionals

A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE

www.naadac.org/recovery

OBTAINING CE CREDIT

o  The educa/on delivered in this webinar is FREE to all professionals.

o  1.5 CEs are FREE to NAADAC members who aEend this webinar. Non-‐members of NAADAC receive 1.5 CEs for $20.

o  If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar)


www.naadac.org/webinars

A CE cer/ficate will be emailed to you within 21 days of submiYng the quiz and payment (if applicable) – usually sooner.

o  Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer*ficate.

Free to NAADAC Members!

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WEBINAR LEARNING OBJECTIVES

o  Describe how to work on mul/disciplinary teams

o  Describe how to build community networks and the role of payors as a partner

o  List asser/ve linkage procedures to recovery mutual aid organiza/ons and recovery community organiza/ons

o  Iden/fy a number of resources for collabora/on

Gerry Schmidt, MA, MAC, LPC

WEBINAR PRESENTER #1

Chief Opera:ons Officer

Valley HealthCare System in Morgantown, WV

[email protected]

Sherri Layton, MBA, LCDC, CCS

WEBINAR PRESENTER #2

Outpa:ent Services Administrator

La Hacienda Treatment Center in Hunt, TX

[email protected]

WORKING WITH MULTIDISCIPLINARY

TEAMS

AUDIENCE POLLING QUESTION

Are you currently working in multidisciplinary teams in your workplace?

WORKING WITH MULTIDISCIPLINARY TEAMS

We all need to learn to play together in the sand box…

o  Can no longer work in treatment silos

o  50-‐75% of those seeking addic/on treatment have co-‐occurring disorders

o  Now more than ever with new treatment interven/ons, we need to pool our resources

o  Increasing focus on what happens afer treatment & recovery support

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What makes a treatment team mul*discplinary?

o  a group of professionals with the common task of providing treatment to a par/cular client

o  generally made up a variety of care providers with different interests in the clients care


Could consist of the following professionals: q  Cer/fied/licensed addic/on counselor q  Mental health professional, such as a psychiatrist or psychologist

q  Physician trained in addic/on medicine who manages the client’s physical withdrawal

q  Other medical staff members, such as a registered nurse or nurse prac//oner

q  Professional staff members, such as a case coordinator, social worker, psychologist, family therapist, voca/onal and/or educa/onal specialist

q  Representa/ves of the legal and/or criminal jus/ce system, such as a lawyer, proba/on or parole officer

q  Alumni volunteer/Peer recovery support


May take many forms, ranging from members of a common treatment team within the same facility to geographically separated independent prac//oners.

Requires administra/ve, clinical and evalua/ve coordina(on of care, which includes:

o  case management

o  client advocacy

o  liaison ac/vi/es with community resources


Being effec/ve in the coordina/on of care means: o  Knowing the exper/se of your

team members as well as knowing the resources available in your community

o  SAMSHA treatment locator: hEp://findtreatment.samhsa.gov

o  Developing rela/onships with other providers – before you need them


Being effec/ve in the coordina/on of care means:

o  members should have common treatment philosophies and goals

o  have rapid access to one another

o  Continually and effectively communicating with other team members any relevant information regarding the client’s treatment



o  Client must sign a confiden/ality release form gran/ng permission for team members to discuss the client with designated individuals

o  If substance use con/nues or resumes, should collaborate with the team and quickly make the appropriate changes needed to con/nue effec/ve treatment

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o  if the mutually agreed upon individualized treatment plan is not being adhered to correctly, be prepared to make the necessary changes with the client and team

o  should monitor the con/nuing care discussions, as well as relapse preven/on and discharge procedures with the client and his or her family

BUILDING COMMUNITY NETWORKS

HOLISTIC TREATMENT

From NIDA’s Principles of Drug Addic:on Treatment


Do you currently have resources at your disposal to build community networks?

TREATMENT, RECOVERY, COMMUNITY

Modern addic/on treatment came of age in the 1960s and 1970s as a community-‐based phenomenon.

ü  Representa/on of recovered and recovering people and their families on agency boards and advisory commiEees

ü  Recruitment of staff from local communi/es of recovery

ü  Vibrant recovery volunteer programs

ü  Regular mee/ngs between the treatment agency and the service commiEees of local recovery support fellowships


A paradigm shif is occurring between the addic/on treatment professional and peer recovery coach:

o  Greater focus on what happens BEFORE and AFTER primary treatment

o  Transi/on from professional-‐directed treatment plans to client-‐developed recovery plans

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A paradigm shift is occurring between the addiction treatment professional and peer recovery coach:

o  Greater emphasis on the physical, social and cultural environment in which recovery succeeds or fails

o  Integra/on of professional treatment and indigenous recovery support groups


A paradigm shift is occurring between the addiction treatment professional and peer recovery coach:

o  How Recovery Coaches contribute to the treatment team

o  Naviga/ng obstacles that make early recovery challenging

o  Assist with transi/on “home”

o  Help with 12 step program integra/on

o  Services will vary depending on demographic served & treatment seYng/level of care

Webinar #5 in RTP Series: Understanding the Role of Peer Recovery Coaches in the Addic:on Profession


Do you collaborate with Peer Recovery Coaches?


The greater the physical, psychological and cultural distance between the treatment ins:tu:on and the client’s natural environment, the greater the problem of transferring the

learning – and the need for recovery support.

o  Organiza/on must recognize difference between environments and engage resources to provide needed mul/-‐disciplinary support.

o  Must promote client access to pro-‐social and pro-‐recovery ac/vi/es in these environments


Recovery communi/es take different shapes and form and address mul/ple issues in recovery.

Recovery housing provides a safe environment for clients to begin their journey”

narronline.org oxfordhouse.org


Spiritual, religious and secular communi/es of recovery, including rapidly growing online recovery support communi/es, are increasing

in number, diversity and geographical dispersion in the US.

•  Online mee*ngs/communi*es: smartrecovery.org hazelden.org na-‐recovery.org

•  Recovery apps: Twenty Four Hours a Day One Recovery on the Go 12 Steps AA Companion

•  Recovery Radio •  Recovery Meet-‐ups

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Recovering schools, colleges and

universi/es are all an integral part of

specialized recovery environments

addressing needs of this special

popula/on of recovery.

THE POWER OF COMMUNITY

There are 3 essen*al treatment-‐ and recovery-‐related strategies to enhance the healing power of community in the long-‐term recovery process:

1)  outreach

2)  inreach

3)  recovery community building

OUTREACH

Outreach = the extension of professional addic/on treatment services into the life of the community, including suppor/ng clients within their natural environments following the comple/on of primary treatment.

ü  Addic/on professionals, alumni and volunteers are involved

ü  Extend core treatment and recovery support beyond the ins/tu/onal walls

ü  Developing alumni support services & follow-‐up programs

OUTREACH ACTIVITIES

o  Recovery focused educa/on programs

o  Promo/ng screening and brief interven/on

o  Conduc/ng asser/ve street and ins/tu/onal engagement

o  Increasing home-‐based service delivery

INREACH

Inreach = the inclusion of indigenous community resources within professionally directed addic/on treatment

INREACH

ü  Engaging family and social network members in the recovery support process

ü  U/lizing alumni to assist current clients

ü  Increasing recovery community representa/on on treatment organiza/ons boards, staff and advisory groups

ü  Contrac/ng with recovery community organiza/ons to provide peer recovery support specialists to clients once discharged from treatment

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RECOVERY COMMUNITY BUILDING

Ac/vi/es that reduce the s/gma experienced by many in early recovery as they return and re-‐engage (or engage) with their community (i.e. How can the community be recovery-‐suppor:ve?).

o  Represents knowledge and skills not drawn from clinical disciplines

o  Community is seen as the client

o  Draws upon knowledge from public health, sociology, social movements and community development and organiza/ons

ASSERTIVE LINKAGE PROCEDURES

LINKAGE PHILOSOPHY

Three cri/cal points in shaping a philosophy of linkage between treatment, peer recovery support groups, and recovery community organiza/ons:

1)  Professional treatment is an adjunct to recovery mutual aid groups, rather than such groups are an adjunct to treatment.

2)  Recovery mutual aid groups are an alternative to professional services.

3)  Professional treatment + recovery support groups produce better long-term recovery outcomes than participating in either professional treatment or recovery support groups alone.

LINKAGE PRINCIPLES

40% of clients discharged from treatment do not par/cipate in recovery support groups in the weeks and months following their discharge.

There are high early dropout rates in recovery support

group par/cipa/on.


Do you routinely include 12 step program attendance in treatment planning?

LINKAGE PRINCIPLES

Broader involvement in recovery support groups is more predic*ve of sustained remission than simple mee*ng aUendance.

o  Experience with involvement with a recovery support group during treatment services generates beEer long-‐term recovery outcomes than delayed linkage.

o  The longer the par/cipa/on in recovery support groups in the 3 years following primary treatment, the greater the probability of remission at 15+ years following treatment.

o  Sustaining and increasing recovery support group involvement over years 1-‐3 following treatment is associated with stable remission at subsequent follow-‐up.

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LINKAGE PRINCIPLES

Asser/ve linkage (facilita/ng the connec/on between the client and a par/cular individual/group) is more effec/ve than passive

linkage (verbal encouragement).

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Enrollment in IOP

Passive Linkage 1 Yr with Asser/ve Linkage Today

LINKAGE PRINCIPLES

Encouraging Staff Exposure and Par*cipa*on in Local Recovery Support Groups and Internet-‐based Recovery Resources:

ü  read the literature of the spectrum of recovery support groups

ü  visit open mee/ngs of local recovery support groups

ü  visit internet sites of the major recovery support groups and become familiar with various on-‐line recovery support mee/ngs

ü  invite representa/ves of various recovery support groups to provide in-‐service

ü  training for clinical and support staff – Recovery to Prac/ce webinar series

ü  par/cipate in local recovery celebra/on ac/vi/es either as a person in recovery or a friend of recovery

ü  Sponsor a Recovery Month event

STEPS IN DEVELOPING RECOVERY SUPPORT GROUPS

1)  Iden/fy an area of unmet need for recovery support, e.g., women’s mee/ngs, young people, secular recovery groups, etc.

2)  Sponsor an open-‐aEend (aEend as long as you like) con/nuing care group as an adjunct or alterna/ve (for some).

3)  Con/nue the group un/l a strong core group of members coalesces.

4)  Recruit the strongest group members as peer-‐leaders, encourage and cul/vate their leadership, decrease your role but not your presence as their leadership ac/vi/es increase.

STEPS IN DEVELOPING RECOVERY SUPPORT GROUPS

5)  Arrange for your peer-‐leaders to facilitate the group some/mes and process with the leaders and group members how this went.

6)  Raise the possibility of shifing the group from a professionally directed con/nuing care group to a peer-‐sponsored and peer-‐led recovery support group.

7)  Provide informa/on to assist group if they want to shif the group to a registered A.A., N.A. or other established recovery group.

8)  Monitor the status of the group and provide support to peer leaders.

WORKING WITH PAYORS

THE PAYOR IS A PARTNER

Know the resources available to fund the services our clients need.

Examples: •  Private insurance •  Public funding – finding resources for the wrap around services a client

needs – WIC, housing, college funding, transporta/on vouchers, etc •  Medica/on assistance from pharmacology companies •  Housing – funding to get client in safe housing •  General public assistance and other local resources •  What grants are available that will allow your organiza/on to provide more

recovery support services?

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On-‐Demand NAADAC Webinar:

Nuts and Bolts of Interfacing with Managed Care Organiza:ons for Addic:on Professionals


“Know the structure and purpose of each resource and have personal

contacts to make effec*ve partnerships easier to aUain &

maintain.”


Addiction Professionals. Strategies for Success.

•  Working with Multidisciplinary Teams

•  Building Community Networks

•  The power of the community – inreach, outreach and recovery community building

•  Assertive Linkage

•  Steps in Developing Recovery Support Groups

•  Working with Payors

SOURCES

o  NIDA’s Principles of Addic/on Treatment

o  The Retreat Perspec/ves, spring 2003 ar/cle Bill White wrote /tled ”The Treatment renewal Movement: Reconnec/ng Treatment to Recovery”.

o  2007 Recovery Community Linkage Monograph

o  Collabora/on INL Materials

THANK YOU!

ASKING QUESTIONS

Ask ques/ons through the Ques/ons Pane

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OTHER RTP WEBINARS


Defining Addic*on Recovery •  Thursday, January 9, 2014 @ 3-‐4:30pm ET

What Does Science Say? Reviewing Recovery Research •  Wednesday, February 5, 2014 @ 3-‐5pm ET

The History of Recovery in the United States and the Addic*on Profession •  Thursday, March 6, 2013 @ 3-‐4:30pm ET

Defining Recovery-‐Oriented Systems of Care (ROSC) •  Thursday, April 3, 2014 @ 3-‐4:30pm ET

Understanding the Role of Peer Recovery Coaches in the Addic*on Profession •  Thursday, May 1, 2014 @ 3-‐4:30pm ET

Including Family and Community in the Recovery Process •  Thursday, May 29, 2014 @ 3-‐5pm ET

Collabora*ng with Other Professions, Professionals, and Communi*es •  Thursday, June 26, 2014 @ 3-‐4:30pm ET

Using Recovery-‐Oriented Principles in Addic*on Counseling Prac*ce •  Thursday, July 24, 2014 @ 3-‐5pm ET

Exploring Techniques to Support Long-‐Term Addic*on Recovery for Clients and Families •  Thursday, August 21, 2014 @ 3-‐5pm ET

WEBINARS ON DEMAND

•  Medica:on Assisted Treatment •  Building Your Business with SAP/DOT •  SBIRT •  Billing and Claim Submission •  Ethics •  Co-‐occurring Disorders •  Test-‐Taking Strategies •  Conflict Resolu:on •  Clinical Supervision •  ASAM Placement Criteria •  DSM-‐5 Proposed Changes


CE credit s:ll available!


WWW.NAADAC.ORG OBTAINING CE CREDIT

o  The educa/on delivered in this webinar is FREE to all professionals.

o  1.5 CEs are FREE to NAADAC members who aEend this webinar. Non-‐members of NAADAC receive 1.5 CEs for $20.

o  If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar)



A CE cer/ficate will be emailed to you within 21 days of submiYng the quiz and payment (if applicable) – usually sooner.

o  Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer*ficate.


Thank You for Par*cipa*ng!

www.naadac.org/recovery

NAADAC, The Associa*on for Addic*on Professionals 1001 N. Fairfax St. Suite 201 Alexandria, VA 22314 p 800.548.0497 f 800.377.1136

NAADACorg

Naadac

mis/@naadac.org

NAADAC

Gerry Schmidt – [email protected]

Sherri Layton –[email protected]

6-26-14 collaboration webinar draft 3 - naadac · download the powerpoint slides & access ce...

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