finding her tribe: women's relationships with peers and ... · • today’s webinar is being...

Finding Her Tribe:Women’s Relationships with

Peers and CommunityApril 11, 2017

#relate4HERR

Deborah Werner, M.A., PMP

Project Director

SAMHSA’s Women, Children and Families Technical Assistance and Training.

#relate4HERR Slide 2

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Disclaimers

• This webinar is supported by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the U.S. Department of Health and Human Services (DHHS).

• The contents of this presentation do not necessarilyreflect the views or policies of SAMHSA or DHHS.

• This webinar should not be considered a substitute for individualized client care and treatment decisions.


Relationship Matters! Webinars


Tuesday, February 21, 2017, 2:00-3:30 P.M. EST (1:00 CST, 12:00 MST, 11:00 PST)

TODAY’S FEATURE:

Finding Her Tribe: Women’s Relationships with Peers and Community


Recovery

SAMHSA defines as a process of change through which individuals improve their

health and wellness, live self-directed lives, and strive to reach their full potential.

Community

Four major dimensions that support a life in recovery:

• Health• Home• Purpose• Community

Today’s Schedule

Lonnetta AlbrightForward Movement, Inc.

Tara MoseleyYoung People in Recovery

Mary Ellen Copeland, Ph.DWellness Recovery Action Plan®

Lonnetta Albright, B.S. Ed, CPEC

President

Forward Movement, Inc.


Finding Her TribeWomen’s Relationship with Peers &

Community

Lonnetta Albright, B.S. Ed, CPEC, PresidentForward Movement, Inc.

As part of the Relationship Matters Webinar SeriesApril 11, 2017

• Adding Value to You & Your Clients– Relationship Begins With Self First– Cultivate Positive Emotions– Don’t Go It Alone

• Social & Community Well-being• ROSC as a guiding framework

Relationship(s) Begin With You

Start With Why: How Great Leaders Inspire Everyone to Take Action, Simon Sinek 2009

Cultivate Positive Emotion

Don’t Go It Alone

Successful Women Think Differently~Valorie Burton

Successful Women Think Differently: 9 Habits to Make You Happier, Healthier & More Resilient, Valorie Burton, 2012

Positive Emotions

Practical Ways to Build Positive Emotion

• Giving feedback: balance your delivery - light tone of voice; acknowledge several positives; nodding and listening rather than cutting them off.

• Know what brings you joy and incorporate it into your everyday life

• Social well-being• Physical well-being• Spiritual well-being

“People may not remember what you looked like; They may not even remember

what you said – But they will remember how you made

them feel”

Successful Women Think Differently: 9 Habits to Make You Happier, Healthier & More Resilient, Valorie Burton, 2012

Don’t Go It Alone• Learn from others

• Build Coalition

• Fulfillment happens through connection

• Successful women collaborate, communicate and celebrate each other

• Community Well-Being

WHAT DOES IT MEAN FOR SUPPORTS TO BE COMMUNITY-BASED?

Community Integration

Recovery-Oriented Systems of Care (ROSC)Shifts the question from

“How do we get the client into treatment?”

to “How do we support the process of recovery within

the person’s life and environment?”

William (Bill) White with Great Lakes ATTC, Recovery Management Monograph 2006

Recovery and Resilience Oriented System of Care

Great Lakes ATTC & Achara Consulting Inc.

Factors that Influence Health Status

Arthur C. Evans Jr.Arthur C Evans, Jr. and Achara Consulting Inc., 2016

8 Domains of Community Inclusion

• Housing

• Employment

• Friends

• Education

• Health & Wellness

• Religion & Spirituality

• Family

• Intimacy

Recommended Next Steps• During the assessment include the question What’s Your Why (Purpose) • Connect to and partner with community mutual support groups 12 steps

(NA or AA); and the Faith community• Partner with clients to start 12-step groups for women: formats online, or

order materials from AA or NA World Service Office• Make arrangements for childcare so women can attend support groups• Learn about the recovery messaging - Language is a key element • Get involved with Association for Recovery Community Organizations

(ARCO)• Collaborate and Partner with a workforce development group• Hire a specialist to work with companies that hire felons/people in

addiction• Create jobs and hire those who you feel are healthy enough to work in the

field

ContactLonnetta Albright, B.S. Ed, CPEC

[email protected]

www.johnmaxwellgroup.com/lonnettaalbrightFacebook: LonnettaAlbrightCoachInstagram: ForwardMovement01

LinkedIn: Lonnetta Albright

http://www.lonnettaalbright.com/

http://www.johnmaxwellgroup.com/lonnettaalbright

Questions and Discussionwith Lonnetta Albright


Tara Moseley

Program Manager

Young People in Recovery


youngpeopleinrecovery.org

Finding Her Tribe:Relationships Matter, Peers and Role of the

CommunityPresenter: Tara Moseley, Program Manager

Young People in Recovery


Collegiate Recovery Programs

Community Organizations/Churches

Young People in Recovery (YPR) Chapters

Alternative Peer Groups Pathways of Recovery

Identifying Resources

Making Connections


Finding Her Tribe

Collegiate Recovery Programs (CRP)- http://collegiaterecovery.org/programs/ Young People in Recovery- http://youngpeopleinrecovery.org/ Alternative Peer Groups-

http://generationfoundfilm.com/2016/12/05/alternative-peer-groups-powerful-tool-youth-recovery-across-nation/

Pathways of Recovery: 12 Step, Harm Reduction, LifeRing, Medicated Assisted Recovery, Celebrate Recovery, Moderation Management etc.

• Most of these groups can be found online, look in your area to see if there how many different mutual aid groups are offered in your area.

http://collegiaterecovery.org/programs/

http://youngpeopleinrecovery.org/

http://generationfoundfilm.com/2016/12/05/alternative-peer-groups-powerful-tool-youth-recovery-across-nation/


Finding Her TribeOther FUN Activities:


Recovery Events• Pathway of Recovery Events- Rally For Recovery

– Different pathways of recovery have events that transpire throughout the year for 12 step, Smart Recovery, Life Ring, Celebrate Recovery, Medicated Assisted Recovery, and others…

September is National Recovery Month- Do you have events that month in your community?

https://www.recoverymonth.gov/

https://www.recoverymonth.gov/


Empowerment


Social Media


Social Media

Encourage:

Using empowering language

Know the use of social media

Be cautious about…

I avoid the use of stigmatizing language (Why?)

I am aware what I should post on a public page- as to not harm myself or someone else


Social Media

Online Resources:

https://www.smartrecovery.org/community/calendar.php

https://www.intherooms.com/

http://moberapp.com/

http://www.refugerecovery.org/podcasts/

https://www.smartrecovery.org/community/calendar.php

https://www.intherooms.com/

http://moberapp.com/

http://www.refugerecovery.org/podcasts/

Questions and Discussionwith Tara Moseley


Mary Ellen Copeland, Ph.D.

Author and Advocate

Wellness Recovery Action Plan®


WRAP®

Personal Development in Community

Objective

To describe how women, using the WRAP group

model, develop relationship and community

building skills that will support them in

relationship and community building.

Slide 44

Overview of the Wellness Recovery Action Plan®

WRAP Includes:

Wellness Toolbox

Daily Maintenance Plan

Triggers and Action Plan

Early Warning Signs and Action Plan

When Things are Breaking Down and Action Plan

Crisis Plan and Post Crisis Plan

Slide 45

Overview of the WRAP® Model

Women join WRAP groups voluntarily, usually with

the encouragement of a counselor or case

manager. They may be scared, anxious and

traumatized and have little experience with

positive relationships with other women and in the

community.

Slide 46


Groups of 8-12 women meet in a series of

meetings facilitated by a trained facilitator.

With input and support from the other group

members, each person figures out their own

intensive recovery protocol.

Slide 47


Women in the group share what works for them,

giving each other new ideas and perspectives. The

result is a personal WRAP that is more powerful

and effective than each woman could develop

working on her own.

Slide 48


The WRAP group process

1. A facilitator describes the way the group works

together.

2. Women begin having discussions about things

that are easier to talk about and more generic,

less personal.

Slide 49


3. Moving on, as they feel more and more safe and

comfortable, and gain experience, discussing those things

that are more personal and “loaded”

4. Completing their WRAP and deciding how they will stay in

relationship with each other and be involved in the

community as they move forward with their lives.

Slide 50

Developing the “Container”

The process begins by developing a ” a safe

container” where the women in the group begin to

feel comfortable with each other.

As they become used to sharing with each other

they can let go of the anxiety and shame they may

be feeling.

Slide 51

Values and Ethics

First with the Values and Ethics—each is shared,

discussed and posted for easy reference.

1. WRAP supports hope. People get well, stay

well for long periods of time, and do the things

they want to do with their lives.

Slide 52

Values and Ethics (cont.)

2. WRAP promotes self-determination, personal

responsibility, empowerment, and self-

advocacy.

3. People are treated as equals, with dignity,

compassion, mutual respect, and

unconditional high regard.

Slide 53


4. WRAP is based on the premise that there

are “no limits” to recovery.

5. WRAP is totally voluntary.

6. The person who is developing their WRAP is

the only expert on themselves.

Slide 54


7. In WRAP, the focus is on individual strengths

and away from perceived deficits.

8. The use of clinical, medical, and diagnostic

language is avoided.

Slide 55


9. Whenever possible, people work together and

learn with peers, to increase mutual

understanding, knowledge, and promote

wellness.

Slide 56


10. The emphasis is on strategies that are simple

and safe and away from strategies that are

invasive or that may have serious or

devastating side effects.

Slide 57


11. It is understood that difficult feelings and

behaviors are normal responses to traumatic

life circumstances, and that what is happening

in your life is not a “symptom” or a diagnosis.

Slide 58

Comfort Agreement

To continue developing the feelings of comfort

and safety that are necessary to relationship and

community building, the group develops together

a contract that includes things like:

Slide 59

Comfort Agreement (cont.)

Everyone that wants to gets a chance to share.

No bullying or teasing.

No interrupting when others are sharing.

No judging or criticizing.

No shaming or blaming

Slide 60

Wellness Toolbox

The groups works together to develop a list of

resources that women can use to help themselves

feel better and move forward in their lives and to

build the action plans that are key to WRAP. This

is an easy thing to do and gets people talking and

sharing.

Slide 61

Examples of Wellness Tools

Some of these Wellness Tools will have to do with

relationship and community building

Support groups

Getting together with friends and supporters

Slide 62

Examples of Wellness Tools

Volunteering

Attending faith-based services

Attending classes or community events

together

Taking responsibilities for community activities

Slide 63

Daily Maintenance Plan

A list of the Wellness Tools a person chooses to use

every day to stay as well as possible.

Three healthy meals and two healthy snacks

each day

Exercise for at least ½ hour

Slide 64

Daily Maintenance Plan (cont.)

8 hours of sleep

Spend at least an hour doing something I enjoy

Avoid sugar and processed foods

Contact at least one supporter

Slide 65

Things I might need to do

A list of things I might choose to do on any given

day:

Go to church, synagogue or mosque

Go to AA or NA

Contact a family member

Slide 66

Things I might need to do (cont.)

Buy groceries

Pay bills

Clean and organize

Invite someone for lunch

Slide 67

Triggers

Things that might come up unexpectedly that

would be unsettling or upsetting. Talking about

Triggers gets more difficult, more uncomfortable.

Being treated badly

Seeing someone being abusive

Slide 68

Triggers (cont.)

People yelling at each other

Being “snubbed” by a person I thought was a friend

Feeling threatened

Being in a crowd

Not being able to meet expectations of others

Slide 69

Triggers Action Plan

Making a list of things I can do that would help

me get through this upsetting time.

Calling a specific friend

Getting together with a supporter or a group

of supporters

Slide 70

Triggers Action Plan (cont.)

Peer counseling

Going for a walk with a friend

Attending a meditation group

Doing meditation exercises

Listening to music

Slide 71

Early Warning Signs

Identifying subtle signs that things aren’t quite

right is harder and more personal, things like:

A headache

A heavy feeling in my chest

A feeling of unease

Slide 72

Early Warning Signs (cont.)

Being impatient and argumentative

Being tempted to use substances that I am

trying to avoid

Isolating

Being obsessed with bad things that have

happened Slide 73

Early Warning Signs Action Plan

And then again, working together as a group so

that each person comes up with an action plan

that they feel will work for them:

Going to a support group

Calling a friend

Slide 74

Early Warning Signs Action Plan (cont.)

Spending extra time doing something I love to do

Spending extra time with my partner

Peer counseling

Slide 75

When Things are Breaking Down

Signs that things have become much worse.

These are things that are much harder to talk

about, to admit, and yet women can do it as they

feel more and more connected with each other.

Slide 76

When Things are Breaking Down (cont.)

Being with people that treat me badly

Avoiding supporters

Being rude to to others

Using substances that I have been trying to avoid

Thinking a lot about hurting myself

Slide 77

When Things are Breaking DownAction Plan

Working together so that each woman has a much

more directive plan to guide them through these

hard times.

Contacting supporters and asking them to have

someone stay with me, making sure I am not

alone

Slide 78

When Things are Breaking DownAction Plan (cont.)

Intensive peer counseling

Asking a supporter to watch funny movies with

me for the afternoon

Spending at least two hours doing things I love

to do

Slide 79

Crisis Plan and Post Crisis Plan

Both give opportunities to think about things with

peers in non-conventional ways. Now things are

even more difficult to talk about, but because of

what they have been through together they can

do this hard work.

Slide 80

Crisis Plan and Post Crisis Plan (cont.)

Signs that others need to step in and take over

What I want others to do for me

What I wouldn’t want others to do for me

A plan for staying at home or in the community

A schedule for resuming my responsibilities

Changes I need to make in my WRAP

Slide 81

In Conclusion

As a result of making WRAP available to women in recovery, we can expect that women will be more successful:

In relationship with each other

With family members, partners and other people in their lives

In their interactions with people in the community

and will become active, participating members of their chosen communities.

Slide 82

Resources

WRAP Resources WRAPandRecoveryBooks.com

Copeland Center TrainingCopelandCenter.com

maryellencopelandphd.com

Slide 83

https://wrapandrecoverybooks.com/store/

https://copelandcenter.com/

http://www.maryellencopelandphd.com/

Questions and Discussionwith Mary Ellen Copeland, Ph.D.


Panel Comments

#relate4HERR

Lonnetta Albright Tara Moseley Mary Ellen Copeland, Ph.D.

Deb Werner, M.A.

Introduction to Women with SUDs online course http://healtheknowledge.org/


http://healtheknowledge.org/

Resources: Documents

• Access to Recovery (ATR) Approaches to Recovery-Oriented Systems of Care: Three Case Studies

• Action Planning for Prevention and Recovery

• Decisions in Recovery: Treatment for Opioid Use Disorder

• Action Steps for Improving Women’s Mental Health

• Sustaining Grassroots Community-Based Programs: A Toolkit for Community- and Faith-Based Service Providers

• Resilience Annotated Bibliography

#relate4HERR

https://www.samhsa.gov/sites/default/files/partnersforrecovery/docs/ATR_Approaches_to_ROSC.pdf

http://store.samhsa.gov/shin/content/SMA-3720/SMA-3720.pdf

http://store.samhsa.gov/shin/content/SMA-3720/SMA-3720.pdf

https://store.samhsa.gov/shin/content/OWH09-PROFESSIONAL/OWH09-PROFESSIONAL.pdf

https://sites.ed.gov/aapi/files/2014/03/SAMHSA-Toolkit.pdf

https://www.samhsa.gov/sites/default/files/resiliency-annotated-bibliography.pdf

Resources: Websites

• Recovery and Recovery Support

• Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS)

• Faith-based and Community Initiatives (FBCI)

#relate4HERR

https://www.samhsa.gov/recovery

https://www.samhsa.gov/brss-tacs

https://www.samhsa.gov/faith-based-initiatives

Continuing Education

Session evaluation and CEH quiz:http://www.surveygizmo.com/s3/3488883/Relationships-

Matter-3-Finding-Her-Tribe

• All registered attendees will also receive an email containing this link after the event.

• Each person seeking continuing education credits must take the quiz individually.

• You will be able to download your certificate immediately after completing the quiz with a passing grade.


http://www.surveygizmo.com/s3/3488883/Relationships-Matter-3-Finding-Her-Tribe

Join Us May 9 forMotherhood: What it Means

for Women’s RecoveryClick to Register

http://www.tinyurl.com/relationshipsmatter4

#relate4HERR

http://www.tinyurl.com/relationshipsmatter4

THANK YOUVisit SAMHSA’s Women, Children & Families

Training and Technical Assistance Website for more information on this series, including PDFs of the

slides and archives for later viewinghttps://www.samhsa.gov/women-children-

families/trainings/relationships-matter

#relate4HERR

https://www.samhsa.gov/women-children-families/trainings/relationships-matter