#ACOPC2016 @OverdoseFreePA ACOPC Summer Conference 2016 “Anatomy of Recovery: Peaks and Valleys” July 28, 2016 We have a large number of participants today so please be courteous and fill in seats from the middle and from the front first. #ACOPC2016 @OverdoseFreePA

Creative Recovery: A Strength Based Approach Keirston Parham, CPS Recovery and Peer Services Coordinator Western Psychiatric Institute and Clinic of UPMC #ACOPC2016 @OverdoseFreePA

Creative Recovery: A Strength Based Approach Keirston Parham, CPS, CWF Western Psychiatric Institute and Clinic of UPMC Recovery and Peer Services Coordinator

According to SAMHSA’s 2014 National survey on Drug Use and Health About 21.5 million Americans ages 12 and older were classified with a substance use disorder (SUD). Out of those 21.5 million: 2.6 million used drugs and alcohol 4.5 million used only drugs 14.4 million used only alcohol 7.9 million adults had co-occurring disorders

What is Recovery? per SAMHSA, Substance Abuse & Mental Health Services Administration A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

Collaborative with Community Supports WPIC Recovery Is Consumer-centered Choice-promoting Community-based Culturally Sensitive Collaborative with Community Supports Compassionate towards Self and Others ====NOTICE THESE WORDS ALL START WITH THE LETTER ‘C’---A REMINDER THAT WE MUST WORK TO ‘SEE’ PEOPLE NOT DIAGNOSES.==== Recovery refers to the process in which people are able to live, work, learn, and participate fully in their communities. For some individuals, recovery is the ability to live a fulfilling and productive life. For others, recovery implies the reduction or complete remission of symptoms. Science has shown that hope plays an integral role in an individual's recovery. 6

According to those in recovery . . . Recovery is… Deeply personal Highly individualized Unique to each person Without limits

The Mental Health Recovery Model per SAMHSA, Substance Abuse & Mental Health Services Administration SAMHSA'S RECOVERY MODEL SD –consumers lead, control, exercise choice over and determine their own path of recovery I- based on individuals unique strengths , resiliencies as well as his or her own needs preferences(including past trauma) ,Cultural background H- recovery encompasses an individuals whole life- mind ,body, spirit ,and community NL- recovery is not a step by step process but one based on continual growth, and occasional set backs and learning from experience PS- mutual support – sharing of experiential knowledge - sense of belonging supportive relationships RESPO – consumers have a personal responsibility for their own self-care H- recovery provides the essential and motivating message of a better future

Hope While all of these concepts are important in recovery, perhaps the most important concept in the recovery model is the instillation of Hope. In the research article, ”Hope as a determinant of mental health recovery” a psychometric evaluation of the Herth Hope Index-Dutch version, by, Van Gestel-Timmermans states: “Hope is especially important for individuals when personal resources are exhausted or when they are in a threatening situation with an uncertain outcome.” FULL CITATION : Van Gestel-Timmermans, H., Van Den Bogaard, J., Brouwers, E., Herth, K. and Van Nieuwenhuizen, C. (2010), Hope as a determinant of mental health recovery: a psychometric evaluation of the Herth Hope Index-Dutch version. Scandinavian Journal of Caring Sciences, 24: 67–74. doi: 10.1111/j.1471-6712.2009.00758.x

Why is empathy important?

A recovery story….

Challenges to the Recovery Model Stigma & discrimination Paternalistic attitude Strong-hold of medical model Fear Time constraints Paperwork to satisfy regulatory demands

Our Role as a Possible Cause for Challenging Behaviors Are we aware of our first impressions when we meet someone new? Can our first impressions can be guided by appearance, age, gender, cultural background, style of dress etc…? How are our interactions impacted by our impressions, prejudices, stereotypes?

Getting It! http://www.youtube.com/watch?v=LfeXxkbgCVE

How do they differ from triggers? Barriers to Recovery How do they differ from triggers? How do we identify them?

Source: Adapted from Swarbrick, M. (2006). A wellness approach Source: Adapted from Swarbrick, M. (2006). A wellness approach. Psychiatric Rehabilitation Journal, 29(4), 311–314.

Don’t be part of the problem Don’t make assumptions Don’t be judgmental Don’t be dismissive Don’t talk down Don’t talk past Don’t refer to someone as their diagnosis Don’t quit PRACTICE SELF CARE TO BE THE BEST MT, NURSE, ADMINIS ASSISTANT, CASE MANAGER, SUPPORT STAFF YOU CAN BE! Words are powerful instruments of change

Be part of the Solution Do remember why you entered this field Do practice patience with others and with yourself Do listen to the individual about what he/she needs Do speak for the rights of all consumers, regardless of diagnosis Do practice self-care! Do create an environment of hope… Difficult persons Started w/ youth Imagine the first person who should have

R E C O V E R Y THINK: Thank you for being here today! U are the difference Didn’t listen Didn’t care Wasn’t patient Yelled back Gave up!

Contact Information Keirston Parham, CPS, CWF Western Psychiatric Institute and Clinic of UPMC Recovery and Peer Services Coordinator Oxford Bldg. 3501 Forbes Avenue, 6th Floor - #608 Pittsburgh, PA 15213 T. 412-246-5954 F. 412-648-6993 parhamks@upmc.edu

#ACOPC2016 @OverdoseFreePA Co-Sponsors Pyramid Healthcare, Inc. Greenbriar Treatment Center White Deer Run Treatment Network Summit BHC of PA Community Care Behavioral Health Organization University of Pittsburgh Thank you!!! #ACOPC2016 @OverdoseFreePA