The Latest in Recovery Advocacy Tools Many Faces 1 Voice & The Anonymous People Project

Kim Manlove Director Indiana Addictions Issues Coalition?

* Broad based organization whose mission is to promote recovery through public education, advocacy and service * The IAIC works to put a “face and voice” on recovery -to break down misperceptions that will change attitudes (stigma) and policies (discrimination)

Addiction is a brain disease * Treatment for addiction is successful (treatment works) * Treatment for addiction is cost effective * Lack of health insurance parity for treatment is discrimination.

* Increase access to treatment * Increase the number of professionals and programs providing treatment * Reduce stigma through public education * Provide a voice to help shape public policy on addiction issues

Introduction and Setting the Context * Organize and educate the recovering community on how to advocate without violating traditions * End discrimination – Health Insurance, Housing, Employment, Public Assistance * Broaden social understanding to achieve a just response to addiction as a public health crisis

Introduction and Setting the Context * Organize and educate the recovering community on how to advocate without violating traditions * End discrimination – Health Insurance, Housing, Employment, Public Assistance * Broaden social understanding to achieve a just response to addiction as a public health crisis

Introduction and Setting the Context * Actively supporting a cause and trying to get others to support it * Speaking up, drawing attention to an important issue and directing decision makers towards a solution *.... Advocacy is Education

The Beginning With Faces and Voices of Recovery  Organizing and mobilizing people in long-term recovery from addiction, our families, friends, and allies, to speak with one voice  Changing public perceptions of recovery  Promoting effective Federal and State public policy  Focusing on the reality of recovery that is making life better for over 23 million Americans, their families, and communities

 2001 Recovery Summit; St. Paul, MN  The recovery movement:  includes people in recovery from addiction from alcohol and other drugs, family members, friends, and allies  includes and honors all pathways to recovery  encompasses all the diverse perspectives, cultures, and experiences of the recovery community Addiction Recovery Advocacy Movement

Current Climate: The Perfect Storm  Recovery Advocacy Movement  Recovery-Oriented Systems of Care  Mental Health Parity and Addiction Equity Act  Affordable Care Act  Managed Care Expansion  Peer Recovery Support Services  Criminal Justice and Drug Policy Reform Movement  Many Faces 1 Voice  The Anonymous People Movement

Recovery is the Focus

Shifting from a crisis-oriented, professionally-directed, acute-care approach with its emphasis on discrete treatment episodes…. …to a person-directed, recovery management approach that provides long-term supports and recognizes the many pathways to health and wellness. Focus: Recovery and Wellness

Recovery-oriented Systems of Care  Build the capacity of communities, organizations, and institutions to support recovery  Build on the strengths of individuals, families, and communities to foster long- term recovery, health, and wellness  Expand the menu of services and supports across the entire recovery continuum  Ensure people in or seeking recovery receive dignity and respect  Lift discriminatory policies and barriers to recovery

 Unmet Need: < 10 % who need Tx seek treatment or if they do, arrive under coercive influences  Low Pre-Treatment Initiation Rates  Low Retention: > 50 % do not successfully complete treatment  Inadequate Service Dose: significant % do not receive optimum dose of Tx as recommended by NIDA.  Lack of Continuing Care : only 1 in 5 receive post- discharge planning  Recovery Outcomes: most resume using within 3months to one year of discharge from Tx  Revolving Door: > 60% one or more Tx episodes, 24% 3 or more – 50% readmitted within 1 year. Challenges Currently Facing Addiction Service Systems Adapted from Ijeoma Achara

Service System Progression Arthur Evans

Service System Progression Arthur Evans

Service System Progression Arthur Evans

 Outreach and engagement  Strength-based screening, assessment, and service planning  Expanded and service team composition and collaborative relationships  Focus on community integration  Linkages to recovery community  Post-treatment check ups Recovery-oriented Clinical Services Adapted from Ijeoma Achara

 Develop the capacity and infrastructure of the organized recovery community to become a full partner and participant  Explore range of options regarding paid and volunteer peers  Expand PRSS and increase service menu options and points of access  Integrate PRSS into recovery community and diverse service settings, including treatment Fully in the Mix: Peer Recovery Support Services

Setting the Context: Recovery Capital

What is Needed: Recovery Capital  Physical : includes health (access to care), financial assets, food/clothing/shelter, transportation  Human: includes culture, values, knowledge, education, inner- and interpersonal skills, judgment, and other capacities  Social: includes connectedness to social supports and resources, intimate/family/kinship relationships, and bonds to community and social institutions Recovery Capital is the breadth and depth of internal and external resources that can be drawn upon to initiate and sustain recovery from addiction. (Granfield and Cloud, 1999, 2004; White, 2006)

 Limited education  Minimal or spotty work history  Low or no income  Criminal background  Poor rental history  Bad credit  Accrued debt and/or back taxes  Unstable family history  Inadequate access to health care Consequences of Addiction Can Deplete Recovery Capital

Essential Ingredients for Sustained Recovery:  Safe and affordable place to live  Steady employment and job readiness  Education and vocational skills  Life and recovery skills  Health and wellness  Sober social support networks  Sense of belonging and purpose  Connection to family and community Creating and Reinforcing Recovery Capital

With Many, a Need to Address:  Legal issues  Expunging criminal records  Financial status: debt, taxes, budgeting, etc.  Restoring revoked licenses: professional, business, driver’s  Regaining custody of children  Developing relationship and parenting skills  Developing sober social support networks and community connections Creating and Reinforcing Recovery Capital

Building Communities with Recovery Capital  Build on the strengths and resilience of individuals, families, and communities to be responsible for sustained recovery and wellness  Make services and resources available that help individuals and families throughout the recovery process  Build the capacity of communities, organizations, and institutions to support recovery: recovery-supportive rather than recovery-hostile  Lift discriminatory barriers that impede recovery and wellness

Peer Recovery Support Services

 Services to help individuals and families initiate, stabilize, and sustain recovery  Provided by individuals with “lived experience” of addiction and recovery  Non-professional and non-clinical  Distinct from mutual aid support, such as 12-step groups  Provide links to professional treatment, health and social services, and support resources in communities Peer Recovery Support Services

 Natural  Reciprocal  Accessible  Potentially enduring  Non-commercialized  Non-regulated Elements of a Peer Relationship William White

 Focuses on establishing trust and building relationship  Builds on a person’s strengths to improve Recovery Capital  Promotes recovery choices and goals through a self-directed Recovery Plan  Utilizes recovery community resources and assets, especially volunteerism  Provides entry and navigation to health and social service systems  Models the benefits of a life in recovery What Makes Peer Work Effective ?

 Effective outreach, engagement, and portability  Manage recovery as a chronic condition  Stage-appropriate  Cost-effective  Reduce relapse and promote rapid recovery reengagement  Facilitate reentry and reduces recidivism  Reduce emergency room visits  Create stronger and accountable communities Benefits of Peer Recovery Support Services

Across the full continuum of the recovery process:  Prior to treatment  During treatment  Post treatment  In lieu of treatment Peer services are designed and delivered to be responsive and appropriate to all stages of recovery. When Are PRSS Delivered?

Continuum of Addiction Recovery Pre-Recovery Engagement Recovery Initiation & Stabilization Recovery Maintenance Enhancement of Quality of Life in Long- term Recovery William White

 Recovery community centers  Faith and community-based organizations  Emergency departments and primary care settings  Addiction and mental health treatment  Criminal justice systems  HIV/AIDs and other health and social service agencies  Children, youth, and family service agencies  Recovery high schools and colleges  Recovery residences and Oxford Houses Where Are PRSS Delivered?

 Personal guide and mentor for individuals seeking to achieve or sustain long-term recovery from addiction, regardless of pathway to recovery  Connector to instrumental recovery-supportive resources, including housing, employment, and other services  Liaison to formal and informal community supports, resources, and recovery-supporting activities Peer Recovery Coach

 Peer telephone continuing support  Peer-facilitated educational and support groups  Peer-connected and –navigated health and community supports  Peer-operated recovery residences  Peer-operated recovery community centers NOT Just Recovery Coaches

 Vision: creating a community institution like a Senior Center  Provides public and visible space for recovery to flourish in community: Recovery on Main Street  Serves as a “community organizing engine” for civic engagement and advocacy  Operates as a “hub” for PRSS and recovery activities  Includes participation of family members  Provides volunteer, service, and leadership opportunities  Positions the recovery community as a key stakeholder with the greater community Recovery Community Centers

Moving Forward with Many Faces 1 Voice And The Anonmymous People Project

Q: Why don’t we treat addiction like other public health issues? The numbers are staggering: Over 23 million Americans need help Costs the nation $343 billion/year Numbers of young people dying is climbing We have the pictures of the brain. We know that 90% of the time it starts in adolescents. We have proof that people can and do recover: Over 23 million Americans are in long-term recovery from addiction to alcohol and other drugs

Discrimination Marginalization Stigma Shame Anonymity Fear Education / Training Unaware of Their Power Why have most of those directly impacted – people in recovery, family members and friends – stayed so silent and disengaged?

Q: How Do We Activate A FRAGMENTED…CONFUSED… ANONYMOUS…MARGINALIZED…AMBIVALENT… Constituency – over 23 Million Americans and their families – 10% of all Americans – to get engaged to address addiction?

2013: Released For Community Screenings -Grassroots Distribution -Over 80,000 Have Seen It -8.7 Out of 10 Rating On IMDB -Screened at The U.S. Capitol A Social Action Filmmaker’s Dream Come True! The Most Common Question Asked After Watching The Film: “I Am Inspired, I Want To Get Involved, What Can I Do In My Community?”

“A multi-faceted campaign to mobilize people in recovery, family members, friends and allies to advance the addiction recovery advocacy movement.” As of April 2014 – Campaign Founders Include: A New Campaign Brought To You By Faces & Voices of Recovery

Free, online educational & inspirational short videos of people in recovery who have stepped up to share their story with a purpose – advancing recovery

Empowerment: Individual Story Sharing & Taking Action

Community Screening Tools & Discussion Guide Outreach and PR Event Marketing Templates Social Media Outreach Templates Guide For Opening Remarks Post-Film Discussion Guide Q&A With Greg Williams Advocacy With Anonymity brochure A.A. World Services Letter About Film Call-To-Action Post-Cards Just want to use the film within your agency? Institutional / Public Performance Rights are now available – see post-card hand-out for details.

Questions and Answers

Greg Williams | Filmmaker

 Complementary, rather than opposing, paradigms  Search for potent combinations and sequences  Mutual respect for different ways of knowing and types of experience  Philosophy of choice  Shared goal of people getting and staying well We Begin With Foundational Principles of Collaboration Adapted from Ijeoma Achara

 Nothing about us without us (Inclusion as first thought versus afterthought)  Representation of multiple recovery pathways  Authenticity of representation  Avoiding problem of double agentry  Giving back versus cashing in Collaboration with Recovery Representation William White

Common and shared elements:  To be active agents of change in our own lives – not passive recipients of services  To manage/eliminate and move beyond our symptoms  To participate in valued social roles and relationships  To embrace purpose and meaning in our lives and make worthwhile contributions  To not be defined by our illness  To live a self-actutalized life abundantly! Shared Vision for the Future Adapted from Ijeoma Achara

 Recovery Works  Recovery is Possible  Recovery is an Expectation! Vision Renewed