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RICAP: Symposium #2 Recovery Perspectives – Understanding Behavioral Health Wellness Ronald Seifer, Ph. D. Bradley Hospital/Brown University
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RICAP: Why Are We Here Today
Rhode Island Community-Academic Partnership for Public Health Recovery and Wellness Community input and expertise Develop academic/research agenda Get funding to advance these complementary goals
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Recovery Many meanings Individual pathways Assisted Unassisted
Do fewer “bad” things Do more “good” things
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Wellness Many meanings Individual pathways
Generally about doing “good” things Functional behaviors State of mind Prevention of “bad” things
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SAMHSA Definition of Recovery
[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 Health, Home, Purpose, Community
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Does the SAMHSA Definition Help?
What behaviors lead to recovery? What are overlaps regarding substance use problems and mental health problems? Are there differences in the recovery process for different levels of severity? Is the full life course addressed (prevention, treatment, social determinants, etc.)?
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Conflicting Language and Concepts
Mental illness Substance use disorders Mental health Behavioral health How do these fit into the concepts of recovery and wellness?
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Developing a Research Agenda: Where Are We Now?
Driven by models of disease and pathology Defining diagnostic entities Animal models (behavior, brain mechanisms, neurotransmitters, experimental manipulations) Observational studies Treatment studies (including randomized trials) Developed largely within academia
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Developing a Research Agenda: Where Do We Want to Be?
Study things that matter to community members Identify what works Identify what works for whom Identify what work for whom at what times Identify what doesn’t work Learn things quickly
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Developing a Research Agenda: How Do We Get There?
Convene all interested parties Community members (including those affected by substance and mental health issues) Providers Insurers Government Researchers Listen to one another
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Developing a Research Agenda: How Do We Get There?
Develop an agenda with meaning Work collaboratively To implement the agenda To find resources to support the efforts Always retaining fundamental goal of maximizing individuals’ potential for meaningful lives
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