Recovery Ally Training Tia Mann, M.S., CHES Jen Cervi, MSW - - PowerPoint PPT Presentation

Recovery Ally Training

Tia Mann, M.S., CHES Associate Director Office of Health Promotion UVA Jen Cervi, MSW Recovery Support Specialist Office of Health Promotion UVA

By the end of the training we will…

• Understand the basics of substance use disorders and recovery
• Understand the importance of empathy in recovery support
• Be more familiar with UVA and Charlottesville resources
• Understand the roles of a Recovery Ally, and commit to at least one

form of recovery ally-ship

Chat Discussion What did communication about substance use look like in your family of origin?

Why do people use substances?

Because it’s doing something helpful for them.

SUBSTANCE USE DISORDER

• Using more than intended (in quantity, frequency, or duration of use)
• Unsuccessful efforts to reduce or control use
• Excessive time spent using, obtaining, or recovering from use
• Continuing to use despite problems related to use
• Failure to fulfill major role obligations
• Withdrawal reactions
• Increasing tolerance (needing more of the substance to feel the same effect)
• Cravings

*As an ally, you express empathy, concern, and compassion if you recognize these symptoms in yourself or others.*

Adapted from: National Institutes on Drug Abuse. 2014. Drugs, brains and behavior: the science of addiction. https://www.drugabuse.gov/publications/drugs- brains-behavior-science-addiction/drug-abuse-addiction

• Chaotic home
• Parents’ use and

attitudes

• Peer influences
• Community attitudes

Biology/Genes Environment Trauma Risk of Substance Use Disorder

• Early use
• Availability
• Cost
• Effect of drug itself
• Route of administration
• Genetics
• Gender
• Mental disorders

DRUG

• Adverse Childhood

Experiences (ACEs)

*As an ally, you understand that a SUD is a disease (not a moral failing), and like all diseases, the risk for SUD is impacted by genetics and environment.*

Diabetes or Hypertension “It worked!” Substance Use Disorder Treatment Treatment Recurrence of use: “It failed!”

*As an ally, you understand that SUDs and recovery require ongoing care, and be empathetic when people struggle with this chronic disease.

Treatment “It failed!”

Stigma and Recovery Identity

*As an ally, you can fight stigma by:

• Using person-first language and appropriate terms
• Sharing the many diverse stories of recovery
• Highlighting the recovery, not the substance use disorder
• Substance misuse vs. substance abuse
• Person with a substance use disorder vs. alcoholic or addict
• Substance-free vs. clean or dirty
• Person in recovery

Internalized Stigma

• Aka “self-stigma”
• Applies negative stereotypes, biases,

and discrimination to themselves

• Impedes recovery process
• Increases depression, perceived

devaluation, and discrimination

• Reduces self-esteem, recovery
• rientation, empowerment, and morale

What is Recovery?

“A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential”

Formal Treatment Medication Assistance Recovery Support Services Mutual Aid Groups

Others are using substances and living their lives while people in recovery:

Are learning how to maintain abstinence in a new and stressful environment Restructuring their daily lives to avoid behaviors and social triggers that may lead to use Balancing the demands of recovery and life Making new friends and finding a sense

• f belonging

How can I be a recovery ally?

• Be available, listen, build relationships that open doors for communication
• Be knowledgeable of resources and share that knowledge with others
• Avoid/discourage stigmatizing language
• Avoid/discourage normalizing substance use
• Avoid stereotypes/assumptions
• Have empathy and compassion for people with a SUD and those in recovery
• Advocate for more effective treatment and recovery support services
• Encourage people in their recovery process
• Have a conversation if you’re concerned about someone’s use

Resources

Help Everywhere: No Wrong Door

Counseling FEAP AA/NA/Refuge Recovery CRP Orchard Mountain Recovery UVA’s OBOT Services Friend Coworker Supervisor Loved One Region Ten Addiction Recovery Systems

UVA’s Collegiate Recovery Program provides:

• Recovery education and support
• A genuine UVA community

experience

• Accountability
• Recovery ally trainings

A Way to Conceptualize Recovery Work: Three Pillars

Growth Personal development through their recovery journey Service Helping others unconditionally Community Sharing similar struggles

On a Recovery-Ready Grounds, there is:

• Comfort in asking for help, instead of feeling stigmatized
• No judgment: A culture of empathy and understanding when intervening
• Respect for recovery by offering encouragement and celebrating success
• Help everywhere: Someone seeking help is easily directed to the right resources
• Recovery-informed prevention: Introducing the idea of recovery in approachable

ways (stories, examples, resources, etc.)

A Recovery Story

Scenarios

1.

A friend has been struggling maritally and exhibiting erratic

• behavior. One day you notice them (not for the first time)

struggling to stay awake and you detect the smell of alcohol on their breath and body. How do you respond?

2.

A new friend shares with you that they are 30 days into their

• recovery. How do you respond?

Recovery Ally Pledge

• I pledge that I will treat all people who use substances and those in recovery

with dignity and respect. I will strive to be:

• An open-minded and active listener
• Conscious of my own biases and work to adjust them
• Informed and open to learning more about prevention and recovery
• Aware of the environments I create and work to build a safe space where

people can share struggles and success with substances and mental health challenges

• An amplifier for the voices of people in recovery and an advocate for the

rights of people both in recovery and those struggling with substances

• I also believe I can contribute in the following specific way: _____________

Questions?

• Adolescent Community Reinforcement Approach outcomes differ among emerging adults and adolescents
• Alexander, M. The new Jim Crow: Mass incarceration in the age of colorblindness. New York: The New Press; 2012.
• American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Arlington, VA;

Washington, D.C.; 2013.

• American Society of Addiction Medicine. Treatment. Available at: https://www.asam.org/public-resources/treatment. Accessed

July 27, 2017.

• Baker KM. "I'm going to shut down all of your tricks": Depictions of treatment professionals in addiction entertainment. Subst

Use Misuse. 2016;51(4):489-497.

• Botticelli MP, Koh HK. Changing the language of addiction. JAMA. 2016;316(13):1361-1362.
• Bronfenbrenner U. Toward an experimental ecology of human development. Am Psychol. 1977;32(7):513-531.
• Cape GS. Addiction, stigma and movies. Acta Psychiatr Scand. 2003;107(3):163-169.
• Committee on Improving the Health, Safety, and Well-Being of Young Adults; Board on Children, Youth, and Families; Institute
• f Medicine; National Research Council; Bonnie RJ, Stroud C, Breiner H, editors. Washington (DC): National Academies Press

(US); 2015 Jan 27.

• Dickerson, P. (2012, June 23). Post acute withdrawl of addiction [video file]. Available at:

https://Www.youtube.com/watch?v=TDy-OqGyLqU. Accessed June 27, 2017.

• "Emerging Adults in America: Coming of Age in the 21st Century," co-edited Arnette with Jennifer Lynn Tanner, Ph.D.

SOURCES

• Kelly JF, White WL, eds. Addiction recovery management: Theory, research and practice. Totowa, NJ: Humana Press; 2011.

Rosenbaum J. F., ed. Current Clinical Psychiatry.

• Kosovski JR, Smith DC. Everybody hurts: Addiction, drama, and the family in the reality television show intervention. Subst

Use Misuse. 2011;46(7):852-858.

• McLellan AT, Lewis DC, O'Brien CP, Kleber HD. Drug dependence, a chronic medical illness: Implications for treatment,

insurance, and outcomes evaluation. JAMA. 2000;284(13):1689-1695.

• National Alliance of Advocates for Buprenorphine Treatment. Substance Use Disorders: A guide to the use of language. 2004.

Available at: https://www.naabt.org/documents/Languageofaddictionmedicine.pdf. Accessed July 27, 2017.

• National Alliance of Advocates for Buprenorphine Treatment. The words we use matter. Reducing stigma through language.

2008;10M 06/08. Available at: https://www.treatmentmatch.org/_docs/NAABT_Language.pdf. Accessed July 27, 2017.

• National institutes on drug abuse. 2014. Drugs, brains and behavior: The science of addiction. Available at:

https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drug-abuse-addiction. Accessed June 27, 2017.

• Nerad S, Hosni A. Recovery ally training: Recovery is spoken here. Oral presentation at: National Collegiate Recovery
• Conference. 8th Annual Conference of the Association for Recovery in Higher Education; 2017 July 11-13; Washington, DC.
• Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12(1):38-48.
• Reasons for Quitting Among Emerging Adults and Adolescents in Substance-Use-Disorder Treatment Journal of Studies on

Alcohol and Drugs, 71(3), 400–409 (2010).

• Roose R, Fuentes L, Cheema M. Messages about methadone and buprenorphine in reality television: A content analysis of

celebrity rehab with Dr. Drew. Subst Use Misuse. 2012;47(10):1117-1124.