Strengthen Peer Recovery Support Services & Programs

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Return to Opioid Strategy Map or Zoom Map (Improve Treatment & Enable Recovery for People with SUDs) or ZOOM MAP - Strengthen Peer Recovery Support Services & Programs  

 

Overview

While peer-based recovery groups are usually not sufficient by themselves to help people achieve and maintain recovery (statistics needed), they can be an important part of a successful recovery ecosystem. They can be expanded and improved with less money than other options, and they can be integrated with other elements of an individual's strategy for recovery.
  The following should be considered as ways to enhance the impact of peer recovery and support in a community:
 
  1. Strive to have a wide range of recovery groups that can support people in different situations with their recovery.
  2. Help connect people with appropriate recovery groups--potentially becoming a source of information to help people make decisions on which recovery group to be a part of, possibly with statistics and reviews of different groups. (Any examples of this?)
  3. Provide information and tools to peer-based recovery programs to help them improve.
  4. Help connect people in peer-based recovery groups with other tools and resources to support successful long-term recovery


A study published in 2018 called Peer Alternatives in Addiction indicated that having an alcohol recovery goal of lifetime abstinence was a powerful predictor of better substance use outcomes
Those with a goal of lifetime total abstinence had 5.2 times the odds of alcohol abstinence vs. those with any other goal..[1] That study compared 12-Step programs with other programs not based on the 12 steps and found they had similar benefits.

 

Links to Groups

Narcotics Anonymous Website
Heroin Anonymous Website
Pills Anonymous Website
Nar-Anon Family Groups Website - A 12-step program for families and friends of addicts

Twelve Step Programs

Before the development of treatment programs, the only option available to a person with an addiction was hospitalization or a Twelve Step group, such as Alcoholics Anonymous or Narcotics Anonymous. These groups are still an important component of recovery for people who have been through treatment, and working the first five Steps is often part of treatment in residential and outpatient programs. Some people have also found and maintained lifelong recovery by relying solely on a Twelve Step program. With the wide availability today, it’s a good idea to seek out treatment, but participation in a recovery group, like a Twelve Step group, is also a significant factor in avoiding relapse and enjoying a healthy life after treatment. [2]
 
 

Peer-Based Recovery Alternatives to Twelve Step Programs

Some people are looking for peer-based recovery support and recovery groups that are either not faith-based or that have a different approach than traditional twelve step programs. No one form of peer-based support is right for everyone.
 
 

SMART Recovery

SMART Recovery is based on cognitive-behavioral approaches that help members recognize environmental and emotional factors for alcohol and other drug use (as well as other “addictive” behaviors) and then to respond to them in new, more productive ways. It also incorporates motivational interviewing concepts. Unlike some support groups whose principles remain static, SMART Recovery maintains a philosophy of evolving as scientific knowledge evolves.
 

LifeRing Secular Recovery

LifeRing Secular Recovery (LSR) has three fundamental principles: sobriety, secularity, and self-help. For this organization, sobriety also always means abstinence from alcohol and other problem drugs, and they practice the sobriety priority, “we do not drink or use, no matter what.” Although people of all faiths or none are welcome, LifeRing supports methods relying “on human efforts rather than on divine intervention.” For them, self-help means that the key to recovery lies in the individual’s own motivation and effort, and the group is there to reinforce his or her own inner efforts.
 

Celebrate Recovery

Celebrate Recovery (CR) was founded as a Christian support group in the early 1990s and is part of the Saddleback Church of Christopher Warren (author of mega bestseller, The Purpose Driven Life) fame. It has eight recovery principles based on the biblical beatitudes, each translated into a principle of personal recovery, and provides a Christ-centered, Bible-based recovery program.
 

She Recovers

She Recovers provides a variety of resources, from blogs to retreats, peer support, and recovery coaches certified in their approach. This article provides more background information.
 

Secular Organizations for Sobriety (SOS)

Secular Organizations for Sobriety is an alternative to 12-Step programs, S.O.S. prides itself on being its own entity and not deriving from another secular or religious program. S.O.S. continues to evolve with new research and does not subscribe to any one theory surrounding addiction.

Tools to Enhance Peer-Supported Recovery

The myriad of challenges facing people in recovery generally extend beyond what can be addressed by any one program. Many new tools have emerged since the early days of 12-step programs (or other peer recovery programs), and these tools have the potential to build on and enhance the value of peer-based groups.
 

The Addiction Resource Center

The Addiction Resource Center (ARC) shares a wide variety of resources that can help people start and maintain successful recovery. The ARC is a free online platform designed to assist people concerned about their own substance use or a loved one's substance use. People can go through a self-assessment, develop an action plan, and discover local resources to address substance use disorder (SUD). People involved in a peer-based recovery program (an their loved ones) can be encouraged to use this portal to access other resources and then share the resources they find valuable with others in their group.
 
 

Peer Support Toolkit

The Philadelphia Dept. of Behavioral Health & Intellectual disAbility Services is a national leader in providing recovery-oriented services and ID supports. 888-545-2600 developed a peer support toolkit to help communities enhance the success of people in recovery. It has many valuable resources.
 
 

The Peer Support Center at Mental Health America

Mental Health America's Peer Support Center has innovative programs and tools to significantly improve the well-being of people with a wide variety of mental health and substance abuse issues. One of their programs, Social Self-Directed Care, has had very impressive results. As an example of one evaluation, in the baseline survey 0% of participants said they had as many friends as they would like. In the final survey 75% answered affirmatively. Re-hospitalization and emergency services rates went down over 70%, and 95% of the participants rated their satisfaction with the program at the highest possible score.
[File:http://www.wikispaces.com/i/mime/32/application/pdf.png SSDC handout 6-18.pdf]
 

rTribe

rTribe is a phone application and platform that enhances small group person-to-person accountability and encouragement to address a wide variety of challenges, including overcoming addiction or behaviors that lead to negative consequences for people. The platform has both free and premium (paid) levels of functionality, and it includes a variety of free resources to help people on their journey of overcoming the challenges they are working on. It also provides access to on-demand professional help for reasonable fees. People in peer recovery programs can use rTribe as way to provide improved accountability and support between people (a person and his or her sponsor) or among small groups (within or outside any particular recovery group). Volunteers who want to help support people in recovery can be part of a group and use this phone app to easily communicate and track progress.
 

Rezility

Rezility is a new platform and phone app that can help connect people with resources and positive supports and activities in their community. While it is not specifically focused on recovery, it is a valuable (and free) platform to help build the connections that can contribute to successful recovery. Many different stakeholders can participate in many ways--from housing providers who want their residents to be supported in a stable, healthy and positive life to non-profits that want better ways to connect with those they serve. It can be part of an ecosystem that supports long-term recovery. Peer recovery groups can encourage the use of this platform to improve the social integration and access to available resources for people in their group.

Recovery Coaches

About Recovery Coaches

Recovery coaches are people who are in recovery, who have been trained as recovery coaches, and who are actively involved with helping others in their recovery journey. There is growing coverage by Medicaid and other insurance programs for recovery coaches (Details?) so this can be a good way to expand recovery resources in a community. It can also provide meaning and income for people in recovery where they can use their lived experiences (both bad and good) to help others. In addition to the peer support and a sponsor in a peer-based program, having a recovery coach may help a person be more successful in their own recovery. This page from the Center for Addiction Recovery Training includes links to more information on recovery coaching. There are multiple approaches to recovery coaching and training.
 

Resources and Example Programs for Recovery Coaches and Recovery Coaching.


Center for Addiction Recovery Training (CART)
CART offers training and certification for recovery coaches.

The Connecticut Community for Addiction Recovery (CCAR) Recovery Coaching Program
CCAR Recovery Coaching program is one model of how recovery coaching is used to create supports for successful and sustained recovery.

 

Anchor Recovery

Anchor Recovery Community Center. Those that join receive access to the following programming:

  • AA meetings
  • holistic wellness activities
  • Employment services like job interviewing and computer literacy skills to help you build your career
  • Be a part of network of supportive people

AnchorED Outcomes

  • In 3 years since it's start, AnchorED’s recovery coaches have counseled more than 2,000 overdose survivors, with 87% of them opting to engage in some type of recovery service after being discharged from the ER

 

Recovery Coach Academy

Equips individuals with the skills and competency needed to become a Certified Peer Recovery Specialist. The training academy is based on the curriculum from the Connecticut Community for Addiction Recovery (CCAR), a neighboring leader in peer recovery training. The CCAR model for peer recovery training is an evidence-based and time-tested model for offering peer support. This model is designed to provide an up-to-date approach to helping those in recovery from addiction.
 

 

Anchor Consulting

Anchor Recovery has a variety of training options to support your community's effort to build a recovery-focus community, implement a recovery center, respond to opioid overdoses, and train a peer workforce.
 
 

Blue HART program

The Blue HART (Heroin Addiction Recovery and Treatment) program is an innovative effort to immediately connect those struggling with SUDs to adequate and appropriate treatment options. See how below:
 

Steps

  • Each police station intake station has set days during which their doors are open to individuals in need of treatment for a SUD
  • Every station in the county facilitates care 24/7
  • First, participants undergo a background check so that Blue HART can develop a holistic view of their situation and begin tracking their case.
  • Then the participant is linked to a recovery coach
  • Next the participant is transported by an officer to a partnering clinic where the participant is evaluated by a clinician who determines the proper level of care.
  • If the state lacks an adequate number of treatment beds and long-term options, some participants are sent out-of-state to facilities with which Blue HART has established relationships.
  • Through the use of forfeiture funds, the police department organizes door-to-door transportation to treatment, be it a short drive to a local detox or a plane ticket to a long-term accredited facility in Texas.
  • Existing criminal charges are postponed during an individual’s participation in the program, and can be used as leverage later on in order to motivate individuals to remain in treatment.
  • When participants have successfully completed treatment, they continue to engage with their Recovery Coach, and those with pending criminal charges work with the prosecutor’s office to determine the status of their charges.
  • Recovery Coaches are people who have been in recovery for at least two years and have been trained to provide mentorship and guidance to Blue HART and OORP participants as they navigate the continuum of care. This constant communication helps the program keep track of participants at every critical step, from the initial assessment through sustained recovery.
  • All participants engaged in Blue HART sign HIPAA releases to ensure that every provider engaged in their treatment can communicate with one another and make informed decisions regarding the participant’s care.
  • (Blue HART receives weekly updates from clinicians on each participant’s progress.) This also enables the program to intervene at critical moments when the participant otherwise may have fallen off of the radar.

Cost

  • Free
  • scholarships are available to those in financial need

Key Partners

  • Law Enforcement (Police and Prosecutors)
  • Clinicians
  • Treatment Providers
  • Recovery Coaches

 

Recovery Army

Recovery Army is a website that shares many stories of victory and engages people in recovery to help others.  www.recoveryarmy.org 

College Student Groups

RICovery

RICovery is a student-run organization at Rhode Island College that is a peer-to-peer support group. Students can drop in on meetings to release stress, to talk about addiction or to make plans to advance awareness. In addition, each semester RICovery holds training sessions on how to administer naloxone, the antidote for opioid overdose.

Tools & Resources

TR - Strengthen Peer Recovery Support Services & Programs

Scorecard Building

Potential Objective Details
Potential Measures and Data Sources
Potential Actions and Partners

Resources to Investigate

More RTI on Peer Recovery Support Services & Programs


PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer Date Comments
     

Sources

  1. [1]
  2. Hazelden Betty Ford Foundation. Heroin and Prescription Painkillers: A Toolkit for Community Action. 2016
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