Recovery Model - Indiana

Recovery ModelAdapted from: SAMHSA’s Working Definition of Recovery: 10Guiding Principles of RecoveryPublisher: SAMHSAPublication ID: PEP12-RECDEF New Freedom Commission on Mental Health,Achieving the Promise: Transforming Mental HealthCare in America. (Final Report)Publisher: HHSPublication ID: SMA-03-3832

PresenterMichael Ross, MSW, LCSWEmail: Michael.Ross@fssa.IN.govPhone: (317) 234-9746Recovery WorksForensic Treatment Services Program DirectorDivision of Mental Health and Addictions

Outline1.2.3.4.5.Learning ObjectivesRecovery ModelTen Fundamental Components of RecoveryFour Major Dimensions that Support a Life in RecoveryThe Way Forward

Learning Objectives1. Be able to DEFINERecovery and Resilience.2. Know the TEN FundamentalComponents of theRecovery Model.3. Know the FOUR majordimensions that support alife in recovery.4. Be able to EXPLAIN theimportance of the RecoveryModel.(Substance Abuse Mental Health Service Administration, 2016)

Recovery Model A non-linear process of change through whichindividuals improve their health and wellness, live aself-directed life, and strive to reach their fullpotential.

Recovery-Oriented Systemsof Care Recovery-Oriented Systems of Care (ROSCs) aredesigned to help individuals recover from behavioralhealth problems across their lifespan by allowingchoice, enhancing agency, and improvingcollaboration.

RecoveryIn the final report of the New Freedom Commission onMental Health:Recovery refers to the process in which people are ableto live, work, learn, and participate fully in theircommunities. For some individuals, recovery is the abilityto live a fulfilling and productive life despite a disability.For others, recovery implies the reduction or completeremission of symptoms. Science has shown that havinghope plays an integral role in an individual’s recovery.(New Freedom Commission Report, 2003)

ResilienceIn the final report of the New Freedom Commission on MentalHealth:Resilience means the personal and community qualities thatenable us to rebound from adversity, trauma, tragedy, threats,or other stresses — and to go on with life with a sense ofmastery, competence, and hope. We now understand fromresearch that resilience is fostered by a positive childhood andincludes positive individual traits, such as optimism, goodproblem-solving skills, and treatments. Closely knitcommunities and neighborhoods are also resilient, providingsupports for their members.(New Freedom Commission Report, 2003)

Ten FundamentalComponents of Recovery1. Recovery emerges from hope2. Recovery is person-driven3. Recovery occurs via manypathways4. Recovery is holistic5. Recovery is supported bypeers and allies6. Recovery involves individual,family, and communitystrengths and responsibility7. Recovery is supportedthrough relationship andsocial networks8. Recovery is culturally-basedand influenced9. Recovery is supported byaddressing trauma10. Recovery is based on respect(Substance Abuse Mental Health Service Administration, 2013)

Recovery emerges from hope The belief that recovery is real provides the essentialand motivating message of a better future—thatpeople can and do overcome the internal and externalchallenges, barriers, and obstacles that confrontthem.(Substance Abuse Mental Health Service Administration, 2013)

Recovery emerges from hope(continued) Hope is internalized and can be fostered by peers,families, providers, allies, and others. Hope is thecatalyst of the recovery process.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is person-driven Self-determination and self-direction are thefoundations for recovery as individuals define theirown life goals and design their unique path(s) towardsthose goals.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is person-driven(continued) Individuals optimize their autonomy and independenceto the greatest extent possible by leading, controlling,and exercising choice over the services and supportsthat assist their recovery and resilience.(Substance Abuse Mental Health Service Administration, 2013)

Recovery occurs via manypathways Individuals are unique with distinct needs, strengths,preferences, goals, culture, and backgrounds—includingtrauma experience—that affect and determine theirpathway(s) to recovery.(Substance Abuse Mental Health Service Administration, 2013)

Recovery occurs via manypathways (continued) Recovery is nonlinear, characterized by continual growthand improved functioning that may involve setbacks.(Substance Abuse Mental Health Service Administration, 2013)

Recovery occurs via manypathways (continued) Recovery pathways are highly personalized. They mayinclude professional clinical treatment; use ofmedications; support from families and in schools; faithbased approaches; peer support; and other approaches.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is holistic Recovery encompasses an individual’s whole life,including mind, body, spirit, and community. Thearray of services and supports available should beintegrated and coordinated.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is supported bypeers and allies Mutual support and mutual aid groups, including thesharing of experiential knowledge and skills, as well associal learning, play an invaluable role in recovery.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is supported bypeers and allies (continued) By fostering collaboration professionals can also playan important role in the recovery process by providingclinical treatment and other services that supportindividuals in their chosen recovery paths.(Substance Abuse Mental Health Service Administration, 2013)

Recovery involves individual,family, & community strengthsand responsibility Individuals, families, and communities have strengthsand resources that serve as a foundation for recovery.In addition, individuals have a personal responsibilityfor their own self-care and journeys of recovery.Individuals should be supported in speaking forthemselves.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is supportedthrough relationship & socialnetworks An important factor in the recovery process is thepresence and involvement of people who believe inthe person’s ability to recover; who offer hope,support, and encouragement; and who also suggeststrategies and resources for change.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is culturally-basedand influenced Culture and cultural background in all of its diverserepresentations—including values, traditions, andbeliefs—are keys in determining a person’s journeyand unique pathway to recovery.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is supported byaddressing trauma The experience of trauma (such as physical or sexualabuse, domestic violence, war, disaster, and others) isoften a precursor to or associated with alcohol anddrug use, mental health problems, and related issues.(Substance Abuse Mental Health Service Administration, 2013)

Recovery is based on respect Community, systems, and societal acceptance andappreciation for people affected by mental health andsubstance use problems—including protecting theirrights and eliminating discrimination—are crucial inachieving recovery.(Substance Abuse Mental Health Service Administration, 2013)

Four major dimensions thatsupport a life in recovery1.2.3.4.(Hamrah, 2016)HealthHomePurposeCommunity(Substance Abuse Mental Health Service Administration, 2013)

The Way ForwardMedical Model Professional in charge Focus on illness anddysfunction Focus on disability andlack of competence Directive Tends to be reductionistic LinearRecovery Model Client centered Focus on wellness andfunction Focus on ability andcompetence Collaborative Tends to be holistic Non-linear

The Way ForwardIt is critical that treatment professionals and communitiesdevelop coalitions to reduce stigma and promote the roleof resilience, resistance, and recovery in prevention,health promotion, and treatment.

The Way ForwardRecovery-oriented systems support person-centered andself-directed approaches to care that build on thestrengths and resilience of individuals, families, andcommunities to take responsibility for their sustainedhealth, wellness and recovery.

The Way Forward What does an unsuccessful program look like? What does a successful program look like?

QuestionsEmail Recovery.Works@fssa.IN.gov

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