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Colorado Model


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The Colorado Model - or Open Community Model of Care - in treatment of chronic relapsing addicts and alcoholics.
Presented 1-31-12 at the Colorado Springs Symposium on Addictive Disorders

Published in: Health & Medicine, Business
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Colorado Model

  1. 1. Shootout at the I’m Okay Corral The “Open Community Model of Care” in theTreatment of Chronic Relapsing Addicts and Alcoholics Bob Ferguson CEO / Founder, Jaywalker Lodge Colorado Springs Symposium on Addictive Disorders January 31, 2012
  2. 2. William White, MA“The collaboration that once existedbetween treatment agencies and localrecovery communities has dissipated in theprofessionalization of addiction counselingand the industrialization of addictiontreatment.”1/31/2012 Colorado Model of Care 2
  3. 3. An “Open Community” Model of Care How It Into Action Works Working A Vision with Others for You1/31/2012 Colorado Model of Care 3
  4. 4. An “Open Community” Model of Care - What is the open How It community model of care? (ROSC) Works - How is it different from traditional treatment (ACM) - Which model works best for relapsers?1/31/2012 Colorado Model of Care 4
  5. 5. An “Open Community” Model of Care - Expectations and Into outcomes in the model Action - Myths vs. Reality in treating relapse clients - The evolution of the “Colorado Model.”1/31/2012 Colorado Model of Care 5
  6. 6. An “Open Community” Model of Care - Utilizing community Working service as a therapeutic tool with others - Three innovative examples of the open community models1/31/2012 Colorado Model of Care 6
  7. 7. An “Open Community” Model of Care - What are the A Vision inevitable changes we are facing in the for You future?1/31/2012 Colorado Model of Care 7
  8. 8. How it works “ It is important to define and distinguish between two very different models of care: an acute care (AC) model that focuses on bio psychosocial stabilization and a recovery management model (RM) that emphasizes sustained recovery support. As a professional field, we have oversold what a single episode of acute care can achieve… - William White1/31/2012 Colorado Model of Care 8
  9. 9. How it Works PRIMARY CARE  Arresting Addiction  Education  Counselor directed  Secluded setting  Intro to 12 Steps  Safe, secluded time out from EXTENDED CARE life’s distractions  Initiating Life in Recovery  Application Letting go of substances  Peer directed  Community setting  12 Step Immersion  Structured, hectic re-entry into real life recovery Letting go of self1/31/2012 Colorado Model of Care 9
  10. 10. How it works Primary Care Extended Transitional Care 30 – 45 days Care 90+/- days 90+/- days1/31/2012 Colorado Model of Care 10
  11. 11. A – Extended Treatment811 Main Court (90 days) A BB – Transitional Treatment725 Main Street (90 days)C – Admin & Sober Living734 Main Street (3-6 mos) CD – Outpatient Offices1152 Hwy 133 (90 days) D1/31/2012 Colorado Model of Care 11
  12. 12. How it works Body Mind Self Group Community Spirit1/31/2012 Colorado Model of Care 12
  13. 13. How it works…1/31/2012 Colorado Model of Care 13
  14. 14. Into Action Key Elements of the Model • Trust • Community meeting • Alumni Involved • Service1/31/2012 Colorado Model of Care 14
  15. 15. Into Action Trust: • Phase 1: 80/20 containment to community in first 90 days… • Phase 2: Trust ratio “evolves” to 20/80 containment to community1/31/2012 Colorado Model of Care 15
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  17. 17. IntoService Action Effective (+) Ineffective (-) • Experience = educational • Experience = punitive • Adopt-A-Highway • Sustainable Settings • Extended Table Soup Kitchen • Set up for sweat lodge • Organized, structured • Random, unprepared, disorg anized, not structured • Staff and community participate with and among • Clients are clients separated, isolated, working alone. • Prior preparation, supervision during, process experience afterwards • Lack of information1/31/2012 Colorado Model of Care 17
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  21. 21. Into Action Broken Windows Theory (1982) New York City saw a 50% reduction in violent crimes (such as murder, rape and robbery) as the result of a “community policing” campaign which focused repairing broken windows, cleaning up graffiti, and a crack down on minor offenses such as subway fare- scoffers and squeegee-wielding panhandlers. * But the Jets STILL didn’t make the playoffs!1/31/2012 Colorado Model of Care 21
  22. 22. Into Action Alumni After Treatment 3 mos (35) 6 mos (31) 6 - 18 mos (25) 100 100 100 91 80 80 80 71 75 65 60 60 AA sponsor Home Group Volunteer FT job/school1/31/2012 Colorado Model of Care 22
  23. 23. Into Action Alumni: • Networking (social/recovery) • Events Calendar • Volunteer programs • Outcomes1/31/2012 Colorado Model of Care 23
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  25. 25. Into Action True or False? Myths vs. reality Lessons learned along the way…1/31/2012 Colorado Model of Care 25
  26. 26. Into Action True or False? Chemical relapse is the greatest single risk in managing and open community model.1/31/2012 Colorado Model of Care 26
  27. 27. Into Action True or False? SECRETS (and coalitions) represent the greatest threat to an open community model1/31/2012 Colorado Model of Care 27
  28. 28. Into Action True or False? A common standard for all treatment programs is to achieve the highest completion rates possible.1/31/2012 Colorado Model of Care 28
  29. 29. Into Action True or False? In an open community model, atypical discharges are the antibodies which scrub your community clean, building the level of safety and trust among the peer group.1/31/2012 Colorado Model of Care 29
  30. 30. Into Action Completion Rates – 90 day program Census WSA % Avg LOS 178 153 159 145 71 71 64 64 65 62 63 69 2009 2010 2011 Avg1/31/2012 Colorado Model of Care 30
  31. 31. Into Action True or False? The best possible environment for a relapsing client in early recovery is a safe, secluded “time- out” from the distractions and temptations of real life.1/31/2012 Colorado Model of Care 31
  32. 32. Into Action True or False? In order to achieve lasting and sustainable sobriety, clients must learn to manage an environment which offers a daily choice between relapse or recovery.1/31/2012 Colorado Model of Care 32
  33. 33. Into Action True or False? The counselor’s role in any treatment setting is to build a so-called Therapeutic Alliance (a trusting relationship) between himself and the client.1/31/2012 Colorado Model of Care 33
  34. 34. Into Action True or False? In working with treatment savvy, recovery resistant clients, the role of the counselor is to foster open and intimate relationships AMONG his clients… We value the peer to peer relationship above all else.1/31/2012 Colorado Model of Care 34
  35. 35. Working with Others The model evolves… • New Found Life – Long Beach, CA • The Right Door – Aspen, CO • Phoenix Multisport – Front Range, CO1/31/2012 Colorado Model of Care 35
  36. 36. Working with OthersNew Found Life• Ocean Blvd., Long Beach, CA• Separate Men’s / Women’s Houses• Primary and extended care residential1/31/2012 Colorado Model of Care 36
  37. 37. Working with OthersRides to AA Meetings • You cannot: • walk / ride a bike • take public transportation • take a taxi •You can: • call known alcoholics and addicts with time • When you ride with an alcoholic • meeting before meeting • meeting at a meeting • meeting after a meeting1/31/2012 Colorado Model of Care 37
  38. 38. Working with OthersThe Right Door• Aspen, CO• Non-profit agency established in 2003• Provides low cost intervention, case management, treatme nt and scholarships1/31/2012 Colorado Model of Care 38
  39. 39. Working with OthersRoots in Recovery • Started by AA members driving defendants from jail to detox to meetings. • Battles addiction at the intersection of public safety and public health • Sliding scale, no client turned away. • Random UA’s and daily phone check ins.1/31/2012 Colorado Model of Care 39
  40. 40. Working with OthersPhoenix Multisport• Boulder, Denver, and Colorado Springs• Sober Activities• Recovery Network• NO Charge for services, events!1/31/2012 Colorado Model of Care 40
  41. 41. Working with OthersAction, Action, Action! • Since 2007, Phoenix had provided programs to 3,620 people… • Hosts 40 – 50 events a week, all at NO charge to the participants! • Average age: 34 years • Gender split: 40% women, 60% men • No treatment… Just recovery!1/31/2012 Colorado Model of Care 41
  42. 42. A Vision for You What’s next?1/31/2012 Colorado Model of Care 42
  43. 43. Shootout at the I’m Okay Corral Bob Ferguson KEYWORD: “Colorado Model”1/31/2012 Colorado Model of Care 43