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Recovery Support Technologies: One Answer for Rural/Frontier Areas

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Recovery support services are designed to help individuals with substance use disorders enter into and navigate systems of care, stay engaged in the recovery process, and live full lives in their communities. Technology offers one more avenue by which behavioral health professionals can support patients’ recovery, thereby increasing recovery participation and decreasing the likelihood of relapse. This presentation focuses on how the reach of recovery support services can be extended through the use of technologies (e.g., the web, social media, smartphone apps, and cell phone), which is especially important for individuals residing in rural/frontier areas with limited access to services. Thus, expanding access to recovery support services through the use of technologies can help individuals achieve positive health outcomes.

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Recovery Support Technologies: One Answer for Rural/Frontier Areas

  1. 1. Nancy A. Roget, MS Recovery Support Technologies: One Answer for Rural/Fron<er Areas
  2. 2. develop and strengthen the workforce that provides addic<ons treatment and recovery support services to those in need Purpose of the Addic<on Technology Transfer Centers (ATTCs) (SAMHSA funded)
  3. 3. ATTC Network Coordina<ng Office 10 Regional Centers 2012 – 2017
  4. 4. Na%onal Fron%er & Rural ATTC Na%onal American Indian & Alaska Na%ve ATTC Na%onal SBIRT ATTC Na%onal Hispanic & La%no ATTC 4 Na%onal Focus Centers
  5. 5. Serves as the na%onal subject expert and key to PROMOTE the awareness and implementa%on of telehealth technologies in order to expand access and enhance treatment and recovery services, especially in rural and fron%er areas
  6. 6. Substance use is a public health crisis in the rural United States and has been iden%fied as one of the top 10 priori%es Rural Healthy People 2020
  7. 7. Higher rates of substance use in rural communi%es compared to urban areas have been well-documented. (Mar<no et al., 2008; Small et al.,2010; Shannon et al., 2010; Gamm et al., 2003; Jackson et al., 2006; Lamberts et al., 2008; Blazer et al., 1987; Jackson, 2012)
  8. 8. Individuals in rural communi%es have unique barriers to treatment and recovery services (Fortney & Booth, 2001; Fortney, 2011; Browne, et al., 2015)
  9. 9. Crea<ng effec<ve models and recovery spaces will require mobilizing assets within the rural community — including individuals and families in recovery, recovery mutual aid organiza<ons, new recovery support ins<tu<ons, and new technology-based recovery supports (White, 2016)
  10. 10. One promising idea is to capitalize on health technology such as Internet-based resources and smart phones, to provide recovery supports. (Laudet & Humphreys, 2013))
  11. 11. There is a growing consensus that recovery is more than simply abs<nence from alcohol and other drugs. (Garner et al., 2014)
  12. 12. SAMHSA’s working defini<on of Recovery from Mental Disorders and/or Substance Use Disorders: “A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potenAal.” (hdp://www.samhsa.gov/recovery)
  13. 13. (hdp://www.samhsa.gov/recovery) SAMHSA has delineated 4 major dimensions that support a life in RECOVERY
  14. 14. Health •  Overcoming or managing one’s DISEASE(s) or symptoms •  Making informed, healthy choices that support physical and emo<onal well-being (hdp://www.samhsa.gov/recovery)
  15. 15. (hdp://www.samhsa.gov/recovery) Home Having a SAFE and STABLE place to live
  16. 16. (hdp://www.samhsa.gov/recovery) Purpose •  Conduc<ng meaningful daily ac<vi<es, such as a job, school volunteerism, family caretaking, or crea<ve endeavors •  Having the independence, income, and resources to PARTICIPATE IN SOCIETY
  17. 17. (hdp://www.samhsa.gov/recovery) Community Having RELATIONSHIPS and SOCIAL NETWORKS that provide support, friendship, love, and hope
  18. 18. Recovery Support Services RSS (White, 2009) • refers to the whole spectrum of services that can support addic<on recovery • is most olen applied to non-clinical services (i.e., support beyond the arenas of clinical assessment, diagnosis, and treatment)
  19. 19. TYPES OF TECHNOLOGY USED FOR RECOVERY SUPPORT
  20. 20. Technologies Used in Recovery Support •  Web-based support •  Blogs, videos, and podcasts •  Mobile Apps •  Social networks
  21. 21. WEB-BASED SUPPORT
  22. 22. Primary areas of beneficial impact Emo<onal Support Informa<on Socializa<on (McColl et al., 2014)
  23. 23. OSGs have a direct effect on well-being and personal empowerment. (Tanis, 2007; Barled & Coulson, 2011)
  24. 24. Online support groups are associated with higher life sa%sfac%on and highly desired by people in distress, repor%ng posi%ve and relevant interac%ons. (McColl et al., 2014)
  25. 25. •  Convenient •  24/7 access •  Lead to meaningful peer connec<ons •  Preserve users’ anonymity •  Specialty groups accessible •  Bridge between inpa<ent and outpa<ent programs •  Improved outcomes in maintaining recovery Benefits of OSGs (Bartled & Coulson, 2011; Clough & Casey, 2011; McColl et al., 2014)
  26. 26. ONLINE NARRATIVES
  27. 27. •  a type of website started by someone in recovery •  contains entries of personal commentary and discussions on different aspects of addic<on recovery •  similar to an online diary •  usually interac<ve, allowing visitors to make comments and message each other •  helps people connect, learn, and share ideas •  may also feature news or magazine ar<cles Recovery Blogs
  28. 28. Science supports therapeu<c benefits of wri<ng about personal experiences, thoughts, and feelings. •  Expressive Wri<ng –  improves memory and sleep –  boosts immune systems –  reduces viral load in AIDS pa<ents –  speeds healing aler surgery (hdp://www.scien<ficamerican.com/ar<cle/the-healthy-type/)
  29. 29. Here is the list of the top addic<on and recovery blogs for 2014: 1. The Fix, hNp://www.thefix.com (74,836) 2. Momastery, hNp://momastery.com (95,935) 3. Intervene, hNp://intervene.drugfree.org (110,853) 4. Sober Julie, hNp://www.soberjulie.com (127,318) 5. Addic%on Blog, hNp://alcohol.addic%onblog.org (237,073) 6. Sober College, hNp://sobercollege.com (249,029) 7. Spiritual River, hNp://www.spiritualriver.com (311,142) 8. SoberNa%on, hNp://www.soberna%on.com (359,897) 9. Chipur, hNp://chipur.com (399,373) 10. Sort My Life Solu%ons, hNp://www.smyls.co.uk (465,037) 11. Breaking the Cycles, hNp://www.breakingthecycles.com (512,917) 12. The Hurt Healer, hNp://carolynhughesthehurthealer.com (850,601) 13. Addic%on Today, hNp://www.addic%ontoday.org (881,558) 14. Paul Garrigan.com, hNp://paulgarrigan.com (883,526) 15. Recovery Health Care, hNp://recoveryhealthcare.me (921,193) (hdp://cathytaughinbaugh.com/55-top-addic<on-recovery-blogs-2014/)
  30. 30. Addic<on Inbox
  31. 31. Example: part of a recovery blog from Sobriety Collec<ve, August 2016
  32. 32. The Discovering Alcoholic Blog
  33. 33. Drunky Drunk Girl Blog
  34. 34. Shader Proof Blog
  35. 35. Sober Guy XXX
  36. 36. #hashtags: #recovery #sobriety #AA #onedayata%me #soberissexy #soberliving #teamsober #recoveryispossible #celebraterecovery #soberna%on #sobermovement #addic%onchat #HopeSharedHere Address another user or organiza%on with “@” @Recovery_Org @OurYoung Addicts @NFAR_ATTC
  37. 37. Eleven podcasts with interviews and informa%on to help support all aspects of recovery 1. Smart Recovery and Special Event Podcasts, hdp://smartrecovery.libsyn.com/webinar-act-smart (6,673) 2. Recovery 101, hdp://recovery101.podoma<c.com/ (18,151) 3. Addicted to Addicts, hdp://webtalkradio.net/internet-talk-radio/addicted-to-addicts- survival-101/ (844,757) 4. Growing Up Chao<c, hdp://growingupchao<c.com/ (1,688,294) 5. The Bubble Hour, hdp://www.thebubblehour.com/ (5,459,624) 6. 100 Pedals, hdp://www.100pedals.com/category/addic<on-conversa<on-podcast/ (2,575,911) 7. Sober Conversa<ons, hdp://recoveryhealthcare.me/category/sober-conversa<ons/ (5,750,285) 8. Recovered Podcast, hdp://recoveredcast.blogspot.com/ (12,615,234) 9. Addic<on Recovery Radio, hdp://www.addic<onrecoveryradio.com/podcast/ (17,635,126) 10. The Recovery Show, hdp://therecoveryshow.com/(20,434,827)
  38. 38. The Bubble Hour
  39. 39. 12 on 12
  40. 40. Aler Party Pod
  41. 41. Joe Walsh One Day at a Time
  42. 42. Apps provide: •  Informa<on •  Mo<va<on •  Support •  Feedback
  43. 43. Sobriety Grid
  44. 44. Users can log in to Sober Grid to find sober people wherever they are: •  chat and messaging func<ons can be used by selec<ng individual profiles on The Grid •  has a feature that allows users to send their loca<on to another user if they would like to meet up. •  geosocial networking features help users find and connect with sober people locally and anywhere in the world.
  45. 45. SNS facilitate highly interac<ve online communi<es where individuals share, co-create, discuss and modify user-generated content
  46. 46. •  Easily accessed across devices •  Allows rapid sharing of resources •  Large reach and engagement •  Common experiences reduce s<gma Social network site benefits
  47. 47. Closed social media networks
  48. 48. So, jump in…
  49. 49. Do your own research… •  Check out websites, blogs, apps, and podcasts •  Check on them frequently (sign-up and follow them) •  Ask pa<ents and colleagues what they use and solicit their recommenda<ons •  Keep track of pa<ent’s interests’ in specific websites, blogs, apps, and podcasts •  Advise pa<ents about privacy/security and confiden<ality issues especially with Apps
  50. 50. “As a community of clinicians, stakeholders, and researchers, we need to understand that those in need of care are more technologically savvy than ever before. Many already seek informa%on about their condi%ons and treatments online or in an app store. It is essen%al that we adapt our treatment models so that these individuals can benefit from opportuni%es afforded by emerging technology. Not doing so because of our own preferences and predilec%ons would be a great disservice”. BEN-ZEEV, 2014

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