This document discusses strategies for developing a program called "My New Leaf" to help people with substance use disorders. It proposes the following approaches: 1. Using evidence-based treatment methods like motivational incentives and peer support which have been shown to be successful. 2. Evaluating addiction treatment professionals and programs to help guide people towards those using the best evidence-based methods. 3. Utilizing inspirational stories of recovery and coping skill development tools to help people strengthen their recovery skills. 4. Involving family support and developing workbooks or other resources to engage family members in the recovery process.

1. MY NEW LEAF
DEVELOPMENT TEAM

2. “Even with every possible bed in the county filled we would
only serve 10% of the people who need help!”
Dr. Michael Flaherty – Founder of IRETA
With less that 5%
of the world
population, we
consume 73% of
the world supply
of illegal drugs
and 99% of the
oxycodone

3. RECOVERY IS A PROCESS
Addiction is a Chronic Disease.
At What Part Are We Intervening?
EARLY LATE

4. RECOVERY IS BASED ON RESPECT
Many Pathways
Emerges From Hope

5. “NATURAL RECOVERY”
OUR TARGET MARKET
Step One -get them past denial
And get them engaged
• Personal risk assessment
• Motivational incentive log with feedback
• Motivational incentives by FAR the most
• successful psychosocial technique
It is a moderation based philosophy.
"Progress not perfection"

6. HOW WILL WE DO THAT?
IDEAS?
Systematically guide them towards clinical
providers that USE evidence based treatment
Must we allow for user evaluations of providers?
Strong evidence of peer support success with our target market.

7. HOW DO WE EVALUATE THE PROFESSIONALS?
NOT ALL ADDICTION SPECIALISTS ARE USING
THE BEST EVIDENCE BASED METHODS
1. Do they reflect the values of recovery oriented system of care?
2. How so? What criteria should we use?
3. Allow users and family the opportunity to comment and rate?

8. Utilize inspirational Stories of Recovery
Living SoberVideos
Music videos of hope and inspiration
http://store.samhsa.gov/shin/content//SMA13-4712/SMA13-4712.pdf

9. MUSICVIDEOS
MESSAGES OF HOPE
MUSIC ASTHERAPY
http://www.emedexpert.com/tips/
music.shtml

10. DEVELOP COPING SKILLS.
#1 CAUSE OF RELAPSE – POOR COPING SKILLS
„ How to say NO games? Use of rewards?
“Sixty individuals seeking outpatient treatment for marijuana dependence were randomly
assigned to 1 of 3 treatments: motivational enhancement (M), M plus behavioral coping skills
therapy (MBT), or MBT plus voucher-based incentives (MBTV). In the voucher-based
incentive program, participants earned vouchers exchangeable for retail items contingent on
them submitting cannabinoid-negative urine specimens. MBTV engendered significantly greater
durations of documented marijuana abstinence during treatment compared with MBT and M,
and a greater percentage of participants in the MBTV group compared with the MBT or M
groups were abstinent at the end of treatment. No significant differences in marijuana abstinence
were observed between the MBT and M groups.The positive effects of the voucher program in
this study support the utility of incentive-based interventions for the treatment of substance
dependence disorders including marijuana dependence.“
Adding voucher-based incentives to coping skills and motivational enhancement improves outcomes during treatment for marijuana dependence.
Budney,Alan J.; Higgins, Stephen T.; Radonovich, Krestin J.; Novy, Pamela L.
Journal of Consulting and Clinical Psychology,Vol 68(6), Dec 2000, 1051-1061.

11. EFFECTIVELY SHOW GRATITUDE AND
POSITIVE EMOTIONS
Gratitude serves as :
ü AValue Barometer
ü AValue Motivator
ü AValue Reinforcer

12. WORKBOOKS IN RECOVERY
Psychiatr Serv. 2009 Apr;60(4):491-7. doi: 10.1176/appi.ps.60.4.491.
A randomized controlled trial of the effectiveness of a modified recovery workbook program: preliminary findings.
Barbic S1, Krupa T,Armstrong I.
“The study, which is one of the first randomized controlled trials of a recovery-
based group intervention for persons with serious mental illness, showed that the
Recovery Workbook group program was effective in increasing individuals'
perceived sense of hope, empowerment, and recovery.

13. GET THE FAMILY INVOLVED
Dennis C. Daley, Ph.D. is Professor of Psychiatry and Social Work. He served for 14 years as
the Chief of Addiction Medicine Services (AMS) at Western Psychiatric Institute and Clinic
(WPIC) of the University of Pittsburgh School of Medicine.WPIC also hosts many funded
clinical trials including Dr. Daley's Appalachian Tri-State Node, which is part of the National
Institute on Drug Abuse Clinical Trials Network (CTN).
http://www.drdenniscdaley.com/

14. THE DATA CHALLENGE
WHAT CAN WE MEASURE WITHOUT COMPRIMISING PRIVACY AND ANONYMITY?