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P3R:
Principle-centred
Recovery
Resource
Register
Presented by: Maria Power
 Convenient practice-based register covering the
13 treatment principles (US National Institute of
Drug Abuse, 2018) indices, to guide AOD
practitioner delivery of AOD service
 Register acts as a case-management tool to
monitor the practice of AOD provision, in
adherence to best-practice principles and
recovery-oriented frameworks for improved
AOD service delivery.
 Recovery-orientation, peer-work, addiction-
recovery coaching for Australian AOD client-
practitioner collaboration.
National Framework for Recovery-
Oriented Mental Health Services
by: The Australian Health Minister’s
Advisory Council
RECOVERY CAPITAL
RESOURCES (RCR)
RCR 1: SOBREITY
RCR 2: PSYCHOLOGICAL HEALTH
RCR 3: PHYSICAL HEALTH
RCR 4: COMMUNITY
RCR 5: SOCIAL
RCR 6: MEANINGUL ACTIVITIES
RCR 7: HOUSING AND SAFETY
RCR 8: RISK TAKING
RCR 9: COPING & LIFE FUNCTIONING
RCR 10: QUALITY OF RECOVERY
 ROSSAT: Recovery Oriented Service
Self-Assessment Toolkit
 ROSI: Recovery Oriented Systems
Indicators
#
Treatment
Principle
Competency Summary for AOD Practice-Based Implementation
1
NEURO Clearly communicate that recovery is a life-long and difficult process where altered brain
states have long-term negative implications.
2
UNIQUE Each person has unique needs and experiences requiring ongoing assessment. Must be
matched to appropriate treatment, clinician temperament/cultural competencies.
3
IMMEDIACY Immediate and responsive treatment is paramount as >70% of those that do need help need
immediate critical care that it is readily available.
4
RESOURCES All resources needed for recovery must be addressed, ensuring quality of life integration
5
ONE-YEAR Research provides data that a year in AOD care or treatment is optimum. Long-term outcomes
with severe and complex issues need at least three months in intensive care.
6
THERAPY Behavioural and cognitive talk therapies must cover the full spectrum of life, including
discussion of life purpose, meaning and all other aspects.
7
PHARMA Pharmacology is deemed of importance in treatment of many patients by the medical
profession.
8
ASSESS Flexibility is needed to accommodate needs as it changes or evolves over time whereby
continuous assessment is necessary to uncover needs, as they arise.
9
COMORBID Comorbidity issues must be addressed and treated, such as depression, anxiety, and a host of
other medical issues. Treatment should assess and address all issues at the outset.
10
DETOX Withdrawal and detoxification are merely the beginning of the recovery process hence
circumstances, ramifications and timeline of recovery must be addressed.
11
REWARD Enticements, rewards, and motivation must be offered to increase the chances for ongoing
treatment. Individuals must be kept engaged about recovery and excited about the future.
12
RELAPSE As it is known that relapse is guaranteed, treatment plan must be continually adjusted for
understanding of triggers that will help withstand urges and cravings.
13
SCREEN Other medical issues are exacerbated by SUD, therefore testing of issues, such as HIV/AIDS,
Hepatitis B/C, and tuberculosis should be provided, along with risk-reduction counselling.
Source: Developed for this study
Source: Developed for this study
Source: Developed for this study

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Principle-centred Recovery Resource Register (P3R)

  • 2.  Convenient practice-based register covering the 13 treatment principles (US National Institute of Drug Abuse, 2018) indices, to guide AOD practitioner delivery of AOD service  Register acts as a case-management tool to monitor the practice of AOD provision, in adherence to best-practice principles and recovery-oriented frameworks for improved AOD service delivery.  Recovery-orientation, peer-work, addiction- recovery coaching for Australian AOD client- practitioner collaboration.
  • 3. National Framework for Recovery- Oriented Mental Health Services by: The Australian Health Minister’s Advisory Council
  • 4. RECOVERY CAPITAL RESOURCES (RCR) RCR 1: SOBREITY RCR 2: PSYCHOLOGICAL HEALTH RCR 3: PHYSICAL HEALTH RCR 4: COMMUNITY RCR 5: SOCIAL RCR 6: MEANINGUL ACTIVITIES RCR 7: HOUSING AND SAFETY RCR 8: RISK TAKING RCR 9: COPING & LIFE FUNCTIONING RCR 10: QUALITY OF RECOVERY
  • 5.  ROSSAT: Recovery Oriented Service Self-Assessment Toolkit  ROSI: Recovery Oriented Systems Indicators
  • 6. # Treatment Principle Competency Summary for AOD Practice-Based Implementation 1 NEURO Clearly communicate that recovery is a life-long and difficult process where altered brain states have long-term negative implications. 2 UNIQUE Each person has unique needs and experiences requiring ongoing assessment. Must be matched to appropriate treatment, clinician temperament/cultural competencies. 3 IMMEDIACY Immediate and responsive treatment is paramount as >70% of those that do need help need immediate critical care that it is readily available. 4 RESOURCES All resources needed for recovery must be addressed, ensuring quality of life integration 5 ONE-YEAR Research provides data that a year in AOD care or treatment is optimum. Long-term outcomes with severe and complex issues need at least three months in intensive care. 6 THERAPY Behavioural and cognitive talk therapies must cover the full spectrum of life, including discussion of life purpose, meaning and all other aspects. 7 PHARMA Pharmacology is deemed of importance in treatment of many patients by the medical profession. 8 ASSESS Flexibility is needed to accommodate needs as it changes or evolves over time whereby continuous assessment is necessary to uncover needs, as they arise. 9 COMORBID Comorbidity issues must be addressed and treated, such as depression, anxiety, and a host of other medical issues. Treatment should assess and address all issues at the outset. 10 DETOX Withdrawal and detoxification are merely the beginning of the recovery process hence circumstances, ramifications and timeline of recovery must be addressed. 11 REWARD Enticements, rewards, and motivation must be offered to increase the chances for ongoing treatment. Individuals must be kept engaged about recovery and excited about the future. 12 RELAPSE As it is known that relapse is guaranteed, treatment plan must be continually adjusted for understanding of triggers that will help withstand urges and cravings. 13 SCREEN Other medical issues are exacerbated by SUD, therefore testing of issues, such as HIV/AIDS, Hepatitis B/C, and tuberculosis should be provided, along with risk-reduction counselling.