The document provides a brief history of recovery support for substance abuse disorders. It discusses how recovery support has evolved from fraternal societies and religious organizations in the late 1700s and 1800s to more professionalized treatment models today. It outlines a developmental model of recovery with stages from pretreatment to early and middle recovery. The document then discusses the role of recovery coaching, which focuses on monitoring clients and using strength-based approaches like motivational interviewing and contingency management to support long-term recovery.

1. SUPPORTING A
SUCCESSFUL TRANSITION
INTO RECOVERY
RECOVERY COACHING

2. A BRIEF HISTORY
 Imported the problem
 1792 – 2,579 distilleries w/annual per-capita
consumption 2 ½ gallons
 1810 – 14,191 w/annual consumption 4 ½ gallons
 1830 – consumption rose to 7.1 gallons

3. A BRIEF HISTORY
 Dr. Benjamin Rush – possible father of the
disease concept
 Attitude changed towards social value of
alcohol
 Late 1700s – start of the Temperance
Movement

4. A BRIEF HISTORY
 Groups formed to assist chronic alcohol
abusers
 Signed a pledge for abstinence
 Fraternal Temperance Societies and Reform
Clubs later provided financial support
 Failed because of inconsistencies in membership
requirements & mission purpose

5. A BRIEF HISTORY
 Late 1800s – special institutions &
professional roles
 Inebriate “homes”, “dry hotels”
 Inebriate asylum - large medical directed
facilities
 AA physicians & nurses & “AA Wards”

6. A BRIEF HISTORY
 Emmanuel Church of Boston (1906)
 Used religion, psychology & medicine
 Clinics pioneered use of lay alcoholism
psychotherapists
 Jacoby Club – support meetings & social events
 Used “friendly visitors”

7. A BRIEF HISTORY
 1935 – founding of Alcoholics Anonymous
 Industrial alcoholism specialists
 Entrepreneurs opened “AA farms” & “AA
retreats”

8. A BRIEF HISTORY
 1940s & 50s – Yale Center of Alcohol
Studies
 Pioneered new outpatient model
 Continued lay therapist mode
 Codification of “Counselor on
Alcoholism”, “Minnesota Model” pioneered
by Hazelden

9. A BRIEF HISTORY
 1970s – roles rapidly professionalized
 Education & training requirements escalated
 Today’s focus on (acute) bio-psycho-social
stabilization
 Many service models focus on reduction of
client’s deficits and pathology

10. STABILIZATION VS RECOVERY
 Treatment is viewed at the “magic” solution
 Short, well defined period with special
protocol
 Goal – to develop skills & resources to
maintain abstinence & find quality of life
 get to treatment with varying levels of
motivation, awareness, knowledge, &
capacity of dealing with their disorder

11. SUSTAINED RECOVERY MANAGEMENT
 Recovery – (process) of implementing these
skills into strategy that accomplishes those
goals
 Disengagement – relapse
 Recidivism rates are much lower in
monitored programs

12. SUSTAINED RECOVERY MANAGEMENT
 Remember – treatment focuses on deficits &
pathology
 Long-term recovery support emphasis –
assisting client to focus on strengths rather
than pathology

13. DEVELOPMENTAL MODEL OF RECOVERY
 Pretreatment stage
 Recognition of addiction
 Stabilization stage
 Withdrawal & crisis management
 Regain control of thought processes, emotional
processes, judgment, and behavior

14. DEVELOPMENTAL MODEL OF RECOVERY
 Early recovery stage
 Acceptance & non-chemical coping
 Moves it from the head to the heart
 Stops talking about what to do and begins to
mostly do what they are supposed to
 May last from one to two years

15. DEVELOPMENTAL MODEL OF RECOVERY
 Middle recovery stage
 Focus on balanced lifestyle
 Reestablishing broken relationships
 May set new occupational goals
 Participates in more social & recreational
activities

16. A SHAMELESS PLUG

17. ONLINE RECOVERY RESOURCE

18. THE PARETO PRINCIPLE
 Roughly 80% of the effects come from 20% of
the causes
 Identifying your 20%

19. A WORD FROM A TWENTY PERCENTER
“I’m no longer employed by (blank) due to my
own ignorance, stupidity, and TnPAP. I can
not do an inpatient rehab because it is not
warrented and my insurance is cut off. I will
be sober 2-1-12 because of my dedication to
myself and my conscience. I am free of (blank)
and TnPAP to live fron alcohol abuse and the
requirement to lie if in my ultimate best
interests. I AM FREE!

20. HOW DO WE DEAL WITH THEM NOW?
 Monitoring
 Monitoring Agreement Extensions
 More treatment
 More evaluation/therapy
 Non-compliant discharge

21. RECOVERY COACHING
 Scope of services
 Monitoring – compliance with MA requirements
 Drug testing – random testing for enhanced
accountability
 Case management – additional referrals that support
client’s goals and choices
 Life skills coaching – to support personal growth

22. RECOVERY COACHING
 Qualifications:
 Credentialing – depending on State requirements
(peer based)
 Ability to establish empathy with client
 Ability to work with diverse populations &
backgrounds
 Ability to focus on & reinforce positive strengths &
behaviors
 Should not have a single view of pathway to recovery
(personal choices)

23. RECOVERY COACHING
 General professional competencies:
 Aspects of addiction treatment & how to access
 Stages of change (Trans Theoretical Model of
Change)
 Motivational interviewing or motivational
enhancement techniques
 Case management activities & knowledge of
community resources

24. STRENGTH BASED RECOVERY PLANNING
 Focus on individual strengths rather than
pathology
 Interventions are based on client self-
determination
 People suffering from SUD or mental illness
continue to learn, grow, and change
 Chinese Proverb - “Give a man a fish & you feed
him for a day. Teach a man to fish & you feed him
for a lifetime”.

25. WORKING WITH THE PARTICIPANT
 Motivational interviewing
 Non-confrontational behavioral intervention used to
increase awareness of SUD and assist in transition through
first three stages
 Four therapeutic components:
 Express empathy (active listening skills)
 Develop discrepancy
 Roll with resistance
 Support self-efficacy (how other people view their own
capacities & strengths)

26. WORKING WITH THE PARTICIPANT
 Contingency Management – based on
operant learning theory (voluntary actions of
human beings)
 Links consequences with behaviors
 Behavior is learned by its consequences & can be
changed by changing the consequences
 Motivates people to learn new or alternative
behaviors by providing positive reinforcement
 Used to keep people engaged until the process
becomes reinforcing

27. REFERENCES
 Manual for Recovery Coaching & Personal Recovery
Plan Development – David
Loveland, PhD, dloveland@fayettecompanies.org
 Slaying the Dragon – William L. White, Chestnut Health
Systems/Lighthouse Institute, Bloomington Ill
 Escaping From the Bondage of Addiction – John O.
Edwards, BS, CEAP, SAP, www.therecoverycoach.co
 International Coach
Federation, www.internationalcoach.org