Addiction by the Numbers 843 died from overdoses in 2013 (WI) 45% Opiod Pain Relievers: Oxycodone, Hydrocodone, and Methadone 27% Heroin Narcan saves = approx 1 overdose every hour Average age of an overdose death: 43 59% were of those who died were men 45% of emergency room visits are due to drug abuse 30% burglaries, 7% of vehicle thefts are drug-related 23% sexual assaults, 30% physical assaults are drug or alcohol-related Sources: Wisconsin Department of Health Services; National Institute on Drug Abuse *Source: JAMA Psychiatry Journal Face of Addiction has Changed Young people in general (aged 18-24) are more likely to abuse drugs 90% of heroin users are white 52% of users seeking treatment are women 23 is the average age of someone with an opiate addiction 75% live in small cities and non-urban areas 81% of first time heroin users abused prescription drugs first Drugged Culture 4 6 MILLION Per Month Source: State Health Facts 2013 Source: National Institute on Drug Abuse: Monitoring the Future 2013 Survey Results 5 6 Prescriptions Drugs What is Rx Drug Abuse? 7 Using a drug without a Prescription Using a drug more than prescribed Using a drug just to feel good or get high How Rx Drugs are Obtained 8 National Institute on Drug Abuse: Monitoring the Future 2013 Survey Results What Determines Addiction? 9 Biology Genetics (Family with addiction) Brain Chemicals (Dopamine levels) Age (Younger brains more susceptible) Chemical Interaction Specific Drugs Mental Health Issues Environment Family/Friend Influences Social/Economic Status Low Self-esteem Traumatic Experience Physical/Emotional Pain Stress Addiction is a Brain Disease Need for drug like need for food Control/reasoning capabilities overridden Priorities changed from family, work, values, possessions Inability to make correct decisions 10 Forgetfulness: losing everyday things such as car keys, wallet, money Missing money and misplaced things Isolation from family Over-reaction, hostile or angry New friends Strange numbers on cell phone Discontinuation in hobbies or sports activities Lies, half truths, manipulation 11 Who Is This Kid? 12 Household Head Shop Aerosol cans Paint/glue/markers Nutmeg Cloves Vanilla Hand Sanitizer Mouthwash Cough Medicine Vinegar Baking powder/sugar Bent/missing spoons Ink pens/straws Tinfoil/baggie corners Cotton balls Dixie cups w/water Hand sanitizer Cotton balls Shoe strings/bands Black marks Whats In YOUR House? Safeguarding Your Family Do NOT leave medications out in the open Keep pill bottle caps on tightly Store drugs in a private area or secure place Know how many pills you have and track them Properly dispose of old or unneeded medicines Recognize missing household high items 13 Changing Conversations on Medication Ask your doctor about options Lifestyle changes Alternatives to addictive medications Risks of medication use for self and others in family Change how you talk about it or use it Use medications only when necessary Dont equate with feeling good, but to address a specific issue Dont share prescriptions with anyone Keep medications locked up and take privately Talk to kids about medication use and risk Including risk indicators for prescribed medication and over-the-counter medication abuse 14 Changing Conversations on Addiction Addiction is a brain disease Not a weakness or moral deficiency Recognizing warning signs More for same effect Life revolves around using; abandon activities enjoyed Neglect of responsibilities/relationships Continue to use despite knowing its hurting you Understanding abuse versus addiction Abuse: get an OWI and you stop drinking/driving Addiction: get an OWI but cant change your behavior How to talk to someone who needs help JUDGMENT FREE Care: Im worried about you Persuade: Please get helpI dont want to lose you Refer: I think talking to [someone] is a good idea Where to find help County crisis lines, 211, support groups, counselor, AODA program People DO recover! 15 Source: 100+ responses from questionnaire of recovered and actively addicted 16 Life with Addiction Recovery is Change Home Job Friends Family Activities Entertainment Places Frequented 17 Pathway to Recovery 18 Outpatient Support Groups Inpatient Sober Living Recovery Coach What is Recovery Coaching? A Recovery Coach Helps remove obstacles to recovery Mobilizes support networks Links a person to the recovering community Serves as guide/mentor in recovery management SPONSOR Vetted by reputation within Recovery Community No formal supervision Works within beliefs of a particular recovery fellowship Relationship governed by group conscience; no external accountability Duration of Services can span years Minimal focus on ecology of recovery; minimal advocacy No fees paid to sponsor or recovery fellowship COUNSELOR Emphasis on formal education - theory and science Works within organizational hierarchy Works within a particular organizational treatment philosophy Significant power differential Explicit ethical guidelines; high external accountability Self-disclosure discouraged or prohibited Considerable focus on past experience Duration of service becoming brief and ever briefer Paperwork extensive and burdensome Works as paid helper; client or third party pays for service RECOVERY COACH Vetted by the community or organization Varied degree of supervision Works across multiple frameworks of recovery via choices of those with whom they work Minimal power differential Focus on present: What can you do today to strengthen your recovery? Focus on linking to community resources and building community recovery capital; significant advocacy work Works in paid or volunteer role Defining the Lanes Describe Recovery Coach role and functions List the components, core values and guiding principles of recovery Build skills to enhance relationships Explore many dimensions of recovery of recovery and recovery coaching Discover attitudes about self-disclosure and sharing your story Understand the stages of recovery Describe the stages of change and their applications Increase their awareness of culture, power and privilege Address ethical and boundaries issues Experience recovery wellness planning Practice newly acquired skills Recovery Coach Competencies Motivator & Cheerleader Role Model & Mentor Problem Solver Resource Broker Advocate Community Organizer Lifestyle Consultant Friend & Companion An Equal Recovery Coach Roles Community Application Western New York Care Coordination Program (Janice Tondora, Yale Program on Recovery and Community Health) Outcomes Achieved: 68% Increase in competitive employment 43% decrease in ER visits 44% decrease in inpatient days 56% decrease in self-harm 51% decrease in harm to others 11% decrease in arrests ROSC Example Source: GLATTC ROSC Webinar March 2015 Rhode Island AnchorED program In 2014, a total 232 people died of accidental overdoses in Rhode Island. Seven months after the program began, 112 survivors of overdoses in hospital emergency rooms were seen and 88 percent of them engaged in recovery supports. Recovery coaches are on call 24/7 at Kent, Memorial, Rhode Island, Miriam, Newport, Hasbro, Landmark and Westerly hospitals. The survivor, a clean-cut young man about college age, overdosed while driving and caused a car accident, the story began. The recovery coach connected with the survivor, helping him understand the severity of this near-death experience and cultivated a willingness from the survivor to get help. Emergency Room Intervention Minnesota Recovery Connection: In 2010, the Minnesota Department of Human Services Alcohol and Drug Abused vision (ADAD) launched a Recovery Community Organization (RCO) initiative. As part of this initiative, the Division awarded a grant to Minnesota Recovery Connection (MRC) in Saint Paul. MRC is tasked with strengthening the recovery community in Minnesota and providing support services to individuals who self-identify as being in recovery from addiction, usually alcohol or drug addiction 2014 Number of volunteers 640 Number of volunteer hours 18,129 Time spent by type of volunteering in hours Recovery coaching 28% TRS 26% Administrative volunteering (includes Board meeting hours) 19% Special events 18% Celebrating Families 3% Outreach 2% Other 2% Minnesota Recovery Connection Provide environments where there can be: Family Support and access to services Peers and Allies Judgment free zone to reduce stigma with events and education Life skills and job training Group Format Examples Recovery support groups similar to GSAs RAISE Groups (Appleton North) Supporting Youth in Schools Helios Addiction Recovery Services: Connecticut Community for Addiction Recovery (CCAR) model Part of a recovery-oriented system of care Includes individuals and families Training includes: Core competencies Ethics and boundaries Medication-assisted treatment review Cultural awareness Recovery Coach Academy DATES: February LOCATION: St Es Hospital Cost for the training is $400 and includes: 30 hrs for CCAR Recovery Coach certification. 1 Certified Recovery Coach trainer. Access to additional CCAR trainings Ongoing consultation from trainer CCAR Recovery Coach Guide Certification Opportunity Open to anyone who is interested, often including: Person in Recovery Family Members Friends and Allies Professions working with substance abuse and addiction The CCAR Recovery Coach Academy is an innovative new approach to healing people's lives that is unlike any other training. Utilizing a dynamic approach to learning that blends both process and content, the CCAR Recovery Coach Academy offers a once-in-a-lifetime experience that has been referred to as "pure recovery genius", If you're ready to learn, be challenged, and reap valuable rewards for life, the CCAR Recovery Coach Academy is a must for anyone in the recovery field. Who Should Attend? Jesse Heffernan Professional Recovery Coach & Consultant Contact Us Lori Cross Schotten Founding Director, Educator, SBIRT & Recovery Coach Consultant