supporting the recovering lifestyle agency based support for recovering addicts and alcoholics...
TRANSCRIPT
Supporting the Recovering Lifestyle
Agency Based Support for Recovering Addicts and
Alcoholics
Jewish Family Service of Metro DetroitJewish Vocational Service Los Angeles
Jewish Family ServiceBackground
Incorporated in 1928Broad range of services including
clinical services, community support services, immigration services, transportation
State of Michigan substance abuse license granted in 1998
JVS Los Angeles Background
Founded in 1930; currently serves over 24,000 annually
Broad range of services Career Employment Training
Mission: Assist people by helping them help themselves achieve self sufficiency
“Building better lives. One job at a time.”
Recovery Management
William White: “Nesting recovery in the community”
We understand what it takes to stop using
We must understand what it takes to maintain recovery
What is community? Thinking is broader terms: more than 12 Step
meetings What are the purposes of community?
Reducing isolation Reducing shame Increasing supports Increasing competence Increasing worth
Being creative in how we imagine community connections
New people, places and things
Linking Recovery with Other Significant Life
FactorsLinking with the cultural environmentLinking with familiar geographyLinking with socializationLinking with acceptance, openness and
the truthLinking with activities that offer a sense of
purpose
Recovery is More than a Clinical Phenomenon
Wraparound recovery includes:Therapy: trauma reduction, insight
development, motivational processes12 Steps or other recovery programsCommunity: reducing the isolation and
returning to connectionConnection to other supportive assists
JEWISH FAMILY SERVICE ADDICTION
RECOVERY TREATMENT
EVOLUTION OF SERVICES FROM PROGRAM TO INDIVIDUAL FROM SEPARATION TO INTEGRATION FROM CLINICIAN-CENTERED STABILIATION OF
ACUTE SYMPTOMS TO CLIENT-DIRECTED MANAGEMENT OF LONG TERM RECOVERY
FROM FOCUS ON DISEASE PROCESS TO FOCUS ON RECOVERY PROCESS
FROM EXCLUSION OF CO-OCCURRING DISORDERS TO WELCOMING THE WHOLE INDIVIDUAL
TREATMENT PHILOSOPHY
WelcomingEmpathic and hopefulClient centeredInterdisciplinary teamLiaison with culturally sensitive
community supports
INDIVIDUALIZING TREATMENT COMPONENTS
Comprehensively assessing client to identify strengths
Engaging client in treatment/transition planning Optimizing client/therapist match Varying options for modality and frequency Using motivational enhancements to move client
through stages of change
PERFORMANCE TARGETS
Rapid assessmentOptimized length of staySuccessful treatment outcomeIncreasing “mission –driven”
culturally relevant services and supports
DEVELOPING CULTURAL RELEVANCE
Replacing community denial with acceptance
Increasing community awarenessIdentifying the prescription drug trapAddressing ritualized use of alcoholRecognizing historical roots of enabling
IMPROVED TREATMENT OUTCOMES
CONTINUAL EVALUATION/ASSESSMENTENHANCED QUALITY OF LIFE AND
PERSONAL GROWTHEVOLVING CLIENT NEEDS ARE MET AS
RECOVERY PROGRESSES.
New Boundaries for Strengthened Recovery
Reducing hierarchies: walking the road together
Open relationships between therapist and community supports
Open relationship between therapist and client in community settings
A Successful AgencyCollaborationin Los Angeles
Jewish Vocational ServiceAnd
Beit T’Shuvah
Beit T’ShuvahMission: to treat and prevent addictive
and behavioral disorders through the combination of Jewish spirituality, the 12 Steps of Alcoholics Anonymous and psychotherapy.
Driven by the philosophy that employment—representing renewed integration with the community and critical to achieving self-sufficiency—is a necessary element of the recovery process
JVS collaboration since 1998
The Missing Piece
Support in redefining one’s sense of self in the context of work is absent from most recovery approaches and programs
Career planning and employment equals:Restored self-esteemRenewed integration with the communityCritical to the achievement of self-sufficiency
Clients Served by JVS
Alcohol and substance abuse residents
Sober living residentsIndependent living residentsAlumni
Approximately 400 served annually
Client demographics
Ages range from 18 to 70
Educational background
Professional background
Client Needs
Career changeReturn to previous careerBalancing sobriety and employmentEmployment retentionEx-felon re-entryEducational guidanceSecuring academic financial aid
Program offerings
Workshops and individual counselingEntering or re-entering the world of workCareer assessment and planningJob search preparationThe transition to employment
Job development supportJob retention support
Program Success Factors
On-site career center and staffingCollaboration and coordination between
Beit T’Shuvah and JVS; each organization doing what it does best
Expectations around utilization of JVS services and securing employment
Inclusion of alumni in the support processThe “Get Well” job
Career Counselor Success Factors
Familiarity with population’s needsUse and interpretation of assessment
toolsExpertise in career counseling and
employment supportCommunication and interpersonal
skills“Street cred”
A Case Study
Discussion
What expertise does your agency hold that could benefit the clients of another agency?
How might you approach the other agency to explore opportunities for collaboration and the creation of synergy?
Where and in what ways might you develop funding to support such a partnership?
Benefits of Community Collaboration
De-stigmatizing of experiencePartnering with intimate social network
and indigenous institutionsExtending the locus of service delivery
from the clinical environment to the client’s natural environment
Creating physical, psychological, vocational, and social space within which recovery can flourish
Allowing for re-engagement and early re-intervention when needed
Thank you!
Emilie Dauch
248-592-2663
Jay Soloway
323-761-8888, ext. 8878
Ellen Yashinsky-Chute
248-592-2666