Providing)Family)Recovery)Supports

Jennifer'Riha,'BASc,'MAC9/9/2019

Working(with(communities(to(address(the(opioid(crisis.

! SAMHSA’s'State'Targeted'Response'Technical'Assistance'(STR8TA)'grant'created'the'Opioid&Response&Network to'assist'STR'grantees,'individuals'and'other'organizations'by'providing'the'resources'and'technical'assistance'they'need'locally'to'address'the'opioid'crisis'.

! Technical'assistance'is'available'to'support'the'evidence8based'prevention,'treatment,'and'recovery'of'opioid'use'disorders.'

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Funding(for(this(initiative(was(made(possible((in(part)(by(grant(no.(6H79TI080816(from(SAMHSA.(The(views(expressed(in(written(conference(materials(or(publications(and(by(speakers(and(moderators(do(not(necessarily(reflect(the(official(policies(of(the(Department(of(Health(and(Human(Services;(nor(does(mention(of(trade(names,(commercial(practices,(or(organizations(imply(endorsement(by(the(U.S.(Government.

Working(with(communities(to(address(the(opioid(crisis.

! The$Opioid&Response&Network&(ORN)&provides$local,$experienced$consultants$in$prevention,$treatment$and$recovery$to$communities$and$organizations$to$help$address$this$opioid$crisis.$

! The$ORN$accepts$requests$for$education$and$training.$! Each$state/territory$has$a$designated$team,$led$by$a$

regional$Technology$Transfer$Specialist$(TTS),$who$is$an$expert$in$implementing$evidenceEbased$practices.$

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Contact'the'Opioid'Response'Network

! To#ask#questions#or#submit#a#request#for#technical#assistance:#

• Visit#www.OpioidResponseNetwork.org• Email#orn@aaap.org#• Call#401E270E5900

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Introduction

Goal%of%this%training%series:%To%prepare%participants%to%be%well5prepared%and%well5informed%as%they%go%into%their%communities%to%provide%peer%to%peer%support%to%family%members%of%people%with%addiction.%We%are%calling%this%“Family%Recovery%Support.”We%will%focus%on:%1. Understanding%addiction%and%recovery2. Core%values%and%framework%for%

providing%Family%Recovery%Support3. Tools%and%methods%for%“how”%to%provide%

Family%Recovery%Support

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Methods(of(

Providing(Family(

Recovery(Supports

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Individual)Supports

Group)Supports

Educational)Activities

Individual)Supports

The$value$of$individual$family$supports

! Provides)emotional)connection)of)people)who)have)been)there

! Provides)education)and)information)regarding)resources

! Provides)validation)of)the)need)for)and)examples)of)effective)self8care

! Provides)living)proof)of)resilience)and)recovery

! Decreases)feelings)of)blame,)guilt)and)isolation

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Individual)Supports

1. Focus(on(the(emotional(connection(and(shared(humanity(of(two(people(who(have(“been(there.”

2. Provide(informational(and(educational(support(regarding(the(systems(that(exist(in(your(community(and(strategies.

3. Support(the(other(individual(or(family(as(they(identify(their(own positive(approaches(and(methods(to(address(their(family’s(day(to(day(needs.

4. Provide(validation(of(the(need(for(and(examples(of(effective(selfCcare.(

5. May(provide(“concrete”(help(such(help(arranging(childcare(or(transportation.

6. Tell(your(own(stories(of(resilience.9

Remember&the&Philosophies&and&Guidelines&of&Care

! Respect'&'thoughtfulness

! Ask'questions,'don’t'make'assumptions

! Kindness'&'compassion

! See'the'strengths'and'help'others'see'their'own'strengths

! Focus'on'building'resiliency'through'strengthening'relationships

! Recognize'that'although'two'people'may'have'a'similar'experience'in'life,'that'doesn’t'mean'that'they'emotionally,'psychologically'or'even'physically'experienced'it'the'same way

! Validate'people’s'feelings'and'experiences

! Identify'and'keep'appropriate'boundaries

! Keep'your'peer'support'work'confidential'and'private

! Make'sure'people'you'are'working'with'know'what'peer'support'is'and'what'your'role'is'with'them

! Keep'learning'and'growing

! If'you'need'to'stop'working'with'someone,'(for'any'reason)'work'with'your'fellow'peers'to'create'a'transition'plan

! Be'thoughtful'about'how'you'use'selfIdisclosure

! Make'sure'you'are'keeping'records,'discussing'what'you'are'doing'with'your'fellow'peers,'and'getting'feedback'and'input

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Group&Supports

Planning'Your'Group

! What%type%of%support%group%do%you%want%to%facilitate?

! Who%are%your%target%participants?%

! Where%and%when%will%your%group%occur?%

! How%will%you%let%people%know%about%your%support%group?

Types&of&Peer&Support&Groups

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Curriculum(Based

Topic(Focused Open4Forum

Curriculum(Based.Group

! Uses$an$identified$curriculum$that$incorporates$several$planned$topics$in$a$specified$order$over$time

! Typically$incorporates$recommended$books,$articles,$handouts$or$other$facilitation$“tools”$for$use$in$the$group$setting$or$for$use$between$group$meetings

! Typically$includes$guided$discussion$on$each$topic$and$methods$for$engaging$participants

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Topic&Focused,Group

! Option'1:'Group'has'a'broad'topic'as'its'main'purpose'and''focuses'on'a'particular'sub7topic'for'one'or'more'sessions'based'on'the'purpose'of'the'group.'Example:'Setting'Boundaries'or'Self7Care'when'supporting'a'loved'one'with'addiction.'

! Option'2:'Group'is'identified'as'a'group'for'people'with'a'specific'experience'or'set'of'experiences'and'the'topics'are'determined'based'on'the'interests'and'guidance'of'the'participants.

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Topic&Focused,Group

! With%a%topic*focused%group,%even%one%that%is%participant%led,%it%is%best%to%have%the%meeting’s%topic%pre*determined%before%the%actual%group%meeting%so%that%written%materials%and%resources%can%be%gathered%and%used%as%part%of%the%group.%

! If%using%written%materials,%such%as%books,%articles,%handouts%that%are%not%part%of%a%curriculum,%try%to%be%sure%the%materials%are%a%reliable%and%trustworthy%source.

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Open%Forum%Group! An#open#forum#group#is#typically#organized#around#

individuals#with#a#similar#experience.#! There#is#usually#no#pre;arranged#agenda#or#topic#for#

discussion.#The#group#meeting#evolves#organically#based#on#what#the#participants#that#day#want#to#discuss.#

! This#format#works#well#for#groups#that#do#not#have#consistent#attendees#or#for#group#participants#that#are#primarily#looking#for#a#support#system#versus#education.

! An#open#forum#group#could#be#incorporated#into#the#schedule#of#a#Topic#Focused#group,#allowing#the#opportunity#for#a#more#open#dialogue#occasionally.#

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Group&Facilitator&Roles! Set$group$“guidelines”

– Ensure$this$is$a$safe$place$for$everyone.$No$one$will$be$disrespected,$harassed,$bullied,$etc.$

– The$goal/$purpose$of$this$group$is$________________.$– Set$etiquette$expectations.$Discuss$expectations$regarding$communication$with$other$members—what’s$appropriate,$especially$since$these$are$highly$emotional$and$personal$topics.

– Explain$your$role$as$a$peer$facilitator.– Attendance$expectations$(if$any)$and$how$people$will$be$informed$of$a$cancellation.

– Discuss$confidentiality.18

Group&Facilitator&Roles

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Start/&Stop&Group&on&Time

Facilitate&respect&and&open&dialogue&

Ask&open8ended&questions.&“How&do&you&all&feel&about…”

Listen&attentively

Allow&silence Use&appropriate&self8disclosure

Educational+Activities

Purposes(of(Educational(Activities

! Providing)community)education)about)addiction,)recovery,)and)bringing)attention)to)resources)(or)lack)thereof))in)your)community

! Anti;stigma

! Creating)awareness)about)Family)Recovery)Support)services)and)engaging)families)

Preparing)for)your)Educational)Activity

! The$first$step$is$to$determine$what$the$goal$or$purpose$of$the$educational$activity$is.$

! Who$is$your$intended$audience?$

! How$will$you$reach$your$intended$audience?$

! How$will$you$let$people$know$about$the$event?

! Do$you$need$to$prepare$a$presentation$or$is$it$a$more$informal$discussion$event?

! Will$you$encourage$question$&$answer$time?

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Language'Matters

Avoid:'

! Substance'“Abuse”'and'Substance'“Abuser”

! Referring'to'someone'as'an'“addict”'or'an'“alcoholic”

! Talking'about'test'results'as'being'“Dirty/'Clean”

Use

! Substance'Use'Disorder'or'Substance'Misuse

! A'person with'addiction'or'a'person'with'a'substance'use'disorder

! Test'results'were'“As'Expected”'or'“Unexpected'Substance'Detected”

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Pulling'It'All'Together

“Take&Aways”,from,Session,1

! Addiction(is(a(disease(that(physically(impacts(the(brain.(

! The(brain(can(heal(and(recover(after(addiction—but,(it(takes(time.(Some(people(may(experience(symptoms(of(addiction(and(its(effects(for(months(or(years(after(no(longer(using(the(addictive(substance.

! Change(is(a(process(and(recognizing(where(in(that(process(people(are(helps(us(support(them(better.(

! We(focus(on(Recovery—setting(new(goals,(new(selfCidentify,(selfCesteem,(meaningful(relationships,(and(hope.(

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“Take&Aways”,from,Session,2

! We#provide#support#while#keeping#cultural#humility,#trauma8informed#care,#grief8informed#care,#and#person/#family8centered#care#at#the#center#of#what#we#do.#

! We#focus#on#strengths#and#opportunities#we#do#have#control#over.#

! We#are#aware#of#the#boundaries#and#ethical#considerations#that#will#ensure#the#care#we#provide#is#effective#and#helpful.

! We#use#self8disclosure#thoughtfully#and#appropriately.! We#don’t#deliver#support#“in#a#vacuum?”#we#consult#with#

others#and#make#sure#others#know#who#we#are#supporting#and#what#we#are#doing.

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“Take&Aways”,from,Session,3

! We#identify#the#methods#and#tools#that#will#be#most#helpful#and#effective#for#a#particular#individual#or#family#and#try#to#provide#that.

! We#recognize#that#we#don’t#have#to#be#the#expert#or#have#all#the#answers#and#sometimes#the#most#powerful#tool#we#have#is#simply#“ourselves.”

! If#we#aren’t#sure#about#something,#we#seek#consultation#or#research#it#and#try#to#be#certain#that#the#information#and#resources#we#are#providing#are#accurate,#trauma#informed,#culturally#appropriate,#and#use#personAfirst#language.#

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Resources

! https://www.samhsa.gov/sites/default/files/programs_campaigns/brss_tacs/family:parent:caregiver:support:behavioral:health:2017.pdf

! https://www.samhsa.gov/brss:tacs/recovery:support:tools/parents:families

! https://the20minuteguide.com/parents/introduction:guide/

! https://www.samhsa.gov/sites/default/files/programs_campaigns/02._webcast_1_resources:508.pdf

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Questions?

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References

! Ashford,)Robert)&)Brown,)Austin)&)Ashford,)Arielle)&)Curtis,)Brenda.)(2019).)Recovery)Dialects:)A)Pilot)Study)of)Stigmatizing)and)NonIstigmatizing)Label)Use)by)Individuals)in)Recovery)From)Substance)Use)Disorders.)Experimental,and,Clinical,Psychopharmacology.,10.1037/pha0000286.

! Henze,)K.)and)Sweeney,)P.)Part)I)of)Peer)Support)Group)Facilitation)Skills.)New)England)MIRECC)Peer)Education)Center.)Accessible)at)https://www.mirecc.va.gov/visn1/docs/products/Part_I_Peer_Support_Group_Facilitation_Skills_Presentation.pdf

! SAMHSA’s)Center)for)the)Application)of)Prevention)Technologies[)Word)Matter:)How)Language)Choice)Can)Reduce)Stigma)https://www.samhsa.gov/capt/sites/default/files/resources/sudIstigmaItool.pdf

! SAMHSA,)2017.)Family,)Parent)and)Caregiver)Peer)Support)in)Behavioral)Health.)Accessible)at)https://www.samhsa.gov/sites/default/files/programs_campaigns/brss_tacs/familyIparentIcaregiverIsupportIbehavioralIhealthI2017.pdf

! SAMHSA,)2017.)Recovery)Support)Tools:)Parents)and)Families.)Accessible)at)https://www.samhsa.gov/brssItacs/recoveryIsupportItools/parentsIfamilies

! SAMHSA,)The)Power)of)Perceptions)and)Understanding:)Changing)How)We)Deliver)Treatment)and)Recovery)SourcesI Resource)Guide.)Accessible)at)https://www.samhsa.gov/sites/default/files/programs_campaigns/02._webcast_1_resourcesI508.pdf

! The)Center)for)Motivation)and)Change,)2017.)20)Minute)Guide:)Parents)Guide.)Accessible)at)https://the20minuteguide.com/parents/introductionIguide/

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