Virgil Boysaw and Sue Jenkins, Presenters

Seeks to support recovery and wellness for all community members affected by substance misuse, not just those who participate in treatment

Seeks to intervene earlier in the disease process to prevent or mitigate co-morbidity and complications that worsen as disease progresses

Seeks to support sustained recovery

Active Relationship with Community“The community, not treatment, is the agent of recovery”

Advocacy ▪ Confront AOD promotional forces in the local community▪ Promote pro-recovery policies

Recovery resource development▪ Recovery community centers▪ Alternative peer recovery support groups

Stigma reduction efforts

Many of the same interventions Support prevention of substance use, Support prevention of substance misuse,

and Support recovery from substance use

disorders

Environmental Strategies Limit availability of substances Social norms marketing/campaigns

Promote alternative activities that do not include substance use

Education – stigma reductionProblem Identification and referralCommunity Mobilization

Create communities in which people have a quality life including healthy environments at work and in school; supportive communities and

neighborhoods; connection to families and friends and an environment which is free of alcohol,

tobacco, and other drugs and crime free

(SAMHSA/CSAP, 2006)

Factors causing loss of sustained recovery

Factors lessening wellness

Factors leading to use of substances

Focus is on building resiliency The strength individuals and

communities attain by reducing risk factors and increasing protective factors

Rather than addressing a single problem or condition, it simultaneously considers a potential wide-ranging set of ATOD-involved problems

Community Risk Factors Availability of Drugs Community Laws and Norms favorable toward drug use

Individual Risk Factors Friends who engage in the problem behavior

Family Risk Factors Family history of the problem behavior Family management problems Family conflict Favorable parental attitudes and involvement in the problem behavior

Rather than focusing on individuals at risk, it studies the entire community

Rather than basing prevention strategies on single assumptions about deterministic behavior, it employs interventions that alter the social, cultural, economic and physical environment in such a way as to promote shifts away from conditions that favor the occurrence of ATOD- involved problems.

(Holder, 1998)

Stigma reduction - community education

Promotion of pro-recovery policiesEnvironmental Strategies

Limiting availabilitySocial Norming

Special Report A Unified Vision for the Prevention and

Management of Substance Use Disorders: Building Resiliency, Wellness and Recovery – A Shift from an Acute Care to Sustained Care Recovery Management Model

Complied by: Michael T. Flaherty, PhD Institute for Research, Education and

training in Addictions (IRETA)