recovery oriented systems of care

Peer Coach Academy 2016 Catalog

Posted on

birds on a wire

PCA Colorado is collaborating with Agami Health Services to produce several trainings this year. The first will be Four Fridays in July from 2p-10p. Participants will complete 32 hours of CCAR Recovery Coach Training on July 8, 15, 22, 29.

Contact for further information or to reserve a space. Become part of a growing network of recovery coaches and peer mentors in Colorado.

my brief history with CCAR

Posted on Updated on


we're off to see the wizard

“Auntie Em: Help us out today and find yourself a place where you won’t get into any trouble!
Dorothy: A place where there isn’t any trouble. Do you suppose there is such a place, Toto? There must be. It’s not a place you can get to by a boat or a train. It’s far, far away. Behind the moon, beyond the rain…

my brief history with recovery support began in 2005 when i took a position to co-facilitate a substance use treatment group. that position surprisingly lasted 1 1/2 years. the group was 6 persons when the therapist and i began and it was well over 20 when i left. i learned first hand how working with others strengthened my sense of recovery and i also learned how impactful relevant support could be to treatment engagement.

i volunteered for a recovery organization here in denver for a couple of years just after i was given an advocacy award by that same outfit (my grandfather’s term). i learned quite a bit, but its mission seemed shortsighted and self-serving. i then implemented a peer support element at a methadone clinic where i was employed. once again, the group attendance and engagement in activities as well as education and discussion of recovery increased exponentially. sadly the management transitioned after the 2nd year of implementation, and the idea that patients could and would recover took a back seat to managing bodies, billing, and behavior became the sole purpose. i felt very much like mary poppins then and realized that my work was done. i grabbed my umbrella and let the wind carry me onward.

that wind blew me to connecticut for a recovery coach training. i had, by that time, become familiar with the concept and perhaps a little adept at working with other. i completed the training and the tot(train the trainer) so that i  would be able to train others to see the secrets that the magical organization in connecticut had summoned from our heavens.  the training was exemplary. it was like witnessing an all star game. the players were as varied as the types of tulips growing in the countryside of holland. but the work was the same. one person in recovery working with another and asking real questions and sharing real time life lessons and all that truth creating permission for realness to go deeper.

good coach trainings are full of laughter and tears which normalizes the process of change and even encourages it. learning boundaries, reminding each other that “no” is an appropriate answer are just part of the gift left behind. a bigger gift is the renewed understanding that lives and experiences are so different from our and with that difference comes empathy and wonder.

3 years later, i am still frolicking in empathy and wonder. and i’m feeling lucky to have found ccar- it is my own emerald city. the freshest news and the sincerest of stories. i continue to be enthralled with the storytelling ritual whose roots in our culture are justified and ancient. 

the historical timeline below is reposted from Connecticut Community for Addiction Recovery’s website at


CCAR was founded in 1998 when Bob Savage, a long-time state employee, set out to answer two questions:
Where are the people in recovery when policy decisions are made?
Can the recovery community be organized?
Many years later, thanks in large part to his early vision and dedication, the organized recovery community is at the table (locally and nationally) and our presence is growing. In the early years, CCAR focused solely on advocacy and because of the influence of the recovery community, then evolved into providing recovery support services. Seventeen years later, and its amazing to see how CCAR has come.
CCAR holds Connecticut’s first Recovering Community Organization meeting

Connecticut Community for Addiction Recovery officially named

5 founding members spoke at statewide CT Department of Mental Health and Addiction Services (DMHAS) conference, publicly for the first time putting a face on recovery, resulting in initial funding from DMHAS

Mailing list topped 100

Awarded an original CSAT Recovery Community Support Program (RCSP) grant

Awarded funding from DMHAS

60 members attended 1st Legislative Day at State Capitol

1st Board of Directors meeting held

15 members spoke at CSAT Public Hearing in Hartford “Changing the Conversation, A National Plan to Improve Substance Abuse Treatment”

140 attended CCAR Conference” In Celebration of Recovery!”

1st video “Putting a Face on Recovery” released

5 people in recovery selected to serve on DMHAS State Advisory Board, 2 appointed by Governor

Recovery Support Services Concept Paper submitted to CSAT for conference grant

Co-presented with Advocacy Unlimited, a mental health advocacy organization, on the “Recovery Basic Premises and Recovery Core Values” (Note: these values ultimately served as the basis for the DMHAS Recovery-Oriented System of Care)

Hosted 2nd Legislative Day, over 100 people attended

Started “Legacies” support group for parents who had lost children to addiction

Hosted training – Racism of the Well-Intended, Slaying the Dragon

700 attended first annual Recovery Walks! at Bushnell Park in Hartford

“Putting a Face on Recovery” video distributed to 700+

1st edition of The Recovery Herald newsletter published and distributed to 6500+

112 people attended 1st Annual Meeting & Awards Dinner

1st of 7 Chapters established giving CCAR local and regional presence

200+ people attended 3rd Legislative Day, 36 legislators sponsored the event with 3 talking about their own recovery

Non-profit 501(c)3 status granted

10,000+ Recovery Posters distributed nationwide

Website goes live

“Putting a Face on Recovery” video updated; 2000+ distributed nationwide

Awarded CSAT Recovery Community Support Program (RCSP) Track II grant

2000+ participated in 2nd Recovery Walks! held 5 days after terrorist attack of 9/11

16 members testified at Informational Forum at the invitation by CT Legislature Judiciary Committee issues relating to felony conviction and sustained recovery

200+ people attended CCAR’s trauma/recovery forum “Recovery Speaks in the Shadow of 9/11” in New London

Membership topped 2000

3000+ participated in 3rd annual Recovery Walks! in Hartford

200+ attended 2nd trauma/recovery forum in Bridgeport

Code of Ethics established

Shifted successfully from Recovery Community Support Program to Recovery Community Services Program

1st of 42 trainings in the “Recovery Training Series” delivered

New video “Healing Power of Recover” completed

3000+ participated in 4th annual Recovery Walks! in Hartford

Staff invited to “Innovator’s Meeting: Strategic Planning for Peer Recovery Support Services” SAMHSA/CSAT Access to Recovery (ATR) Program

First audit for year ending June 30, 2003 completed and earned a non-qualified opinion

CCAR involved in development of state ATR proposal

200+ people attended Grand Opening of Windham Recovery Community Center

First Family Support Group met in Windham Recovery Community Center

Transition of leadership to new Executive Director

Executive Director Co-chairs state team with DMHAS Commissioner at National Policy Academy on Co-Occurring Mental Health and Substance Abuse Disorders

Formal Volunteer Management System implemented

Awarded CSAT Recovery Community Services Program (RCSP) Track III grant

3000+ participated in 5th annual Recovery Walks! in Hartford

New London Recovery Community Center opened

Recovery Housing Project developed state-of the-art internet database to include 100 independently owned, privately operated recovery houses covering 1069 beds

Recovery Housing Coalition of Connecticut (RHCC) established

RHCC established standards for independently owned, privately operated recovery housing

Recovery Housing Project training “So… You Want to Open a Recovery House” generated 7 new recovery houses totaling 70 new recovery beds

Prison Support Groups established in Enfield and Bridgeport

Comprehensive Volunteer Management System implemented

An article on Recovery Walks! appeared on the cover of the inaugural edition of Rising Recovery in Action, Faces and Voices of Recovery (FAVOR)’s national magazine

Recovery Walks! model replicated in several other states

Recovery Walks! drew 2000+, Honor Guard established for first time

Executive Director served on CSAT Summit Planning Committee

Established Recovery Capital Tool and Recovery Friendly Tool for evaluation purposes

Hosts recognition dinner in honor of CCAR founder, Bob Savage

The WRCC attracted 10,000 visitors

More than 350 individuals attended Recovery Training Series

CCAR represented at historic Faces and Voices of Recovery summit in Washington, DC

Executive Director presented at CSAT Summit

Begin series of Oldtimer (20+ years of recovery) Retreats and Focus Groups

The 50th ‘Hooked on Recovery’ article penned

2006 – Annual_Report_2006
Core Elements of a Recovery Community Center written

Volunteer Coordinator hired

Telephone Recovery Support became CCAR’s first “fee-for-service”

Article published on Telephone Recovery Support in Addiction Professional magazine

New London Recovery Community Center held successful comedy night/pasta dinner event

Senior Peer Services Coordinator Diane Potvin received the Dr. Edward Brown Humanitarian Award for her work in support of recovery in Willimantic.

Executive Director traveled to AZ to serve as consultant to a sister Recovery Community Organization

Hosts 1st Annual Volunteer Recognition dinner with comedian Mark Lundholm, 144 registered CCAR volunteers invited, Keith Sawyer earns Presidential Award with over 1200 hours

Legacy of Hope: Recovery Elders Video Project launched

CCAR staff ran workshops, served on panels and introduced speakers in statewide DMHAS Recovery Conference: Vision to Outcomes

Bridgeport Recovery Community Center opened (#3)

Purchased a 3-story Victorian on 198 Wethersfield Avenue in Hartford to house the Hartford Recovery Community Center and the administrative offices

Individual Giving campaign launched

Recovery Walks! held for the 7th consecutive year, a lead event for Rally for Recovery, banner for 46 other events held nationally on same day

Executive Director Phillip Valentine received America Honors Recovery award from The Johnson Institute at the National Press Club, Washington DC

Executive Director presented on CCAR, recovery support services and promotes the RCSP at congressional briefing in Washington, DC

WRCC attracted more than 15,000 visitors

Hartford Recovery Community Center opened (#4)

Technology grant received from Hartford Foundation for Public Giving

2007 Annual_Report_2007
Hosted HBO “Addiction” premier at St. Francis Hospital Chawla Auditorium for 125 persons

Hosted 2nd Annual Volunteer Recognition dinner with comedian Mark Lundholm, more than 200 registered CCAR volunteers invited, 17 Presidential Awards given

The CCAR experience highlighted in interviews published on Faces &Voices of Recovery website, Great Lakes Addiction Technology Transfer Center (GLATTC) website, Recovery Solutions magazine

Hartford Recovery Community Center launched with Grand Opening for more than 200 people

CCAR leased space to Columbus House “Road to Recovery” program on 3rd floor of the HRCC

New author Richard Anthony (his pen name) began new recovery column that goes out on CCAR website and list serve, “Reflections of a 10th Leper”

Senior Peer Services Coordinator Diane Potvin celebrated 20 years of recovery

Legislative breakfasts held in each of the Recovery Community Centers

NLRCC held 2nd successful Comedy Night

CCAR presents at CCB conference on co-occurring disorders

Executive Director presents at NASADAD (National Association of State Alcohol and Drug Abuse Directors) on the CCAR experience in Burlington, VT

Senior Peer Services Coordinator Michael Askew retires and moves to North Carolina

Executive Director is lead author on a paper titled,” The Recovery Community Organization: Toward A Working Definition and Description” with Bill White and Pat Taylor

CCAR won $270,000 DMHAS grant to provide Telephone Recovery Support to 2500 recoverees

Staff expanded from 10 to 15.

Recovery Walks! held for the 8th consecutive year, Songwriter/vocalist Paul Williams keynotes, first time weather bad, yet sun breaks out during Honor Guard

Senior Peer Services Coordinator Kim Haugabook represented CCAR at a Whitehouse Roundtable in Washington, DC

Senior Peer Services Coordinator Diane Potvin presented at New England Association of Drug Court Professionals in Boston, MA

Executive Director represented CCAR at CSAT Regional Recovery Summit state planning meeting

Executive Director served on a consensus panel for a Center for Substance Abuse Treatment (CSAT) TIP (Treatment Improvement Protocol) on Relapse Prevention

Volunteer Manager Normajean Cefarelli presented on the CCAR Volunteer Management System in Kentucky

Long time Office Manager Pat Howard retires

CCAR completed a strategic planning process

Executive Director Phillip Valentine celebrated 20 years of recovery

Volunteer hours served topped 10,000

2008 Annual_Report_2008
CCAR formed the Recovery Technical Assistance Group (RTAG) to provide consulting, technical assistance to recovery community organizations and other entities

Held the 3rd annual Volunteer Recognition and Celebration dinner with Mark Lundholm. 221 people attended, 123 of them volunteers and 21 Presidential awards were given. The CT Attorney General also signed certificates for each of the Presidential Award recipients

CCAR won 4 DMHAS Innovative Recovery Initiative one-time grants totaling $139,000 – Oldtimers Conference, Legacy of Hope 2, Women In Recovery through Enhanced Designed (WIRED) and Recovery Coaching

DMHAS Commissioner Thomas Kirk attended a CCAR Board meeting and the discussion focused on sustainability

CCAR collaborated with a treatment provider, ADRC (Alcohol & Drug Recovery Center) and won a state grant to provide Recovery Oriented Employment Services (ROES)

With the CT Certification Board (CCB), CCAR assisted with the Recovery Support Services Conference: Promoting Recovery with Recovery Support Services. Several CCAR volunteers and staff presented.

Diane Potvin WRCC Manager was voted in as a co-chair of the DMHAS State Advisory Board

United Way contributions to CCAR topped $1,000

The 1st Recovery Coach Academy was held, a 7-day training that drew 30 participants in a “learning laboratory” model

The number of recoverees reached through Telephone Recovery Support tops 1,000

2009 Annual_Report_2009
Held the 4th annual Volunteer Recognition and Celebration dinner with Mark Lundholm. 209 people attended, 108 of them volunteers and 27 Presidential awards were given. The CT Attorney General also signed certificates for each of the Presidential Award recipients.

CCAR earned a $100,000 contract form the CT Department of Correction for the Re-Entry & Recovery Project for people in the Hartford parole district.

Michael Askew returned from North Carolina to serve once again as the Manager of the Bridgeport Recovery Community Center.

DMHAS Commissioner Thomas Kirk retired. The CCAR Executive Director served on the committee to interview candidates for the position. Pat Rehmer appointed new Commissioner.

The Recovery Coach Academy was held 4 times, a 5-day training that drew participants from 13 different states.

The Recovery Technical Assistant Group expands – a recovery community organization development contract in Sioux Falls, SD; a Recovery Coach Academy in Des Moines, IA; Telephone Recovery Support TA in VA, TX; numerous speaking engagements (MN, VT, ME, NH)

CCAR had visits from several states interested in our model – Texas, New Jersey, South Dakota, Massachusetts and Vermont. Also, a gentleman from England visited the HRCC.

The number of recoverees reached through Telephone Recovery Support tops 2,000.

Recovery Walks! celebrated its 10th anniversary.

Hartford Business Journal selects CCAR Executive Director Phillip Valentine as Non-Profit Executive of the Year. became an official e-commerce site.

2010 Annual Report 2010
CCAR Recovery Community Centers welcomes over 15,000 visits.

New London Recovery Community Center closes, leaving 3 Recovery Community Centers in operation.

Telephone Recovery Support enrolled more than 1,218 new recoverees. Our volunteers had more than 6,800 conversations about recovery. lists over 150 houses from seven states.

The Recovery Coach Academy was held 5 times and trained 62 coaches representing 18 states.

CCAR volunteers continue to be the backbone of the organization; 319 volunteers served over 14,426 hours in 2010.

CCAR honored our volunteers at the 5th Annual Recognition dinner. 34 volunteers were presented with Presented with Presidential awards and one volunteer received a Lifetime Achievement Award.

Shaded Soul wowed us at the 11th annual Recovery Walks.

CCAR staff provided RTAG Recovery Works training for folks in a recovery community organization in Maryland.

Men’s Wearhouse supports CCAR and our recoverees by donating professional attire on a regular basis.

2011 Annual_Report_2011
Executive Director, Phillip Valentine, traveled to Wales and the United Kingdom to speak on the power of recovery and the recovery community organization model. Phil attended the grand opening of the Newcastle Gateshead Recovery Centre, a recovery center modeled after CCAR.

CCAR wide strategic plan was conducted outlining agency priorities for upcoming years.

Yoly Lebron was promoted to Director of Administrator/Human Resource Officer role

Recovery Works hires new Coordinator; 203 individuals referred to program, 54 completed it and 56 gained employment.

Ken Aligata, CCAR volunteer and supporter, hired as Community Educator to conduct outreach to providers and individuals in treatment programs. 16 trainings conducted reached 226 participants.

The number of recoverees that received Telephone Recovery Support calls tripled, with volunteers calling nearly 650 people each week.

BRCC supported Keytrain, an initiative that prepared people to become more employable.

CCAR Recovery Community Centers saw more than 35,000 visitors, hosted 38 different trainings, and held 375 other events.

CCAR’s Telephone Recovery Support model expanded to Minnesota, South Dakota, Rhode Island, and the United Kingdom.

The Recovery Coach Academy was held 4 times and trained 124 coaches representing 28 states; 32 scholarships were provided to CCAR volunteers.

Recovery Coach Academy model trained total of 958 coaches nationwide.

317 CCAR volunteers contributed over 20,438 hours of service.

2012 Annual Report 2012
Maine RCO Leader, Deb Dettor, hired as Director of Operations to implement program development based on strategic plan.

Volunteer workforce number lessens slightly, but 291 individuals serve even more hours than previous years, contributing 23,264 hours.

TRS volunteer callers make 34,230 total calls and engage in 12,765 conversations.

CCAR’s Recovery Community Centers saw even more visitors, nearly 50,000 people.

Windham and Bridgeport Recovery Community Centers each doubled their space.

Community Educator expanded outreach to promote recovery posting YouTube Recovery Minute videos and daily Twitter Affirmations.

CCAR Recovery Coach Academy© ran 117 times across the country and trained 2,038 new coaches.

Recovery Walks! celebrated simultaneously with Recovery Walk in Manchester, England with live-feed broadcast.

CCAR technology upgraded thanks to grant from Hartford Foundation for Public Giving.

2013 Annual Report 2013
CCAR hired first Recovery Coach Academy Coordinator, Stacy Rosay.

Bob Savage Recovery Advocate of the Year Award given to Greg Williams, producer of The Anonymous People.

CCAR Recovery Coach Academy© conducted 121 times across the country and trained 1,741 new coaches.

A new Recovery Coach Ethics training was developed.

Performance Support Learning Communities implemented by consultant/trainer Art Woodard with Recovery Coaches in CCAR Recovery Community Centers.

CCAR sponsored the April sneak preview of the groundbreaking documentary, The Anonymous People.

Volunteer service rose again, with 293 individuals providing 28,427 total hours, averaging 97 hours per volunteer.

CCAR Executive Director teamed with local media celebrity in recovery to host a weekly radio show, Voices of Recovery, on CT’s largest AM radio station.

Executive Director Phil Valentine awarded with thanks for 14 years of Annual Recovery Walks! leadership.

Recovery Walks! celebrated first ever Friday, drawing 1,000 people. CT Governor Dannel Malloy spoke, as first active Governor keynote at a Recovery Walk event.

Rebecca Allen promoted to new Telephone Recovery Support (TRS) Manager position.

Significant rise in CCAR’s Recovery Community Centers activities; 300 trainings ran with 2,438 participants and 1,131 other events drew 24,336 attendees.

CCAR piloted weekly Artists in Recovery; and sponsored first artwork exhibition at Annual Recovery Walks!

 2014 Annual Report 2014
2015 Annual Report 2015


in the pink

Posted on Updated on

pink and yellow


an orchestrated move is happening within the Peer Coach Academy. a cross-city training at a very affordable rate is taking place with the hopes that a larger network of peer coaches in denver will begin to emerge. it seems to be garnering attention as we are saving enough seats to fill our capacity. we hope payments reflect interest, but we shall see.

simultaneously, we are in discussion with a local drug court to begin a training process for coaches within that system, with the introduction of ongoing supervision, recovery support connection, and alumni development. it’s a lot to offer, however we also know that the system needs to change in order to be more effective, and that change may begin at this time with us.

the colorado peer support credential has begun to move forward as well. i received a letter asking to submit the trainings to CDPHE along with a crosswalk to verify that the content satisfies the standards of both the IC & RC domains as well as the colorado core competencies. there are 6 trainings to submit before may 6.

this is definitely a plethora of activity for a couple of weeks.  i have been plugging away with outreach and “bam!” there are responses. in responding to all this interest, i am fortunate enough to have support that i can tap into and that is just what i  am doing. thomas hernandez, larry wall, lacey berumen, stacy charpentier, fell cadwallader , art woodard, jennifer hill, amanda kearney-smith, allison harden  are just a few people whose generosity and support may make all this happen in a timely fashion.  their talent, their know how, and their kindness are keeping me in the pink. thank you!!!

prickly pear sorbet

Posted on Updated on

prickly balloon

i first had prickly pear sorbet around 1997 in southern california when i worked at a southwestern restaurant for the salsbury family. it was so deeply sweet and had a magnificent mad magenta color. it completely vexed me. i have it now and again to this day. it remains a treat and a special occasion when i do.

i love the dichotomy of the prickly pear- hurtful and hideous on the outside yet tropical and vibrant like a gaugin. as i have distilled this concept over the years, i have come to understand that it is the hidden beauty in each of us that holds the real allure. so often i see others (or they see me) as the thorny beast that hides the sweetness within.

here is a recipe. try it out for yourself..

This sorbet is a revelation. The taste is floral, reminiscent of watermelon, but really it’s a flavour all of its own. It’s like sunshine, both the colour and the taste are so bright. It’s an unusual fruit, but once you’ve tasted the sorbet you’ll wonder why it’s taken you so long to discover it.

Prickly pear sorbet

5 large prickly pear fruits, scrubbed (see instructions above) and cut into quarters
¾ cup of water
Juice of 1 lime
½ cup raw caster sugar

Prickly pear
It all starts with prickly pears. Photograph: Lauren Bamford

Blitz the quartered prickly pears in a food processor, until a pulpy liquid. Strain through a sieve, removing the tiny seeds. What you should then have is a thick, fleshy, prickly pear juice.

In a small saucepan bring the water and lime juice to boil. Add half a cup of raw caster sugar. Turn the heat down and stir until the sugar dissolves. Set aside to cool.

Add cooled sugar syrup to the juice, and if you have an ice cream maker, churn. If you do not have an ice cream maker, freeze mixture in a steel tray.

When frozen, remove, chop roughly and blitz in a food processor. Freeze again, and repeat this process two more times. The sorbet should then be a lovely smooth consistency.

10 years in recovery

Posted on Updated on

The Four Reliances First, rely on the spirit and meaning of the teachings,  not on the words;  Second, rely on the teachings,  not on the personality of the teacher;  Third, rely on real wisdom,  not superficial interpretation;  And fourth, rely on the essence of your pure Wisdom Mind,  not on judgmental perceptions.
The Four Reliances
First, rely on the spirit and meaning of the teachings,
not on the words;
Second, rely on the teachings,
not on the personality of the teacher;
Third, rely on real wisdom,
not superficial interpretation;
And fourth, rely on the essence of your pure Wisdom Mind,
not on judgmental perceptions.

i pulled the following from my profile on LinkedIn. it summarizes some of the things i have been privileged to do within the grace of sobriety these last 10 years. needless to say, recovery as changed my life and it completely changed the direction in which i traversed. there are so many unexplained circumstances along my journey that i am certainly at a loss to explain how i have survived so many treacherous and dangerous situations, yet here i find myself with an almost higher-powered directive to give back.

Certified Trainer of Peer Recovery Coaches using CCAR curriculum and philosophy.
Developed peer-to-peer quarterly newsletter “On The TEN” for HIV Community 2008-present
Established Peer Advocacy 501C3 organization named TEN – Treatment Education Network in 2009
Recognized as Advocate of the Year 2010 by Advocates For Recovery Colorado
Implemented Meth Treatment and Recovery Program for Englewood Agency 2012
Created and maintained recovery oriented blog “The Climb” for AFR Colorado 2011-2012
Served as Recovery Rally Chair for AFR Rally For Recovery 2011 and 2012.
Co-Facilitated HIV+ Recovery Support Group as peer in tandem with LPC at A.R.T.S. 2005-2006
Implemented a peer support group for LGBT seeking recovery from methamphetamine 2006
Co Chair Denver Office of HIV Resources Planning Council 2006-2010.
Strength In Numbers Colorado Moderator 2007-2009
Managed Cicatelli & Associates training for Peer Mentoring and HIV One on One Colorado in 2009

i certainly don’t begin to represent that i have created and completed all these on my own, but i was able to participate to the level that i feel some stewardship and some accomplishment. without the input of a community of recovery, i would doubtfully have found my way to 6 months recovery let alone 10 years. the above definitely represents input that can easily be compared against the years of my life before recovery. i spent the life i was given taking and taking and complicating.

i submit a very humble and very heartfelt “thank you” to all the beautiful and the impossible individuals i have met along the journey thus far. you have given me a feast.

life is a banquet and most poor suckers are starving to death.


ROSC- Recovery Oriented Systems of Care

Posted on Updated on

c’est moi at African American Health Fair Denver
The following  information was cut and pasted from the SAMHSA website. It is the up-to-date information regarding healthcare reform with regard to substance abuse and mental health treatment. This particular information is of particular interest to me because I work in these fields. And these issues intersect in my life every day in many ways. I believe (through and through) that these issues are worth spending my days around. Some people I know and some people I care about have struggles with these issues that swallow up their lives. So the idea of equal access to treatment is almost worth the national debt. 
But along with parity comes the idea that treatment for both mental health and substance abuse have a mandate to improve their efficacy to coincide with their accessibility. In their current state, these treatment modalities offer stigma, uncertainty, an extremely low percentage of successful outcomes, options that are designed for the providers benefit and not the recipients- i.e. 28 day in-patient- 90 day outpatient- etc,  the focus of substance abuse and mental health will need to expand from treatment to recovery/resilience if it is to be taken seriously. As science moves us forward in understanding, it reveals to us that the brain effects caused by substance and chemical imbalance are lifetime issues for the majority of us and we need to look towards caring for those issues with longterm solutions. Recovery-Oriented Systems of Care are the options that the movers and shakers are looking towards. We might have much better outcomes when we start to treat the whole person for the whole of their lives. ps- if you are inteterested in recovery i recommend you start reading the work of william white at

On October 3rd, 2008, the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 was signed into law. This new Federal law requires group health insurance plans (those with more than 50 insured employees) that offer coverage for mental illness and substance use disorders to provide those benefits in no more restrictive way than all other medical and surgical procedures covered by the plan. The Mental Health Parity and Addiction Equity Act does not require group health plans to cover mental health (MH) and substance use disorder (SUD) benefits but, when plans do cover these benefits, MH and SUD benefits must be covered at levels that are no lower and with treatment limitations that are no more restrictive than would be the case for the other medical and surgical benefits offered by the plan.

The Mental Health Parity and Addiction Equity Act:
Eliminates the practice of unequal health treatment. This practice has kept individuals with untreated substance use and mental health disorders from receiving critically important treatment services. Providing parity provides insurance coverage for substance use and mental health disorders equally to other chronic health conditions like diabetes, asthma, and hypertension.

Improves access to much needed mental health and substance use disorder treatment services through more equitable coverage. Millions of Americans with mental health (MH) and/or substance use disorders (SUD) fail to receive the treatment they need to get and stay well. The lack of health insurance coverage for MH and SUD treatment has contributed to a large gap in treatment services. Improving coverage of MH and SUD services will help more people get the care they need.

Recovery-Oriented Systems of Care (ROSC) is a coordinated network of community-based services and supports that is person-centered and builds on the strengths and resilience of individuals, families, and communities to achieve abstinence and improved health, wellness, and quality of life for those with or at risk of alcohol and drug problems. SAMHSA/CSAT
Note: Prevention Services also play a major role in developing ROSC.
ROSC will require developing supports and services that provide self-directed approaches which respect the role of personal choice and commitment in pursuit of health and wellness. Developing a ROSC also requires helpinging engage people and families in support networks in their communities, to ease their integration back into the community and get their lives back on track. Linking people to services and supports helps sustain long-term recovery. The services and supports may include resources such as:
  • recovery centers in your community;
  • recovery activities and websites;
  • peer support;
  • mutual help groups;
  • faith based supports;
  • housing;
  • transportation;
  • education and vocational;
  • mental health services;
  • medical care, including HIV Services;
  • financial and budget counseling;
  • legal, and advocacy services;
  • alcohol/drug and gambling services;
  • prevention for children and adolescents; and
  • parenting and family services.
Developing a Recovery Oriented System of Care that is built on the strengths and resilience of individuals, families and communities who are actively taking responsibility for their health and wellness drives the continued efforts to build a foundation for recovery in our future .

pieces of me

Posted on Updated on

image credit.. damien blottiere

Common to my recovery advocacy work and my work in recovery management is the proposition that there are multiple pathways of long-term addiction recovery. I recently collaborated with Ernie Kurtz on a monograph that tries to convey what we know about such pathways and styles of recovery from the standpoint of history and science [20]. In this work, we plotted variations in the frameworks of recovery (religious, spiritual and secular), the scope and depth of recovery, styles and contexts of recovery initiation, and differences in recovery identity and relationships. We also tried to answer the questions of when recovery was stable and durable and whether recovery was ever completed. Our goals were to both summarize current knowledge about recovery for addiction counselors and recovery advocates and to stimulate future recovery-focused research…William L White
it has been a zany month. i got pneumonia at the end of february and was basically out of commission for 2 weeks. i then worked 19 days in a row including some training for the rosc intervention i am championing at my workplace. 
it has not been overwhelming, but it has been a lot. 
my sponsor reported that he was in the hospital all week with a carcinoma scare. he went to the emergency room on monday and the hospital kept him for observation all week. he has already undergone esophageal surgery (highly dangerous) and this new development is not without concern. it is definitely one of those times when my personal lack of power is magnified. 
we have decided to start the recovery rally 2012 on september 8. we are hoping to secure civic center park this year. the last couple of years, the rally has not been held downtown. we consciously made an effort to separate ourselves from a similar event (now dark) that left a tainted footprint in its wake. the rally committee meetings should begin in april. i hope we can create an event for memory as it will be the return to downtown denver. 
just feeling a little sassy this morning. my friend robbie posted this on fb and i was flooded with some memories of days gone by. i still think spp is a hoot and i know i had some crazy good times. and i certainly don’t have any misgivings about having no desire to recreate those days.

evolution of recovery.. beyond the status quo

Posted on Updated on

˜The concept of recovery capital reflects a shift in focus from the pathology of addiction to a focus on the internal and external assets required to initiate and sustain long-term recovery from alcohol and other drug problems…. 
Steve Gumbley

i spent yesterday at a training presented by afr and attc. its focus was a concept named (rosc) recovery oriented systems of care. its focus is that of the changing face of addiction treatment coinciding with the seismic shift called healthcare reform.

the presentation seemed validating in many ways with a shift in focus from treatment to recovery. and modifying my approach to my work to fit into this model should not require decades of reconstruction. and that is a major issue, really. the industry of drug and alcohol treatment will need to make drastic changes to stay afloat with this federally mandated tsunami called reform.

the beauty of the concept is that the patient/client gets the benefit. there is a longer view of the support that a person seeking recovery will have access. the time involved in recovery shifts from the classic (without evidence) 28 days and 90 days to 3 years for a stronger possibility of long-term recovery.

steve gumbley (the current board president of favor) presented in the afternoon segment. he shared some of his story of 25 years with recovery and discussed the idea of public responsibility with such a personal journey. this was a concept i had not considered thus far, although it is not too far from my own philosophy.
i am sharing the slides here. a couple of things that i take from this day are 1) in 3 months of treatment we may very well see a client only about 10 hours. this seems like a cruel joke with regard to the change that is expected from the client. 2) that treatment might really only be a triage, and that recovery support pathways are where the real work is done. 3) that mental health, physical health, emotional health are all involved in a person’s recovery and need to be tended if they are to grow. 4) providers, counselors, nurses, physicians might be more effective if they were to expand a client’s recovery capital as much as possible before releasing them from care.

as a person living in recovery, i am acutely aware that my recovery involves three levels of sobriety- physical sobriety, emotional sobriety, and spiritual sobriety. it makes sense that that treatment providers generally take this concept to a higher (pun intended) level. we need to address all these areas to assure our clients a better chance at a healthier recovery.

if you work in treatment, you definitely need to know about these concepts as this is the direction that samhsa has the money going. if you are in recovery, or seeking recovery, please consider these concepts. they are completely designed with people in recovery at the table. the language of recovery is changing and the business of treatment is evolving. no doubt it is way overdue… a million thanks to the obama administration for moving beyond the status quo.

Recovery Frameworks Steve G Nov2011(function() { var scribd = document.createElement(“script”); scribd.type = “text/javascript”; scribd.async = true; scribd.src = “”; var s = document.getElementsByTagName(“script”)[0]; s.parentNode.insertBefore(scribd, s); })(); Recovery Management Steve G Nov2011(function() { var scribd = document.createElement(“script”); scribd.type = “text/javascript”; scribd.async = true; scribd.src = “”; var s = document.getElementsByTagName(“script”)[0]; s.parentNode.insertBefore(scribd, s); })(); Recovery and Treatment_Steve G_Nov2011(function() { var scribd = document.createElement(“script”); scribd.type = “text/javascript”; scribd.async = true; scribd.src = “”; var s = document.getElementsByTagName(“script”)[0]; s.parentNode.insertBefore(scribd, s); })();
(function() { var scribd = document.createElement(“script”); scribd.type = “text/javascript”; scribd.async = true; scribd.src = ““; var s = document.getElementsByTagName(“script”)[0]; s.parentNode.insertBefore(scribd, s); })();