Webinar 7:
From Dual Recovery to Recovery of
the Whole Person
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PLEASE NOTE: These webinars will be
recorded and be made available on our
website for future viewing. As a
participant in the webinar, your name,
voice and any interactions you have in the
Q and A session may be included in the
recording..
Thank you for your participation!
Welcome to the seventh in a series of webinars for peer
supporters drawn from the Recovery to Practice (RTP)
project, a SAMHSA-funded project to foster recoveryoriented practice in behavioral health professions.
This webinar series is presented by members of the
International Association of Peer Supporters (iNAPS) with
generous assistance of Optum, without whom this series
would not be possible.
iNAPS is solely responsible for the content of the webinars.
The webinar will begin at noon, Eastern.
Thank you for your participation!
Patrick Hayes
Erik Simkins
Region 4 Recovery
Support Specialist for
the Illinois Dept. of
Human
Services/Division of
Mental Health
Wellness Coach and
Certified Recovery
Support Specialist from
the Human Service
Center in Peoria, IL
Peter Ashenden
Director of Consumer Affairs
OptumHealth Behavioral Solutions
Contact Information
T +1 612-632-2963
F +1 877-309-8548
Peter.ashenden@optum.com
www.optum.com
Objectives
For you to be able to:

Define co-occurring disorders and
reasons why they may co-exist

Explain what is meant by
integrated treatment

Describe three types of recovery
capital that can be used in
recovery of the whole person
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What is….
(Canadian Foundation for Drug Policy – Public Health Approach to Drug Control 2005)
Risk Factors for Co-occurring
Conditions
• poverty or unstable income
• difficulties at home or school
• unemployment or problems at work
• isolation or lack of a social network
• homeless or lack of decent housing
• family problems
• family history of mental illness, substance
abuse, or concurrent disorders
• past or ongoing trauma, abuse, or neglect
• discrimination
• biological or genetic factors
• those who are native or indigenous people
• involvement in the criminal justice system
ACE Study
17,000 people
 Adverse childhood
experiences
 Major risk factors for
illness, poor quality of
life, and death
 Worst health and social
problems are a
consequence of ACEs

ADVERSE CHILDHOOD EXPERIENCE (ACE)
How Many?
8.9 million adults have co-occurring
mental and substance use conditions
Less than 8% receive treatment for
both conditions
More than 50% receive
no treatment at all
Source: SAMHSA 2008/2009 Survey on Drug Use and Health
Trauma and substance use

66% of men and women in substance abuse
treatment report childhood abuse
and neglect

77% of male veterans in substance
abuse inpatient units were exposed
to severe childhood trauma;
58% had a history of lifetime PTSD

50% of women in substance abuse treatment have
a history of rape or incest
(Huckshorn, 2012)
Co-occurring conditions
is an expectation…
…not an exception.
~~Ken Minkoff
Signs of Substance Use
Four “C’s” to look for:
 Loss
of Control
 Compulsive use
 Craving
 Consequence
Assumptions about Recovery
Recovery may occur
whether one views the illness as
biological or not.
The key is understanding
there is hope for the future,
rather than understanding there was
a cause in the past.
~ William Anthony
What’s Strong
Recovery of the Whole Person
A word about language
Triple Stigma
Mental disorder
Substance use disorder
Stereotype / stigma
Language is powerful
MICA (mentally ill, chemical abuser)
MISA (mentally ill, substance abuser)
MISU (mentally ill, substance using)
CAMI (chemically abusing, mentally ill)
SAMI (substance abusing, mentally ill)
MICD (mentally ill, chemically dependent)
Dual diagnosis or Dually disordered
Co-morbid disorders
Language Matters
Source: Language Matters Brochure – Hogg Foundation
Language is powerful
Reframe
Perceptive
Sensitive
Shy
Exuberant
Origins of Addiction
- Vincent Felitti, MD. (ACE Researcher)
Environmental Factors
The whole is greater than
the sum of its parts.
~~Aristotle
Segregated Systems
 Mental health and addiction fields have different
historical roots and traditions.
 Two distinct groups of practitioners have different
training and approaches.
 Integration has been difficult because of political,
fiscal, structural, and attitudinal influences that
have been hard to overcome.
 Focus on deficits, dysfunction,
illness, and treatment has
hindered integration.
Integrated Treatment
Research has consistently shown that for
individuals to receive effective care,
mental health and addiction services
must be integrated.
~~ Davidson & White
Stages of Change
Stages of Change
Physical
Emotional
Environmental
Intellectual
Financial
Occupational
Social
Spiritual
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Stage-wise Treatment
Harm Reduction
Alcohol
Cigarettes
Street Drugs
Prescription Drugs
Harm Reduction
Self-Help Resource
Search for
“HARM REDUCTION” and “ICARUS PROJECT”
DUAL RECOVERY
http://www.nytimes.com/interactive/science/lives-restoredseries.html#/antonio-lambert
Recovery Capital
Things we can be grateful for…
• Social
• Physical
• Human
SMALL GROUPS
Finding Hidden Treasure
Steps:
1. Three types (social, physical, human)
2. Give one example of recovery capital
(in each category)
3. Four rounds, list examples
4. Share ‘aha’ moments in group
5. Share with large group
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ROLE PLAY
Summary
Are you able to:

Define co-occurring disorders and
reasons why they may co-exist?

Explain what is meant by integrated
treatment?

Describe three types of recovery
capital that can be used in recovery
of the whole person?
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?
?
?
Questions….
To unmute your line, press *6.
To mute your line again, press *6
Overall RTP Project
www.samhsa.gov/recoverytopractice
Resource Library
www.dsgonline.com/rtp/resources.html
Peer Supporter Discipline
www.inaops.org
Wounded Healer Video
http://www.youtube.com/watch?v=orxEawi9qro
E-mail: webinars@naops.org
Special thanks to Chacku Mathai,
for his generous help in developing
this module
Recovery Relationships
December 2, 2013
Go to our website: www.naops.org
for up-to-date information