The Latest in Recovery
Advocacy Tools
Many Faces 1 Voice &
The Anonymous People Project
Kim Manlove Director
Indiana Addictions Issues Coalition?
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* Broad based organization whose mission is to
promote recovery through public education, advocacy and
service
* The IAIC works to
put a “face and voice” on recovery -to
break down misperceptions that will change attitudes
(stigma) and policies (discrimination)
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Addiction is a brain disease
* Treatment for addiction is successful (treatment works)
* Treatment for addiction is cost effective
* Lack of health insurance parity for treatment is
discrimination.
*IAIC Goals
* Increase access to treatment
* Increase the number of professionals and programs providing
treatment
* Reduce stigma through public education
* Provide a voice to help shape public policy on addiction issues
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Introduction and
Setting the Context
Organize and educate the recovering community on how
to advocate without violating traditions
End discrimination – Health Insurance, Housing,
Employment, Public Assistance
Broaden social understanding to achieve a just response to
addiction as a public health crisis
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Introduction and
Setting the Context
Organize and educate the recovering community on how to
advocate without violating traditions
End discrimination – Health Insurance, Housing, Employment,
Public Assistance
Broaden social understanding to achieve a just response to
addiction as a public health crisis
*
Introduction and
Setting the Context
* Actively supporting a cause and trying to get others to
support it
* Speaking up, drawing attention to an important issue and
directing decision makers towards a solution
* .... Advocacy is Education
The Beginning With
Faces and Voices of Recovery
 Organizing and mobilizing people in
long-term recovery from addiction, our
families, friends, and allies, to speak with
one voice
 Changing public perceptions of recovery
 Promoting effective Federal and State
public policy
 Focusing on the reality of recovery that
is making life better for over 23 million
Americans, their families, and
communities
Addiction Recovery Advocacy
Movement
2001 Recovery Summit; St. Paul, MN
The recovery movement:
 includes people in recovery from
addiction from alcohol and other drugs,
family members, friends, and allies
 includes and honors all pathways to
recovery
 encompasses all the diverse
perspectives, cultures, and
experiences of the recovery
community
Current Climate: The Perfect Storm
 Recovery Advocacy Movement
 Recovery-Oriented Systems of Care
 Mental Health Parity and Addiction
Equity Act
 Affordable Care Act
 Managed Care Expansion
 Peer Recovery Support Services
 Criminal Justice and Drug Policy
Reform Movement
 Many Faces 1 Voice
 The Anonymous People Movement
Recovery is the Focus
Focus: Recovery and Wellness
Shifting from a crisis-oriented,
professionally-directed, acute-care
approach with its emphasis on discrete
treatment episodes….
…to a person-directed, recovery
management approach that provides
long-term supports and recognizes the
many pathways to health and wellness.
Recovery-oriented Systems of Care
 Build the capacity of communities,
organizations, and institutions to support
recovery
 Build on the strengths of individuals,
families, and communities to foster longterm recovery, health, and wellness
 Expand the menu of services and supports
across the entire recovery continuum
 Ensure people in or seeking recovery
receive dignity and respect
 Lift discriminatory policies and barriers to
recovery
Challenges Currently Facing
Addiction Service Systems
Unmet Need: < 10 % who need Tx seek treatment or
if they do, arrive under coercive influences
Low Pre-Treatment Initiation Rates
Low Retention: > 50 % do not successfully complete
treatment
Inadequate Service Dose: significant % do not
receive optimum dose of Tx as recommended by NIDA.
Lack of Continuing Care: only 1 in 5 receive postdischarge planning
Recovery Outcomes: most resume using within
3months to one year of discharge from Tx
Revolving Door: > 60% one or more Tx episodes,
24% 3 or more – 50% readmitted within 1 year.
Adapted from Ijeoma Achara
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Service System Progression
Service System Progression
Model 1: Effective Treatment
Primary
Focus
Treatment
Love,
Work, &
Play

Community
Life
Housing,
Faith, &
Belonging
Arthur Evans
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Service System Progression
Service System Progression
Model 2: Continuity of Care
Primary
Focus
Love,
Work, &
Play
Detox
Rehab
Tx-1
Tx-2
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Peer
support
Community
Life
Housing,
Faith, &
Belonging
Arthur Evans
Service System Progression
Service System Progression
Model 3: Recovery-oriented
System of Care
In the model. clinical care is viewed as one
of many resources needed for successful
integration into the community
Primary
Focus
Faith
Work or
school
Social
support
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Community
Life
Treatment &
rehab
Peer
support
Housing
Belonging
Family
Arthur Evans
Recovery-oriented Clinical
Services
 Outreach and engagement
 Strength-based screening, assessment, and
service planning
 Expanded and service team composition and
collaborative relationships
 Focus on community integration
 Linkages to recovery community
 Post-treatment check ups
Adapted from Ijeoma Achara
Fully in the Mix:
Peer Recovery Support
Services
Develop the capacity and
infrastructure of the organized
recovery community to become a
full partner and participant
Explore range of options regarding
paid and volunteer peers
Expand PRSS and increase
service menu options and points of
access
Integrate PRSS into recovery
community and diverse service
settings, including treatment
Setting the Context:
Recovery Capital
What is Needed: Recovery
Capital
Recovery Capital is the breadth and depth of internal and
external resources that can be drawn upon to initiate and sustain
recovery from addiction. (Granfield and Cloud, 1999, 2004; White, 2006)
 Physical:
includes health (access to care),
financial assets, food/clothing/shelter, transportation
 Human: includes culture, values, knowledge,
education, inner- and interpersonal skills, judgment,
and other capacities
 Social: includes connectedness to social supports
and resources, intimate/family/kinship relationships,
and bonds to community and social institutions
Consequences of Addiction
Can Deplete Recovery Capital
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Limited education
Minimal or spotty work history
Low or no income
Criminal background
Poor rental history
Bad credit
Accrued debt and/or back taxes
Unstable family history
Inadequate access to health care
Creating and Reinforcing
Recovery Capital
Essential Ingredients for
Sustained Recovery:
Safe and affordable place to live
Steady employment and job readiness
Education and vocational skills
Life and recovery skills
Health and wellness
Sober social support networks
Sense of belonging and purpose
Connection to family and community
Creating and Reinforcing
Recovery Capital
With Many, a Need to Address:
 Legal issues
 Expunging criminal records
 Financial status: debt, taxes,
budgeting, etc.
 Restoring revoked licenses:
professional, business, driver’s
 Regaining custody of children
 Developing relationship and
parenting skills
 Developing sober social support
networks and community
connections
Building Communities
with Recovery Capital
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Build on the strengths and resilience of
individuals, families, and communities to be
responsible for sustained recovery and
wellness
Make services and resources available that
help individuals and families throughout the
recovery process
Build the capacity of communities,
organizations, and institutions to support
recovery: recovery-supportive rather than
recovery-hostile
Lift discriminatory barriers that impede
recovery and wellness
Peer Recovery
Support Services
Peer Recovery Support Services
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Services to help individuals and
families initiate, stabilize, and sustain
recovery
Provided by individuals with “lived
experience” of addiction and recovery
Non-professional and non-clinical
Distinct from mutual aid support, such
as 12-step groups
Provide links to professional treatment,
health and social services, and support
resources in communities
Elements of a Peer
Relationship
Natural
Reciprocal
Accessible
Potentially enduring
Non-commercialized
Non-regulated
William White
What Makes Peer Work Effective?
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Focuses on establishing trust and
building relationship
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Builds on a person’s strengths to
improve Recovery Capital
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Promotes recovery choices and goals
through a self-directed Recovery Plan
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Utilizes recovery community resources
and assets, especially volunteerism
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Provides entry and navigation to health
and social service systems
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Models the benefits of a life in recovery
Benefits of
Peer Recovery Support Services
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Effective outreach, engagement, and
portability
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Manage recovery as a chronic condition
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Facilitate reentry and reduces recidivism
Stage-appropriate
Cost-effective
Reduce relapse and promote rapid
recovery reengagement
Reduce emergency room visits
Create stronger and accountable
communities
When Are PRSS Delivered?
Across the full continuum of the
recovery process:
 Prior to treatment
 During treatment
 Post treatment
 In lieu of treatment
Peer services are designed and
delivered to be responsive and
appropriate to all stages of
recovery.
Continuum of Addiction Recovery
Pre-Recovery
Engagement
Recovery
Initiation &
Stabilization
Recovery
Maintenance
Enhancement
of Quality of
Life in Longterm
Recovery
William White
Where Are PRSS Delivered?
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Recovery community centers
Faith and community-based organizations
Emergency departments and primary care
settings
Addiction and mental health treatment
Criminal justice systems
HIV/AIDs and other health and social service
agencies
Children, youth, and family service agencies
Recovery high schools and colleges
Recovery residences and Oxford Houses
Peer Recovery Coach
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Personal guide and mentor for
individuals seeking to achieve or
sustain long-term recovery from
addiction, regardless of pathway
to recovery
Connector to instrumental
recovery-supportive resources,
including housing, employment,
and other services
Liaison to formal and informal
community supports, resources,
and recovery-supporting activities
NOT Just Recovery Coaches
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Peer telephone continuing support
Peer-facilitated educational and
support groups
Peer-connected and –navigated
health and community supports
Peer-operated recovery residences
Peer-operated recovery community
centers
Recovery Community Centers
Vision: creating a community institution like a
Senior Center
Provides public and visible space for recovery to
flourish in community: Recovery on Main Street
Serves as a “community organizing engine” for
civic engagement and advocacy
Operates as a “hub” for PRSS and recovery
activities
Includes participation of family members
Provides volunteer, service, and leadership
opportunities
Positions the recovery community as a key
stakeholder with the greater community
Moving Forward with Many Faces 1 Voice
And
The Anonmymous People Project
Q: Why don’t we treat addiction like other public
health issues?
The numbers are staggering:
Over 23 million Americans need help
Costs the nation $343 billion/year
Numbers of young people dying is climbing
We have the pictures of the brain.
We know that 90% of the time it
starts in adolescents.
We have proof that people can
and do recover:
Over 23 million Americans are in
long-term recovery from addiction
to alcohol and other drugs
Why have most of those directly
impacted – people in recovery, family
members and friends – stayed so
silent and disengaged?
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Discrimination
Marginalization
Stigma
Shame
Anonymity
Fear
Education / Training
Unaware of Their Power
Q: How Do We Activate A FRAGMENTED…CONFUSED…
ANONYMOUS…MARGINALIZED…AMBIVALENT…
Constituency – over 23 Million Americans and their families – 10%
of all Americans – to get engaged to address addiction?
2013: Released For Community
Screenings
-Grassroots Distribution
-Over 80,000 Have Seen It
-8.7 Out of 10 Rating On IMDB
-Screened at The U.S. Capitol
A Social Action Filmmaker’s Dream Come True!
The Most Common Question Asked After Watching The Film:
“I Am Inspired, I Want To Get Involved, What Can I Do In My Community?”
A New Campaign
Brought To You By
Faces & Voices of Recovery
“A multi-faceted campaign to
mobilize people in recovery,
family members, friends and
allies to advance the
addiction recovery advocacy
movement.”
As of April 2014 – Campaign
Founders Include:
Free, online educational & inspirational
short videos of people in recovery
who have stepped up to share their
story with a purpose –
advancing recovery
Empowerment:
Individual Story
Sharing &
Taking Action
Community Screening Tools &
Discussion Guide
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Outreach and PR Event Marketing Templates
Social Media Outreach Templates
Guide For Opening Remarks
Post-Film Discussion Guide
Q&A With Greg Williams
Advocacy With Anonymity brochure
A.A. World Services Letter About Film
Call-To-Action Post-Cards
Just want to use the film within your agency?
SCREENING TOOLKIT &
DISCUSSION GUIDE
THE ANONYMOUS PEOPLE
FEATURE DOCUMENTARY FILM
BROUGHT TO YOU BY:
Institutional / Public Performance Rights are now
available – see post-card hand-out for details.
A PROJECT OF:
FOUNDING PARTNER & SPONSOR:
FOUNDING PARTNERS:
Questions and Answers
Greg Williams | Filmmaker
We Begin With Foundational
Principles of Collaboration
Complementary, rather than
opposing, paradigms
Search for potent combinations and
sequences
Mutual respect for different ways of
knowing and types of experience
Philosophy of choice
Shared goal of people getting and
staying well
Adapted from Ijeoma Achara
Collaboration with Recovery
Representation
 Nothing about us without us
(Inclusion as first thought versus
afterthought)
 Representation of multiple
recovery pathways
 Authenticity of representation
 Avoiding problem of double
agentry
 Giving back versus cashing in
William White
Shared Vision for the
Future
Common and shared elements:
 To be active agents of change in our own lives
– not passive recipients of services
 To manage/eliminate and move beyond our
symptoms
 To participate in valued social roles and
relationships
 To embrace purpose and meaning in our lives
and make worthwhile contributions
To not be defined by our illness
To live a self-actutalized life abundantly!
Adapted from Ijeoma Achara
Vision Renewed
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Recovery Works
Recovery is Possible
Recovery is an Expectation!