Category Archives: mental health

POWER OF PEER SUPPORT- an abbreviated chronology

by William White

The concept of “wounded healer”–the idea that people who have survived illness or trauma may have special abilities to help others facing similar challenges–has deep roots within the history of addiction treatment and recovery.  During the 1980s and 1990s, the perceived value of the wounded healer was eclipsed by the growth and professionalization of the addiction treatment workforce in the United States.  Between 1965 and 2010, the percentage of addiction professionals with lived personal/family experience of addiction recovery plummeted from more than 70% of the workforce to approximately 30% as educational credentials became valued more than experiential knowledge.  Today, there is growing recognition of the value of peer-based recovery support services provided to individuals and families outside the framework of recovery mutual aid societies.  A new generation of peer helpers is working in volunteer and paid roles within new grassroots recovery community organizations, within addiction treatment programs, and within such allied fields as primary healthcare, child welfare, and criminal justice. This trend reflects not a rejection of scientific knowledge and professional treatment, but an effort to integrate addiction science, cumulative clinical experience, and knowledge drawn from the lived personal/family experience of addiction recovery.

Working under such titles as recovery coach, recovery support specialist, peer helper, and recovery guide, peers are filling support roles across the stages of addiction recovery.  Their growing presence represents a historical milestone in the evolution of addiction treatment and recovery support in the U.S.–functions that falls outside the boundaries of the recovery mutual aid sponsor and the addiction counselor.   Given the increasing number of requests I am receiving for information on peer recovery support services, here is an abbreviated chronology of what I and my co-authors have written about such recovery support roles.

To explore how peer recovery support services are being implementing in diverse cultural contexts, readers may also wish to explore my interviews with:

  • Cathy Nugent on Recovery Community Mobilization and Recovery Support
  • Tom Hill on Recovery Advocacy and the State of Recovery Support Services
  • Don Coyhis and Eva Petoskey on Recovery Support in Indian tribal communities
  • Phillip Valentine on Recovery Support Services in Connecticut
  • Walter Ginter on Medication Assisted Recovery Support Services in New York City

There is a zone of energy, authenticity and effectiveness that characterizes the earliest stages of successful social and therapeutic movements.  These qualities can be diluted or lost as movements become institutionalized (e.g., professionalized, commercialized or colonized by larger forces within the culture).  The documentation of the earliest contributions of these movements thus takes on both historical and practical importance.

In recent decades, the addiction treatment field has been marked by a loss of recovery volunteers within the addiction treatment milieu, reduced recovery representation among addiction counselors, addiction counselor training that denies the legitimacy of experiential knowledge, and weakened connections between what are now defined as addiction treatment businesses and indigenous communities of recovery.  It is in this context that new peer recovery support service roles promise several unique contributions: living proof of the reality and transformative power of long-term addiction recovery, recovery attraction via mutual identification, a service relationship lacking any hint of contempt or moral superiority, knowledge of and assertive linkage to local communities of recovery, and experience-grounded guidance through the stages of recovery.

The advent of peer recovery support services is an important milestone within the history of addiction treatment and recovery.  Such services stand as potentially important resources to speed recovery initiation, enhance service retention in addiction treatment and facilitate the transitions to recovery maintenance, enhance the quality of personal/family life in long-term recovery and to support efforts to break intergenerational cycles of addiction and related problems.  Cumulative experience and scientific research will tell whether the promises of peer recovery support services are fulfilled and sustained.  If such service relationships achieve their promise but are then lost, their presence in this era will stand as a valuable artifact to be rediscovered in the future, just as this power is now being rediscovered.

 

This post was first presented on William White’s blog on August 22, 2014, and it is still an important reference article today. This post, was written by William White, an Emeritus Senior Research Consultant at Chestnut Health Systems / Lighthouse Institute and past-chair of the board of Recovery Communities United. Bill has a Master’s degree in Addiction Studies and has worked full time in the addictions field since 1969 as a streetworker, counselor, clinical director, researcher and well-traveled trainer and consultant. He has authored or co-authored more than 400 articles, monographs, research reports and book chapters and 20 books. His book, Slaying the Dragon – The History of Addiction Treatment and Recovery in America, received the McGovern Family Foundation Award for the best book on addiction recovery. Bill was featured in the Bill Moyers’ PBS special “Close To Home: Addiction in America” and Showtime’s documentary “Smoking, Drinking and Drugging in the 20th Century.” Bill’s sustained contributions to the field have been acknowledged by awards from the National Association of Addiction Treatment Providers, the National Council on Alcoholism and Drug Dependence, NAADAC: The Association of Addiction Professionals, the American Society of Addiction Medicine, and the Native American Wellbriety Movement. Bill’s widely read papers on recovery advocacy have been published by the Johnson Institute in a book entitled Let’s Go Make Some History: Chronicles of the New Addiction Recovery Advocacy Movement.

Share
Posted in Addiction, Addiction Recovery Posts, alcohol, Alcoholism, Coach Credentialing, Drug Abuse, internet addiction disorder, love addiction, mental health, Opioid addiction, Pornography, Research, Sex Addiction, Sponsor, Uncategorized | Tagged , , , , , , , , | Comments Off on POWER OF PEER SUPPORT- an abbreviated chronology

Men’s Healing Retreat – June 28 – July 1

I am excited to let you know what I have been doing in the past year. I have partnered with Dr David Forbes to present a Men’s Healing Retreat in June 2018.
 
This has been a dream of mine to go beyond the retreats I have run in the past. To create an event that goes beyond the twelve steps, beyond mutual support meetings and surpassing traditional therapy outcomes.
 
On Thursday, June 28 through Sunday, July 1, I am coordinating a Men’s Healing Retreat at the Temenos Retreat House, in West Chester, Pennsylvania. The Retreat Registration begins Thursday, between 3-5pm and the retreat ends at 2pm on Sunday, July 1, 2018. For retreat registration information go to: https://www.menshealingretreat.com or contact me at 856-745-4944 or Email me at: killeenmelissa@Gmail.com
 
The Registration Fee: $985.
 
The registration fee is payable by using the PayPal application at the Retreat web site: https://www.menshealingretreat.com/
 
Please join us-or spread the word….
Share
Posted in Addiction, Addiction Recovery Posts, alcohol, Alcoholism, body image, Coach Credentialing, Drug Abuse, Family Dynamics, Gambling, internet addiction disorder, love addiction, mental health, Opioid addiction, Pornography, pornography addiction, Relapse, relationships, Sex Addiction | Tagged , , , , | Comments Off on Men’s Healing Retreat – June 28 – July 1

Recovery Coaches working with sex offenders

Legal Consequences Crisis Management Team -Recovery coaches working with sex offenders

It is 5:30 am and a band of FBI and local sheriff authorities pull up to a New Jersey suburban house in a development not far from Philadelphia. Adorning Kevlar vests, and windbreakers with the yellow letters FBI on their backs, they storm past a toy doll stroller in the sidewalk. They bang on the door with their fist, demanding “Open up this is the FBI”. After a few more wraps, a bleary eyed woman about 40 years old opens the door a crack and peers out. With a burst of energy, five FBI agents and two local police enter her foyer, issue her a search warrant and spew out demands, only one she actually hears, “Your husband is under arrest for child pornography…where are the laptops, tablets, cell phones and computers?”

Emily, (all the real names in this story will be withheld for privacy purposes) is dazed. She is in her bathrobe, and slippers, her hair is mussed, her eyeglasses crooked. She is barely awake. She glances at the stairs. She sees her two children at the top of the stairs, as a troop of agents make their way up to them. The agents ascend, as her girls descend. They are squeezing towards the wall making way for the army of six foot tall, 250 pound men barreling past them. They are asking “Mommy, what is happening?” A sheriff from the local police department asks where her husband is. She says he is at work; he works the midnight shift at a local hospital. The Sheriff gets on his walkie-talkie and bursts out some demands, checking on a similar event at her husband’s workplace.

It is 6:00 am, and Tom is just wrapping up from his shift as a nurse. His supervisor walks up to him with a force of blue windbreakers flanking him on either side. “Tom,” his supervisor says, “these gentlemen want to see you in my office”. As they turn to go to the office to FBI agents take Tom at the elbows and nearly lift him off his feet. He is escorted to the supervisor’s office, is placed in an arm chair and the door slams. Tom hears the words he has feared for the past two decades. “You are under arrest for the possession of, and the suspected distribution, copying, or advertising of images containing sexual depictions of minors.” For some strange reason, Tom is relieved. He thinks “It’s over, it is finally over.”

An unlikely band of brothers

It is Monday night, a steady stream of middle aged men drift into a hospital conference room, and take a seat. One of them opens a gym bag and starts to place books, pamphlets and tri-fold fliers on the table. A clear plastic envelope stuffed with one dollar bills is placed next to a thin loose-leaf binder. He sits down, opens the binder, checks the time on his cell phone and says, “Welcome to the Monday night meeting of Sex and Love Addicts Anonymous, my name is Ken, and I am a sex and love addict.” The seemingly normal cohort of men reply, “Hi Ken”.

The Monday night meeting of Sex and Love Addicts Anonymous begins. The reading is on Step Three; made a decision to turn our will and our lives over to the care of God, as we understood God. During the share a newcomer, Tom, tells his story about what brought him into the rooms tonight. He is not sure he can be helped. He knows he has been a porn addict for all of his adult life. He says he has just been found out and he has no idea what will happen next, to his life, to his marriage, to his kids. He was advised to go to a 12-step meeting for sex addiction and luckily, he saw this meeting listed when he searched online.

The members of this unlikely band of brothers looks at Tom. His head is down. His focus is on the ravaged cuticles of his right thumb. As he raises his thumb to his mouth, a tear rolls down his cheek. They know how he feels. Each one of them have felt this same despair. Joe raises his hand to share. Joe is almost 45, yet one would think he is no older than 35. His Goorin Brothers Slayer cap is on backwards, his flannel plaid shirt is unbuttoned revealing an LA Dodgers vintage t-shirt. Appropriately ripped skinny jeans end in a pair of Vans slip-ons. He gets current, talking about his therapist, his groups and what the third step means to him. Then he looks directly at Tom. “I know there is no cross talk in this meeting, so let me just say this, Tom, can we talk after the meeting?”

Joe knows what has happened to Tom. Tom need not even say the word ‘legal’ for the subliminal message to be delivered. Joe knows because it happened to him, less than two years ago. The Cop Knock. The end of life as he knew it. The opening up of a new world. A new life without any more hiding. Relief.

The start of a new life

Joe and Tom walk to the hospital café and Joe buys Tom a soda and a sandwich. It is the first thing Tom has eaten in two days. The café is empty, they find a corner table and sit down. After just a few minutes, Tom’s experience from the last week is told. Joe’s head was nodding the whole time, but he lets Tom talk.

Before an hour was up, Joe had given Tom the names of three men, Michael, Steve and Jay. Also, the phone number of an attorney and of a therapist that specialized in treating sex offenders. As they walked out of the hospital, Joe said the first call should be to Michael. Michael will coordinate everything. And Joe was right, Michael coordinated everything.

Michael answers the phone at 9:30pm, and Tom was on the other line. Michael was already informed by Joe, just minutes before. By 10:00, Michael had assembled the Legal Consequences Crisis Management Team on a conference call and briefed us all. The attorney appointment will be made by the client, Tom. The therapist introduction will be on the phone, and the first group therapy meeting is tomorrow and Joe will bring Tom. Michael will coordinate the lawyer and therapist calls and speak to his parents. Jay and Steve will call Tom daily, for support. I am assigned to work with the wife. All of these recovery coaching services will be free to Tom.

Doing service to give back what we have freely received

Every one of us responds to this call. It initiates a recruitment effort that rivals the Avenger’s response to Ultron’s threat to eradicate humanity. This Legal Consequences Crisis Management Team is committed to respond to any sexual addiction crisis- the family affected by a patriarch’s incest, the individual devastated by sexual trauma, or the man that has heard the “Cop Knock”. We know they feel alone, whether they have been abandoned by their family, abused by loved ones or in this case, arrested for an illegal act. Tom needs this “Avengers” team to help him, because this is territory he is not familiar with. However, this team is very familiar with it; the family dynamics, the law, the courtroom, treatment and therapy, prison and the re-entry process. They have walked this path, and emerged on the other side, as healthier and better people for the experience. So, we are there for Tom, in order to keep our own sobriety, we are doing service to give back what we have freely received.

This band of Recovery Coaches comes to the aid of individuals dealing with the crisis of legal consequences of their sex addiction in the New Jersey, Delaware and Southeastern Pennsylvania region.

 

 

 

 

 

 

 

 

 

Share
Posted in Addiction, Addiction Recovery Posts, alcohol, Alcoholism, body image, Drug Abuse, Family Dynamics, Gambling, internet addiction disorder, love addiction, mental health, Opioid addiction, Parents, Pornography, pornography addiction, Recovery Coaching, Relapse, relationships, Research, Sex Addiction, Sleep Deprivation, Sleep Loss, Sponsor | Tagged , | Comments Off on Recovery Coaches working with sex offenders