Author Archives: Michael

FOUNDATIONAL THINKERS IN THE RECOVERY COACHING COMMUNITY

http://youtu.be/Kb-deN9eNIs

 William L. White is a Senior Research Consultant at Chestnut Health Systems / Lighthouse Institute, a past-chair of the board of Recovery Communities United and has served as a volunteer consultant to Faces and Voices of Recovery since its inception in 2001. White has authored or co-authored more than 400 articles, monographs, research reports and book chapters as well as 16 books.

William White tells this story of what motivated him to dedicate his life to addiction recovery:

 I helped get a man released from the drunk tank of a local city jail, connected him to a local AA group and offered daily support to him and his family. He did amazingly well for a few months considering the severity and duration of his alcoholism. It was the week of Christmas when, depressed over the gifts he was unable to provide for his wife and children, he sought the balm of an offered bottle. He was jailed later that day for public intoxication and hung himself during the night in the same cell in which I had first met him. Such suicides were common in those years. When I stood before his body and met later that day with his family, I was overwhelmed by my own ineptness and the meager resources I had been able to muster in my offer of assistance. There were no addiction-trained physicians, no detox units, no treatment programs, no trained addiction counselors. I was enraged that this man had to die in despair in such a despicable place. I think my commitment to spend my life working in this field began that day.

 William White was born in 1947 to an Army family, his father a construction worker and his mother a nurse. His family grew quite large with more than 20 adopted, foster, related and siblings living in a small rural home inIllinois. White received a scholarship toEurekaCollegeand showed an interest in psychology, sociology and history. His first job was with the Illinois Department of Mental Health in 1967, where his responsibilities included touring the wards of the mental health institution and screen the alcoholics and addicts for community placement.

The late 1960’s brought the decentralization of many mental health hospitals. White was exposed to the depraved conditions, the over-crowded wards, the stench of urine, the bizarre and near lethal medical procedures such as lobotomies, shock therapy and forced sterilizations. In the seventies, White became an outreach worker, gathering addicts and alcoholics from jail or hospitals and connecting them with services like Salvation Army shelters, SRO’s and AA meetings. In 1970, landmark funding from the Federal Government channeled dollars to local communities to develop addiction treatment programs to augment the paltry rehabilitation assistance. White worked at Chestnut Health Systems one of the first addiction treatment centers in Illinois, and within months he became the clinical director of the facility.

In 1975, William White began pursuing a master’s degree in Addiction Studies at Goddard College. Upon graduating he worked with the Illinois Dangerous Drug Commission, and then became deputy director of the National Institute on Drug Abuse’s Regional Training Center in Chicago and later transferred to Washington DC. In 1986, White later returned to the Chestnut Health System and co-founded the Lighthouse Institute, a research center focused on developing and disseminating information about addiction treatment.  In 1998, , he published his most recognized book; Slaying the Dragon, a seminal history of addiction treatment and recovery in the US.

William White’s contribution to Recovery Coaching research has been monumental, essentially changing the concept of the process of recovery by researching what has worked with hundreds of individuals with sustained, long term recovery.

 In 2002, William White wrote in partnership with the Fayette Companies of Peoria, IL  Chestnut Health Systems of Bloomington, IL, and the BHRM project (which was funded by the Illinois Department of Human Services, Office of Alcoholism and Substance Abuse)  wrote “An Addiction Recovery Glossary: The Languages of American Communities of Recovery”  This text included definitions of a new concept called the Recovery Advocacy Movement and reinforced Bill Wilson’s statement: “There are many paths to recovery”. This glossary introduced many emerging terms to addictions treatment field like Family Recovery, Recovery Capital, Recovery Coach and Wellbriety that were not then widely known in the field and have since become capstones of the recovery coaching field.

 In 2003, White and, Ernest Kurtz, PhD. wrote “Linking Addiction Treatment and Communities of Recovery: A Primer for Addiction Counselors and Recovery Coaches”. This article revolutionized the concept of post treatment or after care, introducing ways to achieve recovery for individuals emerging from a treatment center.

 In 2006, White, Michael G. Boyle, David L. Loveland, and Patrick Corrington, turned the addiction treatment field on its ear by publishing “What is Behavioral Health Recovery Management? A Brief Primer” followed by White, Kurtz, & Mark Sanders’ text called “Recovery Management”. Both are time-sustained, recovery focused, documented collaborations between service consumers, the traditional addiction service provider and the non-traditional service providers united in working toward the goal of stabilizing and actively managing the ebb and flow of addiction recovery until full remission and recovery has been achieved, or until they can be effectively self-managed by the individual and his or her family.

 Simultaneously, the Philadelphia Department of Behavioral Health and Mental Retardation Services, commissioned White to write “Sponsor, Recovery Coach, Addiction Counselor: The Importance of Role Clarity and Role Integrity”. White in this document defined a sponsor, a recovery coach and an addiction counselor, clarifying their roles and how the roles can work together.

 How can you define a new role in an industry without defining the role’s ethical responsibility? In 2007, William White and a team from a Philadelphia based Community Recovery Center; called PRO-ACT developed the “Ethical Guidelines for Peer Based Recovery Support Services”.

Between 2010 and 2012, White and his collaborators have focused on developing recovery-oriented approaches to medication-assisted treatment, including integrating recovery coaching and other recovery support services into methadone treatment programs in the U.S.

 In short, no one person has done more for the Addiction Recovery community than William White. White’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.

 His pursuit of defining recovery coaching as a volunteer position is quite clear in all of these articles. I applaud this decision and the reasons for it, as it serves a need, in fact fills a gap in addiction treatment that was sorely missing. But today, Recovery Coaching is moving into a new realm, maybe one might see recovery coaching as growing-up, going to college, getting married and having children.

 Recovery Coaching is gaining acceptance, the field is developing benchmarking standards, coaching certification, payment for services, and perhaps in the future, re-imbursement for coaching services by from health care enterprises. Professional associations and conferences have sprung up to aid peer specialists and recovery coaches in developing their skills. Without William White, the acceptance of recovery coaching would never have come about. William White continues to hold true to his adage of being a researcher, and in a recent conversation with him, he warned me that these new developments in recovery coaching and in addictions treatment need more research to substantiate the outcomes, I wholeheartedly agree.

 William White changed addiction recovery into what we recognize today as the Recovery Model that many in addictions treatment are following. He continues to dedicate himself to research, advocacy and writing on addiction treatment, although his wife, children and photographing sunsets in Southwest Florida, enjoy his equal dedication, today.

 William White’s web site is: http://www.williamwhitepapers.com/bio/

To view a video on a presentation William White and his opening workshop at the ROSC – Recovery Oriented Systems of Care Symposium – 2009 Atlanta, Georgia http://www.youtube.com/watch?v=mfx58zYTZJ8&feature=relmfu

 

This is the first part of the third chapter of “Guide to Coaching People in Recovery from Addiction” a book written by Melissa Killeen and available as an eBook in January 2013 on Amazon.com
 Part Two of Chapter Three: “Foundational Thinkers…” will be posted next week.

 

 

References: Johnson Institute, 2006, Great Lakes Addiction Technology Transfer Center (ATTC) Network, 2006, Philadelphia Department of Behavioral Health and Mental Retardation Services, 2006, The Council of Southeast Pennsylvania, Inc – Pro-Act, 2007, Blackwell Synergy, 2007, Faces and Voices of Recovery.org, thewhitepapers.com, 2011

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How many kinds of Recovery Coaches are there?

A long history of different types of recovery support services exist in the alcohol and addictions treatment arena. Native Americans used a peer coaching model called a recovery circle in the 18th century to aid fellow alcoholics to recovery (White & Kurtz 2003).  Religious organizations such as the Women’s Christian Temperance Union, the White, Red or Blue Ribbon Reform Clubs in the 1870’s or the non secular Keeley Institute and Keeley Leagues in the early 1900’s embraced peer supported recovery processes for their members (White, 2007 & Eng, 2000 ). In 1932, Bill W began the largest recovery support service,  Alcoholics Anonymous, and from this model many other support groups were spawn.

 Today, numerous recovery advocacy programs utilize a twenty-first century model of peer recovery. A relatively new model uses peer recovery coaching within a community-based recovery support center. These recovery support centers are emerging with notable, documented models in Hartford, Philadelphia, and Chicago (White & Kurtz 2003).

 Recovery coaching is a growing field, emerging from the traditional grass roots models of the 19th century to current day volunteers in community-based recovery support centers and paid recovery coaching positions with high profile movie stars. The relationship between a client and a Recovery Coach could be 24/7 for a month, a face to face meeting with a client for one hour a week, or a 30 minute telephone call, everyday. A Recovery Coach may want to implement a treatment center’s recovery plan or adapt the client’s own plan for recovery, or use both. A Recovery Coach can work within 12-step program, a SMART recovery program with a client, or not. A Recovery Coach can be trained in a coaching program and have three credentials or have 25 years in recovery from crack cocaine and be an ex-con. Either way, it is a very exciting time to be a Recovery Coach.

Here are some examples of recovery coaching assignments:

 Travel or Sober Escort

 Transportation can be a significant challenge to a newly abstinent person. Whether the client is interested in maintaining an ongoing recovery or just needs to stay abstinent for a period of time, getting from point A to point B can be difficult. Commonly called Travel Escorts or Sober Escorts, this version of a recovery coach may be required for client transportation across town, across the state, or across the county.

 Many clients are introduced to a Travel or Sober Escort after an intervention, when immediate transportation to a treatment center is required. In the event a client is in a treatment center for rehabilitation and a death in the family occurs, or they must appear in court, a Travel or Sober Escort will safely transport the client. The Travel or Sober Escort accompanies the client to the event and returns the client to the treatment center after the event concludes. When a client is ready to leave a treatment center and return home, a Travel or Sober Escort will safely transport the client home (Parrish, 2009).

 Long Term or Companion Recovery Coach

 Some recovery coach roles have evolved from a travel or sober escort to a Long Term or Companion Recovery Coach. A Companion Recovery Coach works “full-time” with the client:  days, nights, weekends or extended periods where the coach is by the client’s side 24 hours a day. This long term option can begin with treatment discharge, the client’s first day or weekend home and may develop into a coaching relationship that continues for several weeks, months or longer.

 Returning home from treatment, the client trades a secure, drug-free environment for one where they know there are problems. A Companion Recovery Coach will provide the symbolic and functional safety of the treatment center. A Companion Recovery Coach will introduce the client to 12 step meetings; guide them past former triggers (e.g. liquor stores or strip clubs) and support the client in developing their recovery plan. A Companion Recovery Coach will help the client to make lifestyle changes in order to experience a better quality of life in the first crucial days after discharge from a treatment center.

 Peer Recovery Support Specialist 

 The term, Peer Recovery Support Specialist is purposely used to reflect the collaborative nature of a peer to peer recovery support system that is integral to a community recovery support center program. The Peer Recovery Support Specialist’s primary goal is to help people achieve sustained recovery from their addiction.  The Peer Recovery Support Specialist (sometimes also referred to as a peer recovery coach) is intended to imply a volunteer that will help “coach” people who are working on their recovery. The Peer Recovery Support Specialist will receive no monetary reimbursement for these coaching services (Loveland & Boyle, 2005).

 Today, this non-clinical Peer Recovery Support Specialist meets with clients in a community-based recovery support center, or will go off sight to visit a client. The Peer Recovery Support Specialist ensures there is a contract for engagement, and a personal recovery plan. This recovery plan is drawn up by the client and viewed by the Peer Recovery Support Specialist. The client centered recovery plan is instrumental for the client “buying into” the terms of their recovery. Part of this plan is the stabilization of the client’s recovery capital, e.g. housing stability, improved family life, as well as integrating job seeking or education goals. The plan always outlines a time table for coach monitoring, support and re-intervention when needed, to maximize the health, quality of life and level of productivity of the client.

 Peer Recovery Support Specialists are volunteers linked to client by the community based recovery support centers. This rather new concept of a community recovery support centers are just beginning is beginning to grow, as these centers are now supported by federal and state funding. Center’s contact volunteers from the recovery community and train these volunteers to become Peer Recovery Support Specialists. Slowly community recovery support centers are broadening their reach from urban into suburban communities nationwide (White, 2002).

Family Recovery Coach

The family plays such an important role for a person in recovery, yet is so often neglected by traditional models of recovery. Specially trained Family Recovery Coaches help the family to create a calm, objective, non-judgmental environment. These coaches are knowledgeable in specific models that aid the family coping with the changes that they have gone through living with an active addict or living with a recovering addict. Regardless of an addict’s choices, working with a Family Recovery Coach helps a spouse; partner; or loved ones avoid the mental obsession that plagues so many families affected by addiction and learn to lead sane and productive lives (Buncher, 2012).

 Telephone or Virtual Recovery Coaching

 A Telephone or Virtual Recovery Coaching relationship may be established to continue beyond the face to face meeting of a client and a recovery coach, sober escort or a sober companion coach. The prior face to face coaching relationship was built on trust and re-established honesty for the client, so the Telephone or Virtual Recovery Coach relationship can continue in the same light, with daily or weekly telephone or web based conversations (Bronfman, Fisher, Gilbert & Valentine 2006).

 Today, many treatment centers are embracing virtual recovery coaching and linking Telephone or Virtual Recovery Coaches to clients prior to leaving treatment as a way to continue the connection to the treatment center, as well as meeting guidelines of an ‘aftercare’ program. On line virtual coaching programs has also sprung up recently, either fee based or for free, that will help anyone apply the methods of recovery (e.g. developing a recovery plan and building recovery capital) whether the person has just embraced recovery through a 12-step program or departed from a 30-day stay at a treatment center.

 Legal Support Specialists

 Recently, lawyers dealing with criminal drug cases or drug courts have been requesting a type of recovery coaching to ensure a client, (perhaps under house arrest, enrolled in a drug court outpatient program or pending trial) stays sober as per the law’s mandate (Caine, 2008). Recovery Coaches with the required certification and legal knowledge are contracted for this purpose. Coaches licensed with Licensed Clinical Social Worker, or Certified with Alcohol and Drug Counseling training can perform these tasks. The courts request them to perform a client assessment, then in a letter to the court offer suggested placement in a residential alcohol/drug treatment center, an outpatient treatment program and/or a sober living facility. A Legal Support Specialist – Recovery Coach can also appear in court with the client, validate the assessment and provide transportation to or from courthouse (Caine, 2008).

 This is the second chapter of “Guide to Coaching People in Recovery from Addiction”. A book written by Melissa Killeen, and available as an eBook in January 2013 on Amazon.com

 Part Three: “The Foundational Thinkers in the Recovery Coaching Community” will be  posted next week.

 

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HISTORY OF RECOVERY COACHING

In 1984, the rock group Aerosmith was attempting a comeback; but it was not working, just as their newest album Back in the Saddle was not climbing the charts. There were a lot of things that were not working for Aerosmith, Joe Perry and Steven Tyler, front men for the group, are referred to as the “Toxic Twins” for their heroin habits and other behaviors on and off the stage. (George-Warren & Romanowski, 2001). In fact, the entire band was heavily drinking or taking drugs.

That summer, while touring for the new album, co-manager, David Krebs, hired a psychiatrist to tour with the band. After a month, the doctor claimed the band was “unfixable”. Co-Manager Krebs left the band. Aerosmith denied drugs were dragging down the tour and the album sales. (Aerosmith and Davis, 1997). The band pointed their fingers outward, blaming everyone else for their problems. The band changed record labels from CBS Records to Arista Records, and hired Tim Collins to manage the band (Aerosmith & Davis 1997).

Tim Collins, told the group that in order to survive they had to get sober, claiming that if they stopped using alcohol and drugs, he could take them “platinum” again (George –Warren & Romanowski , 2001). Band members Joey Kramer and Tom Hamilton both became sober and by the fall of 1986. Steven Tyler went to an in-treatment drug rehabilitation center, followed by Joe Perry. By the end of 1986, the final band member Brad Whitford had accepted sobriety. Even so, Aerosmith’s sobriety commitment to Tim Collins was only partially completed. Collins still had to get these heavy metal rockers on the road, with roadies, groupies, opening acts and exposure to more drugs and alcohol, in order to promote their newest album, Permanent Vacation. Tim was able to help the group, maintain sobriety throughout the tour by contracting a recovery coach, Bob Timmons to stay with the band through the tour.

Bob Timmins, was a California based addiction specialist, an ex-con, ex-gang member and recovering heroin addict who had 32 years in sobriety. He was credited with salvaging the lives of a long list of celebrity drug users including members of Aerosmith, Motley Crue and Blind Melon.  Timmins , one of the founders of MusiCares Foundation, which provides assistance to musicians suffering from addiction, influenced the way recording labels treat recovering entertainment artists. In the past, drugs and alcohol were given freely to the artists to enhance their creativity and satisfy any other “needs”. Traditionally, the backstage area was a very toxic place for a recovering artist. Neil Lasher, VP of promotion/marketing and artist relations at EMI Music Publishing and Bob Timmons heralded the concept of a “Safe Harbor Room”, spaces devoid of drugs and alcohol to isolate the recovering entertainers from the masses of back stage workers that do not adhere to sober practices. In 1990, this “Safe Harbor Room” concept was instituted at the 39th Annual Grammy Awards as a backstage area that provides a support system to artists and crew members struggling with addiction issues and continues to be a fixture in many entertainment venues today.  Timmons, died of respiratory failure in 2008, he was 61. Bob Timmons is recognized as introducing this new era of recovery coaching into the mainstream.

 

This is the first chapter of “Guide to Coaching People in Recovery from Addiction” a book written by Melissa Killeen, and available as an eBook in January 2013 on Amazon.com

 Part Two: “History of Recovery Coaching, Part Two” will be posted next week.

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