Category Archives: Addiction

How do I get recovery coaching certification?

20150609_223702 (2)One of the most frequent questions I receive is “How do I get my recovery coaching certification?” The second most frequent question is “How do I get my peer recovery support-specialist certification?”

A recovery coach and a peer recovery support-specialist (focusing in addiction recovery) execute the same job, the positions simply have a different title. Just like a certified drug and alcohol counselor (CADC) has the same job description as a certified addiction counselor (CAC).

Peer recovery support-specialists can also be certified to assist individuals in mental health recovery; slowly but surely, states are requiring different certification training for these two different peer classifications.

The most important considerations in obtaining your recovery coaching credentials are:

  1. Receive your training from an organization that is recognized by your state certification board to give the training (Google the Certification Board in your state, and go to the end of this post for a link).
  2. In the event your state does not offer certification for recovery coaches or peer recovery support-specialists, look up the IC&RC, the International Certification & Reciprocity Consortium, (http://www.internationalcredentialing.org/ ). Read about the Internationally Certified Peer Recovery (ICPR) certification tests from the IC&RC. This IC&RC certification is a credential that is recognized by almost every employer.
  3. Every state has different fees (the IC&RC has fees as well). Expect the following fees: To register for the test: $150-$250. To order study materials: $80-$100. To renew your certification: $100-$150. Renewal is necessary every two-five years. Remember, every state is different in their fee or renewal structure; this is only a guide.
  4. After taking the test, and receiving a passing grade, you are required to complete a certain amount of “practice” or internship hours. These hours vary from state to state. New Jersey requires 500 practice hours. The hours can be completed as a volunteer recovery coach at a social services agency, or as a paid recovery coach at an agency, or with private clients.
  5. These practice hours must be under the supervision of a licensed clinical supervisor (LCS) or certified, recovery coaching supervisor. A licensed clinical supervisor is a licensed counselor, psychologist or social worker that has completed training to oversee the management of other practitioners. Usually one hour of supervision is required for every 40 hours of client contact a coach may have. Documentation of these supervisory sessions are required and will be submitted to the certification board with your certification application.
  6. Once your practice hours and documentation of the supervision are completed, you submit the paperwork to your state’s certification board. When the certification is approved, you are issued the certificate.
  7. It is important you retain this certificate, because every job you apply for will ask for a copy of this document.
  8. Throughout the next few years, you must regularly take continuing education courses for the renewal of your certificate. Every certification board outlines the courses and number of continuing education credits you are required to complete.

If you want to know where you can take the training courses to be a recovery coach, please go to my web site and look for approved training organizations in your state. Here is a link to this list: https://www.mkrecoverycoaching.com/recovery-coach-training-organizations/

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Recovery Coaching Texas Prison Style

Kyle Gage PhotoKyle Gage lives in Longview, Texas, and he is a recovery coach. Longview is a little oil and manufacturing town a couple of hours east of Dallas-Ft Worth and about an hour west of Shreveport, Louisiana. The small town has had some illustrious citizens: Forest Whitaker was born in Longview, and Matthew McConaughey went to Longview High School in the ‘80s. Kyle had less of an illustrious impact on Longview.

A Hard-Earned Recovery 

Kyle entered his first rehab at 17. He enrolled in a boarding school for troubled teens. He continued in and out of rehab many times, trying to do it his way. At twenty, he knew he had to change, so he attended some NA meetings, through which he stayed clean for about 6 months. Then he used. He tried to keep things under control, and managed to avoid any serious consequences for about a year, but then one day he was pulled over by the police, who found methamphetamine.

In lieu of jail time, he agreed to treatment. After his treatment episode he remained clean on probation, in part because he was receiving regular tox screens. Staying clean was motivated by his desire to stay out of jail. For 7 months he was sober, but then he started to drink. Eventually, drinking turned to using drugs. Because of his fear of failing a tox screen, he stopped reporting to probation and went on the run. Kyle was picked up a few months later for the probation violation and was sent to the James Bradshaw State Prison in Henderson, Texas.

He got no help for his recovery in the state prison, drugs being as easily available there as they were on the streets. Upon his release he began using again and was eventually arrested for burglary. He went to treatment but left against medical advice. He went to live at an Oxford House, and remained clean for 2-3 months. The stinking thinking eventually returned, so he drank and drinking led to using. In a very short time, he was arrested. At 26-years-old, he was facing two consecutive ten-year convictions for burglary and grand theft auto. Kyle knew this was serious.

He asked the judge for help, and the judge gave Kyle ten years of deferred adjudication. Deferred adjudication is a form of a plea deal, where a defendant pleads “guilty” or “no contest” to criminal charges in exchange for meeting certain requirements laid out by the court. In Kyle’s case, these terms were that he go into an inmate drug-treatment program, attend Drug Court upon his release, make a commitment to outpatient treatment, perform community service and complete probation within the allotted period of time ordered by the court.

Kyle was sentenced to six months at the Clyde M. Johnston Unit, the Texas correctional institution’s Substance Abuse Felony Punishment Facility in Winnsboro, Texas. This facility is Texas’s drug treatment program for offenders. He received a lot of treatment and therapy at the Johnston Unit, where Kyle realized that he needed to embrace recovery.

Embracing Recovery

For Kyle, embracing recovery in prison began by helping others: helping others gave him hope. He was the person that led the NA meetings in his dorm. The counselors at Johnston announced that a recovery coaching certification course for the inmates would start at Johnston. They said they only had room for ten men. Kyle applied. He was hoping they would pick him, but he was nervous because he knew that it was very competitive and they were only picking one person per dorm.

Kyle’s mother found the book Recovery Coaching—A Guide to Coaching People in Recovery from Addictions on Amazon.com and sent it to Kyle. Kyle read it before he even got accepted into the class, which he eventually was. He excelled in helping others in the Unit embrace recovery. He graduated the recovery coaching class and was even invited to talk to the Unit’s next class of recovery coaches.

Coaching Other Offenders

The primary counselor notified Kyle that he wanted him to talk to an offender that was a disciplinary problem. Jason was 19-years-old, (his named has been changed for this post) and faced 10-15 years for aggravated assault. Jason was a first-phase client, which meant he had only been at the Johnston Unit for 30 days. He was a meth addict, and he was having trouble adjusting to the Unit: He had issues with people in his dorm. He didn’t attend AA or NA meetings. He didn’t want to be in recovery. He wanted to give up, and fantasized about “rendering his sentence.” The inmates call it “getting sent back to county.” Rendering a sentence means to go back to the original courthouse and say to the judge “Thanks, but I would rather serve 10 years for aggravated assault than spend any more time in therapy and treatment for my drug addiction.” Sound crazy? According to Kyle, that is what goes through the heads of many offenders. The grip of the addiction is so strong that living life sober is frightening. Many choose to self-sabotage by creating problems, by assaulting or threatening another inmate and receiving an extension of their sentence.

Jason was referred to Kyle specifically as Jason reminded the counselors of Kyle, with his sleeves of tattoos just like Kyle. Kyle met with him and talked to him about meth, since they shared the same drug of choice. Kyle asked for Jason’s story, and listened. It was different from Kyle’s, but there were many similarities. Kyle shared many of Jason’s traits: Being an outlaw, an outcast, and a gang member. Jason didn’t think the meetings would be beneficial to him. Kyle shared that it was in the 12-step rooms where he truly felt alive.

Kyle asked Jason about his plan when he gets out of Johnston and allowed Jason to self-actualize as to where he wanted to be in 5 years. Jason broke down and cried during this meeting. He was frightened at what he was facing, he had a lot of anger issues, and he didn’t know what to do. So, Kyle told him what worked for him.

During the six months that offenders were at the Johnston Unit, there was no chance of them using drugs. The coaches assisted the offenders with embracing recovery, working the 12 steps and learning to use the steps in their daily prison life. Kyle coached men that were violent, had assaulted another men, were disciplinary problems, and where coaching was the last step before they were “sent back to county.” Kyle was there to stop them from rendering their sentence and losing everything. Sometimes an inmate had a family member pass away and the inmate was not granted permission to attend the funeral.  Although this coaching had nothing to do with recovery from drugs or alcohol, the recovery coaches are assigned to console these inmates through the grieving process.

When inmates were close to being released, having  no experience with 12-step meetings or recovery on the outside, and  having no intentions of asking for help, Kyle gave them some “recovery capital.” He would give them lists of AA and NA meetings near the half-way house to which they were being released.  Kyle would give them information on Community HealthCore, which is a large, social services agency in Texas with outpatient drug and alcohol treatment programs. He would tell them about drug court classes and behavioral health counseling. Kyle and a few of the other recovery coaches in the Johnston Unit were from the Dallas area. When a prisoner would be going to back to the Dallas area, the coaches would refer the offenders to people on the outside who could take them to a meeting.

Another prisoner, Caleb (his real named also changed) was in the reentry process—in a few weeks he was being released to a half-way house in Beaumont, Texas. Caleb had been in this position before.  As he got  closer to the “door” he became scared, and he was afraid of going back into the real world. He was so sure that he could to do things his way, but in the back of his head, he knew that doing things his way was what had gotten him into prison several times before. Kyle ran the 12-step meetings, and Caleb would attend as a “woodworker” (working wood means doing the absolute minimum, not participating, not getting involved and not believing this program would work for them).

Kyle was assigned to speak to Caleb.  Kyle asked him what happened after he drank a beer, and Caleb admitted that after he drank one beer, it would soon be a dozen and very shortly, he was thinking about using crack (his drug of choice). Kyle knew this story very well, because it was Kyle’s story. So he shared his story with Caleb. It didn’t seem to work. Caleb kept wood working and didn’t really engage in the program. Caleb was antagonistic, he would challenge the tenets of the program, ask questions about will power, saying recovery was a choice, and that he was “not an addict forever.” He didn’t think that any program would help him, but he knew that if he went out into the real world, he would use again.

Many offenders self-sabotage their release process by getting into fights and end up staying in prison a few months longer. This happened to Caleb. He remained at the Johnston Unit a few months longer, which was just enough time to let Kyle’s work with him penetrate. Upon his release, Kyle gave Caleb the information on 12-step meetings in Beaumont and he agreed to attend the meetings. Kyle continues to communicate to Caleb, who is sober and has not re-offended.

At this point, Kyle Gage has been out of the Johnston Unit for about a year. He is wrapping up his Drug Court commitment. He is enrolled in a community college to get his Associates Degree and also works as a new car salesman. Kyle will continue recovery coaching to help himself and others maintain the recovery that he loves.

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The Sobering Center’s Recovery Coach—George Shea

interior photo of sobering centerThe Houston Recovery Center

The Houston Recovery Center and the Sobering Center, is located at 150 N Chenevert St, in Houston, Texas. The Sobering Center employs recovery coaches, case managers and Emergency Medical Technicians (EMTs). At first I thought a Sobering Center was a unique set-up for drunks to “just to sleep it off.” This is how it works: Houston police bring in intoxicated people to the Sobering Center in lieu of jail. Sounds like an easy solution for an alcoholic, yes? But this facility provides much more than an alternative to incarceration for individuals who are intoxicated and on the streets. Inebriate adults remain in the Sobering Center for 5-6 hours and have a recovery coach assigned to them. This recovery coach will suggest detox, rehabilitation treatment and recovery coaching support. The clients begin to develop options for greater self-care and self-determination. Case workers can guide the client toward more stable living arrangements. EMTs check their vitals regularly. At the end of six hours the client is free to walk out and will continue to receive weekly recovery coaching services or the client can elect to participate in a detox and treatment program. What is extremely comforting is, if admitted to the Sobering Center, no one will receive a police record, or an arrest record.

How did Sobering Centers Start?

There is a decade-long, upward trend in emergency department (ED) overcrowding and increased jail time for nonviolent offender populations. Homeless, alcohol-dependent people have accounted for a significant portion of this escalating trend. Law enforcement is the first point of contact with intoxicated individuals and the last contact is jail, or the emergency department, so police departments and hospital emergency physicians have been begging for an intervention. As a result, the Sobering Centers were born.

There are Sobering Centers all over the country, so the concept is not new. Some may be in your city. There is The Sobering Center in San Antonio, the Sobering Center/Inebriate Reception Center in San Diego, The Sobering Center in Redding, California, the San Francisco Sobering Center, the CARE Connection Sobering Center in Santé Fe, New Mexico, and the Dutch Shisler Sobering Support Center in Seattle, Washington. The Dutch Shisler Sobering Support Center has been open for over twenty years, and the San Francisco Sobering Center, opened in late 2003 and has provided over 10 years of care for the homeless population in the Mission District.

Houston Recovery Center’s Sobering Center has had 14,000 admissions since they opened their doors in 2013. That is an average of 100-150 people a week. Prior to the Houston Center’s opening, police were making about 17,000 arrests a year for public intoxication, racking up between $4 and $6 million in police costs alone. The Sobering Center has reduced that number significantly; from June 2013 to June 2014, Houston police booked just shy of 2,500 people on public intoxication, according to an August, 2014, Houston Chronicle article.

What is the role of a recovery coach at a sobering center?

The Center’s recovery coaches and case managers offer the option to sober up for 5-6 hours, 24/7/365. A recovery support specialist is available at any time to have that conversation with anyone sobering up at the Center. There are always three recovery support specialists on duty along with a medically trained technician and a case manager. They walk through the dorms to ensure the clients are okay. The EMT checks on the client’s vitals every thirty minutes. Once a person wakes up, the Recovery Support Specialist’s magic can begin.

Once such magician is George Shea

George is a recovery coach that admits clients into the Sobering Center. After a medical intake with an EMT and an assessment with a clinician, George shows the client to the dormitory and assigns the client a bunk. He stays engaged in conversation with the client, if they can remain awake. This conversation is purposeful, to gather information and to find out if the Sobering Center can help them. George is there to find out if there is a problem, or if they want to speak to a counselor so they can find rehabilitation help. If they want to go into treatment, the Sobering Center has connections with several detox centers, and rehabs. If they need a roof over their head, the Center is affiliated with several facilities including a Salvation Army facility and the Star of Hope Mission that is right next door to the center. These are all specifically low- or no-cost options for the individual.

Yet, some clients leave the Sobering Center without seeking treatment. Any client who has visited the Center can sign up for follow-up recovery coaching calls and receive recovery coaching face to face. George calls clients once a week and asks them to complete various tasks such as formulating their recovery plan. George works with building the recovery capital of these clients, which includes providing clothing, finding housing or arranging for medical treatment.

George interviews every client before they leave the Center. Paperwork is completed to capture the demographic of the client, and George, again, informs them that detox and treatment are available if they need or want to take advantage of the resources. George is not forcing anyone to make these changes, but he can help. George often relates his story in this process.

George’s Story

George grew up in Houston, in an alcoholic family. He began using at 12, and started losing interest in school, and gaining more interest in drugs and alcohol. Eventually he got kicked out of the house at 18, and dropped out of high school. His mother died when he was 20. The family imploded. He was employed as a DJ at a local radio station, and the DJ lifestyle made it easy for him to use. Eventually, his stepmother initiated a family intervention targeting his dad. During family week at the treatment center, his family initiated another intervention, this time with George as the target and he stayed at the same facility for 6 weeks. He left treatment but relapsed immediately with intravenous drug use. He moved to San Diego, California, and limped along, either in feast or famine, in-between addiction and work.

He couldn’t keep a job or a relationship. His DJ-ing exacerbated the addictive behaviors. He was fortunate to have a small inheritance, but that also fed his addiction. In his late 40s, his health was deteriorating, he was losing his teeth, he had symptoms of diabetes, and finally had enough. He was living in a dilapidated house in Seattle that was going to be torn down. He felt so much shame. He lived an addicted life and continuously put up a front that he was okay. Finally he reached out to his family and asked for help. They said to they would help him, but he had to go to treatment and live in a halfway house in Houston. He had his last drink sleeping in his car outside of a Mexican restaurant, the night before he entered treatment.

In March 2009, he threw himself into recovery. He became active in a home group, and started doing service. Because of his broadcasting skills, he began producing a recovery radio show. His show is a mix of music and message. The message is that a life in recovery is a positive testament to who you are. The program link is: www.live365.com/stations/docjabbo . When George heard about recovery coaching, he knew he wanted to be a certified Recovery Support Specialist. He completed the CCAR Recovery Coach Academy training at the Center for Wellness and Recovery (http://www.wellnessandrecovery.org/) and started working at the Sobering Center.

One Life Saved . . .

George says his role is limited because he has these people for only a short period of time. He gives it his best shot. George gets the full spectrum of clients, some in full denial of their addiction, some aware of their addiction but with interest in changing and others in the middle, wanting to take action but not able to sustain any meaningful sobriety. The amount of brutality experienced by people living on the streets was truly an eye opener for George. Sometimes he hears from a client he helped. Like this guy from Michigan, his name is Richard, and he came into the Center about two years ago. He opened up to George about how he had ruined his life, and lost his wife and children. Richard is a craftsman who works with his hands but was homeless. In the past two years, George had gotten him into several detox and recovery programs, and yet Richard would relapse and come back to the Sobering Center. Richard would commit that he is on board to get sober, then he’d relapse, and come to talk to George. Richard is now enrolled in Cenikor, in their two-year treatment program. Cenikor is a well-respected treatment program with locations in Texas and Louisiana, where the clients live at the facility, work for the program, and as residents receive job training and career planning. George sees something in Richard that he doesn’t see in many of his clients. Richard may fall, but he keeps getting back up. That gives George a feeling of hope for him. And perhaps George’s coaching is making a difference in Richard’s life.

 

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