Category Archives: Health

What kind of training do I need to be a recovery coach?

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Melissa Killeen

I published my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2013. Since then, recovery coach or peer recovery specialist training has become one of the fastest growing aspects of the coaching field. So what kind of training do I need to be a recovery coach?

In 2013, the organizations that offer recovery coach or peer recovery-specialist training numbered around 50. Today, the number has grown to 250. Many state certification boards have established recovery coach and peer recovery support specialist certifications.

Many of the organizations that offer addictions recovery coach training or peer recovery-support specialist training are listed on my web site: https://www.mkrecoverycoaching.com/recovery-coach-training-organizations/. For many people interested in being a recovery coach, the training costs, deciding on the best training organization and the training necessary to fulfill the certification requirements can be confusing. So I would like to attempt to clear up this confusion and will answer these questions in this post:

  • What are the guidelines I must meet to apply for recovery coaching training?
  • What kind of training do I need to be a recovery coach?

What are the guidelines to apply for recovery coaching training?

Applicants must meet the following guidelines to apply for a training course in order to be a recovery coach or a peer recovery support-specialist. These guidelines are shared by many training organizations and certification boards across the nation as a standard for what a potential recovery coach must have before applying for recovery coaching training:

  • High school diploma, GED or higher
  • Minimum of one year of direct knowledge of sponsorship and 12-step programs
  • Minimum one year of sobriety from substance use or one year sobriety in co-occurring mental health and substance use disorders (self-attestation)

What kind of training should I look for?

Certification boards require the coach to receive outside training that fulfills the requirements mandated by the state board. These requirements are often a certain amount of hours training in topics such as addiction recovery theory and models, coaching ethics, motivational interviewing, relapse prevention, nicotine cessation, suicide prevention and HIV-AIDS education. Each state and organization has different requirements. So first check with your state to ensure the course you take will be accepted by the state credentialing board.

There are trainings offered that can give a coach more information that may not be on the state certification board list, but are very helpful. The kinds of training I found helpful as a new recovery coach were: conflict management, anger management, intervention training, co-occurring disorders, behavioral addictions, the pharmacology of addiction, and psycho-pharmacology as well as knowledge about coaching families in relationships with addicted persons. There are also training organizations that offer three different levels of recovery coaching training: novice-, intermediate- and master-level coaching certificates.

The places in which you receive this training are quite diverse. In the links section of this web site, I list over 250 organizations offering recovery coach training. The courses can be online, or in a classroom. The costs for this training is diverse as well, from free (in Ohio) up to $4,000 per course. The length of the course could be three days or four months.

At no time does taking a recovery coaching course give you an immediate state certification board recovery-coaching credential. It gives you a document (called a certificate) that says you completed the training. There are many coaches who do not seek state board certification, and use this document or certificate from a training organization as adequate proof they are knowledgeable in performing the duties of a recovery coach.

There is one international credentialing organization, the International Certification and Reciprocity Consortium, commonly known as the IC & RC (http://internationalcredentialing.org/) that runs many state credentialing boards and has developed an exam for a Peer Recovery (PR) Certification. The IC & RC suggests applicants check with their state credentialing board for specific test taking guidelines.

Are there any additional requirements for recovery coaching certification?

NAADAC, the Association for Addiction Professionals, and the National Certification Commission for Addiction Professionals (NCC AP) http://www.naadac.org/NCPRSS offer the Peer Recovery Support-Specialist Certification. Similar to the requirements of the IC & RC, the NCC AP recommends, in order to receive certification, a coach read and sign a statement on the application affirming adherence to the Peer Recovery Support-Specialist Code of Ethics. Credentialing boards require supervisors of the coaches-in-training to sign a document verifying they have supervised the coach during the period of the coach’s training. Letters of recommendation are also items required by some credentialing boards. Other state boards require a recent photograph. As always, check with the state credentialing board for specific requirements for credentialing.

Next week’s post will review what certification is required to be a peer-to-peer support-specialist working with people in mental health recovery

 

 

 

 

 

 

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What kind of certification do I need to be a recovery coach?

melissa-new-post

Melissa Killeen

I published my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2013. Since then, recovery coach or peer-recovery specialist certification training has become one of the fastest growing aspects of the coaching field. So what kind of certification do I need to be a recovery coach?

In 2013, the organizations that offer recovery coach or peer-recovery specialist training numbered around 50. Today, the number has grown to 250. Many state certification boards have established recovery coach and peer-recovery support specialist certifications. Yet, for many people that seek to be a recovery coach the qualifications, the training, the requirements for certification, or credentialing seem baffling. So I would like to attempt to clear up this confusion and will answer these questions in this post:

  • What is the process for certification as a recovery coach or peer recovery specialist?
  • What kind of certification should I be focusing on?

What is the process of being qualified, getting training and then credentialed as a recovery coach or peer-recovery support specialist?

If you are investigating becoming a recovery coach, I suggest you follow these steps:

  1. Research the training organizations that offer recovery coach training you can afford. Go to https://www.mkrecoverycoaching.com/recovery-coach-training-organizations/ for a list of addiction recovery coach training organizations
  2. Verify that you meet the qualifications to apply for the course (e.g. be 18-years-old, have a GED or high school diploma, one year sobriety from any addiction)
  3. Take and pass the course, retain the coaching certificate for future purposes
  4. Research places like Recovery Community Organizations or treatment centers to work or volunteer as a recovery-coach-in-training
  5. Apply to your state certification board for recovery coach certification (a fee may apply)
  6. Complete the recovery-coach-in-training supervised practice hours that are required by the state board
  7. Send in your application with paperwork verifying the completion of practice hours to the state credentialing board with a certification fee (fee varies for every state, from $100-$250)
  8. Receive your recovery coaching or peer-recovery support specialist certificate
  9. In the next 2 – 5 years take the required courses for renewing this certificate. Refer to your state board for more information on courses and renewal time frames. A renewal fee will be required.

What kind of certification do I need to be a recovery coach?

For an addiction recovery coach, the certification and training is prefaced with the terms: peer-support specialist, certified peer-recovery practitioner, recovery coach or peer-recovery specialist. Every state is different and every state uses different names for these certifications. Look for courses that offer the training needed for an addictions coach and a peer working with people in mental health recovery certification. It is the exact same training, in the same exact classroom, for two different jobs descriptions! It may be confusing now, and quite possibly the content and descriptions of  these courses may change going forward. But I would have to have a crystal ball to predict that for certain.

I suggest you first take a certification training course. You can make the decision after the training is completed to apply for state board certification. As a coach if you are interested in being your own business person, certification by a training organization should be adequate. If you want to work in a treatment center, with a recovery community organization, social services agency or hospital, certification issued by the state’s certification board or the International Certification and Reciprocity Consortium (IC&RC) is required by the institution hiring you. If you want to carry professional liability insurance, or be reimbursed by Medicaid for your services, certification by a state certification board is mandatory.

What is a state certification board?

The process for receiving a certificate as a recovery coach is overseen by a state’s certification or licensing board. A state certification board tests and renews practitioner’s (coaches, therapists, nurses, etc.) certificates to ensure their knowledge is up to par. Also, that they have the ethical knowledge to practice in their profession. These processes for certification, such as training, educational requirements, exams and renewal guidelines, varies from state to state. These certification standards are recognized by health care companies, insurance companies, Medicaid, Medicare as well as companies that hire these practitioners.

These state certification boards are the same boards that issue licenses or certifications for drug and alcohol counselors, and therapists. Some states have combined licenses and certifications boards all in one office, so it could be the same office in which nurses or hairdressers receive their licenses. I suggest you search the Internet for drug and alcohol certification for your state. Then search for the state board website for recovery coach or peer-recovery support specialist certification. As of May 2008, thirty state credentialing boards had developed criteria for the training and deployment of recovery coaches and peer-recovery specialists, so you should have no trouble finding these boards on the Internet.

What is Reciprocity?

Reciprocity is a term you will see used often on these board sites. When you are certified through your home state’s certification board, you may have the ability to transfer that credential to another state. This is called reciprocity. State certification boards may offer reciprocity to certified coaches in other states. The state boards have the authority to set reciprocity requirements for coaches to practice in their state. Not all certifications are eligible for reciprocity. It is vitally important that you investigate reciprocity guidelines prior to relocating to another state, because it can be a very complicated process.

There are national and international recovery coach certifications available. In 2013, the International Certification and Reciprocity Consortium (IC&RC) developed a peer recovery credential. The application for the peer-recovery certification appears on the IC & RC web site. An IC & RC credential is accepted by many agencies and treatment centers when they are hiring recovery coaches.

In next week’s post I will review what kind of training you need to have in order to apply for recovery coach certification.

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Performance Addiction: If I do this, then will I finally be happy?

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Melissa Killeen

Performance Addiction

As a recovery coach it is hard to surprise me with an addiction of which I am not familiar. Yet, I had never heard of Performance Addiction. Well as Gandhi said “it is healthy to be reminded that the strongest might weaken and the wisest might err.”

I was introduced to the concept by Dr Arthur Ciaramicoli, professor at the Harvard Medical School in Cambridge Massachusetts and author of Performance Addiction: The Dangerous New Syndrome and How to Stop it from Ruining Your Life. His book describes in depth  the compulsive ride the over achiever, or the type “A” personality experiences. It is the rollercoaster many of my clients are riding.

Dr Ciaramicoli explains, in a big way, how perfectionism comes into play in performance addiction. Psychologist Robert Stanley and his graduate assistant, Doug Johnson, developed an Almost Perfect Scale to measure the components of perfectionism. Stanley reports that setting standards for perfect performance is desired, reasonable, and after all, is basic to the pursuit of happiness and the American dream. However, Stanley’s work suggests it is our perception of perfectionism that can run amok. The elusive desire to appropriately pursue high standards is adaptive, meaning it is considered healthy perfectionism and is present in many of us. What performance addiction is all about is the pursuit of high standards in order to hide our imperfections or inferiority, which is considered maladaptive perfectionism, or a rather unhealthy pursuit. With performance addiction, when you don’t reach your goal, what happens? You believe you are inferior and that belief turns into a whole bunch of disapproving thoughts, depression, negative self-esteem and unhappiness.

Return to the scene of the crime.

Dr Ciaramicoli invites his readers to return to the “scene of the crime” or where was this performance seed was planted? Where does this belief that if you try harder you will be rewarded by love and happiness begin? The seed is usually found in our families, experiences in our youth, and our schooling.

How many of us grew up in a household where our performance was compared to our worthiness? Did your parents elevate you by bragging to neighbors or by giving you money if you got all A’s on your report card? Did they negate you if you did not make a goal at the soccer game, or get nominated to the honor society? Were they hypercritical of every move you made? The seeds of maladaptive perfectionism were often sown in the home. Some of us marry into it. When two people who grew up in highly perfectionistic households marry, the two play out their maladaptive perfectionism to such a high degree that the level of evaluation and pinnacles of judgment can cause nose bleeds. Yes, things get done, professions may flourish but there is little intimacy, enjoyment or meaningful spontaneity in their lives.

If I do this, then will I finally be happy?

Growing up and doing better than your parents was basically a depression era mind set. Yet today, three out of four kids go to college “to make more money.” A study by UCLA and the American Council on Education completed in 1998 listed the objectives desired after graduating: 74 percent of the students ranked “being very well off” higher than developing a meaningful philosophy on life, helping others or raising a family. The seeds of performance addiction have been sown. After all, isn’t making more money the perfect goal?

Ed Deiner, positive psychologist from the University of Illinois surveyed 100 people from Forbes list of Richest Americans. He found that the happiness quotient was only slightly higher for the richy-rich than the average Joe. But the elusive thought of “maybe if I do it better, work at it harder, I will be rewarded financially and then, I will finally be happy” is firmly planted in everyone’s brain. Especially in the performance addict’s head.

Performance addiction is not just evident in the workplace, it effects love interests as well. In the book General Theory of Love, three psychiatrists have answered the age-old question of “How do I pick a partner?” Thomas Lewis, MD, Fari Amini, MD, and Richard Lannon, MD, explain that emotional attachments are deeply rooted in our early life experiences. Emotional attachments cannot be directed or rationalized. However, these doctors have seen there is a link between the emotional attachments that were vital to our childhood survival and the same attachments that influence our selection of a mate when we are adults. They use the example of a child being dependent on his mother. Whether or not the mother is beautiful, smart or an ax murderer, the child grows to love the emotional patterns he has linked to his mother. So when he is an adult and meets a potential mate who has the same characteristics as his mother, BAMM! He is entranced, feels he belongs with this person, and falls in love.

None of us falls in love with another person. We fall in love with an image.

Ciaramicoli goes into great depth about “Image Love.” The image of “what or who” we think that person we have fallen in love with is. But the reality is; they are not who we think they are. We idealize these lovers into an image of our mother, father, rich woman, smart man, independent woman, athletic man, whatever our mind makes up will be the perfect person for us. We create an image in our brains that this is our true love. But it is really based on our past. Performance addicts are especially prone to this. They have goals in mind for their partner, images that their partners must fit into. Such as their parents must love this person (sometimes this is more important, than the performance addict actually loving this person), this person has to have a certain body type, have a high sexual performance rating or believe in a certain religion. In essence the performance addict is creating a love image of their mate, before he/she even walks in the door on their first date.

Performance addiction is constantly evaluating and the addict’s emotional capital is based on the outcome of that judgment. It gets even more complicated when sex gets into the picture, but that is another blog post, entirely. Again, our shrinks from the book General Theory of Love classify being in love as different from loving. The first distinction between these two is time. Taking the time to get to know the other person. Going through that incredible Dopamine-filled period of infatuation and truly getting to know the other person. Thomas Lewis, Fari Amini and Richard Lannon, say that being in love requires a brief acquaintance, a spark, some chemistry, a few dates or maybe a roll in the hay. However, loving requires time, intimacy, and a prolonged surveillance of another person’s soul. Of course as a performance addict it is hard to move from in love to loving, because one has to move from a relationship that is sexually exciting, passionate, alive with attraction, tons of verbal acceptance and compliments to, well, let’s call it boring, normal relationship stuff, truly mediocre life experiences. Such as waking up late, running out the door eating cornflakes, passing gas under the covers or deciding who is going to vacuum the living room.

I can’t even use the word mediocre, it’s terrifying.

A performance addict hates the thought of being average in anything they do. Their mood goes up and down depending on how their performance is rated by others. They are labeling others based on their projected imperfections. Being better than is preferred to being less than, white collar over blue collar, college educated over a high school education, exceptional over mediocre. Whether it is in the workplace, the bedroom or at home, performance addiction is tremendously damaging to relationships. As Dr. Ciaramicoli stated, the scene of the crime started with the family. How do you think the performance addict learned their behaviors? Most likely from another performance addict.

The parent trap.

Besides teaching a performance addict-in-training how to be better than the Jones’ next door, how many times is the child used by the parent-performance-addict first? How does a parent-performance-addict use their children to bolster their self-worth? Does the TV show Dance Moms ring a bell? Have you heard a father brag about his son making the varsity team? Or a mom criticizing her daughter for dying her hair purple? How about a parent who yells and screams at their kids at a little league game? Of course the media has us convinced that every Jewish mother wants her son to grow up to be a doctor. How about in small business? In every family-run business the child is expected to take over the enterprise. What if they don’t want to? It is tough to break this cycle.

All of us need to push away the illusions we have lived with for the majority of our lives. The illusions that money can buy happiness, that true fulfillment comes with business success, we have to take over the business to please Dad or if we are thin, rich or young enough, we can find love.

People who are experiencing these secret compulsions to succeed at any cost are thrown off the merry-go-round every time something changes. Their desire to control, be perfect, too find happiness is their path and they will not accept anything less. Their performance addiction is a defense against feelings of fear and inferiority. These addicts depend wholly on exterior measurements of value, big house, fancy clothes, corner office rather than exposing their vulnerabilities by video taping their daughter with Down Syndrome and putting it on YouTube.

Performance addiction permeates our culture, work, home, church and school. But if we are equipped to treat ourselves as individuals we hold in high regard, if we have deeper respect for ourselves as evidenced by taking care of ourselves, loving our spouses and caring for our family, we can change. Performance addiction can be worked on, healed and then set aside.


Arthur P. Ciaramicoli, Ed.D., Ph.D., is a licensed clinical psychologist who has been treating clients for more than 35 years. Dr. Ciaramicoli is the SoundMindz Chief Medical Officer, and has been on the faculty of Harvard Medical School for several years. In addition to treating patients, Dr. Ciaramicoli has lectured at Harvard Health Services, Boston College Counseling Center, the Space Telescope Science Institute in Baltimore as well is also a seasoned media expert, appearing on CNN, Fox News, Comcast TV, Good Morning America Weekend, The O’Reilly Report, and other shows. Dr. Ciaramicoli is the author of The Curse of the Capable: The Hidden Challenges to a Balanced, Healthy, High Achieving Life (Wiley, 2010), Performance Addiction: The Dangerous New Syndrome and How to Stop It from Ruining Your Life (Wiley 2004) and The Power of Empathy: A Practical Guide to Creating Intimacy, Self-Understanding, and Lasting Love (Dutton 2000). His newsletter, blog comments and contact information are available at this web site, http://www.BalanceYourSuccess.com. You can follow his daily insights at www.twitter.com/docapc.

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