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What do I need to be a recovery coach?

Recovery Coaching within a Recovery Oriented System of Care - SHE RECOVERS®  Foundation

Posted by Melissa Killeen, MSOD, MPhil, NCPRSS

I published the second edition my book Recovery Coaching – A Guide to Coaching People in Recovery from Addictions in 2019. Since the first edition was released (in 2013) there have been several changes in certification requirements for recovery coaches, or peer recovery specialists. The training of coaches 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?

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

What are the guidelines I must meet 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)

Have a minimum of one year experience working with a family member, loved one or significant other that is addicted, is attempting to recover or who has loss their life due to an addiction(self-attestation)

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

Certification boards require the coach to receive peer recovery specialist or recovery coach training from an organization that is authorized by the state to give this training. This ensures the training will fulfill the requirements mandated by your state’s certification board. In order to find out what authorized training organizations are, go to your state’s certification board.

After your research, you will need to complete the following:

  • Each state and organization has different requirements. So first check with your state to ensure the courses you take will be accepted by the state credentialing board.
  • A certain amount of hours in coaching training (46-120 hours depending on the state) in topics such as addiction recovery theory, motivational interviewing, relapse prevention, cultural awareness, suicide prevention and HIV-AIDS education
  • 8-16 hours of coaching ethics.

The places in which you receive this training are quite diverse. In the links section of this web site,  ( https://www.mkrecoverycoaching.com/recovery-coach-training-organizations/ ) I list over 250 organizations offering recovery coach training. The courses can be virtual, 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 hours. 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 a central international credentialing organization, the International Certification and Reciprocity Consortium, commonly known as the IC & RC, which 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.

What differentiates a Peer Recovery Coach from a Professional Coach?

Why the “Professional Coach” title? The word “professional” will differentiate Peer Recovery Coaches with more coaching experience and more training from other peer coaches with credentials or certifications. Employers ( e.g., hospitals, providers, prisons) employ coaches, and for these employers  the term “Professional” signifies a higher level of competence and expertise.

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 are conflict resolution and management, anger management, intervention training, co-occurring disorders, behavioral addictions, the pharmacology of addiction, as well as knowledge about coaching families in relationships with addicted persons. There are also trainings on how to be a recovery coach in a hospital Emergency Department, working with Narcan revived patients, or working with people in prisons or the homeless. There are also organizations that offer Professional Coach certification (CCAR- Conneticut Community of Addiction Recovery, (https://addictionrecoverytraining.org/ ) and the International Coaching Federation that offers three different levels of life coach training: associate, professional- and master-level coaching certificates https://coachingfederation.org/

After you receive this initial Peer Recovery Coach training, additional trainings can open up to you. The more time you engage in being a recovery coach and the more educational credentials you receive; you move closer to the “Professional Coach” status.

Are there any additional credentialing organizations for recovery coaching certification?

NAADAC, the Association for Addiction Professionals, and the National Certification Commission for Addiction Professionals (NCC-AP) offer the Nationally Certified Peer Recovery Support-Specialist Certification. Similar to the state certification- however- the NAADAC certification is good to use in every state in the union. So a coach does not have to worry about reciprocity from one state to another. The requirements the  NAADAC recommends, in order to receive certification, mandates a coach read and sign a statement on the application affirming adherence to the Peer Recovery Support-Specialist Code of Ethics. The new coach will confirm they have taken the NAADAC six-hour ethics training course and have completed six hours of HIV/other pathogens education and training course (also available through NAADAC).Credentialing boards require supervisors of the coaches-in-training to sign a document verifying they have supervised the coach during the 200-hour period of the coach’s  practice training. Letters of recommendation are also items required by some credentialing boards. Other state boards require a recent photograph.

 NAPS, or National Association for Peer Support is an organization for peers focusing on mental health recovery peer support as well as addiction recovery support. They have education and credentialing standards that are listed at : https://www.peersupportworks.org/.

As always, check with your state credentialing board for specific requirements for credentialing training. Many states only accept training from an organization that have had their trainings screened by the state and authorized to be used as a credentialing training source.

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

After you have completed the research as to what type of credentialling you want (e.g. state certification board, IC & RC or NAADAC), then seek out the training you can afford. Go to https://www.mkrecoverycoaching.com/recovery-coach-training-organizations/ for a list of addiction recovery coach training organizations

  1. 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)
  2. Take and pass the course, retain the coaching certificate for future purposes
  3. Research places like Recovery Community Organizations or treatment centers to work or volunteer as a recovery-coach-in-training to receive your practice hours.
  4. Complete the recovery-coach-in-training supervised practice hours that are required by the state board or the NAADAC
  5. Apply to your state certification board or the NAADAC for the time to take the recovery coach exam(a fee will apply)
  6. Send in your application with paperwork verifying the completion of practice hours to the state credentialing board with a certification fee (the additional fee varies for every state, from $100-$250)
  7. If you pass the exam and meet all the requirements listed on the application, you will receive your recovery coaching or peer-recovery support specialist certificate
  8. In the next 2 – 4 years take the required courses for renewing this certificate. Refer to your state board or the NAADAC for more information on courses and renewal time frames. A renewal fee will be required.

So, whether you are working as a coach, looking to become one, if you are a family member, or an ally ready to learn about the recovery process, we can promise you the process to become a coach is a transformational experience.

Good luck on your journey.

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Alcoholics need detox care

Melissa Killeen

Melissa Killeen

Alcoholics are not receiving the care they need for detox. As a recovery coach, I have seen a disturbing practice develop within the medical community involving detoxing an individual in extreme alcohol withdrawal. Not everyone who walks into an emergency room in withdrawal from an addiction is transferred to an inpatient detox environment. Detoxing from drugs will last as long as it might take for a person to safely withdraw from a specific substance, often at least 5 days. Drug detoxification can take place in inpatient settings, and according to the National Survey of Substance Abuse Treatment Facilities, about 6.5 percent of inpatient treatment facilities and 4.8 percent of hospitals provide this kind of care. At an inpatient detox treatment program, people have around-the-clock medical supervision that can help them to avoid serious complications caused by withdrawal, and people also have a safe and sober place in which to recover from their addictions, so they aren’t tempted to relapse.

Alcoholics are not treated in the same manner. Alcohol detox could take the same 5 days during which patients may experience a wide range of symptoms depending on the severity of their alcohol dependence. Symptoms experienced during detox may be as mild as a headache and nausea or as severe as delirium tremens (DTs), marked by seizures and/or hallucinations. Emergency Room’s expect alcohol detox to take 24 hours for the physical withdrawal symptoms to disappear, aided by intravenous dosages of phenobarbital. But the mental withdrawal takes much longer.

Most alcoholics are sent home by hospital emergency room physicians, with a script for Diazepam (Valium), lorazepam (Ativan), or chlordiazepoxide (Librium), and asked to return to their family practitioner for a follow-up in two days. Sending an alcoholic client to detox at home is a cop-out on the part of the medical and hospital community.

 
ERs and the behavioral health departments in most major-market hospitals are not equipped, nor do they have the beds, to house clients that are in withdrawal or detox from alcohol. Many of these hospitals have closed their detox centers. A cost cutting practice called “reducing the length of stay” mandates that the ER discharges a client to go home, as it costs too much for them to stay in the hospital, waiting for an bed to become available at a detox center. The client is sent home to make their own plans to enter a detox and/or treatment center.

To complicate matters further, there are very few free or low-cost detox facilities. For example, in the state of New Jersey, only two hospitals can provide Medicaid-covered detox treatment: in Paramus, Bergen County, the Bergen Regional Medical Center  http://www.bergenregional.com/Evergreen/index.html ) and in Atlantic City, the AtlantiCare Regional Hospital (http://www.atlanticare.org/index.php/mission-health-care ). In the private for-profit detox centers, there will be a Medicaid or charity-care bed or two, but these beds have a long waiting list, giving the individual only one option: to detox at home.

Individuals who need help with withdrawing from their alcohol addiction don’t have the time to wait—they are withdrawing now! It is generally assumed by the ER staff that alcoholics will be able to detox at home, with minimal health risks. Detoxing at home poses a significant problem: the maximum likelihood that the client in withdrawal will pick up a drink in their home environment.

This is where a recovery coach can help.

 
As long as these individuals have a recovery coach with them at all times, a coach who can step up and step in if something goes wrong, and to help plan for admission to a treatment center, this can be a safe strategy to follow.

Add your comments here:

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What kind of training 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 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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