RecoveryBlog

recoveryblog: a blog for recovery advocates!

Our recovery advocacy blog is produced by individuals in recovery!  Here you will find commentary and personal discussions on different aspects of addiction recovery and advocacy.

More Recent Posts

CAPRSS Newsletter – May 2021

May 4, 2021
May 2021
Digital Newsletter

Congrats USARA!

USARA’s (Utah Support Advocates for Recovery Awareness) mission is to connect and inspire communities to advocate for addiction recovery. We envision a Utah where recovery community and connection are recognized as the most valuable assets for people to recover from addiction. Since its founding in 2006, USARA has served thousands of individuals recovering from the effects of substance use disorders on the person, families, and the community. Recognized as a 501(c)(3) nonprofit organization, USARA is Utah’s premier recovery community organization.
A Notice on Virtual Site Visits
Due to COVID-19 all previously accredited organizations who were up for reaccreditation have had their term extended. With positive feedback from both organizations and site reviewers we continue to offer virtual site visits across the board – including reaccreditation.

Congratulations to FAVOR Greenville on Reaccreditation!

FAVOR Greenville is dedicated to organizing the recovery community to put a “face and voice” on recovery and provide intervention and recovery support services to individuals and their families seeking recovery.  FAVOR Greenville was incorporated in SC in 2004 and is a part of a national recovery advocacy movement whose vision is to provide people affected by substance use disorders with access to the support they need to achieve and maintain long-term recovery.

Virtual Learning Community

Join us on May 12th, 2021 at 12:00pm EDT for our CAPRSS Virtual Learning Community webinar. This month we welcome Jessica Parnell, CRSW, who will be presenting and leading our discussion this month. Jessica is the Executive Director for Revive Recovery in Nashua, NH. Revive Recovery is a non-profit, peer recovery support center. Their mission is to open doors and open minds for the recoverees in their community while providing a wide range of services for their mental, physical and spiritual wellbeing.
Register Here!

Upcoming Webinars

Accreditation 101 – May 7, 2021 – 12pm ET
Accreditation 101 is an introduction to accreditation course, where participants will learn the mission and purpose of CAPRSS, an overview of the standards and criteria, the steps in the accreditation process, establish resources for getting your organization accreditation ready, and for completing your application for accreditation candidacy.
Register Here
Accreditation 201 – May 21, 2021 – 12pm ET
Accreditation 201 is designed to: Identify the elements of the CAPRSS standards taxonomy and how they relate. Describe the core domains and standards, and discuss how peer reviewers – and PRSS programs – will use standards, criteria, and elements of performance in the accreditation process.
Register Here

Free RCO Emergency Preparedness Toolkit

The RCO Emergency Preparedness Toolkit handouts are a collection of materials that have been provided by multiple resources and compiled in order to be easily accessible for the public needs. Faces & Voices has collated these resources to guide RCOs and other agencies in their Emergency Preparedness planning.
Login & Access it here!

Peers Speak Out! – Faces & Voices and Community Catalyst Project’s Data is In

May 4, 2021

Peers Speak Out!

Hello Everyone!

As many of you know, Faces & Voices of Recovery has been partnering with Community Catalysts and the American Society of Addiction Medicine to identify the results of treatment and recovery services most important to individuals with substance use challenges or in recovery, and learn whether those priorities change during COVID-19.

More than 20 million Americans have substance use disorders, and during COVID-19, overdose deaths are increasing and demand for treatment is higher. We need more effective and equitable addiction services that meet peoples’ individual goals and needs.

We encourage you to share these findings with your networks and incorporate into your advocacy these recommendations for advances in research and treatment to help achieve the outcomes identified.

CLICK HERE FOR COMPLETE FINDINGS
What we found:

  • Overall, people prioritized survival and improving their quality of life and placed less priority on completely stopping all drug and alcohol use.
  • As a result of treatment and recovery services they also want improved mental health, to be able to meet their basic needs, increase self-confidence, and connect to ongoing services.
  • Based on our engagement of 882 individuals with lived experience of substance use disorders across the country, through an online survey, focus groups and a National Peer Council, the outcomes from treatment and recovery support services that matter most to individuals are:
    • Staying alive
    • Improving quality of life
    • Reducing harmful substance use
    • Improving mental health
    • Meeting basic needs
    • Increasing self-confidence/self-efficacy
    • Increasing connection to services and supports pandemic, improving mental health replaced stopping all drug/alcohol use as a top priority.  
  • During COVID-19, the majority of respondents want the same top results as they did prior to the pandemic. For the 20 percent of people who prioritized different outcomes during COVID-19, quality of life became less important while connection to recovery support services, and taking care of basic needs, became more important
  • Our study also found differences in priority outcomes across race and gender. In addition, addiction continues to be criminalized, especially among Black and brown communities. It is essential to improve cultural effectiveness of services, and address systemic racism.
    • For example, 25 percent of white respondents selected “stop all drug and alcohol use” as a top priority compared to 13 percent of multiracial respondents.
    • Also, 59 percent of transgender/nonbinary respondents selected “stay alive” as a priority outcome compared to 26 percent of women.

Our Recommendations:

  • Policymakers should increase funding for a full continuum of services, including peer recovery support, and boost harm reduction programs that keep people alive, such as overdose prevention and syringe services.
  • Service providers should clarify each individual’s treatment and recovery goals and adjust services to meet those goals. Mental health supports should be fully integrated.
  • Researchers should investigate which services best achieve the outcomes patients want. They should also stratify this research by race/ethnicity and gender to inform solutions that address systemic inequities.
Contact the project team with questions
Email: TreatmentResults@communitycatalyst.org
Phone: 617-275-2945

NRI Newsletter – April 2021

April 27, 2021

April 2021
Digital Newsletter

National Recovery Institute

Who we are and what we do!

The National Recovery Institute offers competency and strength-based professional development and leadership training specific to our field.

Our experienced trainers offer training accessible to all learning styles through a combination of information sharing, dialogue, and experiential activities. Through a consultative process, we will build a training program specific to your needs.

Learn more here!

Technical Assistance – TA

TA is another term for consultation
or at its most simple—help

The National Recovery Institute offers a three-tiered approach to technical assistance to assure the organization requesting have their needs met.   Our main goals are to prepare tools to help improve the quality-of-service delivery and to provide organizations the support they need to improve processes and best practices.

Learn More Here!
Faces & Voices of Recovery is proud to be a NAADAC Approved Education Provider.
Reduced training rates are available for Faces & Voices Affiliates and for Members of the Association of Recovery Community Organizations (ARCO).
Join Today!

Faces & Voices Update – April 2021

April 27, 2021
April 2021 
Monthly Wrap-up
Digital Newsletter

Federal Policy &
Advocacy Priorities

CARA 3.0

Senators PortmanWhitehouse, and Klobuchar unveiled their “CARA 3.0” legislation at the end of March, which will be the retiring Portman’s last attempt to bolster his landmark legislation from 2016, the Comprehensive Addiction Recovery Act. The bill addresses several aspects of SUD policy, including prevention, treatment, recovery, and the criminal justice system.

Faces & Voices celebrates this commitment to building recovery infrastructure, but looks forward to additional work on the language of the bill.  In alignment with Faces & Voices legislative priorities, we have requested specific content regarding set-asides for the Black and Indigenous People of Color (BIPOC) communities. We believe this inclusion would represent a commitment to equity in recovery resources.

More info here
The National Recovery Institute offers competency and strength-based professional development and leadership training specific to the recovery field.

Technical Assistance – TA
TA is another term for consultation or at its most simple help.

The National Recovery Institute offers a three-tiered approach to technical assistance to assure the organization requesting have their needs met.   Our main goals are to prepare tools to help improve the quality-of-service delivery and to provide organizations the support they need to improve processes and best practices.

More about TA here!
The Council on Accreditation of Peer Recovery Support Services (CAPRSS) at Faces & Voices of Recovery works to identify and support excellence in the delivery of peer recovery support services and other activities by recovery community organizations (RCOs).

On April 14, 2021 Faces & Voices hosted a webinar on Peer Leadership, led by Dillon West, Executive Director and Dorothy West, Program Director, from the Center for Recovery and Wellness Resources, a CAPRSS Accredited Organization.

More about CAPRSS Here!
The Association of Recovery Community Organizations (ARCO) at Faces & Voices of Recovery unites and supports the growing network of local, regional and statewide recovery community organizations (RCOs).

During the Month of March, ARCO welcomed back renewing members and welcomed 1 new member. This brings the total of renewing members from quarter one to 83 new and renewing members and 143 ARCO members total!

More about ARCO Here!
The Recovery Data Platform (RDP) is a cloud-based software solution developed and managed by Faces & Voices of Recovery. RDP aids RCOs and Peer Service Providers with the tools and assessments needed to effectively implement, document, and evaluate peer recovery coaching programs.

RDP has launched new assessments, which makes it easier to report data. Expect to see the new assessments button on the Questionnaire tab in RDP next month.

This update is available to all RDP users with the Enhanced layout assigned to their assigned program. Custom forms will still be available in the original format.

Ready to learn more about how RDP can help your organization?
Schedule a demo! Sign up here

More about RDP Here!

Public Policy Update – April 2021

April 22, 2021
April 2021
Policy Update

On the Hill…

CARA 3.0

Senators PortmanWhitehouse, and Klobuchar unveiled their “CARA 3.0” legislation at the end of March, which will be the retiring Portman’s last attempt to bolster his landmark legislation from 2016, the Comprehensive Addiction Recovery Act. The bill addresses several aspects of SUD policy, including prevention, treatment, recovery, and the criminal justice system.

What that means…

The bill calls for an investment in recovery community organizations on a scale unlike anything we have seen in the past. The total is $250 million. $200 million of that would build a national infrastructure for recovery support services to help individuals move successfully from treatment into long-term recovery. The goal is to build connections between recovery support services and networks, including treatment programs, mental health providers, treatment systems, and other recovery supports. Funds may also be used on efforts to reduce stigma associated with substance use; to develop recovery wellness plans that address barriers to recovery, including social determinants of health; and to use telehealth to support recovery in rural and underserved areas. Another $50 million is authorized in grants for peer recovery services to provide continuing care and ongoing community support for individuals to maintain their recovery. These organizations are nonprofits that mobilize resources within and outside the recovery community to increase long-term recovery and that are wholly or principally governed by people in recovery who reflect the community served.

Other programs in the bill include a national youth and young adult recovery initiative, with $10 million authorized annually to provide substance use recovery support services to youth and young adults enrolled in high school or an institution of higher education, and to build communities of support for youth and young adults in substance use recovery; and an Excellence in Recovery Housing program, which requires SAMHSA, along with national accrediting entities and reputable providers of recovery housing services, to develop guidelines for states to promote the availability of high-quality recovery housing.

The “CARA 3.0” legislation faces a very long road through Congress and is likely to be altered significantly before the final product is voted on. Faces and Voices had significant input into the first draft, and will continue to try and improve the bill to provide even greater benefits to the recovery community.

More Info Here

In Action…

Drug Policy Priorities for year one

On April 1, 2021, President Biden and Vice President Harris released their administration’s Drug Policy Priorities for the upcoming year. President Biden has made clear that addressing the overdose and addiction epidemic is an urgent priority for his administration.

Priorities include:

  • Expanding access to evidence-based treatment
  • Advancing racial equity issues in our approach to drug policy
  • Enhancing evidence-based harm reduction efforts
  • Supporting evidence-based prevention efforts to reduce youth substance use
  • Reducing the supply of illicit substances
  • Advancing recovery-ready workplaces and expanding the addiction workforce
  • Expanding access to recovery support services

What that Means…

The plan cites the need to identify a research agenda to examine existing recovery-ready workplaces. Recovery research has always been a high policy priority for Faces & Voices of Recovery. The Office of National Drug Control Policy (ONDCP) will request agencies to support training for clinicians in addiction with special emphasis on community-based services in underserved areas, such as federally qualified health centers, the Veterans Health Administration, and the Indian Health Service. The White House will seek to identify authorized, evidence-based vocational programs that can expand the addiction workforce but that have not yet secured appropriations. Also, they will seek to produce guidelines for federal managers on hiring and working with people in recovery from a substance use disorder.

ONDCP acknowledges that as we seek to expand the continuum of care to address the chronic nature of substance use disorders, recovery support services help people build recovery capital to manage and sustain long-term recovery. Recovery support service- to include peer support services and engagement, recovery housing, recovery community centers, and recovery programs in high schools and colleges- are a necessary investment. Scaling up the capacity and infrastructure of these programs will create strong resource networks to equip communities to support recovery for everyone.

Read Full Statement Here

 

RDP Newsletter – April 2021

April 13, 2021

April 2021
Digital Newsletter

New Assessments!

Its here at last!

The new assessments means easier reporting for all. Expect to see the new assessments button on the Questionnaire tab in RDP next month.

This update is available to all RDP users with the Enhanced layout assigned to their assigned program. Custom forms will still be available in the original format.

Enhanced RDP!

If you haven’t switched over yet, what are you waiting for?

The new participant layout also includes fields like Personal Pronouns and easier navigation of records via a tab layout.

If you are tired of having to find the New TRS Log button, try the new layout today with Quick Actions available.

To enable this feature for your staff by Program simply edit your program layout to Enhanced RDP from Original RDP! This lets you take control of the new view and when you implement it!

Have questions please submit a ticket from the RDP Homepage.

The enhanced view really changed my thoughts and feelings about RDP. Originally I felt that the layout wasn’t very user friendly or functional. Now that we are using the enhanced view everything is so much easier to access. With the new features and layout I am able to quickly get to each function without having to scroll through the whole page to find what I am looking for. I used to spend more time trying to update participant records, completing engagement scales, and RC logs. Now I spend less time and feel really confident and comfortable using RDP while I am engaging with my participants. I am really happy with the changes that I have seen to RDP, and have seen all of the updates I was hoping to see to create a more user friendly space.

– RDP User & Peer Recovery Coach

Is your Organization
Emergency Prepared?

From Communications to Technology to Best Practices. We got it all!
The RCO Emergency Preparedness Toolkit handouts are a collection of materials that have been provided by multiple resources and compiled in order to be easily accessible for the public needs. Faces & Voices has collated these resources to guide RCOs and other agencies in their Emergency Preparedness planning.
Check it out here!

CAPRSS Newsletter – April 2021

April 6, 2021

April 2021
Digital Newsletter

Virtual Learning Community

Join us on April 14, 2021 at 12:00pm EDT for a webinar on Peer Leadership.

This month we are fortunate to have Dillon West, Executive Director and Dorothy West, Program Director, from the Center for Recovery and Wellness Resources, a CAPRSS Accredited Organization.

Register Here!

Dillon West

Dillon is our founding Executive Director and has been in long term recovery since 1992.  His over 25 years of work experience in the substance use disorder field has included work in a variety of program management and counseling positions at Texas Criminal Justice treatment facilities and other addiction treatment programs.  For eight years Dillon served as the Board Chair of the Houston Winner’s Circle Peer Support Network which assists formerly incarcerated individuals with substance use disorders as they reenter the community. He later served as board chair for the statewide Winner’s Circle with 20 chapters across the state.  Dillon serves as Texas’ lead statewide training facilitator and has trained 20 other recovery coach trainers from across the state.

Dorothy West

Dorothy serves as Program Director as well as a Recovery Coach Trainer.  She has been in long term recovery since 1996. She has worked in the recovery field for over ten years.  She developed and established CRWR’s two peer recovery homes for women, “The Secret Place.”  She believes “in giving back what was so freely given to her–another chance at life.”

Upcoming Webinars

Accreditation 101 – May 7, 2021 – 12pm EST

Accreditation 101 is an introduction to accreditation course, where participants will learn the mission and purpose of CAPRSS, an overview of the standards and criteria, the steps in the accreditation process, establish resources for getting your organization accreditation ready, and for completing your application for accreditation candidacy.

Register Here

Accreditation 201 – May 21, 2021 – 12pm EST

Accreditation 201 is designed to give you a deeper understanding of the standards. This session is designed to identify the elements of the CAPRSS standards taxonomy and how they relate, describe the core domains and standards, and discuss how peer reviewers – and PRSS programs – will use standards, criteria and elements of performance in the accreditation process.

Register Here

New Resources

Ethics Tip Sheet
Peer recovery support service (PRSS) programs require an ethical framework for service delivery. In most cases, simply “importing” a professional code of ethics is not effective. There is a difference between the professional-client relationship and the relationship of the peer leader, and the peer being served that warrants an ethical framework specifically tailored to PRSS.
Download Tip Sheet Here!

Biden-Harris Administration’s Statement of Drug Policy Priorities

April 2, 2021

On April 2, 2021, President Biden and Vice President Harris released their statement of Drug Policy Priorities for their first year in office.

Please Read below for the full statement.

 

The Biden-Harris Administration’s Statement of Drug Policy Priorities for Year One

Faces & Voices Update – March 2021

March 30, 2021

March 20201 
First Quarter
Digital Newsletter

Save the Date!

Faces & Voices of Recovery is turning 20 this year!

Join us where it all started in St. Paul, Minnesota on October 3-6th. Stay tuned for more exciting updates!

Toolkit is Live!

After months of work in January Faces & Voices of Recovery launched an RCO Emergency Preparedness Toolkit to aid and assist all Recovery Community Organizations nationwide.

The handouts are a collection of materials that have been provided by multiple resources and compiled in order to be easily accessible for the public needs. Faces & Voices has collated these resources to guide RCOs and other agencies in their Emergency Preparedness planning.

Resources include:

  • Best Practices
  • Case Studies
  • Communications
  • Technology
  • Treatment Access During Emergencies
  • Resources
  • External Links
  • RCO Toolkit Site

After creating an account and logging into the system you can access and download the complete toolkit for FREE

RCO Toolkit Site

Federal Policy &
Advocacy Priorities

In January Faces & Voices launched our federal policy and advocacy priorities for the next two years.

Take a look and take these priorities with you. Cultivate the diverse voices of individuals and their families affected by addiction. In your community or on Capitol Hill, carry these priorities with intention. Together we can accomplish amazing things.

Read them here!
The National Recovery Institute offers competency and strength-based professional development and leadership training specific to the recovery field.

Adjunct Faculty Opportunities Available 
We draw from a pool of external consultants with expertise in recovery support services, organizational development and much more.
Want to know more?

Please send an email with “Adjunct Faculty” in the subject line along with your bio, résumé, subject matter expertise and letter of reference to Joseph Hogan-Sanchez at jsanchez@facesandvoicesofrecovery.org.

More about NRI Trainings Here!
The Council on Accreditation of Peer Recovery Support Services (CAPRSS) at Faces & Voices of Recovery works to identify and support excellence in the delivery of peer recovery support services and other activities by recovery community organizations (RCOs).

Any questions on how to get your organization accredited? Please contact info@caprss.org

More about CAPRSS Here!
The Association of Recovery Community Organizations (ARCO) at Faces & Voices of Recovery unites and supports the growing network of local, regional and statewide recovery community organizations (RCOs).

ARCO links RCOs and their leaders with local and national allies and provides training and technical assistance to groups. ARCO helps build the unified voice of the organized recovery community and fulfill our commitment to supporting the development of new groups and strengthening existing ones.

More about ARCO Here!
The Recovery Data Platform (RDP) is a cloud-based software solution developed and managed by Faces & Voices of Recovery. RDP aids RCOs and Peer Service Providers with the tools and assessments needed to effectively implement, document, and evaluate peer recovery coaching programs.

The Recovery Data Platform continues to grow, and based on your feedback we have created training modules, as well as other helpful resources such as FAQs and other useful tips.

Ready to schedule a demo? Sign up here

More about RDP Here!

NRI Newsletter – March 2021

March 23, 2021

March 2021
Digital Newsletter

Have you checked out our Toolkits?

Free Resources for you!

We have so many helpful toolkits and templates available on our website that can assist you and your team.  We have resources available around community organizing and education, as well as recovery community organizing (RCO) development.

Here are a few of the resources:

Check it out here!

Seasoned in
the Art of Facilitation?

Adjunct Faculty Opportunities Available 

Can you build a training curriculum with your eyes closed?
Do you love helping others succeed?
Do you own too many red pens that need to be put to use?
Okay maybe not that last one…

We draw from a pool of external consultants with expertise in recovery support services, organizational development and much more.
Want to know more?

Please send an email with “Adjunct Faculty” in the subject line along with your bio, résumé, subject matter expertise and letter of reference to Joseph Hogan-Sanchez at jsanchez@facesandvoicesofrecovery.org.

See our current list of trainers here!

Not sure where to start?

Consultations available! 

The National Recovery Institute offers competency and strength-based professional development and leadership training specific to our field

Our experienced trainers offer training accessible to all learning styles through a combination of information sharing, dialogue and experiential activities. Through a consultative process, we will build a training program specific to your needs.

Please contact Nelson to schedule a free consultation at nspence@facesandvoicesofrecovery.org

More info here!
Faces & Voices of Recovery is proud to be a NAADAC Approved Education Provider.
Reduced training rates are available for Faces & Voices Affiliates and for Members of the Association of Recovery Community Organizations (ARCO).
Join Today!

Posts from William White

What Does the Future Hold for the Recovery Community?

September 9, 2021

Featured Panelists: Christina Love, Dharma Mirza, and Meghan Hetfield

 

Christina Love, Advocacy Initiative Specialist, Alaska Network on Domestic Violence & Sexual Assault (ANDVSA)

 

 

 

 


Dharma Mirza Equity & Justice Fellow at ARHE & Oregon Measure 110 Oversight & Accountability Council Member

Dharma Mirza (she/her) is an artist, activist, policy advocate, and scholar living in Corvallis, OR. Dharma is a Public Health and Gender Studies student at Oregon State University. Dharma focuses her work and research on harm reduction, sexual health, addiction, public health equity, and the intersections of behavioral health and marginalized health populations. Dharma informs her work through intersectional, feminist, and decolonial frameworks and draws on her own experiences in navigating health/harm reduction services as an HIV-positive, queer, biracial transgender woman, Khwaja Sira (Pakistani Third Gender), and former survival sex worker and IV drug user.


Meghan Hetfield, Certified Addiction Recovery Coach and Certified Recovery Peer Advocate

 

As a Nationally Certified Peer Recovery Support Specialist and a NY State Certified Recovery Peer Advocate and Trainer, Meghan has found purpose in supporting people in their individual pathways of health and wellness. She is a dedicated advocate for Harm Reduction and ending the racist War on Drugs. She believes that radical compassion is needed to heal each other and meet our fellow humxns “where they’re at” without shame or judgement. Meghan is currently working from home in New York’s Catskill Mountains for WEconnect Health Management as a PRSS where she enjoys swimming holes, mushroom club hikes and cooking all her plant & fungi foraging finds.


Description: Recovery belongs to us all. Leading up to the second summit in St. Paul, MN this October 3-6, 2021 – 20 years after the original summit – what do we expect of our future? Three vibrant leaders discuss their perspectives and hopes for the next two decades of the Recovery Community. Through this moderated discussion, we will investigate the need to end gatekeeping and welcome everyone to recovery by lowering barriers to recovery support, creating inclusive spaces and programs, and broadening our understanding of what recovery means for people with different experiences. As we grow in empathy and understanding, we save lives by adding protective factors and building resiliency. Ever reminding us that Recovery is for Everyone: Every Person, Every Family, Every Community.

Moderated by: Keegan Wicks, National Advocacy and Outreach Manager, Faces & Voices of Recovery


This webinar series is sponsored by Alkermes.

COVID-19 Vaccine FAQs

August 25, 2021

COVID-19 Vaccine FAQs_FVR

Ethics Tip Sheet

April 6, 2021

Peer recovery support service (PRSS) programs require an ethical framework for service delivery. In most cases, simply “importing” a professional code of ethics is not effective. There is a difference between the professional-client relationship and the relationship of the peer leader and the peer being served that warrants an ethical framework specifically tailored to PRSS.

We Have Been (Addiction Lament & Recovery Celebration)

February 25, 2021

Understanding oneself is incomplete when divorced from the history of one’s people. Those with lived experience of addiction and recovery share such a larger history. Over the course of centuries and across the globe, we have been:

Abandoned  Arrested   Berated   Caned   Castigated   Coerced   Confronted   Condemned   Conned   Defamed  Defrocked   Divorced   Deported   Denied Probation   Denied Pardon   Denied Parenthood   Executed   Electrocuted   Electroshocked   Evicted   Expelled   Exploited   Exiled   Feared   Fired   Forsaken   Hated   Humiliated   Incarcerated   Incapacitated   Kidnapped   Kicked Out   Quarantined   Restrained  Ridiculed   Sedated  Seduced  Shunned   Shamed   Surveilled   Tough Loved   Criticized   Colonized   Commercialized   Criminalized   Delegitimized   Demonized   Depersonalized   Deprioritized   Disenfranchised   Eulogized   Euthanized   Glamorized   Homogenized   Hypnotized   Institutionalized   Lobotomized   Marginalized   Memorialized   Miscategorized   Mischaracterized   Monetized   Mythologized   Objectified  Ostracized   Patronized   Politicized   Proselytized   Publicized   Sensationalized   Stigmatized   Scandalized   Sensualized   Sterilized   Terrorized   Theologized   Traumatized   Tranquilized  Trivialized

More recently, through the efforts of recovery advocates and professional and public allies, we are being:

Applauded   Awakened   Celebrated   Defined   Educated   Elevated   Encouraged   Helped   Healed   Enfranchised   Hired   Informed   Inspired   Motivated  Profiled   Reconstructed   Recruited   Redeemed   Rekindled   Renewed   Restored   Represented   Reunited   Supported   Surveyed   Transformed   Uplifted  Utilized  Valued Vindicated   Actualized   Baptized   Decriminalized   Destigmatized   Diversified   Enfranchised   Hypothesized   Idealized   Legitimized  Medicalized   Mobilized   Organized   Prioritized   Professionalized   Radicalized   Randomized   Recognized   Reconceptualized   Revitalized   Secularized   Sympathized Theorized

Through our shared journeys, recovery is gifting us with:

Accountability   Acceptability   Adaptability   Authenticity   Clarity   Collegiality   Community   Dignity   Employability   Fidelity   Flexibility   Honesty   Humility   Integrity   Longevity   Maturity   Opportunity   Possibility   Predictability   Productivity   Prosperity   Respectability  Responsibility  Sanity   Serenity   Sobriety   Spirituality   Stability  Survivability   Tranquility   Visibility   Wellbriety

Is it any wonder given the complexity of these experiences that we struggle in recovery to answer, “Who am I?” We cannot fully understand the “me story” without the “we story.”  Our personal stories nest within the hands of this larger multigenerational and multinational story. Our present circumstances, our shared needs, our individual aspirations, and our future destinies are inextricably linked to this complex, collective past. We can draw upon that past for resolve and inspiration at the same time we rise above it. Personally and collectively, we have fallen, yet like Lazarus, we rise anew.  Personally and collectively, we are moving from pain to purpose.

 

National Standards of Best Practices for RCOs

February 24, 2021

To ensure fidelity to the recovery community organization model, Faces & Voices of Recovery, RCOs across the nation, and stakeholders have identified the following as national best practices for recovery community organizations.

Recovery Innovations: The Well-Fed Social Supermarket

February 18, 2021

I recently discovered a UK-based project that I found so exciting that I solicited the below blog to share with my readers. To me, the Well-Fed Social Supermarket signals a next stage in the evolution of recovery support services: programs that serve those seeking and in recovery while simultaneously benefiting the larger community. For generations, “service work” in the recovery community has reflected the support we provide each other, our mutual aid organizations, and individuals and families seeking recovery. Perhaps the day has arrived when that service ethic will be extended in new and dramatic ways to larger communities and cultures.

–Bill White

 

Recovery Innovations: The Well-Fed Social Supermarket

Dave Higham, Ged Pickersgill and David Best

Background

Recovery is a process that is characterised through the acronym CHIME – standing for Connectedness (the importance of social engagement); Hope; Identity (the growth of positive personal and social identities); Meaning (engaging in activities that give value to each day) and Empowerment (often experienced as positive self-esteem and self-efficacy).

For recovery community organisations, supporting people to achieve sustainable recovery is often about finding ways to promote CHIME that are personalised to individual aspirations and goals, and the stage of a person’s recovery. This means creating access to positive social and community resources that can nurture recovery capital.

In the UK, there have been a glut of recovery cafes, some of which have succeeded and others failed, but an increasing quest for diverse programmes and social enterprises that can both bolster recovery experiences while also contributing to the growth and wellbeing of the local community. This article provides a brief overview of the Well and then will focus on its innovative contribution to recovery pathways and community wellbeing.

The Well

The Well is a not-for-profit, community interest company (CIC) formed by ex-offender Dave Higham in 2012. Dave left prison for the last time in 2007 having spent over 25 years in addiction and in that time spent more time in prison than he did in the community. Since leaving prison in 2007 he has dedicated his life to supporting others with drug and alcohol addiction through both voluntary and paid employment. Dave set up The Well with his own money and with no blueprint to follow. Instead, he used his experience, vision and determination to create what has now become a leading provider of recovery services in the region.

Dave set up The Well when he recognised a gap in the provision of services during  off-hours and weekends for those people who wanted to achieve or maintain abstinence. The first hub was launched in Lancaster in 2012, and a further four sites quickly followed in Lancashire and Cumbria (in the North-West of England).The majority of staff at The Well have lived experience of substance misuse and offending histories.

The Well has always been shaped, designed and delivered by the people it serves and supplemented by the assumption that both the person and their family need to recover and are thus welcomed. The Well is also open to people with prescription drug histories, mental health issues and trauma, and nearly all the people served have experienced CPTSD (Complex Post Traumatic Stress Disorder). The Well is based on the assumption that ‘Where we serve our community, we become active citizens in the community’.

The Social Supermarket

A Social Supermarket has been designed as a positive way of supporting those on low incomes, tackling poor diet and overcoming health inequalities, through the provision of surplus stock sold at heavily subsidised prices.

Since store’s opening in November 2019, Wellfed Social Supermarket has had a footfall of over 5,000 people and has also resulted in 279 referrals into The Well Communities through various mechanisms of support.  The social supermarket has also facilitated (including but not limited to ) delivery of over 1500 hot meals to marginalised families, issued over 150 food bank vouchers, issued 17 free flu vaccination vouchers, delivered 37 emergency food parcels, delivered 242 sets of ingredients and recipes, and assisted families with welfare signposting in respect of white goods.

Well Fed social supermarket secures high-quality short dated food from retail and manufacture supply chains that would otherwise be sent as waste to landfill but is fit for human consumption. We sell this food to customers at reduced prices, typically an average of one-third of normal retail prices. Marketing is carefully targeted at residents on the lowest incomes and thus at greatest risk of experiencing food poverty and related health issues.

The social supermarket model innovates further by working with local agencies to provide a range of on-site support services. These are tailored to members’ needs and help them overcome multiple barriers to getting out of poverty. On-site support, signposting and assertive linkage may include money advice, debt counselling, and courses on healthy eating and cooking on a budget, as well as employability and vocational skills training. The Well-Fed Social Supermarket is a non-profit organisation with all monies re-invested back into the local community.

The Well Communities Social Supermarket is a model which enables residents in Barrow in Furness to access the retail aspect of the social supermarket and our Fairshare Model Food clubs and to be included in The Well Communities  Building Better Opportunities (BBO) Project  which helps members benefit from the employment and business opportunities that are arising in Barrow in Furness both now and through the longer term delivery of the BBO programme.

This is linked to the Well-fed Food Clubs which provide a sustainable alternative to free food distribution and foodbanks. Through a £3 per week payment, members receive approximately £10 to £15 worth of food each week while reducing food waste by working closely with fareshare North West by collecting the food from the regional Hub in Preston. The Well has built up a very strong membership of marginalised families; most of the postcode areas we serve are listed in the indicies of multiple deprivation. Over 30 tonnes of surplus food has been distributed to date.

The whole model is based on looking upstream and looking behind the actual need for discounted food. Each family has difficulties which mean they need to obtain goods due to some form of financial hardship; the intention is to determine such reasons and help in some way to alleviate these problems. These are then linked to in-house support mechanisms which Include assertive linkage to local statutory and third sector organisations.

Building Recovery and Community Capital                                                                     

The Well identifies people’s recovery capital, identifies their  passions, and works with them to create enterprises. They have had several successful enterprise ideas, the first being The Well itself, but they have also had some failures or learning that were not so successful. To get to the successful Social Supermarket idea we went through a process of ideas and attempts, the first being a catering trailer business, where the Well bought and renovated a trailer and employed a member of our community as he had experience as a chef, got a pitch for the trailer, but the marketing strategy of announcing that we were recovering addicts and alcoholics was the wrong thing to do as in the first year the project  was working at a loss. The lesson was that the most important factor about a food trailer is the pitch, and let this business go but kept the company name Well-Fed and started up foodbanks.

The other successful business, “Well maintained” used the employment capital and experience within the Well membership, including carpenters, electricians, plasterers and so on, and renovated our Dolton Road Hub which is now the location for The Social Supermarket.

Conclusion

There were false first steps on the road to creating the Social Supermarket, but the commitment to the principles of peer empowerment, community engagement and CHIME have resulted in a number of successes that contribute to the growth, wellbeing and inclusiveness of the recovery community as an active and vibrant part of the local, lived community. Not all of these enterprises will succeed, but the skill base, dedication and creativity of the recovery community will ensure a net gain and a positive contribution to individual recovery journeys, family inclusion and community connections and growth.

2020 Faces & Voices of Recovery Annual Report

February 13, 2021

Mechanisms of Change in Addiction Recovery Revisited

February 11, 2021

In an earlier blog posted in 2017, I offered some preliminary observations on mechanisms of change in recovery and the variation in such mechanisms across pathways of recovery, stages of recovery, clinical populations, and cultural contexts. A recent collaboration with Dr. Marc Galanter in designing a study to investigate such mechanisms of change among members of Narcotics Anonymous has stimulated further thinking about the precise catalytic elements that contribute to addiction recovery.

Mechanisms of change involve precise behaviors that when performed over time elicit radical changes in personal character and identity, personal lifestyle, and interpersonal relationships. They involve decisions, actions, and rituals that strengthen motivation for recovery, serve as building blocks of a recovery-centered lifestyle, and elevate the quality of personal and family life in long-term recovery.

Recovery-focused behavioral mechanisms (repeated actions) lead to intermediate processes that enhance recovery stability and the progressive movement towards global health and social functioning. Such intermediate effects include increased hope for recovery, increased self-confidence in achieving recovery, improved decision-making and coping skills, increased family and social support, and spiritual awakening (sudden epiphanies and turning points; clarification of values and life goals; increased life meaning and purpose).

In my earlier blog, I noted the following: “Addiction recovery involves processes of destruction, retrieval, and creation. Destruction entails breaking entrenched patterns of acting, thinking, feeling, and relating. Retrieval involves the reacquisition of lost assets. Creation requires new recovery-nourishing daily rituals, character traits, relationships, and reformulating life meaning and purpose. These recovery processes can be thought of in terms of subtraction, addition, and multiplication.”

Understanding the mechanisms of change in addiction recovery requires 1) identifying a menu of potential actions, 2) investigating which precise actions or combinations/sequences of mechanisms have the greatest potency and 3) determining how the use of these mechanisms varies across the stages of recovery initiation, recovery maintenance, and enhanced the quality and meaningfulness of one’s life in long-term recovery. A menu of potential change mechanisms could include such actions as the following:

  • Altering the frequency, intensity, or circumstances of drug use
  • Stopping all drug use
  • Seeking specialized addiction treatment
  • Seeking other counseling
  • Seeking treatment for other health conditions
  • Using prescribed medication to facilitate withdrawal and to reduce craving and drug-seeking
  • Using medication as prescribed to treat conditions that contribute to drug use, e.g., anxiety, depression, pain, etc.
  • Participating in face-to-face recovery support meetings
  • Choosing a home group / meeting for regular attendance
  • Participating in online recovery support meetings
  • Attending other recovery-focused events
  • Sharing my recovery story
  • Celebrating anniversaries of being drug free
  • Participating in the service structure of a recovery mutual aid fellowship
  • Reducing or ceasing contact with drug-involved friends and family members
  • Severing unhealthy, addiction-supportive relationships
  • Reconnecting with weakened or lost family and social relationships
  • Socializing with other people in recovery and people supportive of recovery
  • Reading recovery-focused literature
  • Reading other change-inspiring literature
  • Choosing and meeting regularly with a recovery sponsor / mentor / coach
  • Serving as a recovery sponsor / mentor / coach for others
  • “Working” recovery program Steps/principles
  • Working to improve coping and communication skills
  • Centering activities, e.g., praying, meditating, reflecting, journaling
  • Participating in recovery community center activities
  • Participation in religious services and practices
  • Participating in recovery advocacy and peer recovery support activities
  • Pursuing further education or training
  • Resuming old pastimes or cultivating new interests, hobbies, and pastimes
  • Helping others / acts of volunteer community service
  • Improving physical health (e.g., increased exercise, improved nutrition, regular sleeping schedule, smoking cessation)
  • Changing living environment
  • Relocating to safer and more recovery-supportive environment
  • Changing occupation or employment setting

Important research related to such mechanisms of change is progressing. Below are my predictions on what we will ultimately discover from these studies.

Mechanisms of change in addiction recovery include a core of essential mechanisms (without which recovery for most people is not possible) and a larger set of secondary and complementary mechanisms.

Such common factors are widely shared among people with diverse recovery stories, with some differences shaped by age of recovery initiation, gender, ethnicity, sexual orientation, primary drug choice, degree of problem severity, levels of recovery capital, and degree of religious orientation.

Mechanisms of change differ across stages of recovery, with some having greater salience in recovery initiation and others coming into greater play in the transition to recovery maintenance or enhancing quality of life in recovery. We will likely find variations in such effects across cultural contexts, where personal recovery must be integrated into a larger rubric of cultural values and rituals. Differences may also exist in these mechanisms across secular, spiritual, and religious pathways of recovery.

Particular combinations and sequences of actions will be identified that are particularly catalytic in recovery initiation or facilitating the transition from one stage of recovery to another.

The mechanisms of change (actions) in addiction recovery are woven together within two very different processes: story construction and storytelling. Those experiencing addiction, affected family members and friends, and those seeking to offer help all have a need for sense-making. There are numerous theories about the sources and solutions to addiction that become woven into personal and professional narratives that may or may not have anything to do with the actual processes through which such change occurs. The ultimate truth and the best news is that such change is possible and increasingly common. Behavioral prescriptions for recovery initiation, maintenance, and enhancement will become increasingly clear in future research on mechanisms of change. That is cause for considerable optimism and anticipation.

Addiction Recovery Prevalence in the United States: Latest Data

February 4, 2021

For decades, the United States has meticulously measured the prevalence of alcohol and other drug (AOD) use and related problems. The question of how many U.S. adults have resolved such problems has received far less attention until recently. In 2012, I reviewed published studies of clinical and community populations in the U.S. that reported rates of recovery from such problems, and two recent landmark studies provide the best data yet on recovery prevalence in the U.S.

Answering the basic question, “How many people are in addiction recovery in the United States?” is complicated because of differences in definitions of the problem and the solution. Reported outcomes differ depending on the language used in the surveys. Survey responses vary when questions include references to addictionsubstance use disorder, or problem with alcohol or other drugs. They similarly differ depending on the resolution language: abstinencesobrietyrecoveryremissioncontrolled (moderate) use, or once had but no longer have an AOD problem. Recovery prevalence estimates expand and contract based on expansive or restrictive problem and solution definitions. In spite of such challenges, a series of important studies reveal a surprisingly high prevalence of lifetime AOD problem resolution that challenge the notion that “recovery is the exception to the rule.”

My 2012 review of recent studies concluded that 5.3% to 15.3% of the U.S. adult population are in remission from significant alcohol or other drug problems—a conservative estimate of 25 million people (not including those in remission from nicotine dependence alone). The reviewed surveys included the Epidemiologic Catchment Area Study, National Comorbidity Survey, National Health Interview, National Longitudinal Alcohol Epidemiologic Survey, and the National Epidemiologic Survey on Alcohol and Related Conditions. In community studies published since 2000, 54% of people who met lifetime criteria for a substance use disorder no longer met such criteria at the time of follow-up. Problem resolution strategies spanned complete AOD abstinence and deceleration of AOD use.

In 2017, Kelly and colleagues published the results from the National Recovery Study—a U.S. survey of the course of AOD problems in the adult population. Survey findings revealed that 9.1% (22.35 million) U.S. adults responded in the affirmative to the question, “Did you used to have a problem with drugs or alcohol, but no longer do?” Of those who had resolved an AOD problem, 46% self-identified as being “in recovery.”

In 2020, Jones and colleagues published an analysis of recovery data from the 2018 National Survey on Drug Use and Health. Of the 27.5 million U.S. adults reporting ever having an AOD problem (11% of the adult population), 75% (more than 20.5 million) reported no longer experiencing such problems. Both the Kelly and Jones surveys found both supported and unsupported pathways of recovery, including a substantial portion of people who had achieved recovery without participation in formal treatment or recovery mutual aid groups.

In 2020, Stefanovics and colleagues published a survey of more than 1,200 veterans who had experienced an alcohol use disorder during their lifetimes as part of the National Health and Resilience in Veterans Study. More than three-quarters of U.S. veterans surveyed who reported a lifetime alcohol use disorder (AUD) no longer met diagnostic criteria for AUD at the time of the survey.

In 2001, recovery advocates from across the United States participated in a summit in St. Paul, Minnesota that formally launched a new addiction recovery advocacy movement in the U.S. The kinetic ideas at the core of this movement included: 1) Addiction recovery is a reality in the lives of millions of individuals and families, and 2) There are many pathways to recovery and ALL are cause for celebration. Those core propositions, grounded in the experiential knowledge of people in recovery across the U.S., now have substantial scientific support. Recovery is not just a possible outcome for AOD problems; it is the probable and likely outcome when people have access to formal and informal recovery support resources.

References

Jones, C. M., Noonan, R. K., Compton, W. M. (2020). Prevalence and correlates of ever having a substance use problem and substance use recovery status among adults in the United States, 2018 [Epub ahead of print]. Drug and Alcohol Dependence214, 108169. doi: 10.1016/j.drugalcdep.2020.108169

Kelly, J. F., Bergman, B., Hoeppner, B., Vilsaint, C., & White, W. L. (2017) Prevalence, pathways, and predictors of recovery from drug and alcohol problems in the United States Population:  Implications for practice, research, and policy. Drug and Alcohol Dependence181, 162-169.

Stefanovics, E. A., Gavriel-Fried, B., Potenza, M. N., & Pietrzak, R. H. (2020). Current drinking patterns in US veterans with a lifetime history of alcohol use disorder: Results from the National Health and Resilience in Veterans Study. The American Journal of Drug and Alcohol Abuse, September. DOI: 10.1080/00952990.2020.1803893

White, W. L. (2012). Recovery/remission from substance use disorders:  An analysis of reported outcomes in 415 scientific studies, 1868-2011. Chicago:  Great Lakes Addiction Technology Transfer Center; Philadelphia Department of Behavioral Health and Developmental disAbilites; Northeast Addiction Technology Transfer Center.

White, W. L. (2007). The new recovery advocacy movement in America. Addiction102(5), 696-703.

 

The Portrayal of Addiction Recovery in American Comic Books & Graphic Novels – Part 2

January 22, 2021

This final blog in our five-part series concludes our exploration of the portrayal of addiction recovery within 35 American comic books and 9 graphic novels.

The Role of Recovery Mutual Aid Groups

The supportive role of recovery mutual aid groups was limited exclusively to Twelve-Step groups (Alcoholics Anonymous) within American comic books and graphic novels that contained addiction storylines.

Characters seeking recovery through AA include Tony Stark, Carol Danvers, Katina (“Katchoo”) Choovanski, and five characters in the graphic novel Sobriety. Tony Stark and Carol Danvers even go to the same AA meetings in multiple issues. In Iron Man: Resolutions #313, Tony spends New Year’s Eve at an AA meeting reflecting on his early exposure to alcohol as a pre-teen and current struggles with alcoholism. The role of an AA sponsor is portrayed through the character of Dr. Black, who serves as Ruben’s (Buzzkill) sponsor:

“The rest [beyond admitting you have a problem] is going to be tough, but I’ll be here to guide you. I’ve been through this before. It’s not impossible, Man.”

All five characters in the graphic novel Sobriety were involved in a Twelve-Step program. Larry noted his early perceptions of rehab and AA: “Look at rehabs: They’re invested on getting reimbursement from health insurance companies—the very same companies that require a medical treatment. It seems to me that the Twelve Steps are about something else; it’s like a cult!”

Several characters report getting sober through the help of other AA members. The character Matt (Sobriety) describes how the Twelve-Step program works:

“The problem is easy: we have a disease of the body that causes us to lose control when we drink or drug, and an obsession of the mind that causes us to drink and drug.  That’s the powerlessness that step one describes…The solution to that irreconcilable dilemma is that the other steps give us a way to restore purpose and meaning to our lives.”

Resistance to Twelve-Step programs was portrayed via the character of Matthew Parker in Larceny in My Blood. At one of his parole hearings, Parker declares: “Well, I’ll tell you what I won’t do. I won’t go to NA meetings, or AA meetings, or any of that other crap.” (He was then paroled based on his honesty). In speaking of a later parole hearing, he recalls: ”I told them what I really thought of their rehabilitation policies and 12-Step programs in particular. I just think it’s all bullshit.”

There were no references to secular, spiritual, or religious recovery mutual aid alternatives to Twelve-Step programs in the comic books and graphic novels we reviewed. Given the national and international growth and diversification of alternative groups such as Women for Sobriety, SMART Recovery, LifeRing Secular Recovery, Celebrate Recovery, and numerous others, it is somewhat surprising that they have yet to appear within comic book and graphic novel addiction storylines.

Portrayal of Addiction Treatment

The representation of addiction treatment in American comic books is limited. Natural recovery is far more common than professional treatment, and comic book storylines offer few details related to the actual nature of treatment beyond medical withdrawal. In spite of the portrayal of opioid addiction in numerous storylines, there is little portrayal of the pharmacotherapy of opioid addiction. Recovery most often involved heroic rescue or was portrayed as an isolated episode that when shaken off allows other storylines to proceed without continued references to a recovery process. Below are the few treatment references we located.

In the Batman series, there are references to Doctor Leslie Thompkins and Tiffany Fox operating addiction treatment programs without reference to what such treatment involved. The DC Fandom Wiki explains, “Doctor Thompkins ran the free Thomas Wayne Memorial Clinic for criminals and drug addicts in Gotham City. While the majority of her patients were repeat offenders, she continued to do her job with great perseverance and determination.” Dr. Thompson later ceased her helping role and became a vigilante.

There are numerous examples over multiple decades of Tony Stark seeking treatment for alcoholism, however they rarely show details of what that treatment entailed. In Iron Man: Deliverance #182, Tony is admitted to a hospital for detoxification and later shown attending AA meetings.

In Vengeance of Bane, the psychiatrist Dr. Flanders, who Bane saw while in prison, is portrayed as empathic and skilled

The character Leslie in Hey Kiddo references going to a clinic after her release from prison and getting involved with another patient there: “He’s getting treatment, just like me….Miguel and I are on this road to recovery together.” She relapses and later dies of a heroin overdose.

Alex (Sobriety) entered a government-sponsored rehab for four weeks following an overdose. He warmly describes his counselor, who introduces him to the Twelve Steps: “David was a guy who listened—really listened—to me. He was in recovery himself. And he let me see the truth of my life: that it had spun out of control and was insane.”

The most detailed of addiction treatment appears in The Abominable Mr. Seabrook.

William Seabrook’s physician admitted him to Doctors Hospital, dried him out with the aid of “prescription booze”, and then discharged him as cured.  The images of this episode show Seabrook looking through bars. Following his discharge from Doctors Hospital, he immediately returned to heavy drinking and was subsequently committed to the Bloomingdale Insane Asylum. Seabrook was a challenging patient, often objecting to various rules of the institution. Treatment at Bloomingdale consisted of “cold turkey” withdrawal from alcohol, hydrotherapy (baths and wetpacks), and psychotherapy to address his “addictive personality” and his sexual perversions. Seabrook was discharged after seven months and later detailed his experience there in his book Asylum. At the end of Asylum, he proclaimed himself cured, that he could now drink without excesses of the past and that he had conquered his writer’s block. “I’m now able to take a drink or two without desiring another and I seem to be cured of drunkenness.”

Seabrook’s drinking again raged out of control.

Matthew Parker provides the most detailed account of treatment resistance in his graphic memoir, Larceny in my Blood.  Parker describes being ordered into a halfway house by a judge: “I was allowed to go to work and report back to the rehab each night, which made it easy to maintain my habit.” When arrested for failing a drug test, he “played the contrite junkie.” At a later 28-day rehab, he sarcastically describes his superficial compliance: “Oh, yes, I’ve seen the light. Hit rock bottom. I’m powerless over my addiction. I have to give it away to keep it.” Then released to Maverick House, he described feeling like he was “being conned.”

On Addiction Recurrence

Addiction recurrence following a period of recovery is described in several comic book and graphic novel storylines. Carol Danvers experienced a recurrence of drinking at a time she is struggling with writer’s block. Another time, she follows the Avengers into a bar on a mission commenting that she will need to stay vigilant to avoid another recurrence. Tony Stark experienced multiple relapses across his many storylines.  Below is scene from Ironman: Demon in the Bottle that offers a typical depiction of the tensions that often precede a recurrence:

“For days, the stalemate rages—until at long last, emotional blocks begin to crack, then crumble—and Tony Stark spills his pent-up pain like milk from a spilt pail. He sighs, he shudders…and he shakes.” The purge helps and he returns to work. He apologizes to Jarvis saying he has “a handle on it now,” and Jarvis responds, “You have an illness. I quite understand.” While he’s at the Avenger’s mansion, Tony knows there’s a bottle in his room but says, “I don’t need the booze…I can handle this on my own without any counterfeit courage at all.” Later back at the mansion, Tony starts to pour a drink and Beth stops him. His face is sweating, eyes are down, he’s frowning, his hands are shaking. It’s described as the “hardest battle of his life.” Beth reminds him of his life’s dream, and shaking he recaps the bottle.

The self-talk that feeds addiction recurrence is vividly displayed in The Abominable Mr. Seabrook. Following treatment and a period of sobriety, Seabrook tires of the sober life and proclaims: “I’m tired of being a cripple. From now on, I’m going to prove that I can take a drink or leave it alone, like any other man.” After losing control over his drinking again, he would pledge sobriety anew but soon became bored and commence his drinking binges. His repeated refrain when talking to himself in the mirror:  What do drunkards do? They drink themselves to death.” At a later stage of his story, Seabrook’s lover and third wife-to-be plunged his hands in boiling water to scald the skin so that he would be unable to pick up a drink. Seabrook continues drinking from a liquor bottle using a straw. He was committed to the Hudson State Hospital in mid-1945. A few months later and after his release, Seabrook committed suicide with sleeping pills and whiskey on September 20, 1945.

Brandon Novak (The Brandon Novak Chronicles) re-experienced heroin addiction after publishing his book, Dreamseller, in which he recounted losing his career as a professional skater due to his heroin addiction. In his graphic memoir, he describes coming back from his “insatiable appetite for heroin.”

Addiction, Recovery, and the Family

An area of scant attention in the addictions storylines of American comic books and graphic novels is the effect of addiction upon the family or the involvement of affected families in family support groups or addiction treatment. The few conclusions that can be drawn related to family include the following.

Addiction inflicts repeated episodes of humiliation, helplessness, worry, guilt, anger, and loss on the family (The Abominable Mr. SeabrookDrinking at the Movies, Hey Kiddo).

Addiction can become so imbedded within the marital relationship that recovery may pose more of a threat to the relationship than continued addiction. Willie Seabrook’s second wife reveals, “I confess, Willie had handled the teetotaling better than I did.”

Sustained family support can play a crucial role in addiction recovery. Jarrett’s grandfather (Hey Kiddo) purchases a house for Leslie when she finishes the release program to support her new sobriety. Matthew Parker in Larceny in my Blood recounts such support:

“But as pissed as she [his mother] was, I always had a place to live. She was too kind and I used her…. At 41 years old and on my fifth trip to prison, she [mother] saw no reason for hope…But my mom never gave up on me—I think because our shared struggles showed how bad it could get….We were still family, not despite but because of all that we had lost.”

Sustained recovery brings indescribable relief to the family. Again, Matthew Parker reflects:

“She [mother] was not convinced of my commitment to kick heroin until a year after my release, during my second semester at SCC….I think that was the first time in 40 years that my mom could relax.”

Closing Reflection

The portrayal of the role of recovery mutual aid organizations in the process of addiction recovery is limited within the storylines of American comic books and graphic novels to Twelve-Step fellowships. In spite of their recent growth in the U.S. and internationally, the existence of secular, spiritual, and religious mutual aid alternatives have yet to be portrayed. Addiction treatment is briefly referenced within the addiction storylines of American comic books and graphic novels without substantial details related to the nature of such treatment or its degree of effectiveness. Addiction recurrence following an initial recovery attempt is common within the addiction storylines, with trajectories ranging from death to a final re-stabilization of recovery. American comic books and graphic novels have yet to fully portray the effects of addiction on the family and the processes, stages, and long-term effects of family recovery from addiction.

We anticipate a future in which collaborations between addiction professionals, recovery advocates, and the writers and illustrators will produce a new generation of addiction storylines within American comic books and graphic novels that more accurately portray the prevalence, pathways, stages, and styles of long-term addiction recovery.

 

 

About the Authors: Alisha White, PhD, is an associate professor of English Education at Western Illinois University. Her research focuses on representations of disability and mental health in young adult literature and teaching with arts-based practices.  William White, M.A., is Emeritus Senior Research Consultant at Chestnut Health Systems. His research focuses on the history, prevalence, pathways, stages, and styles of long-term addiction recovery.