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.
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On July 20, The Senate Caucus on International Narcotics Control held a hearing on the state of treatment and recovery in the United States, entitled “The Federal Response to the Drug Overdose Epidemic.” Witnesses included federal officials Regina LaBelle (Acting Director of the Office of National Drug Control Policy) and Tom Coderre (Acting Director of the Substance Abuse Mental Health Services Administration.) The role of recovery support services was a central theme of the testimony.
Tom Coderre shared his personal story of recovery and urged lawmakers to see the positive results it has yielded. “True success with substance use disorder also involves enduring efforts, many of which are through recovery supports,” he stated.
Coderre cited that Recovery Support efforts have been part of SAMHSA’s portfolio since the late 1990s. SAMHSA first launched the Recovery Community Support Program, later the Recovery Community Services Program (RCSP) in 1998. This grant helped launch and supported the development and strengthening of recovery community organizations (RCOs). Their focus has been emphasizing the critical importance of as a bi-directional bridge between communities and formal systems, including SUD treatment, and the criminal justice and child welfare systems. Coderre praised RCOs for being peer-led and managed.
Also receiving attention in the hearing were two newer grant initiatives, the RCSP 5-year grant program and the Treatment, Recovery and Workforce Support Grants (Workforce Support). The 5-year RCSP grants build peer recovery support services capacity through recovery community centers, and the Workforce Support grants enhance employment opportunities for individuals in recovery from SUDs by addressing gaps in services and providing opportunities for veterans, homeless individuals, and those reentering the community after incarceration. Coderre mentioned that also of note, SAMHSA developed the targeted capacity expansion-peer to peer (TCE-PTP) grant portfolio forging the path for the extensive ongoing training of peers towards certification and expanding the workforce. This portfolio has provided state recognition for peer support service providers in the workplace and, in some states where allowable, Medicaid reimbursement for their services.
Since 2017, SAMHSA allocated over 60 million dollars to recovery support initiatives, but Coderre urged the Senate to do more to build out the continuum. Following the lead of President Biden’s FY 2022 Budget, he reiterated his call for a 10 percent set aside for recovery support services in the Substance Abuse Prevention and Treatment Block Grant which would provide states with funding to further invest in building out recovery support services.
Acting Director LaBelle reiterated the priorities of the Biden Administration, including a need to expand access to recovery support services, as well as the advancement of recovery-ready workplaces. She recognized that recovery support services are offered in various institutional and community-based settings and include peer support services and engagement, recovery housing, recovery community centers, and recovery programs in high schools and colleges, and increased capacity and infrastructure of these programs will create strong resource networks to equip communities to support recovery for everyone. The required infrastructure includes a safe, reliable, and affordable means of transportation to access recovery support services. She pledged that ONDCP will work with Federal partners, State, local, and Tribal governments, and recovery housing stakeholders to begin developing sustainability protocols for recovery housing, including certification, payment models, evidence-based practices, and technical assistance.
A Historical Summit
by: Bill White
In 2001, more than 130 recovery advocates from more than 30 states gathered in Saint Paul, Minnesota at the invitation of the Johnson Institute’s Alliance Project and with support of the Center for Substance Abuse Treatment’s (CSAT) Recovery Community Support Program (RCSP). That gathering marked the formal launch of a new recovery advocacy movement in the United States. The vision of culturally and politically mobilizing people in recovery and their families and allies was not a new vison, but those of us in St. Paul during those momentous days had an unmistakable feeling that we were participating in something that could reshape the future of addiction recovery. Now, with 20 years of hindsight, we can acknowledge what was so significant about this event.
The 2001 Recovery Summit marked a clarion call to shift the center of the alcohol and other drug problems arena to a focus on the lived solution for individuals, families, and communities. The shift from pathology/clinical paradigms to a “recovery paradigm” exerted pressure for urgent changes in policy, research, treatment, recovery support practice, and service system evaluation. The emergence or elevation of such concepts as recovery management, recovery-oriented systems of care, recovery coaching, recovery support services, recovery capital, recovery cascade (contagion), culture of recovery, community recovery, etc. would be missing from our current landscape without this paradigm shift, as would many recovery-focused research studies.
The 2001 Recovery Summit marked the passing of the recovery advocacy leadership torch from an earlier generation of advocacy organizations, most notably the National Committee for Education on Alcoholism (1944, later the National Council on Alcoholism and Drug Dependence) and the Society of Americans for Recovery (1991). The founding of Faces and Voices of Recovery as an outcome of the Summit set the stage for subsequent efforts, including Young People in Recovery, Facing Addiction, Shatterproof, the Recovery Advocacy Project, Latino Recovery Advocacy, Black Faces Black Voices, the African American Federation of Recovery Organizations, and other national recovery advocacy efforts. Faces and Voices provided the connecting tissue for RCO leaders to gather, communicate, share resources, and speak with a collective voice. The 2001 Recovery Summit set the foundation for the landmark accomplishments of Faces and Voices of Recovery and other recovery advocacy organizations.
The 2001 Recovery Summit marked the coming of age of a new organizational entity—the grassroots recovery community organization (RCO). The emerging RCO was not a recovery mutual aid fellowship, an alcohol/drug problems council, or a prevention or treatment organization, but rather an organization focused exclusively on recovery community mobilization, recovery advocacy, and recovery-focused community development. Subsequently linked through the Association of Recovery Community Organizations, RCOs have been instrumental in supporting further recovery community institution building, e.g., recovery community centers; recovery residences; occupational/workplace recovery programs; recovery high schools and collegiate recovery programs; recovery ministries; recovery-focused health, sports, and adventure programs; and recovery-focused projects in music, theatre, art, and community service.
The 2001 Recovery Summit marked a milestone in multicultural and multiple pathway recovery advocacy. The 2001 Summit was diverse in its representation of women, communities of color, and the LGBTQ community as well as its representation of diverse pathways of addiction recovery. The Summit was historically noteworthy in bringing affected family members into the advocacy movement on an equal footing with those with lived experience of addiction recovery. The Summit marked a milestone: people representing diverse pathways and styles of recovery seeing themselves collectively as “a people” with shared needs and aspirations. That “peoplehood” inspired subsequent calls for authentic and diverse recovery representation at all levels of decision-making within the AOD problems arena.
The 2001 Recovery Summit marked an early vision—the seed—of the integration of primary prevention, harm reduction, early intervention, treatment, and peer recovery support—a process that continues to this day through efforts to delineate roles and responsibilities as well as efforts of coordination and collaboration across this service and support continuum. Prior to the 2001 Recovery Summit, recovery never appeared on the alcohol and other drug service continuum. The emergence of peer recovery support services as a distinct service entity following the Summit constitutes a significant historical milestone.
What the 2001 Recovery Summit did more than anything was weld the personal commitments of individuals and programs into a national recovery advocacy movement. We had a name; a consensus on vision, goals, and tactics; and, most importantly, we had mutually supportive relationships across the country that bound us together in common cause. I look forward to our gathering this October to revision the future of recovery advocacy in the United States.
An Invitation to Return to Saint Paul
by: Philip Rutherford
Even before my arrival at Faces & Voices, I learned about the rich history and significance of the St. Paul summit that happened on October 5, 2001. While working at a Minnesota RCO, I attended an event put on by The Association of Recovery Community Organizations (ARCO) that was modeled after the original summit. At the time, it was called the ARCO Executive Directors Leadership Academy, and it transformed both my personal understanding of the recovery movement, and ultimately the trajectory of my organization. ARCO’s roots are connected to the powerful movement that arose from the St. Paul summit and that continue to propel the work of countless organizations today.
On October 3, 2021, at the River Centre in St. Paul, Minnesota, we will convene another summit to commemorate the passing of the 20th anniversary of that event. We will examine where we are today and look toward the future. The event will have plenary speakers like Bill White, Dr. Nora Volkow, William Moyers Jr. and Dr. Delphin-Rittmon, and will include six different tracks of learning concentrations around Advocacy, Peer Recovery Support Services, Capacity Building, Diversity, Equity, and Inclusion, Family and Youth, and Leadership Development.
Many things have changed about the recovery movement since 2001. At Faces & Voices, we see this event as an opportunity to celebrate the tireless efforts of those who have come before us, honor those in the trenches right now, and help clear a path for anyone who wants to join the journey. Similarly, some things haven’t changed, and we see this event as an opportunity to have frank and open discussions about where change is required.
If 2020 has taught me anything, it is to expect the unexpected, and as such, I’d be remiss if I didn’t mention COVID-19 and the possibility of rates of infection affecting our plans. The COVID-19 Delta and Lambda variants are influencing how the celebration will take place. We are closely monitoring guidelines and restrictions and will make decisions as the situation unfolds.
Unless restrictions prohibit us from gathering, we plan on hosting the conference in-person. We understand some people may be hesitant to attend, due to safety concerns.
If necessary, we will deliver a webinar-based, hybrid option to accommodate more people, so that we can still be together as a community for this important milestone. We will update you as we can. In addition, the River Centre has taken a number of precautions to ensure your safety.
Thank you for your patience and understanding during this time.
To make it a bit clearer, here are three possible scenarios as examples:
Scenario A– All is well. No mandates or city-wide orders in place regarding COVID
*Summit takes place as scheduled. Proof of Vaccine/Negative test results/mask required (with audit during event). We will stream only keynote events.
Scenario B– Positivity rates increase, moderate concern surrounding transmission. No mandates or city-wide orders in place regarding COVID.
*Summit takes place as scheduled. Proof of Vaccine/Negative test results/mask required (with audit during event). Social distancing rules will be enforced, hybrid conference occurs with streaming of each session.
Scenario C-All is not well, mandates or city-wide orders are in place regarding COVID
Summit takes place entirely in virtual space.
Gate: September 1 decision date
Nationwide positivity of >12% Scenario C
Nationwide positivity of 5-12% Scenario B
Nationwide positivity of <5% Scenario A
Regardless of the eventual format, we extend a warm invitation for you to participate. You can register by clicking HERE. Let’s go make some more history.
UPDATE: On September 1, 2021 Faces & Voices of Recovery made the difficult decision to move the event to a completely virtual setting.
When I remember the thousands who died, many whose stories were never recorded in history, I bow my head. And when my wailing is done, I get up and carry on, not in my name, but in theirs….When you know your history, you know your value. You know the price that has been paid for you to be here. You recognize what those who came before you built and sacrificed for you to inhabit the space in which you dwell. –Cicely Tyson (with Michelle Burford), Just as I am
We have not even to risk the adventure alone; for the heroes of all time have gone before us; the labyrinth is thoroughly known; we have only to follow the thread of the hero-path. And where we had thought to find an abomination, we shall find a god; where we had thought to slay another, we shall slay ourselves; where we had thought to travel outward, we shall come to the center of our existence; where we had thought to be alone, we shall be with all the world. –Joseph Campbell, The Hero with a Thousand Faces
Those seeking and in recovery owe a great debt of gratitude to earlier generations of people whose life discoveries opened and charted pathways to addiction recovery and built the recovery support organizations available to us today. Much of my (BW) past work focuses on excavating and celebrating the lost stories of these recovery pioneers.
The stories of many of our recovery ancestors remain publicly shrouded behind a veil of stigma. For generations, others who sought our control or cure spoke on our behalf while our own faces and voices remained hidden and silent. Actually, those who spoke for us spoke their stories—their perceptions of us and their work on our behalf, but authentic, first-person narratives of addiction and recovery remained obscured and sometimes misrepresented by such accounts.
Today, we are rediscovering lost recovery stories and declaring that we can now speak for ourselves. Every stigmatized and oppressed people must liberate their history and take control of their own stories. As the African proverb suggests, “Until the lion learns how to write, every story will glorify the hunter.”
We as a people can assure that the stories of our recovery ancestors are preserved and called forth at critical times to illuminate our present circumstances. Here are few potential possibilities.
*Designating and training archivists and archival skills within recovery-focused organizations
*Creating formal recovery archives for historical preservation and research
*Digitizing historical materials and creating virtual libraries filled with resources on the history of addiction recovery
*Creating and disseminating histories of recovery, recovery mutual aid and advocacy organizations, and key recovery figures via articles, books, films, plays, and photo exhibits.
*Creating and disseminating the history of recovery among special populations, e.g., women, youth, people of color, LGBTQ, etc.
*Preserving iconic historical sites
*Creating forums for communication between people interested in the history of recovery, e.g. AA History Lovers, NA History Lovers
*Creating oral history projects through which the stories of local recovery elders are recorded and preserved
*Hosting symposia on the history of addiction recovery and related organizations, and
*Ancestor consultations: Consulting with local recovery elders and regularly asking ourselves how recovery ancestors responded to challenges and opportunities similar to those we are currently facing.
Our recovery ancestors have provided a body of historical lessons. They have endowed an intellectual and emotional inheritance on how to best navigate the complexities, challenges, and opportunities within the experience of addiction recovery. They have also forged values and traditions that can best guide our collective life within recovery-missioned organizations. We honor our ancestors by letting their lessons inform our current circumstances. We show up to assert our own needs and aspirations, but we also show up to honor the ancestors that make our survival possible.
You cannot know yourself without knowing the history of your people. We bear the scarred wounds of past recovery generations—the emotional memory of objectification, demonization, maltreatment, and mass incarceration, but we also possess within us the inherited capacity to survive and thrive if we draw upon it.
We must all become students of our history as a people. Once we become students of history, the wisdom of our recovery ancestors lives inside us. We can then elicit the voiced guidance of our ancestors when we most need it. We are but one link in this chain of history. What we as a people achieve today are the fulfilled dreams of our ancestors. What we do today in preparing those who will follow us will shape the future of recovery for generations to come.
We must show up and do our part to prevent a break in this historical chain of personal healing and social progress. We do that for ourselves and in payment for our ancestors’ sacrifices. Our ancestors do not die until we last speak their names. In honor of what they have bequeathed to us and as aide to our own survival and health, we must continue to speak their names.
Posts from William White
For much of the past century, scientists studying drugs and drug use labored in the shadows of powerful myths and misconceptions about the nature of addiction. When scientists began to study addictive behavior in the 1930s, people addicted to drugs were thought to be morally flawed and lacking in willpower. Those views shaped society’s responses to drug use, treating it as a moral failing rather than a health problem, which led to an emphasis on punishment rather than prevention and treatment.
The Department of Health and Human Services (HHS) is issuing this final rule to update and modernize the Confidentiality of Alcohol and Drug Abuse Patient Records regulations and facilitate information exchange within new health care models while addressing the legitimate privacy concerns of patients seeking treatment for a substance use disorder. These modifications also help clarify the regulations and reduce unnecessary burden.
The mission of CMS’s Opioid Misuse Strategy is to impact the national opioid misuse epidemic by combating non-medical use of prescription opioids, opioid use disorder, and overdose through the promotion of safe and appropriate opioid utilization, improved access to treatment for opioid use disorders, and evidence-based practices for acute and chronic pain management.