Intersection of

Prevention and Recovery

Part 1

Carol Oliver, MAT, CPS

Haner Hernandez, Ph.D., CPS, CADCII, LADCI
Funding for this initiative was made possible by grant no.
1H79TI083022 from SAMHSA. The views expressed in written
conference materials or publications and by speakers and
moderators do not necessarily reflect the official policies of the
Department of Health and Human Services; nor does mention of
trade names, commercial practices, or organizations imply
endorsement by the U.S. Government.
Core Clinical integration of peer support workers
into non-traditional settings;
Areas of
Building and strengthening capacity of
Focus: Recovery Community Organizations;

Enhancing the professionalization of peers

through workforce development;

Providing evidence-based toolkit and resource

information to diverse stakeholders.
Introductions In The Chat,
Tell Us…….

Your Name

Where You Live or Work

Our Collective
Experience
Poll
 Our Roadmap

Over the course of our two sessions

together:
•Beginning the conversation
•Focus on prevention
•Focus on recovery
•Recovery Capital
•Exploring collaboration
•Closing

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 o RESPECT
Group Guidelines:
What do we need to o OPENNESS
create a safe o CONFIDENTIALITY
Prevention and
o STRETCH RULE
Recovery conducive
space moving forward? o ASSUME GOOD INTENTIONS
o BE STRENGTH-BASED
 1. Come ready to participate fully
General and critically in online learning.
Suggestions
and Tips: 2. Do your best to engage with the
technology and make sure you
attend to your needs.
 • Ask Questions!
Chat • Keep private conversations to a
Etiquette minimum to avoid distractions
• We expect a respectful,
professional etiquette over chat.
If you would not say it to
someone standing right in front
of you, you should not say it
over chat.
Our Destination: Learning Objectives

• Describe the intersections between prevention and recovery

approaches
• Define common terms used in prevention and recovery
• Apply a more holistic approach to the continuum of care

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Framing Our Discussion

• Prevention and Recovery share common goals.

• Recovery and Prevention have distinct sets of
services, funded through separate sources.
• Prevention and Recovery are both under the
umbrella of Behavioral Health.
• Recovery and Prevention address issues of
racial and health inequity.

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Defining Behavioral Health

Behavioral health can be considered

a state of mental/emotional being
and/or choices and actions that affect
wellness.1

14
Defining Health Inequity

15
Beginning the Conversation
Exploring Concepts: A Large Group Activity

Words that Words that

describe describe
Prevention Recovery

17
Exploring Concepts

Prevention
• What are we preventing?
• What is the goal/focus of prevention?
• In what environment(s) does prevention take place?
• What models/frameworks are used?

Recovery
• From what are we recovering?
• What is the goal/focus of recovery?
• In what environment(s) does recovery happen?
• What models/frameworks are used?
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Focus on Prevention
 Visit https://pttcnetwork.org/ for more information.

Visit https://pttcnetwork.org/centers/great-lakes-pttc/home for more information

The Institute of Medicine Continuum of Care

21
Health Promotion

Health promotion is the process of enabling people to

increase control over, and to improve, their health. It moves
beyond a focus on individual behavior towards a wide range
of social and environmental interventions.3

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 Prevention

• Interventions that occur prior to the onset of a disorder and are

intended to reduce the risk of the disorder
• Promotes emotional health and wellness, prevents or delays the
onset of and complications from substance misuse disorders and
mental illness, and identifies and responds to emerging behavioral
health issues
• Creates conditions and fosters attitudes that promote well-being4

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 Prevention Targets Multiple Populations

Targets people Brief Intervention and Referral &

misusing substances Harm Reduction Strategies
INDICATED

Education , Early
Targets People at
SELECTIVE intervention
Risk

Public Policy, Media

Targets the Whole UNIVERSAL Campaigns, Population-
Population level Curriculums ,

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 Revisiting the Definition of Prevention

Creating
Condition
s

Wellness
25
 Prevention Strategies Reduce Risk Factor
A characteristic at the
biological, psychological, family, community, or cultural level
that precedes and is associated
with a higher likelihood of
problem outcomes2

26
Prevention Approaches Increase Protective Factor

A characteristic
at the individual, family
or community level that
is associated with a lower
likelihood of problem outcomes2

27
Risk and Protective Factors Occur in Multiple
Settings
Individual

Family

Community

Society

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Targeting Risk and Protective Factors
• Determine the risk and protective factors
appropriate for the specific substance and focus
population

• Assess and select the risk and protective factors

using data

• Determine evidence base strategies that will target

the risk and protective factors
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Addressing The Social Determinates of Health

30
 Approaches to Addressing Social Determinants of
Health
Upstream Strategies

Community Improve Community

Down Stream Impact Conditions
Strategies

Address Individual
Individual Social Impact
Needs

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Social Determinates, Changing Condition

Policy Change
Networks
Participation
Social Support
Sense of Community

Jobs
Access to Quality Housing
Healthcare
Quality Schools
Adequate
Income Access to Healthy
Food
Clean Environment
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Questions, Insights Comments

33
BREAK
Focus on Recovery
Engagement Is…
• Identifying and contacting members of the focus population in their
communities
• Establishing rapport with and among groups with related missions
• Enlisting a commitment to behavior change
• Providing information about risk behaviors and strategies to
eliminate or reduce risk7

36
 Recovery
“A process of change through which individuals improve their health
and wellness, live a self-directed life, and strive to reach their full
potential.”5

37
Recovery

• Is wellness5
• Is contagious5
• Differs from person to person
• Almost always involves connectedness
• Requires choice

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 Recovery: Points to Keep in Mind

• 75% of those who meet the criteria for an alcohol use disorder
resolve that disorder without treatment or mutual aid8 (this does not
mean doing it alone).
• Exposure to the most acute 10% (i.e., those in treatment programs)
can limit our understanding of recovery.9

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 11
Principles of Recovery Management

• Emphasis on resilience and recovery processes

• Recognition of multiple long-term pathways and styles of recovery
• Empowerment of individuals and families
• Highly individualized and culturally nuanced services
• Heightened collaboration with diverse communities of recovery
• Commitment to best practices

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What Is Recovery Capital?

The internal and external assets required to

prevent problems and initiate and sustain
long-term recovery.12

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 12,13
Types of Recovery Capital

Personal Family

Community

42
Recovery Capital and Risk and Protective Factors

Risk Factors
Vulnerabilities

WELLNESS

Recovery Capital
Protective Factors

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 Engaging the Community
Recovery-Oriented System of Care (ROSC))

• Coordinated network of community-based services and supports

• Is person-centered
• Builds on the strengths and resiliencies of individuals, families, and
communities
• Goal is to…improve health, wellness, and quality of life for those
with or at risk of alcohol or other drug problems14

Handout: ROSC and RCO 44

Recovery Systems of Care and Prevention

• Promote leadership development

• Assess community strengths and needs assessments
(including data collection)
• Educate the public and raise awareness
• Advocate for policy

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Review of Learning Objectives

By the end of this training, participants will be able to describe:

•Intersections between prevention and recovery approaches

•Common terms used in prevention and recovery

•A more holistic approach to the continuum of care

Questions, Insights, Comments

47
 Join us for Part 2 of the Intersection of
Prevention and Recovery

Date: 6/29/21
Time: 10am-12pm EST / 9am CST/ 8am MST/ 7am PST

Register through the Peer Recovery Center of Excellence website:

Peerrecoverynow.org
References
1 Substance Abuse and Mental Health Services Administration (SAMHSA). (2011). Leading change: A plan for SAMHSA’s role and actions
2011–2014 (HHS Publication No. (SMA) 11-4629). Rockville, MD: Author.
2 National Research Council & Institute of Medicine. (2009). In M.E. O’Connell, T. Boat, & K.E. Warner (Eds.), Preventing Mental, Emotional,
and Behavioral Disorders Among Young People: Progress and Possibilities . Washington, DC: The National Academies Press.
3 World Health Organization. (n.d.) www.who.int/topics/health_promotion/en/ Retrieved on February 11, 2016.
4 SAMHSA, Leading Change 2.0: Advancing the Behavioral Health of the Nation 2015-2018. HHS Publication No. (PEP) 14-
LEADCHANGE2. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.
5 Hogan, J.A., Gabrielson, K.R., Luna, N., & Grothaus. (2003). Substance abuse prevention: The intersection of science and practice.
Boston, MA: Allyn and Bacon
6 SAMHSA. (2012). SAMHSA’s Working Definition of Recovery. Rockville, MD: Substance Abuse and Mental Health Services Administration.
https://store.samhsa.gov/shin/content/PEP12-RECDEF/PEP12-RECDEF.pdf
7 Outreach Competencies: Minimum Standards for Conducting Street Outreach for Hard-to-Reach Populations.
www.attcnetwork.org/regcenters/productDocs/2/2009%20updated%20Outreach%20Compentencies.pdf

49
References (cont.)

8 White, W.L., Kelly, J. & Roth, J. (2012). New addiction recovery support institutions: Mobilizing support beyond professional addiction
treatment and recovery mutual aid. Journal of Groups in Addiction & Recovery, 7(2-4), 297-317.
9 Mark Willenbring. (2008). New research is redefining alcohol disorders: Does the treatment field have the courage to change? Addiction
Professional. Retrieved February 15, 2016: www.addictionpro.com/article/new-research-redefining-alcohol-disorders
10Center for Behavioral Health Statistics and Quality. (2015). Behavioral health trends in the United States: Results from the 2014 National
Survey on Drug Use and Health (HHS Publication No. SMA 15-4927, NSDUH Series H-50). Retrieved February 15, 2016:
/www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-2014/NSDUH-FRR1-2014.pdf
11White, W.L. (n.d.) Recovery management: What if we really believed that addiction was a chronic disorder? GLATTC Bulletin. Retrieved
February 15, 2016: www.nattc.org/learn/topics/rosc/docs/RecoveryManagement.pdf
12White, W.L.,& Cloud, W. (2008). Recovery capital: A primer for additions professionals. Counselor, 9(5), 22-27.
13Cloud, W., & Granfield, R. (2004). A life course perspective on existing addiction: The relevance of recovery capital in treatment. NAD
Publication (Nordic Council for Alcohol and Drug Research) 44, 185-202.

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References (cont.)

14 Sheedy C. K., & Whitter M. (2009). Guiding Principles and Elements of Recovery-Oriented Systems of Care: What Do We Know From the
Research? (HHS Publication No. SMA) 09-4439). Rockville, MD: Center for Substance Abuse Treatment, SAMHSA.
15 Faces and Voice of Recovery. (2012). Recovery Community Organization Toolkit. Retrieved February 15, 2016:
www.facesandvoicesofrecovery.org/sites/default/files/resources/7.13.15%20FINAL%20Recovery%20Community%20Organization%20Tool
kit.pdf
16 SAMHSA. (2010). Financing Recovery Support Services: Review and Analysis of Funding Recovery Support Services and Policy
Recommendations. Rockville, MD: Substance Abuse and Mental Health Services Administration. Retrieved September 19, 2017:
https://www.samhsa.gov/sites/default/files/partnersforrecovery/docs/RSS_financing_report.pdf

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Peer
Recovery
Center of
Excellence