All or Multiple Pathways of Recovery +
Principle that recognizes a) a variety of ways and means by which people enter and sustain self-defined recovery, as well as the stigma and resulting personal and society harms that limited conceptions of recovery impose, and b) that people may utilize several kinds of supports simultaneously or over the lifespan. Pathways of recovery may be categorized as medical, pharmacological, psychological/psychiatric, social, religious, spiritual, secular, and natural (or spontaneous).
Association of Recovery Community Organizations (ARCO) +
Membership organization for RCOs. An initiative of Faces & Voices of Recovery.
Certified Recovery Support Worker +
A certification offered by the Office of Professional Licensure & Certification and its Board of Licensing for Alcohol and other Drug Use Professionals for people working or volunteering in addiction treatment or recovery services settings. The CRSW’s scope of practice includes screening for substance use disorders, monitoring client health and safety, and providing practical, non-intensive supports and education. The CRSW is billable to Medicaid for certain services. Application of CRSW services varies widely by employer and has historically been used in addiction treatment settings. CRSWs are now also being developed and employed by Recovery Community Organizations to deliver Recovery Coaching, Telephone Recovery Support, crisis intervention, and systems navigation services.
Council on Accreditation of Peer Recovery Support Services (CAPRSS) +
Accrediting agency for Recovery Community Organizations that deliver PRSS. A subsidiary of Faces & Voices of Recovery.
Evidence-based practices for addiction +
Interventions, programs, and services that are based on peer-reviewed research and demonstrated impact.
Governor’s Commission on Alcohol and other Drugs +
Commission created in 2000 to bring state employees, substance use disorder services stakeholders, and field professionals together to advise the Governor and legislature on priorities and solutions.
NH Governor’s Commission Recovery Task Force +
Established 2013 to regularly convene members of the NH recovery community and PRSS providers and advise the Governor’s Commission on priority issues and projects.
Peer Recovery Support Services (PRSS) +
An array of Non-clinical support delivered by trained community members to help people to initiate or sustain self-defined recovery. Service domains include Emotional, Informational, Instrumental, and Affiliational support (SAMHSA).
Medicaid-billable PRSS in NH are limited to one-to-one Recovery Coaching and Telephone Recovery Support Services that are delivered by those with a CRSW credential.
PRSS Facilitating Organization +
State contract that provides funding, technical assistance, billing, quality monitoring, and back-office functions for grassroots Recovery Community Organizations throughout New Hampshire. Harbor Homes, Inc in Nashua currently administers this contract.
Recovery-Oriented System of Care +
A coordinated network of community-based services and supports that is person-centered and builds on the strengths and resiliencies of individuals, families, and communities to achieve abstinence and improved health, wellness, and quality of life for those with or at risk of alcohol and drug problems (SAMHSA).
Recovery Coach +
A recovery coach is a non-clinical person who helps remove personal and environmental obstacles to recovery, links the newly recovering person to the recovery community, and serves as a personal guide and mentor in the management of personal and family recovery. Such supports are generated through mobilizing peer based volunteer resources within the recovery community, or provided by the recovery coach where such natural support networks are lacking. – White (2002)
Recovery Coaches working within Recovery Community Organizations/Centers in NH are most often trained using the CCAR Recovery Coach Academy and CCAR Ethical Considerations of Recovery Coaching curricula, and improve their competencies through additional trainings in the areas of self-care, trauma-informed service delivery, Motivational Interviewing, etc. New Hampshire does not have a certification or officially defined scope of practice for Recovery Coaches.
A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. – SAMHSA, 2011
Recovery Community Organization (RCO) +
A recovery community organization (RCO) is an independent, non-profit organization led and governed by representatives of local communities of recovery. These organizations organize recovery-focused policy advocacy activities, carry out recovery-focused community education and outreach programs, and/or provide peer-based recovery support services (P-BRSS). The broadly defined recovery community – people in long-term recovery, their families, friends and allies, including recovery-focused addiction and recovery professionals – includes organizations whose members reflect religious, spiritual and secular pathways of recovery. The sole mission of an RCO is to mobilize resources within and outside of the recovery community to increase the prevalence and quality of long-term recovery from alcohol and other drug addiction. Public education, policy advocacy and peer-based recovery support services are the strategies through which this mission is achieved (White, Taylor, Valentine (2007))
Recovery Community Center (RCC) +
A recovery-oriented place in a community that exists to assist individuals with their recovery. RCCs are uniquely designed to meet the needs of their community members and typically are run by staff and volunteers. They offer recovery coaching and support groups, help to access related services like employment and housing, educational and social events to enhance recovery, and support for family members and friends. The centers put a public face on recovery and are places where a person in long-term recovery can “give back” by volunteering to work with others. – White, 2013
Substance Use Disorders +
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), no longer uses the terms substance abuse and substance dependence, rather it refers to substance use disorders, which are defined as mild, moderate, or severe to indicate the level of severity, which is determined by the number of diagnostic criteria met by an individual. Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home. According to the DSM-5, a diagnosis of substance use disorder is based on evidence of impaired control, social impairment, risky use, and pharmacological criteria (SAMHSA).
Telephone Recovery Support Services (TRSS) +
Regular outgoing calls to people who have signed up for recovery-focused “check-ins” by trained volunteers. Callers offer support, encouragement, and information about resources that may help to initiate or sustain recovery. TRSS are Medicaid-billable in New Hampshire when delivered by a Certified Recovery Support Worker.
The NH Recovery Community +
Networks of relationships by which people impacted by Substance Use Disorder improve health & wellness on individual, community, societal, and systems levels (NH Recovery Task Force, working definition).
12-Step Meetings/Fellowships +
Informal networks of autonomous mutual aid groups that meet regularly in rented community spaces. All are adapted from Alcoholics Anonymous, founded in 1939 by and for people with alcohol addictions to help establish abstinence from alcohol and healthier social functioning among its membership. Membership in 12 Step groups is anonymous and meeting formats vary, most often including speakers, literature readings, and voluntary ‘shares’ on personal addiction and recovery experience. Groups are run by democratic process with rotating service positions. Recovery programming often involves 1:1 guidance through a series of spiritually-focused readings and tasks, including: Admission of powerlessness over one’s addiction; acceptance of help from others; belief in a higher power; self-examination; and service to others. There are over 200 active 12 step fellowships worldwide. The most common in New Hampshire are Alcoholics Anonymous, Narcotics Anonymous, and Heroin Anonymous.