Recovery Community Organization: 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.
The Health Professional Recovery Program (HPRP): HPRP is a confidential, non-disciplinary program designed to assist licensed or registered health professionals recover from substance abuse/chemical dependency problems or a mental health problem.
Detox: Detoxification is a services intended to help individuals manage the physical process of withdrawal from substances more comfortably. The goal is to prepare a person for continued treatment for a substance use or co-occuring disorder.
Outpatient: Treatment that may be offered in a variety of settings, but often takes place in an office-type setting. Can include group and/or individual therapy services.
Residential: Organized system of comprehensive services in a facility setting for individuals with a substance use disorder. A course of treatment will vary according to need, and the focus is on acquiring the skills and resources needed to transition to ongoing community-based care and recovery.
Recovery Management: Long-term community-based treatment and recovery coaching for men and women with chronic and unstable substance use disorders, family focused treatment and case management services for women with a substance use disorder who also have responsibility for children.
Recovery Residences: Offer support for persons in need of transitional recovery housing. These homes are places where individuals with similar needs for safe and sober living environment live together while they acquire the “tools” needed to establish a stable pattern of solid recovery.
Women Only: Services available to women only that meet the specific needs of women. Services are available at all levels of care, including residential, intensive outpatient, and outpatient treatment, and recovery supports.
Men Only: Services available to men only that meet the specific needs of men. Services are available at all levels of care, including residential, intensive outpatient, and outpatient treatment, and recovery supports.
Assessment: Individual assessment face-to-face service for the purpose of identifying functional and treatment needs, and to formulate the basis for the Individualized Treatment Plan to be implemented by the provider.
Inpatient: Inpatient services are hospital services used to stabilize a substance use disorder and/or co-occuring disorder. Community hospital services are provided in licensed hospitals and in licensed psychiatric units of general hospitals.
Intensive Outpatient Program (IOP): Treatment that often takes place in an office-type setting, but can be offered in other settings, and consists of a minimum of nine hours, maximum of 19 hours of services per week. Services include individual, group and interactive education- (didactic) type services.
Substance Use Disorder (or Substance Abuse): Is defined in the Mental Health Code to mean the taking of alcohol or other drugs at dosages that place an individual’s social, economic, psychological, and physical welfare in potential hazard or to the extent that an individual loses the power of self-control as a result of the use of alcohol or drugs, or while habitually under the influence of alcohol or drugs, endangers public health, morals, safety or welfare, or a combination thereof.
Case Management: means a substance use disorder case management program that coordinates, plans, provides, evaluates and monitors services or recovery from a variety of resources on behalf of and in collaboration with a client who has a substance use disorder. A substance use disorder case management program offers these services through designated staff working in collaboration with the substance use disorder treatment team and as guided by the individualized treatment planning process.
Intervention: Professional counseling services to bring a person with indications of a substance use disorder to an acceptance of treatment participation; often initiated by third party such as family member, employer, or Court.
Group Therapy: Face-to-face interventions with three or more clients, which includes therapeutic interventions/counseling.
Family Therapy: Face-to-face interventions with the client and significant other and/or traditional or non-traditional family members. Note: In these situations, the identified client need not be present for the intervention.
Referral: Office-based service activity performed by the primary clinician to address needs identified through the assessment, and/or ensuring follow through with access to outside services, and/or to establish the client with another substance use disorder provider.
Drug/Alcohol Testing: Toxicology Screening – screening used for the purpose of tracking ongoing use of substances when this has been established as a part of the treatment plan or an identified part of the treatment program. (This may include onsite testing such as portable breathalyzers or nonlaboratory urinalysis).
Recovery: a process of change through which an individual achieves abstinence and improved health, wellness, and quality of life. The experience (a process and a sustained status) through which individuals, families, and communities impacted by severe alcohol and other drug (AOD) problems utilize internal and external resources to voluntarily resolve these problems, heal the wounds inflicted by AOD-related problems, actively manage their continued vulnerability to such problems, and develop a healthy, productive, and meaningful life (White, 2007).
Peer Recovery Coach: The name given to peers who have been specifically trained to provide advanced peer recovery support services in Michigan. A peer recovery coach works with individuals during their recovery journey by linking them to the community and its resources. They serve as a personal guide or mentor, helping the individual overcome personal and environmental obstacles.
Recovery Community: Persons having a history of alcohol and drug problems who are in or seeking recovery, including those currently in treatment; as well as family members, significant others, and other supporters and allies (SAMHSA, 2009b).
Recovery Support Services: Non-clinical services that assist individuals and families to recover from alcohol or drug problems. They include social support, linkage to, and coordination among, allied service providers, and a full-range of human services that facilitate recovery and wellness contributing to an improved quality of life. These services can be flexibly staged and may be provided prior to, during, and after treatment. RSS may be provided in conjunction with treatment, or as separate and distinct services, to individuals and families who desire and need them. Professionals, faith-based and community-based groups, and other RSS providers are key components of ROSC (SAMHSA, 2009b).
Alcohol and Drug Education: May occur in a group setting as outlined above (educational groups), or may be used as independent study, with the provider giving “assignments” to be discussed at the next session.
Co-occurring Disorder: A term used when a person has both a mental health disorder and a substance use disorder. Both the mental health and the substance use disorders may create significant challenges, but the interactions of these disorders require integrated treatment.
Medication-Assisted Recovery: The use of specific medications, in combination with counseling and/or other components of recovery
Prevention: Service designed to reduce the probability of developing and exacerbating substance use disorders and/or mental health problems.
Recovery Coach: An individual who links the recovering persons to the community, serves as a personal guide or mentor in the process of personal and family recovery, and helps remove personal and environmental obstacles.
Relapse Prevention: A method of teaching recovering individuals to recognize and manage relapse warning signs. This includes teaching the individual about the relapse process, and how to manage it, as well as identifying the problems and situations that may cause a relapse (triggers).
Twelve-Step (12-Step): A program designed to assist in the recovery from addiction or compulsive behavior, especially a spiritually-oriented program based on the principles of acknowledging one’s personal responsibility and accepting help from a higher power. Examples of such programs include Alcoholics Anonymous, Al-anon, Al-Ateen, Cocaine Anonymous, and Narcotics Anonymous.
Addiction: A chronic disease, characterized by compulsive (loss of control) substance seeking or using behavior or other behavior despite adverse health, social, or legal consequences to continued use.
Inpatient care: Means substance use disorder treatment services that are provided to persons within a hospital setting under medical supervision.
Mutual Aid Groups: Groups of individuals who share their experience, strength and hope about recovery from addiction. Often called ―self-help‖ groups, they more technically involve an admission that efforts at self-help have failed and that the help and support of others is needed (Miller and Kurtz, 1994). Mutual aid groups are based on relationships that are personal rather than professional, reciprocal rather than fiduciary, free rather than fee-based, and enduring rather than transient (See Indigenous Healers and Institutions).
Evidence-based Practices: Clinical and service practices that have scientific support for their efficacy (work under ideal conditions) and effectiveness (work under real conditions). Advocacy of evidence-based practice is a commitment to use those approaches that have the best scientific support, and, in areas where research is lacking, a commitment to measure and use outcomes to promote those practices that have the greatest impact on the quality of life of individuals, families and communities. One reviewer offered the observation that the growing preoccupation with EBP marks a shift in focus from subjective experience to objective outcome, raising the possibility that important dimensions of recovery could be lost if healers are transformed into procedural technicians. The concern expressed here is that there may be important aspects of the recovery experience that are not measurable.
Family Recovery: Has three dimensions: the healing of individual family members, the healing of family subsystems (adult intimacy needs, parent-child relationships, and sibling relationships), and achieving recovery-conducive boundary transactions with people and institutions outside the family. While the order in which these subsystems heal can vary, family research (Brown and Lewis, 1999) suggests that individual recovery of family members must precede the recovery of the family as a unit (see Trauma of Recovery).
Medication-assisted Recovery: Is the use of medically-monitored, pharmaceutical adjuncts to support recovery from addiction. These include detoxification agents (e.g., clonidine), stabilizing agents (e.g., methadone), aversive agents (e.g., disulfram), antagonizing agents (naloxone), and anti-craving agents (acamprosate, naltrexone). They also include medications used to lower risks of relapse via symptom suppression of one or more co-occurring physical or psychiatric disorders. The use of such medications in the context of treatment is known as pharmacotherapy. The stigma attached to medication-assisted recovery (e.g., methadone) is being countered by wider dissemination of the research supporting its scientific efficacy as well as through the growing participation in recovery advocacy activities of people who have successfully achieved medication-assisted recovery. One goal of such advocacy is to have people in medication-assisted recovery recognized as legitimate members of the recovery community.