Priorities

Prevention, Treatment, Recovery
Over the din of ever-rising media reports about increased opioid addiction and the attendant rise in disease and death, we at RecoveryNC desire to distill our knowledge into a succinct set of requests and directives to aid our state in growing an efficient Recovery Oriented System of Care. Our vision is to remove the barriers between citizens suffering from substance use disorders and their ability to initiate and sustain recovery. For those on the life-threatening end of the spectrum of the disease of substance use disorder, that means availability to access services and a multitude of recovery supports available for up to five years after treatment.

 

Our vision and experiential knowledge guides us to track and integrate all available resources already in place in the state so that we are frugal with our resources while maximizing outcomes. For some citizens, recovery support requires long-term treatment as the next step. Then, the question is, are there enough beds available? It is possible that as long as the ADACT’s missions are honored, this state is not in short supply of beds but instead only lacks funds to pay for those indigent enough to need help getting into a bed.
At this stage, transportation can be critical. After treatment is completed, housing and employment assistance becomes crucial. Those supports can be developed through our parallel recovery supports system, the alternative to traditional drug treatment: Recovery Community Organizations leading Recovery Community Centers and Access to Recovery vouchers.
A strong network across the state of Recovery Community Centers, supported by volunteer-based Recovery Community Organizations, gives us the tools to grow the necessary concentric circles of widening Recovery Supports that aid in building sustained recovery, including after discharge from detox/treatment. There are many examples of community-based recovery supports, often inexpensive to employ, that can be shared amongst the network, growing the web of support that keeps citizens safe. This network will be the bulwark leading the charge into communities, against stigma while spreading the truth that recovery is a real thing. Efforts to change stigma are as crucial as the nuts-and-bolts treatment facilities. A way the state could assist us in breaking stigma is outlined below.

Our list begins here, with a concise bullet-point version below it.

  1. A comprehensive, user-friendly website of all drug treatment resources, particularly for the indigent, in the state of North Carolina. Thorough but simple are watchwords for this website. From there we have a comprehensive snapshot of the state which gives us the ability to assess accurately any “holes” in the system of care while championing all the resources we do have. This becomes an opening salvo in our efforts to bring visibility to recovery, smashing stigma along the way.
  2. If needed, the addition of on-demand, social-model detoxes (Recovery Engagement Centers) in appropriate locations.
  3. A keep-it-simple (possibly voucher-based) system for transporting clients to detox/treatment-often needed in outlying & rural locations. It is imperative we honor the whole state.
  4. Expanded funding and supports for the growth of Recovery Community Organizations across the state, with well-chosen locations for more Recovery Community Centers. State supports to help grow this state network into a strong, self-reliant, fairly self-supporting entity, with the vision of a possible state-wide yearly conference, brainstorming the many ways recovery supports can be added to communities. At this point, the ability to pay for Peer Supports/Recovery Coaches is an essential component that keeps people from slipping through the cracks.
  5. Making sure core supports, within the RCC’s, are fully-funded, for housing and employment. An example of this is initial rent grants employed within the state’s Oxford House system, a great example of a state-wide resource that provides multiple solutions at low cost. Win-win.
  6. Same thing for Collegiate Recovery Programs across the state university system. These efforts don’t cost money, they make money. It’s been proven by other states with similar approaches. The philosopher Goethe reminded us that the key to success in any endeavor is deep, full, heart-centered commitment and it is time to take a stand and show that commitment toward a fully-grown Collegiate Recovery Network.
  7. Whether through expanded Medicaid or a state-created money stream, the ability for treatment/recovery programs/houses to be reimbursed for beds needs to be grown and streamlined, making provider paperwork simpler.

Stigma

As with all things, our desire is to keep it simple. Foundational actions that can ripple out and affect the most, starting with a resource website, are the best ones for this vision. It is with that in mind, that we suggest the state approach the UNC-based PBS Television network and purchase/negotiate the time for a showing of the documentary “The Anonymous People”, across the whole state PBS system at the same time, with a live, on-air panel hosting discussion afterward, including questions taken in phone calls from the public. This would be aided by a full-court press aimed at all media (newspapers, radio, blogs, etc.) to promote the showing and then highlight efforts in the state already under way.

This is motivated by a concept that can be hard to grasp; seriously increased visibility will create half the solution.

 

And now, for the concise 10 Point Bullet List: $ For: Hand-up not hand-outs

  1. State resource website
  2. Recovery Engagement Centers (Social Model Detox)
  3. Transportation Vouchers
  4. Beds for heads
  5. Recovery Community Organizations/Centers RCO/RCC
  6. Peer Support/Recovery Coaches/Case management/Navigators
  7. Housing/Rent subsidies -to get people up and on their feet-first 2-3 months’ min.
  8. Employment Supports-working with employers to connect people with jobs
  9. UNC School System Collegiate Recovery Programs (CRP)
    b) Expansion to include North Carolina Community College System
    c) Leading to the momentum that will create educational recovery supports that include Recovery High Schools
  10. PBS showing of The Anonymous People, with live on-air panel

I want to acknowledge that there are sub-groupings left out of this list. Some people might feel slighted their own areas of study, influences and leanings are not included. For example, there are no references to growing medication-assisted recovery availability here. My response, considering current political and economic practicalities, is this is but the minimal beginning reverberation to our current dilemmas and more will be added to outgoing concentric circles as we grow successes.

Virtue Series – Part 10

TOLERANCE – is the wisdom of not making judgements on fellow men since we can never be sure of their true motivations, trials and personal problems. Criticism of others’ beliefs, habits and personalities is unwarranted, self-righteous and inexcusable. The tolerant man does not measure others only by their errors, but rather he asks himself how he would have reacted under identical circumstances. In place of a critical, irritable attitude toward another, which can only add to the cross he must bear, the tolerant man is slow to speak and act lest he detract from his opportunity to spread happiness and peace into the lives of those with whom he comes in contact. To detract from the reputation of another by gossip and hearsay is karmically disastrous.

99 Homes

Of the movies watched over the holidays I did not expect my favorite to be this one. A taut, intelligent script superbly acted that compelled me forward through a gripping tale using one man’s story to shine universal concerns.
The promo says:

“Set amidst the backdrop of the 2008 housing market catastrophe, Dennis Nash, a hard-working and honest man, can’t save his family home despite his best efforts. Thrown to the streets with alarming precision by real estate shark Mike Carver, Dennis, out of work and luck, is given a unique opportunity – to join Carver’s crew and put others through the harrowing ordeal done to him in order to earn back what’s his. ……Director Ramin Bahrani imbues his characters with icy complexity to achieve his compassionate portrait of a man whose integrity has become ensnared within an all-too-relevant American crisis. Bahrani’s provocative character study…explore{s} the ethical dilemma at the heart of man’s struggle to reach higher – by whatever means necessary.”

The thing is-I’ve been looking for a house for us and it has been quite problematic. It’s fixer-uppers only in my price range in the Triangle and the time needed to evaluate these places means they tend to get snatched up, very quickly in front of my eyes, before I can fully assess. Apartments present other sets of problems not the least of which is noise. Dogs alone can be a significant source of it.

Meanwhile, I pull back and realize I’ve been watching this from many angles. I have beloved family and friends underwater on their homes and struggling with the same issues in cities all over the country. All hard-working people and I see others leaving places like Asheville, simply priced-out of an area. I saw a Legislative panel on substance issues, and leading NC Prison officials pointed out something in my heart I know to be true which is that there are plenty of services to help prisoners re-enter (at least in some counties), but to quote them, “We can’t find reasonable housing for them to live in.” This is a huge barrier. Ex-offenders striving to change and transform their lives will work and recover but their income will simply not be high enough to actually get them an apartment in many parts of the Triangle.
As is my wont to do, I read up a bit. Allow me to quote from a couple of well-researched New Yorker articles for some historical perspective:

“One thousand families. That’s how many Americans lost their homes each day at the height of the Great Depression. Franklin Roosevelt’s response to this relentless destruction created the most successful housing finance system in the world, a key to America’s political stability and emergence as an economic power house.

To stop foreclosures, the Home Owner’s Loan Corporation (HOLC) bought defaulted mortgages from financial institutions at a discount and sold them back to homeowners. Beginning in 1933, HOLC acquired one million mortgages-one out of five in the country at that time. Eighty percent of HOLC clients saved their homes when they otherwise might have lost them. And once every mortgage was paid off and the program closed, HOLC even turned a small profit.


HOLC gave borrowers a twenty-year mortgage with a fixed interest rate, allowing them to gradually pay off the principal over the life of the loan, a process known as amortization. At the time very few Americans had long-term mortgages.


Even in the most desolate areas of American cities, evictions used to be rare enough to draw crowds. Eviction riots erupted during the Depression, though the number of poor families who faced eviction each year was a fraction of what it is today. In February, 1932, the Times published an account of community resistance to the eviction of three families in the Bronx, observing,

 “Probably because of the cold, the crowd numbered only 1,000.”

These days, evictions are too commonplace to attract attention. There are sheriff squads whose full-time job is to carry out eviction and foreclosure orders. {emphasis mine} Some moving companies specialize in evictions, their crews working all day long, five days a week. Hundreds of data-mining companies sell landlords tenant-screening reports that list past evictions and court filings. Meanwhile, families have watched their incomes stagnate or fall as their housing costs have soared. Today, the majority of poor renting families spend more than half their income on housing, and millions of Americans are evicted every year. In Milwaukee, a city of fewer than a hundred and five thousand renter households, landlords legally evict roughly sixteen thousand adults and children each year. As the real-estate market has recovered in the wake of the foreclosure crisis and the ensuing recession, evictions have only increased.

But there are other ways, cheaper and quicker than a court order, to remove a family. Some landlords pay tenants a couple of hundred dollars to leave by the end of the week. Some take off the front door. Nearly half of the forced moves of renting families in Milwaukee are “informal evictions,” which, like many rentals, involve no paperwork, and take place in the shadow of the law. Between 2009 and 2011, more than one in eight Milwaukee renters were displaced involuntarily, whether by formal or informal eviction, landlord foreclosure, or building condemnation. In 2013, nearly the same proportion of poor renting families nationwide was unable to pay all of their rent, and a similar number thought it was likely that they would be evicted soon.
For decades, social scientists, journalists, and policymakers have focused on jobs, public assistance, parenting, and mass incarceration as the central problems faced by the American poor, overlooking just how deeply housing is implicated in the creation of poverty. Not everyone living in a distressed neighborhood is associated with gang members, parole officers, employers, social workers, or pastors. But nearly everyone has a landlord.”

Here’s a respected business journal’s take on what high rents/real estate costs are doing in cities across the land.

The reason it’s imperative we look at these seemingly indirectly related issues (meaning related to SUD) is covered in this post from Rich Jones, a Peer Center pioneer in South Carolina. I’ve been angling, for a while, to bring him here to present his visions and truth.

This writing harkens back to John Bradshaw and Ken Wilbur and many others whose ideas on whole systems ring true from my experience:

  1. All systems {including individual humans-each of us is a “system”} seek homeostasis (balance)
  2. all systems incorporate feedback loops to function (even if the loops are based on conflict and chaos)
  3. hierarchies are a vital part of systemic functions including all roles, rules, and subsystems. Boundaries (rigid, diffuse etc…) facilitate these functions
  4. the system cannot be understood by reductionism (i.e. By looking at the addict alone). Must examine the whole {emphasis mine}
  5. change in one part of the system creates change in all parts of the system
  6. family values encompass some of these concepts and are passed down from one generation to another, affecting the dynamics of the entire system….

Reductionism No-Whole System Yes. To get anywhere we must examine the whole. Everything’s related so if we want true health all parts will be affected. This housing snapshot is an example, a template, we could extend to most every one of society’s systems.

All that said; how about a few more movie recommendations:

Mascots: the latest from the brain trust of Christopher Guest and his troupe of comic masters that gave us such wizardry as; Spinal Tap – certainly deserving of placement on a Top 10 film comedy list, Best in Show, A Mighty Wind (the title alone deserves an award) and Waiting for Guffman.

Danny Collins – Al Pacino as an aging pop star; there is a touching, true-story aspect to this, involving my favorite Beatle, that elevates.
Bayou Maharajah, a documentary that strives to tell the story of James Booker, an actual New Orleans musical genius.

5 Events of Value, Worth and Note

The 2nd Annual NC Addiction and Recovery Advocacy Day
Family members, allies, and people in recovery will gather at the North Carolina General Assembly, rallying support for solutions that promote:

  • appropriate & adequate treatment on demand,
  • robust recovery support services for individuals and families,
  • and the freedom for people in recovery to live full lives.
  • Come and be counted!

February 28 from 9am – 4pm – Registration and Details
Coordinated by Recovery Communities of North Carolina


Addiction Professionals of North Carolina
1st Annual Policy Summit
Substance use disorder treatment and prevention providers and advocates can expect big changes under new administrations in both Washington and Raleigh. Join national and state policy experts and elected officials in a day-long discussion about changes in substance use disorder policy and the role you and others can play in shaping those policies.

March 6 from 9am – 3pm – Registration and Details


NC Harm Reduction Coalition 2017 LAW ENFORCEMENT SUMMIT ON HEROIN AND FENTANYL       

  1. NC Law Enforcement Responses to Heroin and Fentanyl
  2. State Fentanyl and Heroin Death Data
  3. Law Enforcement Assisted Diversion in North Carolina and Across the US
  4. Angel Programs
  5. Individual Law Enforcement Agency Spotlights in Responding to the Heroin/Fentanyl Epidemic in NC
  6. NC Syringe Laws Legal Update
  7. Law Enforcement Naloxone Use in NC
  8. Q+A with Heroin/Fentanyl Users and Retired Users: What Helps?
  9. State Data Update on Heroin and Fentanyl Deaths
  10. What Should Law Enforcement Do for Follow Up Care After a Naloxone Event in the Field
  11. Legislation Aimed at Decreasing the Negative Outcomes Associated with Fentanyl and Heroin Users

March 9 from 8am – 1pm – Registration and Details


National Alcoholics Anonymous Corrections Conference
Bringing Recovery to Prisons around the State – Freedom from Bondage XXIX

  • Speakers, Panels, Workshops and more

March 10-12 from 9am – 3pm –  Registration and Details


Addiction Medicine Conference 
Asheville, NC

Attend the region’s premier conference for SUD related education!

The 2017 Conference will again provide clinically practical and up-to-date substance use related training, applicable across general medical as well as addiction specialty practices.

March 23-26Registration and Details

Virtue Series – Part 9

DISCRIMINATION – implies the power of discerning the motives of people and their character, and the ability to see the real truths below the apparent surface of situations. To discriminate emphasizes the power to distinguish the excellent and the appropriate; to judge between what is good and what is better; to weigh alternative courses of action in the light of karmic law; and to perceive the fallaciousness or veritas of teachings. It signifies a shift from mere belief systems or belonging systems to actual inner experience.All spiritual traditions (starting with Recovery) at their mature levels agree that such a movement is possible, desirable, and even available to everyone. Intuition is a natural extension of the power of discrimination.

Virtue Series – Part 8

PATIENCE – is the willingness to await the outworking of natural processes. Patience stresses calmness or composure under suffering or provocation or in performing a demanding task. Impatience with another person arises from lack of tolerance and a selfish peevishness to have one’s own way. To fail to take the time to explain to a child or employee what is to be done and then jump down his throat because the task was not performed as desired is a typical example of impatience. Impatience is a major source of irritability in our world, and much of this is due to the desires which cannot be realized realistically.


Here are year-end summaries from the “Central Hub of the Recovery Movement”, facesandvoicesofrecovery.org and their collaborative sister organization facingaddiction.org, painting a picture of national advocacy recovery successes that propel us into and through 2017. Tomorrow I will forward facesandvoices detailed email of resources for your use.

  • Recovery advocates across the nation joined in our campaigns to pass the Comprehensive Addiction and Recovery Act (CARA) and the 21st Century CURES Act, which will bring millions of dollars to states to fight the opioid epidemic. Over 6,000 actions were taken by individuals through our action alerts.
  • Our Association of Recovery Community Organizations (ARCO) has grown significantly with 20 new member organizations in 2016, each providing advocacy and recovery support services in their local regions.
  • We trained over 100 Recovery Ambassadors to lead efforts in their communities to speak out about recovery, eliminate stigma and advocate for policies that support recovery.
  • This year, four outstanding organizations received accreditation status by CAPRSS, the only national accreditation for organizations providing peer recovery support services.  CAPRSS LLC is a social enterprise of Faces & Voices of Recovery.
  • Our Everyday Recovery social media campaign shared powerful recovery stories every day throughout Recovery Month in September.

Thousands of individuals and families came out for our national hub event- the Big Texas Rally for Recovery in Dallas, to put a face and voice on recovery and celebrate with honored guests.

Plus:

  • On October 5th, 2015 organized 400+ advocates on Capitol Hill to meet with their elected representatives. As a result of those meetings there was a dramatic increase in co-sponsors for the Comprehensive Addiction and Recovery Act (CARA), which President Obama signed into law in July 2016.
  • Formed the Facing Addiction Action Committee with leaders from across the addiction spectrum who helped develop the comprehensive Action Agenda.
  • Brought together more than 400 organizations, representing 28+ million people, to endorse Facing Addiction’s Action Agenda.
  • Hosted wellness rooms and the first-ever Educational Caucuses for Addiction Solutions at both the RNC and DNC.
  • Launched The Addiction Recovery Appointments Project- to place people in long term recovery into Presidential Appointee positions.
  • Launched The Pilot Community Project which will choose 15 communities for a targeted grassroots approach toward changing the public response to substance use disorders.
  • Produced (with WETA), a one-hour special, The Concert to Face Addiction, commemorating the UNITE to Face Addiction rally on the National Mall, which aired 325 times across 70+% of US households.
  • On November 17, we partnered with the U.S. Surgeon General and Viacom to launch the Surgeon Generals watershed report, Facing Addiction in America: Alcohol, Drugs, and Health – seen 2+ million people with 18 million online impressions.

Virtue Series – Part 7

Humility – connotes the absence of arrogance, snobbishness, selfishness, pride, boastfulness and self-satisfaction. Humility does not imply weakness; rather is the result of strength, power and true personal completeness so that one need not feel he must contend for a place in the sun. Similarly, meekness is the absence of wrath, and it stems from a sense of complete control over one’s environment. Humility is the awareness of one’s shortcomings in view of the knowledge that Virtue always recedes from one’s present standing and that one has far to go to achieve Mastery.