Showing posts with label recovery support services. Show all posts
Showing posts with label recovery support services. Show all posts

Saturday, February 8, 2014

vagabond superstar

lanterns

There is nothing more dreadful than the habit of doubt. Doubt separates people. It is a poison that disintegrates friendships and breaks up pleasant relations. It is a thorn that irritates and hurts; it is a sword that kills.
Buddha.

firstly, ii would request that all readers also read mark olmsted’s blog regarding the passing of phillip seymour hoffman at question marxist. mark olmsted – aka the trash whisperer- touches on the very core of a major challenge with living in recovery- emotional sobriety. people with addictions – both active and arrested- remains the most complicated and treacherous path that I have walked and that those ii walk with encounter.

 

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What is the appropriate behavior for a man or a woman in the midst of this world, where each person is clinging to his piece of debris? What’s the proper salutation between people as they pass each other in this flood?
Buddha.

there are moments in which the clarity and cruelty of feeling are so uber-pronounced and omnipresent that frozen only begins to describe the fear and uncertainty that follow. sometimes an exchange of words or ideas will give a glimpse of unknowing that feels just like the chill of a visiting spirit. someone may something to me that ii am not clear how to take and ii will panic- not because of what was said, but more because of the not knowing how to proceed.

it may turn out that I struggle with emotionality for the rest of my days. it gets easier and the frightful crazy part lasts shorter periods of time. but as mark olmsted points out, it is not how we feel that creates problems, but more how we think we should feel.

walk

Emotional Management

There is no feeling without a thought. There is no feeling or thought without a corresponding physical response. We are not many. We are one.

It is a mistake for any of us to so divide ourselves into segments that we lose the sense of ourselves as holistic beings. There is no thought without a feeling. However by singling out a specific aspect of how we as people function, in this case the emotions, specific care can be given on that aspect. Feelings have the power to both take us to heaven and pitch us into hell. Feelings are perfectly capable of telling us the saving truth as well as sending us on the road to destruction. Feelings are powerful. As with all powerful things the task is to control and manage that power so it works to the person’s benefit.

Feelings must be understood for what they are and where they originate if the person experiencing them is to gain a life of sobriety, balance and serenity.

Topics covered in our various products dealing with emotional management:

  • Understanding the anatomy of emotions
  • Learning to feel long repressed feelings
  • Discerning if the feeling is telling us a useful truth
  • Not allowing feelings to be the sole dictator of behavior
  • Steps to gaining emotional management
  • words and thoughts by ernie larsen

Wednesday, August 28, 2013

here comes the sun




But I wouldn't be happy anywhere else
Nobody to tell us what to do, all by ourselves
Isn't this a fine hello, I wish I hadn't seen you go
It's always been a bitter pill, the broken mirror's broken still
The letters never made the post, a thousand more I never wrote
And here on dark unfriendly streets
I find the comfort that I seek
And I'm happy, and I've been happy,...shaun escoffery

today, the marketing rep who has been working with our department for the last few months came by today with a photographer to secure images for a brochure and some in house promotions.  the brochure will depict the peer support network that has ignited at our campus. 

the day was full, hectic, and lit by a very positive buzz. there are 4 individual peers chosen for tiny recovery bios, all of whom have been in relationship with methadone for over a decade.  we all took lunch together after the flashbulbs and the labyrinth of portraits. these conquerors that were heralded today let their inner lights shine as they spun tales of old which were braided with the changes upon the clinic and this new network. i am proudest most of the glee and incredulity involved when they talk about the changes they perceive. 

their joy was so big it filled my cup today. and i took a long cool drink. i love days like this. the  particular song posted  i first heard at an early morning jaunt at the endup in san francisco. the]morning light was bright, the sky a perfect blue, and the sense of peace that  encircled me like glenda the goodwitch. 




Sunday, August 25, 2013

liferaft



we started a new process at the workplace for new methadone patients to provide support and education as they transition from a using lifestyle hopefully to one more geared towards recovery. it will last 3 months and the caveat for weekly contact is the promise of weekend take-outs at the end if attendance is stellar and tox screens are substance free. 

my perception of the most valuable aspect of this new approach is the more intensive support towards changing the lifestyle. becoming recovery focused is not a simple task when the majority of a person's life is the same as it was the years before they sought recovery. they still have family relationships that are strained or broken, friends that continue to use and more, and a sense of self that is disjointed and dark. this group experience can hopefully bring some light back into their lives.  it is magical  to witness self esteem as it returns to a person and a light begins to emanate from their eyes. who needs a vacation right now. i have the gift of new beginnings.

here is an outline of the curriculum which was gleaned from a study in the uk:

Introductory session: acquaintance, coordination of expectations, overview of the
sessions schedule 1
Clinic rules (with the clinic director) 2
Methadone: facts and myths (with a physician) 3
Addiction-related diseases (with a physician) 4
Addiction: damages and consequences 5
What is recovery? 6
Coping with craving and relapse prevention 7
Recovery Support 8
Anger management 9
The addict and his/her family 10
Maintaining Change 11
Summary and separation 12

i am very excited and hopeful about the prospects here. there is a very good chance that this type of introduction to medicated-assisted-treatment (mat) could directly influence the culture at the clinic. people who are new to recovery definitely need to learn to live within new boundaries, but they need hope and a hand in order to aim their sites higher for themselves.

the first of these groups took place yesterday. we are holding them on saturdays and i have changed my work schedule to accommodate. if you have been following my blogs at all, you are aware that i love to get new things started. it may have actually become my life's work. there are blessings and bloodletting that accompany life's work and i have had the privilege and the responsibility to walk through both- not always perfectly or even with ease.

i never did opiates- well i did heroin once in 1983- euphoria is what i remember the most. i was on a cloud for a long time and i met a young man i dated for a while as i drifted in that fog. i knew that the undertow of that buzz was too strong for my constitution. i never allowed it to become a drug of choice. ergo i cannot directly relate to the struggles of the souls i am working with. but i can relate to the challenges of change and recovery. especially self-care and self-respect. these are the building blocks of a better life which can help lead us to safe harbor.



Sunday, March 24, 2013

aria ready

maria callas image credit.... ddmag.tumblr.com


"Human life is a most difficult classroom until you learn the simple fact that your truth is your power, your salvation, your fulfillment, your purpose and your way. Once you can truly believe that, life becomes the joyous and abundant garden that it was meant to be.." 
~ from Emmanuel's Book


i probably am jinxing our opportunity tomorrow by writing about it here, but i am excited enough to try to make it more real. as i've mentioned, we are moving forward with implementing a peer-to-peer network at my workplace. a grant has been written and within that process a framework was created for roll out. we are approaching another funding stream tomorrow and i have been asked to go along to discuss the concept, the framework, and the nuts and bolts. 

this represents a step in a direction i have at once coveted and doubted. this could very well mean that the mania-driven dreamstorming i have been doing this last year within the parameters of several organizations might stand a chance to have some life breathed into them. and beyond my own process and aspirations, it means that this idea of "recovery community" might actually become part of the architecture of public health substance treatment in colorado. ergo- our citizens with no resources might have more support when trying to put their lives back together- and that would be supplied very often by people just like them. this is like a multi-layer ganache cake to me.

the photograph of maria callas  is posted today because whenever i think of arias, i first think of her. she just might always represent the premier diva to me. she captivated a planet when she put her mind to it and she literally breathed life into an art form that had nearly become a museum exhibit. she was bright, talented, inspired. she was difficult, provocative, and a classic. she made no apologies. 

i googled aria as audition and came across a site named ariaready.net and found that there were 5 tips offered as follows.
1) Know your voice and your range and stick to them.
2) Select a diverse group of arias within your range.
3) Always start your auditions with the aria that is most solid in your voice and your heart.
4) Knowing the whole role is not necessary for your audition.
5) Always represent and present your personal brand.

so i will head to the meeting tomorrow with these tips in mind and some blueprints i have been working on. i am sharing them here to review the offerings. first there is the submitted grant- 18 pages of an outline. then there are some window dressings- 
1) A plan to implement and develop a coaching academy for our part of the country.
2) A plan to implement a volunteer workforce and addition to our campus.
3) Creating a value system from our peers to infiltrate our processes and help shift from a medical model.
4) Invite and support a multi-cultural peer network with the resilience necessary to speak to our population.
5) Create positive events for our recovering community to participate in with the intention of creating a recovery community.





















Friday, February 1, 2013

new order


image credit... john baldessari

  "Blue Monday"

How does it feel
To treat me like you do
When you've laid laid your hands upon me
And told me who you are

I thought I was mistaken
I thought I heard your words
Tell me how do I feel
Tell me now how do I feel

Those who came before me
Lived through their vocations
From the past until completion
They will turn away no more

And I still find it so hard
To say what I need to say
But I'm quite sure that you'll tell me
Just how I should feel today

I see a ship in the harbor
I can and shall obey
But if it wasn't for your misfortunes
I'd be a heavenly person today

And I thought I was mistaken
And I thought I heard you speak
Tell me how do I feel
Tell me now how should I feel




i am just finishing a week of satisfaction surveys at my workplace. it has been both an exhausting and exhilarating week. i have had some incredible help from client volunteers and my hope is that their efforts have helped them as much as they have helped our organization. 


















my understanding is that there has not been client involvement like this at our establishment in a very long time. my impression is that it has been a welcome change. there was a lot more healthy and positive verbal exchange in our hallways and waiting rooms than i can recall in the few years i have been around.

substance treatment has long had a very deep stigmatized and punitive edge to it. it usually comes about when a person has demonstrated the inability to modify their behaviors on their own volition. shame and disappointment are the very first of many self-criticisms that pull up their moving trucks and unpack their bags. and just like cockroaches or other vermin, there are many friends and family members that soon show up to add to the humiliation and defeat upon the foundation laid. 

traditionally, our workplace has reflected this punitive aspect. probationers, street-walkers, sex workers, addicts turned thieves, traumatized persons trapped in numbness make up a good portion of our daily participants. at least that is how they appear when they first enter our doors. it is our task to help the remember that they are and can still be much more than a few pigeon-holed labels. 

in a rather "medical model" tradition we have treated them with something and sent them on their way, expecting that they will find the other components necessary to remember their higher purpose outside our purview. our workplace has carried on with this belief for a very long time.

but with new leadership, along with healthcare reform, substance abuse and mental health parity, and a burgeoning national grass roots social movement, our society and medical community is learning and incorporating the idea of recovery (and more universally- change) requires more than just treatment. it involves support along a few fronts- ergo recovery support services. and my workplace is following suit.

the inclusion of clients in our current satisfaction survey hopefully represents a much larger philosophical shift within our walls. out of necessity (and some honest desire) we are looking to stronger outcomes, healthier practices, and more trauma-informed care. we have not become experts at recovery, only well informed about treatment. our schooling has not ended.

this week has ushered in another possibility which involves my daily work focus and activities. a very poignant piece of my story resides here- last summer, as i initiated the peer based recovery support services concept, i fantasized about the amazing possibility of implementing such a facet to a large public hospital clinic setting. then life continued to seesaw as is it's custom, and i let go of that fantasy. but here i am sitting in my chair, contemplating a misplaced idea, and feeling hesitant to embrace excitement. 

i only hope i can learn to let go of fear someday.. 

i felt silly on this friday evening and thought it appropriate to post my favorite cover version of this anthem of my eighties.




but for you hardcore traditionalists, here is a remix of the undeniable classic from new order but a 90's release on a cd appropriately titled "substance abuse" remixed by dmc.

 "let's have some fun- shall we?"










Saturday, January 26, 2013

the cat that ate the canary


image credit... things that dreams are made of blog


(idiomatic) A person who appears self-satisfied or smug, especially while concealing something mischievous, prohibited, or private

(idiomatic) A person whose appearance and behavior suggest guilt mixed with other qualities, such as satisfaction or feigned nonchalance.


this recent 4 day week has left me at once drained of thoughts yet full of wonder and hope. i have found myself amidst a myriad of projects which leads my manic-leaning brain to a really lovely place, but while there i am forced to remind myself of my limitations and a mandate to forgo perfection. 
my duties have taken a swift and slight turn to my "right" and it certainly feels that way. my fear (connected to hope) is that this shift will somehow just be temporary- but this last bit is completely my own psychology getting in my way.

last summer, while i was spending a short time as a member of the board for a local recovery advocacy organization, i was taking steps to begin to add to the current culture at my workplace. and by add i mean to start including the idea of success and recovery to our programs. since methadone is such an integral part of our clinic's make-up and there are such a multitude of peripheral issues with that population-i.e. criminal, mental health, physical health, poverty- that success may have just slipped to below the horizon when working with our people on a day-to-day basis. re-introducing this idea and integrating into our daily operations has the potential to be a magnanimous gift to all concerned- clients and staff alike. 

in grantee fashion, it is time for our annual customer satisfaction survey. most of our patients are at our clinic 3-6 days a week and we are conducting the survey for 1 week. this year i asked to include the peer specialists and some patients who are doing well in their recovery to participate and help facilitate. i am thrilled that we get to include the peers and highlight peer support and the idea of success. we will have a drawing for a free week of treatment. i believe strongly that each time a client participates, we are acknowledging their ability and their value.

i have been facilitating a group for gay clients (mostly hiv+) for 3 years. recently my schedule changed and it became necessary to end that group. i am working to start a new one at a different time and i have tried to re-brand it and give it a new personality. as groups go, it was probably time for a change anyway. the new group has struggled with attendance over the last 2 months, but the last 2 weeks have brought some new blood. yesterdays group included a referral from a state agency who seems to be a bit of a drifter, unemployed and reports to be living with a meth addict. he seems puzzled why he has lost 2 jobs because of his mandatory UA's. this is one great example of  the kind of outreach i hope to generate. i think it is called unmet need. i have been struggling with the logistics of developing a service that might be aptly called pre-treatment. it basically is outreach that supports helping people get connected with services (especially substance abuse) by enhancing their motivation to change. there are not many funding streams for this activity which creates challenges in grant funded operations. personally, i believe it also falls under the umbrella of recovery support services with the support being aimed at before recovery. hopefully GAB will be allowed to grow and we can see if this might have a positive effect. here is the new marketing collateral deliciously served up by jenna legrand at rocket house designs. i contacted malone sizelove in chicago and he graciously agreed to allow me to panhandle the name of his satirical and penetrating  GAB magazine which had a long and healthy shelf life emanating from boystown chicago in the 1990's. you can see more about bhicago's GAB magazine on facebook.




i stumbled upon this mash-up from summer 2012 and it's haunting quality has captured an unfinished part of my spirit. feel free to listen a time or two. i believe there is magic in here. if you are interested, you can listen to a plethera of mashups from daft beatles on soundcloud here