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The Recovery Movement

Eva Petoskey, MS Director Terri Tavenner, Associate Director Anishnaabek Healing Circle Access to Recovery Inter-Tribal Council of Michigan. As Anishnaabek we have endured a remarkable journey over time carrying the seeds of healing deep in our hearts.

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The Recovery Movement

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  1. Eva Petoskey, MS DirectorTerri Tavenner, Associate DirectorAnishnaabek Healing Circle Access to Recovery Inter-Tribal Council of Michigan

  2. As Anishnaabek we have endured a remarkable journey over time carrying the seeds of healing deep in our hearts. The grief and trauma resulting from boarding schools, rapid cultural change, lack of economic opportunity, and loss of land have contributed to the high rates of substance abuse and mental health problems experienced by the Anishnaabek families and communities today. The Recovery Movement

  3. The seeds of healing have grown into a strong recovery movement with committed people. Tribal governments have created behavioral health departments along with policies and procedures to guide the delivery of services including indigenous healing services that are integrated with western approaches. Tribal Initiatives

  4. Grand Traverse Band former and current Tribal Council members. One of twelve tribal governments representing the Anishnaabek people of Michigan. (Odawa, Potawatomi, and Ojibwa) The Anishnaabek Healing Circle has been able to effectively access funding to support this tribal vision for healing.

  5. Jingle dress dancers, dance for healing. Anishnaabek people of Michigan. (Odawa, Potawatomi, and Ojibwa) The Anishnaabek Healing Circle has been able to effectively access funding to support this tribal vision for healing.

  6. ATR is a nationwide initiative of the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Substance Abuse Treatment (CSAT). The program provides vouchers to clients for the purchase of substance abuse clinical treatment and recovery support services. What is ATR?

  7. The goals of the initiative are to: • expand capacity, • support client choice, • and increase the array of services. ATR is one of SAMHSA’s most effective initiatives. ATR Goals

  8. ATR is a good investment with good outcomes: • ATR I: 2004–2007 Nationwide 15 grants, 14 states and 1 tribal • ATR II: 2007-2010 Nationwide 24 grants, 19 states and 5 tribal • ATR III: 2010 – 2014 Nationwide 30 grants, 24 states and 6 tribal ATR Initiative

  9. Enrolled members of Michigan tribes and other federally recognized, state recognized, and Canadian tribes residing in the project service area, age 12+. Non-native family members and descendants are also eligible. All clients must have a current or past problem with alcohol or other drug abuse. Anishnaabek Healing Circle ATR II: (5228 clients) Anishnaabek Healing Circle ATR III: (8752 target/1500 enrolled in first 8 months) Target Population

  10. Shifting the model of intervention from acute care of individuals to a sustained recovery management approach that relies on partnerships with individuals, families and communities. White & Sanders (2004) Tribal Recovery Oriented Systems of Care

  11. Anishnaabek Healing Circle Phases

  12. ATR III Phases

  13. Voucher Structure

  14. Benefits • Client Choice • Client Empowerment • Client Responsibility • Reduction of Stress/Barriers • Inclusion of cultural values/ceremonies for healing • Holistic care • Recovery Support Services-continuum of care • Identification and reinforcement for long term sobriety • Quarterly BH meetings with State Tribal BH-support • Quality leadership and development with ATR Directors Tribal Feedback

  15. Enhancement of Recovery Services • Transportation • Special Need Fund • Alcohol Drug testing • Acupuncture • Physical Fitness & Well-being • Traditional Healing Services • Housing support • Medical Care • Alcohol/Drug Free Social Activities Tribal Feedback

  16. Helping Healer-Works closely with clients Offers cultural teachings through storytelling, talking circles, and hands on lessons with clients. Cultural Services

  17. Winter Teaching Lodge Behavioral Health Cultural Service Expansion with ATR

  18. Spring Fasting Camp 2011

  19. ATR is effective! ATR II client outcomes (N=2984). Improvements in abstinence, no arrests, no HBSC and socially connectedness were statistically significant (p<.001).

  20. Strategies for building our capacity to provide recovery support services include: • A Recovery Coach Curriculum and Certification process • A Recovery Oriented System of Care within our tribal communities • The Recovery Workgroup consists of tribal community members who are in recovery, tribal behavioral health staff (also in recovery), technical assistance providers from SAMHSA, and ATR staff. New Developments

  21. Strategies • Research materials and adopt/modify/develop a curriculum for Recovery Coach certification • Develop a Cultural Competency Module specific to the needs of the Anishnaabek People of the Three Fires (the target population for ATR). Utilize the module in the RC curriculum and to train ATR network providers • Conduct an Anishnaabek Recovery Coach Institute by April, 2012, in order to train the first cohort of certified recovery coaches • Conduct a training for RC supervisors that includes “how to” integration of non-clinical approaches to recovery management Track 1: Recovery Coaching

  22. Identify program qualities that will support a ROSC • Identify program qualities that will support Recovery Coaching • Develop a strategic plan to obtain “buy-in” from tribal behavioral health and health administrations to implement a ROSC in each of 12 tribes in Michigan • Implement the strategic plan to parallel the timeline for certification of the first cohort of Recovery Coaches Track 2: A Recovery-Oriented System of Care (ROSC)

  23. Certified Recovery Coaches within each tribal community, who are from each tribal community, who can provide ATR billable recovery management services to the target population. Outcome:

  24. Access to Recovery • Anishnaabek Healing Circle • 2956 Ashmun, Suite A • Sault Ste. Marie MI 49783 • (906) 632-6896 • www.atrhealingcircle.com • Staff • Eva Petoskey, Director (231-357-4886) epetoskey@centurytel.net • Terri Tavenner, Associate Director ttav@itcmi.org • Donelda Harper, Training & Audit Specialist dharper@itcmi.org • Lori McDonald, GPRA & Media Specialist lorimac@itcmi.org • Aagii Clement, Provider Liaison Specialist aclement@itcmi.org • Connie DePlonty, Voucher Coordinator connied@itcmi.org • Cora Gravelle, Call In Center Client Access & Outreach cora@itcmi.org • Sheila Hammock, Call In Center Client Access & Follow-up shammock@itcmi.org Produced by the Inter-Tribal Council of Michigan with Access to Recovery (ATR) Anishnaabek Healing Circle Grant (1 H79 TI023118-01) funds from the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Administration (SAMHSA), U.S. Department of Health & Human Services (HHS). Content is solely the responsibility of the authors and does not necessarily represent the official views of the agency.

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