We are now coming into November. The TV is quite littered with political ads peddling support for election or a cause, new administration, referendum, climate change, or abortion. Depending on one’s will, dedication, and passion, decisions will be made on November 8th . Whatever is true for you, may it come out in your favor. I have written blogs over the years. I have two rules. One, each will be on one page. Nothing except suggestions or references to get information that may be of personal or family use. My focus is always related to information useful to the recovery movement. This narrow focus, along with many others, has brought us a long way since our first summit meeting in St. Paul in 2001. The recovery movement has come a long way. A lot of research, the aftermath of the Pandemic, and the concern over the confusion for children and families underlie a very divided nation. We will know more after the election.
In St. Paul, I met two persons who made a significant impact on my understanding of the nature and purpose of MARS (medically assisted recovery) —Lisa Mojer-Torres and Walter Ginter. Later, we were to be recognized with America Honors Recovery Awards. Lisa’s input certainly added to my wisdom and understanding. Over the past years I, along with thousands of others, have increased our knowledge of the science of addiction through reading, listening, and speaking. Lisa. wrote with Bill White, in the 2010 monograph, Recovery-Oriented Methadone Maintenance. Bill White wrote, “My thinking about medication-assisted recovery had been evolving for years from hostility to ambivalence to tepid support to intellectual advocacy (and concluded) but the power and eloquence of Lisa’s story marks the first time I accepted medication-assisted recovery in my gut.” His response motivated me. I now know that there are professionals with knowledge of the science of addiction who can prescribe appropriate drugs. Methadone, buprenorphine, naloxone, and naltrexone can all be effective in treating opioid addiction. Naloxone HCI (NARCAN), can prevent overdose deaths. Medications are often an important part of treatment, more so when combined with behavioral therapies.
The HHS Overdose Prevention Strategy will continue to build on the Biden-Harris Administration’s year one drug policy priorities and actions taken by the Administration to address addiction and the overdose epidemic since January, including removing barriers to prescribing medication for opioid use disorder and providing billions in new funding for prevention, treatment, harm reduction and recovery support services. Synthetic opioids, specifically illicitly manufactured fentanyl, are the primary drivers of overdose deaths in the United States. The U.S. Department of State plays a key role addressing the nation's overdose crisis, as part of a broader whole-of-government approach.
I found the following: “Peer support has become an increasingly popular source of help for individuals with mental illnesses. While the main type of peer support comes from people who have themselves suffered with mental illness, including SUD, peer support can also be beneficial when coming from friends who may not have gone through similar struggles. Peer support and clinical support have shown to be fairly equal in outcomes of re-hospitalization and relapse, but peer support has shown better outcomes in the recovery process. Specifically, peer support tends to increase levels of empowerment and self-efficacy (the belief in one’s ability to become better). This is mainly due to the social connectedness that comes from interacting with peers. The exchange of various strategies used to cope with daily challenges of living with mental illness is a crucial aspect of the peer-to-peer support community and is a great advantage to clinical support. Additionally, peer support builds confidence and hope for healing. Being a part of a community, whether that just be a caring friend or a larger group of people with similar mental health experiences, allows for greater social connections and empowerment than clinical support can provide. A major advantage of peer support is that everyone involved is equal. Sometimes, having a ‘professional’ in the group can be daunting."
“Peers can often form a stronger therapeutic bond with peers especially if they have experienced mental health struggles themselves. Besides genuine empathy, they are also able to promote treatment through personal empowerment and by becoming a role model for recovery. Even if peers don’t share the same mental health experiences, there is still a lot of value in that connection. People really feel better when they know they are not alone and that other people understand and share their experiences. Although clinical support has tremendous benefits, coexisting together peer support completes the puzzle for what someone with mental health challenges needs. Therefore, peer support is a valuable asset for individuals with mental illnesses and to have more substantial research in this area is crucial in order to make peer support a more well-established practice. Resources, connection, and community allow for building mental health equity.”
Please have an OK election day and a good enough Thanksgiving. Let peace and love prevail!
Merlyn Karst, Recovery Ambassador
Together We Are Stronger
September is designated as Recovery Month. Recovery Month promotes the societal benefits of prevention, treatment, and recovery for mental and substance use disorders. It celebrates the millions of people as they live in the joy and reality of recovery. I have participated in Rallies and events primarily in Denver, Colorado since 2002. In 2018, Advocates for Recovery-Colorado, was the host to the national hub event. Country wide, these events provided the opportunity to announce the birth and carry the message of Faces and Voices of Recovery. Making history year by year, Recovery from Addiction is now a growing national and international recovery advocacy movement.
I now live in Orange County, California, I recently participated in an event named Recovery Happens originating in California’s capitol. Three well-known names were among sponsors. Faces and Voices of Recovery, Young People in Recovery, and The Phoenix. It is usually held on the Capitol steps, but as is today’s normal, It was virtual instead. I’m a fan of virtual technology. Unfortunately, it does not have the value of human togetherness and fellowship. We are involved in a Zoom Room Boom. It does allow an important factor. To achieve and maintain connections. I am participating in a Peer Coach Training with Peer Coach Academy in Colorado. SAMSHA’s theme banner says: Join the Voices of Recovery: Celebrate Connections. We are virtually connected in so many ways—apart but together. We are getting good at it. The definition of virtuosity is to have a skill and expertise as we see in virtual activities. I think it leads one to a new word --virtualocity.
I find it worth repeating what I wrote in a recent blog. In the real and virtual world, I make my bed, shower, and dress presentably for viewing and being viewed. No travel involved. Bed and board are at hand. check the “set”, settle in my comfortable chair, and put my best face forward.
The virtual world has merit through selective learning and social sensibility. If you are not earning, you should be learning. It will be of benefit to the establishment of health and well-being and even might allow being better than well.
Recovery Community Organizations are being formed at a growing rate with knowledge that the pandemic will put new burdens on the community from increased mental health and substance use disorders. Unfortunately, there has been an increase in use and misuse of the drug alcohol. Communities need resources, information, and leadership. I recently read this,
By repairing past and current harms in our communities, we bring new possibilities to the future
We have a role to play.
In a recent Bill White and Bill Stauffer paper, Nothing About Us Without Us, I noted the following: People with personal knowledge of the recovery process and the historical challenges faced by people seeking and in recovery free of conflicted interests are the best suited for recovery advocacy leadership. Guidelines: 1) Members of recovery communities are provided a voice in the selection of persons who represent their experience and needs. 2) Those representing the recovery experience at public and policy levels possess rich experiential knowledge of personal and/or family recovery from addiction. 3) Persons representing the experiences and needs of people seeking and/in recovery are free from ideology, political, or financial conflicts of interest that could unduly influence their advocacy efforts. This paper is important. Read this and another, Recovery Advocacy For a Country is Crisis.
We recently formed the first RCO in Orange County, The Purpose of Recovery. Our primary purpose is to promote and perpetuate connections, resources, and a collective purpose for providers of recovery support services in Orange County. It was established with support and guidance with connection to other RCOs in Northern California, Texas, Georgia, and Colorado. All members of Faces and Voices of Recovery’s ARCO, the Association of Recovery Community Organizations. ARCO links RCOs and their leaders with local and national allies and provides training and technical assistance to groups. ARCO helps build the unified voice of the organized recovery community and fulfill our commitment to supporting the development of new groups and strengthening existing ones. As the SAMSHA banner says, Celebrating Connections. A great purpose to be served during Recovery Month.
Together We Are Stronger.
Merlyn Karst, Recovery Ambassador