Vim:  energy and enthusiasm.

Vigor: mental and moral strength. 

Virtualocity: The ability to move about among faces and places for learning opportunities. With vim and vigor, I can always go there, without leaving my chair and absorb things to share. I don’t forget diet and exercise, spiritual imperfection, and knowing real recovery.

Homelessness is an everlasting and baffling problem nationwide, with few answers.

We have softened the language to say the homeless problem is about the “housed and unhoused.” In a recent LA Times article, Soledad Ursula, writing for the California Peace Coalition, said that first, attention must be given to those homeless having problems with drug addiction and untreated severe mental illness. There is a need for statewide funding of, among other things, recovery support services and medically assisted treatment. All to be provided by outpatient and residential care facilities. California’s CCAPP supports Recovery Residences. There is hope and funding for solutions. 

I also saw a recent headline in the Times OC that said, Center of Hope to offer services, pathway. Breaking ground January 31, a Salvation Army Project looks to integrate homeless people back into the community. The campus will include an emergency shelter, 72 bed supportive housing facility, a wellness center, a 175 bed drug and rehabilitation facility, and a research and innovation center.  They have always been an Orange County asset.

I recall from my years with Faces and Voices of Recovery and State RCOs, examples of sober living models. Early on I met two of the founders of models that work.  Paul Malloy, Oxford House, and Jay Davidson, The Healing Place. Jay is author of the book, Miracle on Market, the Healing Place Story. I recently saw virtual presentations on both. I experienced the Oxford House success in Colorado. Just Google them for stories of hope, help, and recovery.

The first Oxford House was opened in Silver Spring, Maryland in 1975 by Paul Molloy. They chose the name Oxford House in recognition of Oxford Group, a religious organization that influenced the founders of AA. As reported, there are over 3,200 Oxford Houses, operating under the Oxford House Model.  In the United States and other countries.

Each house is based on three rules: No use of drugs or alcohol and no disruption, and the house must be run democratically. That makes them very good neighbors. 

​They are self-sustaining sober houses utilizing the Oxford House model. Diverse, with men, women, some women with children. During 2021 more than 50,000 individuals lived in the Oxford House network and more than 80% stayed sober. 

Jay Davidson shares his experiences and thoughts about the residential, long-term, social model recovery program he created as co-founder of The Healing Place. A model hopefully sustained and maintained long after he is gone. The program has been proven to be effective. The Healing Place was recognized as a “Model That Works” by the United States Department of Health and Human Services. The Healing Place model has been replicated in 14 Recovery Kentucky sites across the Commonwealth as well as sites in Richmond, Virginia and Raleigh, North Carolina. The vision of The Healing Place is that everyone it serves can lead a meaningful and productive life. The continuum of care has expanded from off-the-street, to detox, to long-term and outpatient recovery services. As in the beginning, The Healing Place continues to serve those in need of help regardless of race, gender, gender expression, sexual orientation, or economic status. There are more than 6,000 alumni; over 150,000 people served, 8,000+ individuals served annually. Many lead and staff other Healing Places. The Healing Place has also taken the peer-driven social model and created an intensive outpatient program to reach more men and women who are struggling with addiction. 

Another person I met early in the recovery movement was Nora Volkow, Director of NIDA. Previously, I wrote that relapse has two parts. Here is a recent quote from Dr Volkow. 

She commented on the current overdose statistics, saying, ​

In order to write a worthwhile little, I have to watch, listen and read a lot. I look for other’s words to capture, contemplate, and pass along. I saw a quote from Oprah that said “The world is upside down”. The context related to a tragic incident of lawlessness but had broad application. Perception is in the eye of the beholder. Drugs drive crime in multiple ways. I thought of a familiar statement and changed it to fit the moment. Ask not what drugs will do for you, but what you will do for drugs. For the addict, the answer is “almost anything.” 

I remember the corner drug store. It had comics, ice cream sodas, and a variety of interesting items. Oh yes, and drugs. All secure, and the unmentionable items were in the unmentionable cabinets. No “corner drug stores” today but now there are drug corners with young entrepreneurs. There are many jobs available but just as many barriers to access and an easy and perhaps only path is selling drugs. It brings cash and survival. The cartels are also busy recruiting. Illegal activity may grow but the threat of arrest, prosecution, and incarceration has diminished. Making the risks worth those taken.

I write during the holiday season. Incidentally, I was reminded that the three Kings journey to Jesus’s birthplace used the first GPS—God Provided Star.  In this season it’s hard to find a reason to be jolly when the halls are decked with melancholy. The public is fearful and fatigued. But there are positives. We are so much better off than a year ago. I like the statement “we have many more tools in our tool bag.” The virus is going through predictable cycles with variants perhaps more contagious but much less threatening. Delta is hanging in there, but Omicron fits the cycle. Vaccines are effective and progress for more and better ones are coming, along with better therapeutics. For the needle adverse there may be pills. There is confusion and chaos in communication. Mark Twain said, “It ain’t so much the things that people don’t know that makes trouble in this world, as it is the things that people know that ain’t so.” During the knowing and unknowing, the task is finding balance between living the life we wish it to be and what it is. There is also an alcohol and other drugs epidemic. Much attention and funding has been given to opioids in recognition of the thousands reported deaths and widespread use of Narcan to save thousands of more lives.

 I repeat another quote; “We have many more tools in our tool bag”. There is medically assisted recovery, there are many paths to recovery, peer services, methadone take-home, community awareness and support, and harm reduction. William White’s paper, Random Recovery Reflections is a must read.  He writes on recovery advocacy and harm reduction as follows: 
​“Our involvement in harm reduction is a way of saying to those still in the life: We will do all we can to protect your life. We will do all we can to prevent irreversible damage to yourself and others. We will reduce the obstacles and burdens that could slow your future recovery. We do these things in hope for the day you will join us in our journey of healing and service.” 

In another William White paper, titled Recovery Representation Revisited, are these words: 
“What are the most important national, state, and local decision-making venues related to alcohol and other drug problems? What institutional bodies address the intersection of AOD problems and policy/legislation. Are the voices of recovery representatives present at these decision-making tables? A long-term goal of the RCO is to expand the range of recovery representation across spheres of community influencer and to expand the menu of representation activities.”

My organization, The Purpose of Recovery, a non-profit Recovery Community Organization (RCO) is quite new. A Foundation provides the funding foundation for essential administration, operational, and governance factors that allows focus on providing services and being known. Other funding sources and donors become an active and focused part of providing more direct benefits at little or no cost to those served. We produced the first Recovery Rally in Orange County with 52 partners. We are a member of Faces and Voices of Recovery’s Association of Recovery Community Organizations, (ARCO); Associated with The California Consortium of Addiction Programs and Professionals (CCAPP); and belong to an Orange Country collaboration of SUD and mental health providers. Within all is a constituency of consequence. 

The Recovery Movement has come a long way. I mentioned having many tools in the tool bag. Along the way, we have had many tool makers and they crafted programs based on science, stories, and the accumulating knowledge. At the virtual Leadership Summit, William Moyers led a panel reflecting the origins, happenings, and experience at the historic Summit in St. Paul, Minnesota in 2001.  It had three goals: (a) to celebrate and honor recovery in all its diversity, (b) to foster advocacy skills in the tradition of American advocacy movements, and (c) to produce principals, language, strategy, and leadership to carry the movement forward. Those goals have been more than met through the times and challenges. 

I leave you with the words of an old song. Accentuate the positive, eliminate the negative and don’t mess with mister in-between. Let the politicians work diligently at finding the in-between. For this Christmas, the government’s big stocking has been sewn shut at the top. Enjoy better times ahead with a Well and Happy New Year!! 

Merlyn Karst, Recovery Ambassador ​

​In today’s world, science provides some answers in Medication Assisted Recovery (MAR).  Be curious about this and disregard some unwarranted stigma. Another hard thing to realize is that thoughts are just thoughts. We are advised to stay present in triggering moments and recognize high risk situations. I believe the word relapse is shaming and prefer setback. One can get back— on track—and not look back. Use the word that suits you but practice mindfulness in either or other words. The workshop was recorded and can be accessed here. 

Mindfulness sets us up to learn.

There is a term “old school.” I’m old but I have been schooled in the here and now. As a member of the founders of Faces and Voices of Recovery, I was pleased to attend their 20th anniversary in a virtual celebration and leadership conference. The 2001 Recovery Summit marked a clarion call to shift the center of the alcohol and other drug problems arena to a focus on the lived solution for individuals, families, and communities. It marked the passing of the recovery advocacy leadership torch from an earlier generation of advocacy organizations. Now there are many torches in many hands lighting the many paths to recovery out of darkness. Associations and collaborations emerge from the shadows. 

CCAPP (California Consortium of Addiction Programs and Professionals) held the California Addiction Conference in late October in Newport Beach. The Purpose of Recovery (TPOR.org) was a sponsor, contributor, and many TPOR team members attended. The speakers were prepared professionals and presented information, statistics, and future projections to inform and motivate. Phil Rutherford, CEO of Faces and Voices of Recovery and others gave considerable focus to diversity, equity, and inclusion. I took copious notes of discovery.  A historical moment: “Too many notes, dear Mozart, too many notes’ is what Emperor Joseph II supposedly said after the first performance. Mozart’s reply, “Just as many as necessary, Your Majesty.”  

Pete Neilson, CEO of CCAPP was animated, informative, and personal, and gave me insight to harm reduction, a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use.  Just as the many paths to and of recovery do, it broadens the spectrum of chance, choice, and change. I learned a new word from Pete— gradualism. It expresses the realistic and practical side of harm reduction. It also adds credence to my support of medically assisted recovery to allow the return of rationale and reason.

​I repeat, curiosity will lead to healthy, helpful, and hopeful learning. 

I heard a statement, “What the people need is a good listening to.” John Steinbeck wrote about storytellers and their importance to some semblance of well-being in the California camps and the gatherings during the depression, drought, and dust bowls— the “dirty thirties.” ​

In the old West, when a community was plagued by bad guys, the townsfolk got together and formed a posse and chased the bad guys out of town. Western movies starring the Lone Ranger usually ended with the Lone Ranger riding into the sunset and a townsman asking, “who was that masked man” Any irony in this today? We might define each peer posse as being a group of peers with a common purpose to overcome the “bad guys”— Substance Use Disorders (SUD). First responders respond to the purpose and needs of the moment.

Clinicians and Peer Specialists respond to the purpose and needs of the future and the sustainability of positive outcomes.

​It takes passion and courage but they get a big bang for their pluck.

In a previous blog, I wrote, Together We Are Stronger. A voice is a whisper, many voices are a shout. I note that there are many communities, collectives, coalitions, consortiums, and cultures seeking a broad spectrum of choice, chance, and change. With all these words and labels starting with “C”, there must be some relationship to the term “C” — change. It simply means transformation, so “Cs” the day. Between the pandemic and politics, its happening.  Indications are that both parties are giving attention to the needs for clinical and peer support rather than incarceration. There is growing attention to the various mental health issues developing and growing due to the negative social impact of COVID-19. These include depression, suicide, addictions, and domestic abuse.

In 2018, mostly in response to the opiate crisis, congress took action in the passage of the SUPPORT for Patients and Communities Act. It includes policies and resources that support people in recovery from addiction across the lifespan. This provision reauthorizes and modifies the Building Communities of Recovery program to include peer support networks. It provides funding for community organizations providing long-term recovery support services related to substance use disorder. 

There are opiate funds available. Seek and you will find. 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. 

Nothing About Us Without Us. 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. RCOs can motivate and educate the newly elected or re-elected community leaders. “By repairing past and current harms in our communities, we bring new possibilities to the future.” Community leaders will be true and valuable servants.

The founders launched Orange County, California’s first Recovery Community Organization recently, The Purpose of Recovery—TPOR. Preceding the launch were conferences, trainings, virtual meetings. Legal matters and site visits to providers of Substance Use Disorders. Our focus was on peer support services. It was gratifying to learn about so many humans doing for other humans being. A fun experience for me was a visit to a new resource, Recovery Road providing food, clothing, and a place of fellowship. I loved the sight of stacks of Vienna sausages. Yum. The Salvation Army complex was a wonder of complete services to men and women. It was a community unto itself. It rang my bell. There are many providers and partners with TPOR with mutual opportunity to serve the local communities.  Websites, Facebook and social media provide a broad range of information and resources. Working in peer support is an especially rewarding experience. You get to share the tools, skills, and information you have learned to transform your own life with individuals going through similar struggles. Not only do you get to contribute to the lives of others, but you also sustain your own recovery and wellbeing in the process. As more and more learn about the impact of peer support, opportunities, and career paths for peer specialists the support will grow and expand. The growth of peer support has the potential to radically transform the ways we support people in the behavioral health system. All states have a certification program with defined paths to career opportunities. Our California certification entity is CCAPP, California Consortium of Addiction Programs and Professionals.  The Association of Recovery Community Organizations—ARCO, provides a broad spectrum of information about Peer Recovery Services and vital insight into the national recovery movement.

Remember, they don’t care what you know till they know that you care.
​
Merlyn Karst – Recovery Ambassador