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What is Recovery?

An essay on the subject of “What is Recovery” raises, for me, the question of what is Addiction. Since everyone of us has an idea, our own idea, of what Addiction is, we'll also have our own answer to “What is Recovery?”

Since we don’t have agreement in our field on what Addiction is, I doubt that we can come up with an easy agreement on what recovery is. I could just tell you my definition of both but my goal is not for us to have a debate over which we can come to a resolution. My goal is that we all look at ourselves and how we got to this question. It may be, that after examining ourselves, we may choose to change the question we ask.

Read more...
 
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Aftercare Goes High-Tech
Columns - On the Web
Friday, 30 November 2001

Treatment professionals today face a variety of challenges. These include but are not limited to: less time for treatment, budget restraints, cut backs on staffing, heavy client loads, and stricter standards set forth by governmental agencies. Add to this the limitations and restrictions placed on them by payers and it is easy to see why frustrations frequently are high.

Many counseling professionals would like to provide a higher quality of care involving longer stays in treatment and more efficient post treatment follow-up. Yet counselors and patients alike often find they do not have the resources to make this possible. According to Alan Goodstat, LCSW, "In order to decrease the chances of relapse among our patients, the most important thing we as professionals can do is provide a sound continuing and aftercare plan that would enable us to maintain a higher level of communication with our clients after they leave the daily supervision of our center."

This, however, involves counselors doing follow up calls when they already have a full caseload and limited time - they are expected to keep, maintain, and record outcome studies. These studies include statistics, demographical data, successes, as well as failures. With today's transient population, simply trying to keep up with a current phone number is a task within itself. Many treatment centers are turning to alumni groups to help their patients after they return home. This has helped reduce some of the aftercare concerns, although there cannot be an alumni group in every city throughout the world.

The answer to several of these problems may lie in emerging information and communication technology - both of which promise to usher in a wealth of innovative solutions for healthcare, including quality, access, and cost. Gradually, treatment centers are turning to technology for help. The ease of access and affordability of the Internet makes it the logical next step in helping centers and individual counseling professionals perform their duties more efficiently. Online companies have established virtual ˆ la carte menus, providing counselors and patients with the following:

  • Secure client data collection starting the day the patient arrives for treatment. The information is forwarded electronically without violating the patient's right to privacy or the Health Insurance Portability and Accountability Act (HIPPA).
  • Acquiring times and locations of 12-step meetings for exiting patients so they leave treatment with a clear game plan. Thanks to the Internet, gone are the days of calling inter-group offices and running the risk of no answer, not being given the choice of all meetings, or getting lost in an unfamiliar area.
  • Increased levels of accreditation compliance through more complete discharge planning, patient participation, management of information, and professional development.
  • Web sites allow counselors to maintain contact with patients after they leave treatment via online aftercare, center sponsored online private support meetings, progress reports, and surveys - all generated with one mouse click.
An example of one such Internet company is Florida-based CyberSober.com, Inc. (www.cybersober.com) - a private organization whose mission it is to provide economical assistance and support to both professionals and those recovering. In an effort to assist all parties involved in the recovery process, CyberSober and other web companies, such as About.com and SAMHSA.gov, provide the quality support that patients and counselors desperately need. About.com has a health section that includes extensive information pertaining to substance abuse. The official web site for the Substance Abuse and Mental Health Services Administration is SAMHSA.gov. In addition to information about substance abuse, this web site has a treatment facility finder. Along with other services, CyberSober.com displays maps and directions to over 200,000 support group meetings around the world as well as resources for treatment professionals and those in recovery.

The blending of technology and treatment is simply the next logical step. With the use of the Internet, treatment centers can increase their visibility, counselors can save valuable time, and the quality of care will be increased. Patients will be able to leave treatment more informed as to their next step and families will feel more comfortable with knowing everything is being done to insure success for their loved ones.

The mission of alcohol and drug abuse treatment is to treat the whole person with education and prevention, group therapy, and intensive one-on-one counseling - the latter being the greatest challenge counselors face as they are expected to perform so many duties. This problem affects their main mission, lasting sobriety and recovery. It is time to move forward and face the fact that the old way is not working and we must explore new methods of support through technology.

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