SPRING 2015 ADCARE HOSPITAL OF WORCESTER VOL 21, NO. 2 AdCare Rhode Island Inpatient Treatment Center Earns Accreditation from The Joint Commission AdCare Rhode Island Inpatient Treatment Center, located in North Kingstown, RI earns accreditation from The Joint Commission (TJC), formerly known as The Joint Commission on Hospital Accreditation (JCAHO), by demonstrating continuous compliance with its national performance standards for healthcare quality and safety. The Joint Commission’s Gold Seal of Approval® is a symbol of quality that reflects an organization’s commitment to providing safe and effective patient care. Founded in 1951, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care. An unannounced on-site survey of AdCare Rhode Island was conducted In December 2014. During the rigorous review, a surveyor from The Joint Commission evaluated compliance with standards related to several areas, including emergency management, environment of care, infection prevention and control, leadership, and medication management. On-site interviews were also conducted. “Accreditation by The Joint Commission provides healthcare organizations with the processes needed to improve in a variety of areas from staff development and education to the improvement of daily business operations,” said Mark G. Pelletier, RN, M.S., chief operating officer, Division of Accreditation and Certification Operations, The Joint Commission. “We commend AdCareRhode Island for its efforts to become a quality improvement organization.” “Staff from across our organization will continue to work together to develop and implement approaches that have the potential to improve care for the patients in our community,” said Jeffrey W. Hillis, President of AdCare Hospital. AdCare Rhode Island’s accreditation is awarded for a three-year period. To view AdCare Rhode Island’s Quality Reports, visit www.qualitycheck.org, a website of The Joint Commission. Located in a serene setting on twenty-nine wooded acres off of Route One in North Kingstown, AdCare Rhode Island provides medically-managed inpatient detoxification from a range of addictive substances; a crisis stabilization unit that offers dual diagnosis services for individuals with co-occurring substance abuse and psychiatric symptoms; and an Acute Residential Program/Rehab. that provides a full range of clinical services to stabilize the client and engage them in ongoing recovery and aftercare. Families in Recovery By Stephanie Brown, Ph.D. Early recovery was a self-obsessed time for us. Our children had a “recovering Dad” and a “recovering Mom”, but who was taking care of them? No one. I will be forever grateful for sobriety, but I have a profound regret that we abandoned our children in the service of our own recoveries. Abstinence marks a positive beginning rather than an end. Recovery is a difficult, painful process of radical change that is never easy and rarely smooth for anyone involved. Without knowledge about what to expect, including the paradox that what is normal and necessary to long-term positive change is also disruptive and even traumatic in the short run, the impact of such turmoil can cause further damage. Over the past six years, we have interviewed and tested 52 couples and families (those who were together for at least five years during drinking and who are still together in recovery) with sobriety ranging from a few months to over 18 years in order to discover what recovery is like. We have examined the process of change according to length of sobriety within three domains: the environment, the system, and the individuals within the system. What have we learned? • The four stages of recovery already defined for the individual hold true for the family: Drinking, Transition (the move from adcare.com800-ALCOHOL drinking to abstinence), Early Recovery (the stabilization of abstinence with new learning, much uncertainty and constant change), and On-going Recovery (when massive change has been consolidated and the family is guided by the organizing norms, values and beliefs of recovery). •The environment, or context, of the drinking family is traumatic and harmful to children and adults. It remains unsafe and potentially out of control into Early Recovery which may last as long as three to five years. In Ongoing Recovery, the environment is safe and not thrown off track by the difficulties and crises of normal life. •The unhealthy drinking family system must collapse as the family enters recovery, permitting attention to shift from the system to the individuals. Many families do not accomplish this collapse, nor do they survive it. Because there is so much disruption with abstinence, and so much turmoil caused by the collapse of the system, many families break up, seeing that things have gotten worse, not better. Our data explain how outside support networks (12-step programs, treatment centers, therapists) provide a “holding environment” for all members of the family, a cushion and substitute for the drinking family system that has collapsed. Families utilize these outside supports to weather the difficult changes of the first three to five years. It may be five to ten years before a stable, strong sense of healthy family is secure. Change like this does not occur from inside the family in the vacuum created by abstinence. It requires external guidance and supports. Yet conventional treatment wisdom often leans in the opposite direction: much of family therapy is aimed at bringing individuals together, to focus on a “we.” Our work demonstrates the importance of an individual focus during the early period. • There is sometimes an unrecognized dark side: children may be neglected as parents focus exclusively on their individual recoveries and abdicate parenting responsibilities. We think it will be surprising to many that children experience a “trauma of recovery” in addition to the horrors of drinking. It is grim news to learn that children may feel worse, not better, just like their parents, and they may experience physical abandonment as well as continuing psychological isolation due to their parents’ recovery. Data on the process of family recovery shocks us with mixed news: Yes, recovery is positive; the end of the drinking is extremely important and lays the necessary foundation for in-depth change. But we must face the fact that what is essential for parents may be inadvertently damaging for their children, but only if we deny it. Once we acknowledge this reality, we can address the holes in our treatment programs so we may better protect children and support parents in their recoveries. We can also focus on the absolute need for support structures outside the family, which we are calling “community systems,” and on the need to expand our ideas of prevention to include recovery. Our current theories and practice for the professional treatment of alcoholism and the family leave people hanging without necessary knowledge and support. For complete article, visit 800alcohol.com/family-services Note: This article is adapted from the book The Alcoholic Family in Recovery: A Developmental Model by Stephanie Brown, Ph.D., and Virginia Lewis, Ph.D., published by Guilford Press, fall, in 1998. Dr. Brown is a NACoA founder and a member of the current NACoA Advisory Board. Copyright © 2001 NACoA April is National Alcohol Awareness Month This April, AdCare Hospital is pleased to join in the National Council on Alcoholism and Drug Dependence (NCADD) grassroots campaign to highlight the critical public health issue of alcoholism and its impact on individuals, families and the community, while highlighting area and regional resources available to help. Alcohol is the most commonly used addictive substance in the United States. NCADD research also supports these alarming statistics: • One in every 12 adults (17.6 million people) suffers from alcohol abuse or dependence. • More than 7 million children live in a household where at least one parent is dependent on or has abused alcohol. • The typical American will see 100,000 beer commercials before he or she turns 18. • Young people who begin drinking before age 15 are four times more likely to develop alcohol dependence than those who begin drinking at age 21. • Alcohol is a primary factor in the four leading causes of death for young people ages 10-21 adcare.com AdCare Unveils Patient Information Center AdCare unveils Patient Information Center, a free-standing, self-service kiosk conveniently located in the atrium area of AdCare Outpatient Worcester. Made possible through Award Money from the National Network of the Library of Medicine’s (NLM) New England Region, the Patient Information Center gives AdCare patients access to their health information, further treatment and recovery-support options, and reliable health information on over 900 diseases and conditions. New England Regional Director of NLM Elaine Martin, AdCare Community Services Representative Ellen Barry, and Executive Director of the AdCare Educational Institute Jim Gorske submitted a successful proposal to the National Library of Medicine for award money to develop a customized information kiosk for AdCare patients. Links to recovery on the kiosk are MedlinePlus. gov, adcare.com, Patient Portal, Alumni, Viverae Health, and Massachusetts Organization for Addiction Recovery. SBIRT Webinar Series Did you know that the Affordable Care Act (ACA) includes substance use disorders as one of the ten elements of essential health benefits? This means that individuals and families will have health insurance that covers treatment for substance use disorders. As part of an effort to fill this service need, NAADAC, the Association for Addiction Professionals, has partnered with the National SBIRT ATTC, NORC at the University of Chicago, The BIG Initiative, and SAMHSA to deliver a free 8-part SBIRT Webinar Series. *For more information please go to 800alcohol.com/education-training All webinars are a free CE credit. Helping Patients Walk the Journey to Better Health We know it has been a rough winter for many and we are glad spring is here! Viverae Health provides an easy way for AdCare patients, alumni, and family to get and stay connected with people in recovery on the web. Studies show that if we connect with people who are working a strong program, we are more likely to work a strong program too. Viverae Health is a leading social media platform that helps members achieve and maintain positive health changes. Unlike other social media sites, Viverae Health focuses on helping members manage specific behavioral health and chronic conditions, while remaining completely anonymous in their interactions. Viverae Health’s 37 communities encompass mental health and medical conditions such as anxiety, PTSD, stress, pain, and weight management, as well as substance use disorders. Viverae Health coaches and members provide real time, peer encouragement and support, in addition to online meetings and expert webinars. Notables MAADAC, Massachusetts Association for Alcoholism and Drug Abuse Counselors Honors AdCare Treatment Director Susan B. Hillis with 2015 Robert Logue President’s Award; Recognizes James F. McKenna with Special Recognition Award. “Susan Hillis has been supportive of MAADAC membership and events and dedicated to addiction treatment, recovery, and credentialing in the Commonwealth for over 20 years,” said MAADAC President, Gary Blanchard. Retired VP of Marketing for AdCare Hospital, Jim McKenna continues to represent AdCare as VP of Special Projects for AdCare Rhode Island. At The White House Office of National Drug Control Policy’s Meeting on Treating Substance Use Disorders Today: Access, Recovery, and the Affordable Care Act, cohosted by the Substance Abuse and Mental Health Services Administration (SAMHSA), on January 21. (L-R): Sue Shaw, AdCare Community Services Representative; Tom Coderre, Senior Advisor to the Administrator at SAMHSA; Michelle Harter, Manager Anchor Recovery Community Centers; Holly Cekala, Executive Director Rhode Island Cares; and Maryanne Frangules, Executive Director of MOAR, Massachusetts Organization for Addiction Recovery. Recovery Planning Partner - AdCare Staff Attend Recovery Month Planning Partners Meeting Outside SAMSHA, Substance Abuse & Mental Health Services Building in Rockville, M.D. (L-R): Tom Coderre, Senior Advisor to the Administrator at the Substance Abuse & Mental Health Services Administration (SAMSHA) with Holly Cekala, Executive Director Rhode Island Cares; Michelle Harter, Manager Anchor Recovery Community Centers; AdCare’s Susan Shaw, Community Services Representative with Lisa Clark, VP of Marketing & Business Development; & Tom Joyce, Associate Director of Recovery Support Services at Anchor Recovery. Athol Memorial Hospital and Hillis Family Dedicate Renovated Board Room in Memory of Frederic W. Hillis, On March 4, hospital staff, physicians, family and community members gathered to honor and dedicate the newly renovated Athol Hospital Board Room in memory of Frederic W. Hillis, a man whose life’s mission was to advance the health and wellness of his community. Well-known in the North Quabbin region as a leader and visionary, Hillis worked tirelessly to provide access to quality healthcare. Hillis was named Administrator of Athol Memorial Hospital in 1960 – a position he held until his retirement in 1985. 800-ALCOHOL AdCare Hospital of Worcester, Inc. 107 Lincoln Street Worcester MA 01605 Community Services On The Move April 1 | 6pm Identifying Thoughts, Feelings, and Behaviors: Using CBT as a Core Recovery Tool Presentation by Annette McTague, Pys.D., AdCare Clinician Modern Assistance Professionals Education Series, Quincy MA April 2 | 7pm Learning Healthy Boundaries when Dealing with your Addictive Loved One Presentation by Karen MacDonald, LADC-II Learn to Cope at AdCare Hospital, Worcester MA April 6 | 7pm Understanding the Bio-Physio-Chemical Makeup of Addiction Presentation by Annette McTague, Psy.D., AdCare Clinician DCF Grandparents Group, Braintree MA April 13 Addiction and Recovery Presentation by Jennifer Kirk, LICSW, AdCare-Quincy Director Neuro Rehab Management Head Injury Con. Providers, Quincy MA April 14 | 5:30-7:45pm MOAR Alcohol Awareness Forum Mechanics Hall, Worcester MA April 14 | 12-1pm Chronic Pain and Addiction Presentation by Paula Morrissette, Psy.D., Senior Clinicial AdCare Hospital Harrington Hospital, Southbridge MA April 15 | 11-2pm College of the Holy Cross Wellness Fair Hogan Center, Worcester MA April 23 Maria Droste Fundraiser Lantana, Randolph MA April 28 | 10:30-11:30am Addiction and Recovery Presentation by Priya Mittal, LMHC, Clinician, AdCare Quincy Neuro Rehab Management Head Injury Con. Providers, Quincy MA May 7 | 10-2pm Annual Health & Safety Fair Northampton Senior Center, Northampton MA May 8 | 6-10pm Duffy Health Center Gala Rectrix Aerodrome, Hyannis MA May 27 Western New England University Regional Social Work Conference Western New England University, Springfield MA June 6-11 New England Institute of Addiction Studies Summer School Worcester State University, Worcester MA June 10 How Substance Abuse Impacts Families & Importance of Selfcare Presentation by Jennifer Kirk, LICSW, AdCare-Quincy Director Grandparents Raising Grandchildren Conference, Marlboro MA June 18 | 11-7pm MA Veterans Stand Down MA Veterans Shelter, Worcester MA *For more information about our Community Services Events, please contact 800-345-3552, ext. 4050 or visit adcare.com. The articles in this publication should not be considered specific medical advice, as each individual circumstance is differnt. Should you need medical advice, consult your physican. 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