Challenges We Face
“Longitudinal studies have repeatedly demonstrated that addictions treatment (particularly for 90 or more days) is associated with major reductions in substance use, problems and costs to society … However, post-discharge relapse and eventual re-admission are also the norm …The risk of relapse does not appear to abate until 4 to 5 years of abstinence … Retrospective and prospective treatment studies report that most clients undergo 3 to 4 episodes of care before reaching a stable state of abstinence … In spite of this evidence of chronicity and multiple episodes of care, most … treatment continues to be characterized as relatively self-encapsulated, serial episodes of acute treatment with post discharge aftercare typically limited to passive referrals to self-help groups.”
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES – Substance Abuse and Mental Health Services Administration Report to Congress
REC CAP: Bridge from Treatment to Self-Directed Recovery
An evidence-based assessment & recovery planning instrument developed by Dr. David Best that:
-Assesses an individual’s recovery strengths, barriers and unmet service needs
-Supports trained navigators to guide individuals in the execution of concrete recovery goals
-Delivers longitudinal measurement of recovery capital gains over quarterly intervals
REC CAP is appropriate for implementation in both clinical and peer settings, bridging the gap often experienced by persons who are exiting addiction treatment and assuming responsibility for self-directed recovery.
What is Recovery Capital?
Recovery Capital is the breadth and depth of internal and external resources that can be drawn upon to initiate and sustain recovery from AOD problems. (Granfield and Cloud 2004). Recovery Capital is conceptually linked to natural recovery, solution-focused recovery therapy, strengths-based case management, recovery management, resilience and protective factors, and the ideas of hardiness, wellness, and global health.
Collaborative Effort
William White, MA, Alexandre Laudet, Ph.D., David Best, Ph.D. and John Kelley, Ph.D. are a few of the most notable members of the academic community responsible for championing Recovery Capital as a quantitative measurement of internal and external resources necessary to sustain resiliency from substance use disorder. While the term “Recovery Capital” has become rooted in the fabric of Recovery Oriented Systems of Care, application of the science is just beginning to find its way into assessment and recovery care planning instruments. The SHU-FARR REC CAP Pilot Study represents a major step forward.
Recovery Strengths
“Operationalising the recovery concept within behavioural health systems transformation initiatives hinges on the ability to define recovery and measure recovery capital.” –The Assessment of Recovery Capital: Properties and psychometrics of a measure of addiction recovery strengths, Groshkova, Best & White – Drug and Alcohol Review (2012). Now translated into seven additional languages, this peer-reviewed study empowers recovery champions worldwide and supports Recovery as an organizing approach to chronic disease management.
REC-CAP
REC CAP is an instrument that is owned by the client and the worker jointly, or by the client on their own, and allows people to map what they do so that it becomes both a marker of progress using the currency of recovery capital and a mechanism for determining what strengths you have to take you to the next step. – David Best, Ph.D. during interview conducted before FARR Training Session in 2015.
REC-CAP Process
Donate Now to Help Underwrite this Research
Your donation helps sponsor this important research. The study involves eight certified programs and over 600 participating residents. After the study concludes in March 2017, a dedicated REC CAP website will be launched to host REC CAP registration, providing access to the assessment and information about the participating programs and sponsors. Your firm's logo will be recognized on this site. We greatly appreciate your support!