Definition of Recovery

There are so many debates about the kind of language we use when we talk about Substance Abuse and Mental Health. It can be a sensitive topic. For a long time, I was very secretive about referring to myself as an alcoholic. I was embarrassed by that label. To me the word alcoholic equalled “very bad person”. Now, there are choices; you can call yourself a Problem Drinker, a Heavy Drinker, a person with Alcohol Use Disorder, or a person with Mental Health Issues.

I really don’t care what you call me now. I am just happy to be sober.

SAMHSA has come up with a new working definition of recovery.

They say there are four major dimensions that support a life in recovery:

  • Health: overcoming or managing one’s disease(s) or symptoms—for example, abstaining from use of alcohol, illicit drugs, and non-prescribed medications if one has an addiction problem—and for everyone in recovery, making informed, healthy choices that support physical and emotional wellbeing.
  • Home: a stable and safe place to live;
  • Purpose: meaningful daily activities, such as a job, school, volunteerism, family caretaking, or creative endeavors, and the independence, income and resources to participate in society; and
  • Community: relationships and social networks that provide support, friendship, love, and hope.

Guiding Principles of Recovery

Recovery emerges from hope: The belief that recovery is real provides the essential and motivating message of a better future – that people can and do overcome the internal and external challenges, barriers, and obstacles that confront them. Hope is internalized and can be fostered by peers, families, providers, allies, and others. Hope is the catalyst of the recovery process.

Alcohol words
Just for fun. Here are 35 Great Drinking Words and Synonyms for ‘Drunk’

Recovery is person-driven: Self-determination and self-direction are the foundations for recovery as individuals define their own life goals and design their unique path(s) towards those goals. Individuals optimize their autonomy and independence to the greatest extent possible by leading, controlling, and exercising choice over the services and supports that assist their recovery and resilience. In so doing, they are empowered and provided the resources to make informed decisions, initiate recovery, build on their strengths, and gain or regain control over their lives.

Recovery occurs via many pathways: Individuals are unique with distinct needs, strengths, preferences, goals, culture, and backgrounds: including trauma experiences that affect and determine their pathway(s) to recovery. Recovery is built on the multiple capacities, strengths, talents, coping abilities, resources, and inherent value of each individual. Recovery pathways are highly personalized. They may include professional clinical treatment; use of medications; support from families and in schools; faith-based approaches; peer support; and other approaches. Recovery is non-linear, characterized by continual growth and improved functioning that may involve setbacks. Because setbacks are a natural, though not inevitable, part of the recovery process, it is essential to foster resilience for all individuals and families. Abstinence from the use of alcohol, illicit drugs, and non-prescribed medications is the goal for those with addictions. Use of tobacco and non-prescribed or illicit drugs is not safe for anyone. In some cases, recovery pathways can be enabled by creating a supportive environment. This is especially true for children, who may not have the legal or developmental capacity to set their own course.

SAMHSA
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.

Recovery is holistic: Recovery encompasses an individual’s whole life, including mind, body, spirit, and community. This includes addressing: self-care practices, family, housing, employment, education, clinical treatment for mental disorders and substance use disorders, services and supports, primary healthcare, dental care, complementary and alternative services, faith, spirituality, creativity, social networks, transportation, and community participation. The array of services and supports available should be integrated and coordinated.

Recovery is supported by peers and allies: Mutual support and mutual aid groups, including the sharing of experiential knowledge and skills, as well as social learning, play an invaluable role in recovery. Peers encourage and engage other peers and provide each other with a vital sense of belonging, supportive relationships, valued roles, and community. Through helping others and giving back to the community, one helps one’s self. Peer-operated supports and services provide important resources to assist people along their journeys of recovery and wellness. Professionals can also play an important role in the recovery process by providing clinical treatment and other services that support individuals in their chosen recovery paths. While peers and allies play an important role for many in recovery, their role for children and youth may be slightly different. Peer supports for families are very important for children with behavioral health problems and can also play a supportive role for youth in recovery.

Recovery is supported through relationship and social networks: An important factor in the recovery process is the presence and involvement of people who believe in the person’s ability to recover; who offer hope, support, and encouragement; and who also suggest strategies and resources for change. Family members, peers, providers, faith groups, community members, and other allies form vital support networks. Through these relationships, people leave unhealthy and/or unfulfilling life roles behind and engage in new roles (e.g., partner, caregiver, friend, student, employee) that lead to a greater sense of belonging, personhood, empowerment, autonomy, social inclusion, and community participation.

Recovery
My short version: a person isn’t fixed simply by not drinking or using. Recovery is a life-long process.

Recovery is culturally-based and influenced: Culture and cultural background in all of its diverse representations including values, traditions, and beliefs are keys in determining a person’s journey and unique pathway to recovery. Services should be culturally grounded, attuned, sensitive, congruent, and competent, as well as personalized to meet each individual’s unique needs.

Recovery is supported by addressing trauma: The experience of trauma (such as physical or sexual abuse, domestic violence, war, disaster, and others) is often a precursor to or associated with alcohol and drug use, mental health problems, and related issues. Services and supports should be trauma-informed to foster safety (physical and emotional) and trust, as well as promote choice, empowerment, and collaboration.

Recovery involves individual, family, and community strengths and responsibility: Individuals, families, and communities have strengths and resources that serve as a foundation for recovery. In addition, individuals have a personal responsibility for their own self-care and journeys of recovery. Individuals should be supported in speaking for themselves. Families and significant others have responsibilities to support their loved ones, especially for children and youth in recovery. Communities have responsibilities to provide opportunities and resources to address discrimination and to foster social inclusion and recovery. Individuals in recovery also have a social responsibility and should have the ability to join with peers to speak collectively about their strengths, needs, wants, desires, and aspirations.

Recovery is based on respect: Community, systems, and societal acceptance and appreciation for people affected by mental health and substance use problems – including protecting their rights and eliminating discrimination – are crucial in achieving recovery. There is a need to acknowledge that taking steps towards recovery may require great courage. Self-acceptance, developing a positive and meaningful sense of identity, and regaining belief in one’s self are particularly important.

Once you understand the definition, it’s time to move on to the solution to the problem. That is one thing that has not changed. If you have a problem with drugs and alcohol, you need to get help. Once you get help, you will need to practice recovery for the rest of your life.

800recoveryhub
I write this blog for fun and for free. We do have a company website here.

13 thoughts on “Definition of Recovery

  1. Thanks for your informative post. Recovery is a life-long process for family and loved ones of an alcoholic, too. As we come to terms with our own shame and how to cope with stigma, such as being the mother of an alcoholic, then we can all work together in healthier ways to help each other cope.

    Liked by 2 people

  2. “Once you understand the definition, it’s time to move on to the solution to the problem. That is one thing that has not changed. If you have a problem with drugs and alcohol, you need to get help. Once you get help, you will need to practice recovery for the rest of your life.” Oh, so very true!

    Liked by 2 people

  3. Thank you for this post. It holds a lot of truths. Recovery does need courage, willingness, a stable environment, and the support of others. I believe that recovery also needs a detemination to stop lying to yourself and everyone else. I believe that without honesty you can kiss your recovery goodbye.

    Liked by 1 person

  4. What a good read this was. I work at a sober living that teaches a similar concept of recovery. People tend to see being dry as being recovered without looking at the long haul. One can take away the drugs or alcohol from the equation but the problem at it’s root is the addict him or herself. Once the addict starts to fix themselves is were the real recovery is. I always enjoy your posts, thank you!

    Liked by 1 person

  5. I thought long and hard about commenting on this post, all day as a matter of fact. First, leave it to a government agency to blow 2,500 to define :a person who drinks too much, which leads to adverse affects in their lives and all of those dear to them. In my own words, sometimes it takes an intellectual to say something so stupid. Recovery is “person-driven”?! Good God.
    How is a person going to drive their recovery with the thinking that got them there in the first place? Recovery is CHANGED person-driven. Self-determination and self-direction are exactly what gets drunks into their mess in the first place, how is more of that going to fix the problem? It can’t.

    Beyond those simple examples, there are so many flaws with the thinking that went into that government report that it boggles this recovered mind. In typical governmental fashion, it puts the cart before the horse, inefficiently. Take the list of “services” in the “holistic” approach… “Dental” is in there. If you read between the lines, and you must because they waste so many words saying nothing, the idea is that if we fix everything that the alcoholic has wrecked, they will be motivated to stay sober. Cart before the horse… If you fixed all of my problems for me, that would be all the more reason to go back out and get drunk again! That said, I am a fan of State sponsored (read that “funded”) treatment facilities, but on a limited basis. Call it two 30-90 day stints per lifetime. I went once and my State made out like a bandit on me… I’ve paid that debt back in takes twenty times over.

    Overall, while what was written sounds great, attempting to do for the drunk what must be done by the ex-drunk is an exercise in futility.

    I apologize if this hit the ether seeming a little impassioned… I have a lot of faith in politicians and bureaucrats messing things up, for exactly the reasons I listed.

    Liked by 1 person

    1. I really appreciated your comments and I am glad to took the time to express your point of view. I can somewhat relate, because my experience has been totally “old school”. I didn’t go to rehab or have a medically supervised detox. I didn’t get a fancy name for my addiction. I was a drunk, who could not stop drinking on my own. I got help from a small group of faceless, nameless people who gathered around me as I stumbled into an AA meeting. That was 19 years ago. Things are different now, and I am glad their are a lot of programs, medications and treatment techniques available. In my line of work, we see a lot of low bottom cases and drug addicted folks, who need special care. They will simply die, if they stop without medical help.

      As with anything, as soon as the government gets involved, things become confusing. Just imagine how awesome the DMV experience would be if it was run by a “for profit” company. It’s not hard to picture a loverly lounge with coffee and TV to enjoy while you wait. Just like the experience I get when I take my car to get fixed.

      In any case, I hope you come back and visit my blog again. I am going to go over and see yours. Scratch that – I just went over to your blog and realized I have checked out (and enjoyed) your articles before.

      Liked by 2 people

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