What is Recovery Capital? Addiction Treatment Services

At the initial clinic visit, providers complete a comprehensive intake assessment. All patients diagnosed with OUD are offered buprenorphine. Patients typically have follow-up visits at least once every four weeks. A comprehensive, recovery-oriented care model is utilized in which patients have access to integrated on-site psychiatric, mental health, case management, and social work services. The clinic prioritizes a low threshold, harm reduction approach whenever possible, meaning that established patients with recurrence of substance use are not initially exited from treatment but instead first provided with increased wrap-around support. For example, although employment is one component of human RC for adults (40,41), it is likely not yet important for youth populations in recovery for whom school engagement would be more relevant.

The Four Dimensions: Personal, Social, Community, and Cultural

Greater stress at baseline predicted sustained recovery among Group 1 participants; greater 12-step involvement predicted better outcome in Group 2 and greater social support predicted better outcome in Group 4. Recovery Capital is the breadth and depth of internal and external resources that can be drawn upon to initiate and sustain recovery from alcohol or drug problems. 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. Recovery Capital is the breadth and depth of internal and external resources that can be drawn upon to initiate and sustain recovery1,2. Attention to Recovery Capital focuses on fostering resiliency and encompasses the strengths and supports individuals and services integrate into the practice of lived recovery.

1. Kaskutas and colleagues have reported findings whereby spirituality prospectively predicted sobriety among formerly alcohol-dependent persons while religiosity did not (Kaskutas, Turk, Bond, & Weisner, 2003).
2. The results allow FIT and Sanford Research to next validate the RCI instrument’s predictive nature for measuring behavior change.
3. Finally, for researchers, the stage approach, even with its inherent limitations discussed earlier, is useful in beginning to quantify and qualify the influence of various domains on the recovery experience over time.
4. There are many people who experience some of the same levels of addiction, yet some never go to treatment or therapy and have successful and thriving lives.

For Current Students

Assessing and targeting recovery capital during MOUD treatment could help promote a strengths-based approach to personalized SUD treatment and improve holistic recovery outcomes, such as quality of life, without necessarily requiring reduced substance use. While both SAMHSA and Hazelden Betty Ford have expanded their definition of recovery, it can be enhanced through the concept of recovery capital. Recovery capital attempts to establish a more interoperable definition to this notion of recovery.

REVIEW OF THE CONCEPTUAL AND EMPIRICAL WORK TO DATE

It is a construct to educate, assess, and measure individual’s progress with any entry point to the various pathways of recovery. It can be used as the centerpiece of care planning discussion at the clinical, recovery coach, or peer support levels. Therefore, Recovery Capital can be applied as a best practice assessment tool to track the progress and outcomes of care from any point on the recovery continuum https://sober-home.org/after-the-high-the-dea-the-definitive-guide-to/ through a multi-year recovery journey toward health, wellness, and a perceived higher quality of life. Historically, substance use disorder (SUD) treatment has focused on acute stabilization and achieving abstinence rather than long-term holistic recovery [1]. Unfortunately, within this care model, treatment gains tend to be short lived, and rates of substance use recurrence are substantial [1, 2].

As a result, it can be difficult for providers to find the reason, time, or confidence to overhaul their treatment approach. If you ask us, we believe it is only a matter of time until recovery capital catches on in the US. The recovery capital scoring system could be implemented into an assessment in most functional EHR platforms right now.

Descriptive Analyses of RCI.

The Cronbach’s of the 9 subscales was 0.88, suggesting that these subscales had relatively high internal consistency. In addition, Spearman correlation matrix of subscales was presented in Table 2. These moderate positive relationships with correlation coefficient around 0.5 verified the design of three capitals measuring different aspects of RCI. This project validated the RCI as a tool to measure addiction wellness. The results allow FIT and Sanford Research to next validate the RCI instrument’s predictive nature for measuring behavior change. Human recovery capital is more or less what employers look for.

Achieving sobriety is undoubtedly a positive outcome. However, as soon as sobriety begins, the patient enters recovery. And some traditional treatment systems don’t address recovery as the volatile, extensive odyssey it is in its own right. The quality of data sets for RCI score and intake information was examined using descriptive statistics such that missing values were detected and removed. Data imputation was not performed due to a lack of prior information regarding the associations between RCI and clients’ characteristics that is required to construct the imputation algorithm. David currently leads a multi-site collaboration on recovery pathways from Therapeutic Communities in Australia, and is the Principal Investigator on a European project on recovery models and philosophies in the UK, Belgium and the Netherlands.

This is a contribution that acknowledges the social determinants of health and how they may influence substance use and the recovery process as well as combats some of the critiques that recovery often faces. Recovery is a multidimensional process that includes health, quality of life, and citizenship. Recovery capital is a strengths-based concept representing the sum of an individual’s resources that support recovery.

While initial utility centered on a strengths or deficit measure of individual recovery capital, David Best and Alexandre Laudet pushed the concept to consider the ripple effects or impact on communities when people recovered. If we have a framework for measuring recovery capital, and we know that recovery capital consists of all the the resources and other social and environmental intangibles, then it’s possible to demonstrate the broader effect on communities and sub-communities. This idea is really crucial if our ultimate goal is to live in communities where addiction simply cannot take root. Key to Granfield and Cloud’s “a-ha moment” was that recovery capital, like social capital, is really ever-present in our world. Sure, if you are experiencing addiction, having recovery capital will help individuals recover better and maintain their recovery longer. But, it also stands that if our communities have high levels of recovery capital, the incidence or effect of addiction in the community should be significantly less.

Recently, RC has been defined as the “resources and capacities that enable growth and human flourishing” (6), an asset-based definition that focuses on an individual’s strengths. In general, RC research and models address individual-level factors (oftentimes labelled ‘personal RC’ or ‘human and financial RC’), inter-individual-level factors (‘social RC’), and the larger environmental context (‘community RC’). Recovery Capital refers to the internal and external resources necessary to achieve and sustain recovery. https://rehabliving.net/best-programs-to-quit-drinking-of-2023/ The Recovery Capital Model recognizes that a variety of dimensions — personal capital, social capital, community capital, emotional support, commitment to sobriety, and well-being — can support or jeopardize recovery depending on how individuals use their capital. Ongoing assessment of strengths and gaps in each dimension helps build a solid foundation in recovery over time. In essence, Recovery Capital is a roadmap for building and sustaining recovery beyond access to acute treatment interventions.

Recovery capital is a term for the different things that help or hinder a person as they recover from problems with alcohol or other drugs. Recovery capital captures the full spectrum of resources that impact an individual’s recovery — from their family and friends, to their housing and finances, to their health and cultural traditions. 1Although a full treatment of the history of addiction recovery and its definitions cannot be included here, the reader is referred to several manuscripts that do so (7–10). Recovery Capital Resources The R1 RCA Assessment, the R1 Learning System, and the Discovery Cards Group Kits enable programs to implement Recovery Capital strategically. Contact us to learn more about how to best implement Recovery Capital in your program, train your team, and engage clients in service.

Social capital means you are surrounded by people who support your recovery and other positive changes. Recovery capital remained mostly conceptual for about 10 years. Prolific writers and researchers in addiction recovery continued to play with the idea. David Best and William White started to add definition to the “types of recovery antidepressants and alcohol interactions capital.” Granfield and Cloud understood there to be multiple dimensions, but White began to fill in the gaps in 2008 with his recovery capital primer. White then created the “Recovery Capital Scale” or “Assessment of Recovery Capital.” The creation of this self-assessment moved recovery capital from concept to utility.

Through collaboration delegates engage in solution-focused care for people and their families, supported by paraprofessionals, peers, and mutual support systems. 5This study is a naturalistic investigation of the role of psychosocial factors on long-term recovery, we wanted to be able to assess the role of baseline community-related factors on subsequent outcome. Of course, there’s another effort to mention in the timeline of recovery capital — the Recovery Capital Index. Back in 2013, none of the existing recovery capital scales specifically categorized or mapped the questions to the components or dimensions of recovery capital.