Colorado Model Of Care

Shootout at the I’m Okay Corral


The Case for “Open Community Care” in the Treatment of Chronic Relapsing Addicts and Alcoholics

Bob Ferguson

CEO / Founder, Jaywalker Lodge

© Jaywalker Lodge, LLC. All rights reserved.

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William White, MA

“The collaboration that once existed between treatment agencies and local recovery communities has dissipated in the professionalization of addiction counseling and the industrialization of addiction treatment.”

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An “Open Community” Model of Care

How It Works Into Action

Working with Others

A Vision

for You

© Jaywalker Lodge,LLC. All rights reserved.

© Jaywalker Lodge, LLC. All rights reserved. Shootout at the I’m OkayCorral

How it works

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How it Works

PRIMARY CARE

Arresting Addiction Education Counselor directed Secluded setting Intro to 12 Steps Safe, secluded time out

from life’s distractions

Letting go of substances

EXTENDED CARE

Initiating Life in Recovery Application Peer directed Community setting 12 Step Immersion Structured, hectic re-entry

into real life recovery

Letting go of self


How it works

Primary Care

30 – 45 days

Extended Care

90+/- days

Transitional Care

90+/- days

A – Extended Treatment811 Main Court (90 days)

B – Transitional Treatment725 Main Street (90 days)

C – Admin & Sober Living734 Main Street (3-6 mos)

D – Outpatient Offices1152 Hwy 133 (90 days)

A B

C

D

How It Works


How it works

Self Group Community

Primary Care

30 – 45 days

Extended Care

90+/- days

Transitional Care

90+/- days


How it works…


Rehab -itationThe migration of “traditional treatment” from the mountain top to Main Street...


Into Action


Hurdles• Relapse / Atypical Discharges• New Concepts• Boundaries • Financial • NIMBY


Into Action


Into Action

2009 2010 2011 Avg

153145

178

159

64 64 62 6371 65 71 69

Completion Rates – 90 day program

Census WSA % Avg LOS


Into Action

Broken Windows Theory (1982)

New York City saw a 50% reduction in violent

crimes (such as murder, rape and robbery) as the result of a “community policing” campaign which focused repairing broken windows, cleaning up graffiti, and a crack down on minor offenses such as subway fare-scoffers and squeegee-wielding panhandlers.

* But the Jets STILL didn’t make the playoffs!


Keys to the Kingdom• Trust & Consequences• Community meeting• Alumni Involved• Intimacy • Service


Into Action

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Into Action

Trust:

• Phase 1: 80/20 containment to community in first 90 days…

• Phase 2: Trust ratio “evolves” to 20/80 containment to community


Into Action

Effective (+)

• Experience = educational• Adopt-A-Highway • Extended Table Soup Kitchen

• Organized, structured

• Staff and community participate with and among clients

• Prior preparation, supervision during, process experience afterwards

Ineffective (-)

• Experience = punitive• Sustainable Settings• Set up for sweat lodge

• Random, unprepared, disorganized, not structured

• Clients are separated, isolated, working alone.

• Lack of information


Into Action

Alumni:

• Networking (social/recovery)• Events Calendar• Volunteer programs• Outcomes


Into Action

AA sponsor Home Group Volunteer FT job/school

8071

60 60

9180

7565

100 100

80

100

Alumni After Treatment

3 mos (35) 6 mos (31) 6 - 18 mos (25)


The model evolves…• New Found Life – Long Beach, CA• The Right Door – Aspen, CO• Phoenix Multisport – Front Range, CO


Working with Others


New Found Life

• Ocean Blvd., Long Beach, CA

• Separate Men’s / Women’s Houses

• Primary and extended care residential


Working with Others


Rides to AA Meetings• You cannot:

• walk / ride a bike• take public transportation• take a taxi

•You can: • call known alcoholics and addicts with time

• When you ride with an alcoholic• meeting before meeting• meeting at a meeting• meeting after a meeting


Working with Others


The Right Door

• Aspen, CO• Non-profit agency

established in 2003• Provides low cost

intervention, case management, treatment and scholarships


Working with Others


Roots in Recovery


Working with Others

• Started by AA members driving defendants from jail to detox to meetings.

• Battles addiction at the intersection of public safety and public health

• Sliding scale, no client turned away.

• Random UA’s and daily phone check ins.


Phoenix Multisport

• Boulder, Denver, and Colorado Springs

• Sober Activities• Recovery Network• NO Charge for

services, events!


Working with Others


Action, Action, Action!• Since 2007, Phoenix had

provided programs to 3,620 people…

• Hosts 40 – 50 events a week, all at NO charge to the participants!

• Average age: 34 years• Gender split: 40% women, 60%

men• No treatment… Just recovery!


Working with Others


What’s next?


A Vision

for You

• Friendship – our new “goal-ed” standard?

• Sober College Programs… Everywhere!

• Future focused care



Bob Ferguson bferguson@jaywalkerlodge.comwww.jaywalkerlodge.comwww.slideshare.com KEYWORD: “Colorado Model of Care”

mailto:[email protected]

http://www.jaywalkerlodge.com/

http://www.slideshare.com/

Colorado Model Of Care

Health & Medicine

Transcript of Colorado Model Of Care