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2/28/14 1 THE HISTORY OF RECOVERY IN THE UNITED STATES AND THE ADDICTION PROFESSION A presenta*on by the NAADAC, the Associa*on for Addic*on Professionals Presented by William “Bill” White March 6, 2014 Download the PowerPoint slides & access CE quiz here: www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddictionprofession Misti Storie, MS, NCC WEBINAR ORGANIZER Director of Training & Professional Development NAADAC, the Associa/on for Addic/on Professionals USING GOTOWEBINAR Control Panel Asking Ques:ons PowerPoint Slides Polling Ques:ons Audio (phone preferred) www.naadac.org/ thehistoryofrecoveryintheuniteds tatesandtheaddic/onprofession A presenta*on by NAADAC, the Associa*on for Addic*on Professionals A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE www.naadac.org/recovery OBTAINING CE CREDIT o The educa/on delivered in this webinar is FREE to all professionals. o 1.5 CEs are FREE to NAADAC members who aFend this webinar. Non members of NAADAC receive 1.5 CEs for $20. o If you wish to receive CE credit, you MUST complete and pass the “CE Quiz” that is located at: (look for TITLE of webinar) www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession www.naadac.org/webinars A CE cer/ficate will be emailed to you within 21 days of submiYng the quiz and payment (if applicable) – usually sooner. o Successfully passing the “CE Quiz” is the ONLY way to receive a CE cer*ficate. Free to NAADAC Members!
Transcript
Page 1: 3-6-14 History of Recovery webinar...Mar 06, 2014  · THE HISTORY OF RECOVERY IN THE UNITED STATES AND THE ADDICTION PROFESSION ... of Alcoholics Anonymous? RECOVERY IN NATIVE AMERICA

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THE HISTORY OF RECOVERY IN THE UNITED STATES AND THE

ADDICTION PROFESSION

A  presenta*on  by  the  NAADAC,  the  Associa*on  for  Addic*on  Professionals  

Presented by William “Bill” White March 6, 2014

Download the PowerPoint slides & access CE quiz here:

www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddictionprofession

Misti Storie, MS, NCC

WEBINAR ORGANIZER

Director  of  Training  &  Professional  Development  

NAADAC,  the  Associa/on  for  Addic/on  Professionals    

USING GOTOWEBINAR

•  Control  Panel  

•  Asking  Ques:ons  

•  PowerPoint  Slides  

•  Polling  Ques:ons  

•  Audio  (phone  preferred)  

www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession  

A  presenta*on  by  NAADAC,  the  Associa*on  for  Addic*on  Professionals  

A COMPONENT OF THE RECOVERY TO PRACTICE (RTP) INITIATIVE

www.naadac.org/recovery

OBTAINING CE CREDIT

o  The  educa/on  delivered  in  this  webinar  is  FREE  to  all  professionals.    

o  1.5  CEs  are  FREE  to  NAADAC  members  who  aFend  this  webinar.    Non-­‐members  of  NAADAC  receive  1.5  CEs  for  $20.      

o  If  you  wish  to  receive  CE  credit,  you  MUST  complete  and  pass  the  “CE  Quiz”  that  is  located  at:  (look  for  TITLE  of  webinar)  

www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession  

www.naadac.org/webinars  

A  CE  cer/ficate  will  be  emailed  to  you  within  21  days  of  submiYng  the  quiz  and  payment  (if  applicable)  –  usually  sooner.  

o  Successfully  passing  the  “CE  Quiz”  is  the  ONLY  way  to  receive  a  CE  cer*ficate.    

Free  to  NAADAC  Members!  

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WEBINAR LEARNING OBJECTIVES

o  List  at  least  three  pairs  of  recovery  mutual  aid  groups  with  each  pair  respec/vely  represen/ng  a  secular,  spiritual  or  religious  pathway  of  recovery  

o  Discuss  at  least  3  issues  addressed  within  AA  Tradi/ons  that  contributed  to  AA’s  survival  and  growth  as  an  organiza/on  

o  List  at  least  4  recovery  support  ins/tu/ons  that  are  not  recovery  mutual  aid  socie/es  that  are  rapidly  growing  in  the  U.S.  

o  Discuss  at  least  2  clinical  implica/ons  of  the  diversifica/on  of  recovery  mutual  aid  socie/es  in  the  U.S.  

William “Bill” White

WEBINAR PRESENTER

Emeritus  Senior  Research  Consultant  

Chestnut  Health  Systems  

[email protected]  

www.williamwhitepapers.com  

AUDIENCE POLLING QUESTION

Are you aware of the many recovery mutual aid societies that existed before the founding

of Alcoholics Anonymous?

RECOVERY IN NATIVE AMERICA

o  Delaware  Prophets  

o  Handsome  Lake  Movement    

o  The  Prophet  Movements    

o  Indian  Temperance  Preachers  

o  Indian  Shaker  Church  &  Na/ve  American  Church  

RECOVERY IN NATIVE AMERICA

o  Ghost  Dance  &  Sun  Dance  Movements    

o  Indianizaton  of  Alcoholics  Anonymous  

o  The  Red  Road  &  the  Wellbriety  Movement  

THE INTEMPERATE & THE REFORMED

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19TH CENTURY RECOVERY MUTUAL AID

o  Washingtonians  

o  Recovery-­‐focused  Fraternal  Temperance  Socie/es  

o  Ribbon  Reform  Clubs  

o  Ins/tu/onal  Groups,  e.g.,  Ollapod  Club,  Keeley  Leagues  

o  Dashaways,  Drunkards  Club  

o  Transi/on  groups:  United  Order  of  Ex-­‐Boozers,  Jacoby  Club  

WASHINGTONIAN MEETING

BLUE RIBBON REFORM CLUB PLEDGE CARD FREDERICK DOUGLASS & THE “COLORED TEMPERANCE MOVEMENT”

FAITH-BASED RECOVERY EARLY TREATMENT INSTITUTIONS

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EARLY TREATMENT INSTITUTIONS

FACTORS LEADING TO COLLAPSE OF EARLY RECOVERY MUTUAL AID

o  Poli/cal  and  religious  controversy    

o  Lack  of  a  closed  mee/ng  structure  

o  Conflicts  over  money  and  status  

o  Professionaliza/on  of  service  ethic  

o  Co-­‐opta/on  by  sponsoring  treatment  organiza/on  

o  Public  drinking  episodes  of  prominent  leaders  

MID-TWENTIETH CENTURY REBIRTH

o  Alcoholics  Anonymous  

o  The  Modern  Alcoholism  Movement  

o  New  Alcoholism  Treatment  Ins/tu/ons  

o  New  Addic/on  Treatment  Ins/tu/ons  

o  Addicts  Anonymous,  Hypes  &  Alcoholics,  Narco/cs  Anonymous  

o  Addic/on  Treatment  Reform  Movements  

o  Stage  set  for  rise  of  modern  addic/on  treatment  

AA SHARED WITH EARLIER GROUPS

o  Problem  admission  

o  Public  or  semi-­‐public  commitment  to  sobriety    

o  Sober  fellowship  

o  Experience-­‐sharing  mee/ngs  

o  Storytelling  (3-­‐part  style)    

o  Peer  mentoring    

AA INNOVATIONS

o  Self-­‐surrender  versus  self-­‐asser/on  

o  Focus  on  long-­‐term  recovery  maintenance  versus  recovery  ini/a/on  

o  Middle  path  between  religious  and  secular  pathways  of  recovery    

o  Codifica/on  of  program  in  wri/ng  prior  to  explosive  growth  

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o  Maintained  its  closed  mee/ng  framework  

•  import  of  mutual  iden/fica/on  in  recovery  process  

o  Unique  organiza/onal  structure  (that  all  external  advisors  predicted  could  not  work)  

o  Twelve  Tradi/ons  were/are  key  to  AA’s  survival  

AA INNOVATIONS

Personality  

Crea/ve  management  of  the  5  Ps:      

Power/  Privilege  

Possessions  (money  &  property)  

Press   Passion  

AA INNOVATIONS

AA REMAINS STANDARD BY WHICH PRE-AA AND POST AA GROUPS ARE JUDGED

o  Size  (2.1  million  members)  

o  Geographical  Dispersion  (150  Countries)  

o  Longevity  as  an  Organiza/on    

o  Number  &  Methodological  Rigor  of  AA  Research    

o  Adapta/on  to  Other  Problems  of  Living  

o  Influence  on  Addic/on  Treatment    

o  Influence  on  Culture    

RECOVERY MUTUAL AID, 1970-2000

o  Growth  of  Twelve  Step  groups  

o  Growing  varie/es  of  Twelve  Step  experience    

o  Drama/c  growth  in  total  membership  

o  Geographical  dispersion  in  U.S.  and  interna/onally  

o  Diversifica/on  of  recovery  frameworks  

o  Spiritual  Frameworks  of  Recovery    

TWELVE-STEP GROUPS

o  AA  (1935)  and  NA  (1947,  1953)    

o  Primary  Drug  Adapta/ons:      •  marijuana  (1968,  1989)  •  prescrip/on  drugs  (1975,  1998)  •  cocaine  (1982)    •  nico/ne  (1985)  •  benzodiazepine  (1989)  •  methamphetamine  (1995)  •  heroin  (2004)  

o  Persons  in  recovery  on  methadone  (1991)  &  generic  groups  i.e.,  Recoveries  Anonymous  (1983)  Chemical  Dependent  Anonymous  (1988)  

NON-TWELVE STEP, SPIRITUAL ALTERNATIVES

o  The  Red  Road  to  Wellbriety  

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FURTHER SPECIALIZATION

Emergence  of  Concept  of  “Family  Recovery”  

Al-­‐Anon  (1951)  

Alateen  (1957)  

Nar-­‐Anon  (1968)  

Families  Anonymous  

(1971)  Co-­‐Anon  (1986)  

Recovering  Couples  

Anonymous  (1988)    

Teen-­‐Anon  (1999)  

FURTHER SPECIALIZATION

•  Interna/onal  Doctors  in  Alcoholics  Anonymous  (1949)  

•  Lawyers  (1975)  •  Anesthe/sts  (1984)  • Nurses  (1988)  •  Veterinarians  (1990),  etc.    

Occupa/onal    

FURTHER SPECIALIZATION

Co-­‐Occurring  Problem  

Dual  Disorders  Anonymous  (1982),  Dual  Recovery  Anonymous  (1989),  Double  Trouble  in  Recovery  (1993)  

FURTHER SPECIALIZATION

Criminal  Jus/ce  

Inner  Circle    

Winner’s  Circle/

Community    

MEETING SPECIALIZATION

o  Gender  

o  Age  or  dura/on  of  sobriety    

o  Ethnicity    

o  Sexual  orienta/on    

o  Smoking  status  

o  Degree  of  religiosity    

o  Endless  varie/es  of  mee/ng  formats  

AUDIENCE POLLING QUESTION

Are there faith-based and secular recovery support groups available as alternatives to 12-

step groups in your community?

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SECULAR RECOVERY SUPPORT GROUPS

o  Women  for  Sobriety  (1975)  

o  Secular  Organiza/on  for  Sobriety/Save  Our  Selves  (1985)  

o  Ra/onal  Recovery  (1986)  

o  Men  for  Sobriety  (1988)  

o  Smart  Recovery®  (1994)  

o  Modera/on  Management  (1994)  

o  LifeRing  Secular  Recovery  (1999)  

RELIGIOUS RECOVERY SUPPORT GROUPS

ü  Calix  Society  (1947)  

ü  Alcoholics  Victorious  (1948)    

ü  Teen  Challenge  (1961)  

ü  Alcoholics  for  Christ  (1976)  

ü  JACS  (1979)  

ü  Celebrate  Recovery  (1991)  

ü  Free  N’  One  (1985)  

ü  Ladies  Victorious  

ü  Overcomers  in  Christ  (1977)  

ü  Liontamers  Anonymous  (1980)  

ü  Mountain  Movers  

ü  Milla/  Islami  (1989)  

ü  Buddhist  Recovery  Network  (2008)  

IMPORTANT RESOURCE

Mutual  Support  Resources  regularly  updated  at  Faces  and  Voices  of  Recovery  -­‐  www.facesandvoicesofrecovery.org  

NEW RECOVERY ADVOCACY MOVEMENT

o  History  

o  2001  Recovery  Summit  in  St.  Paul  

NATIONAL ORGANIZATION

o  Faces  and  Voices  of  Recovery  

o  NCADD  

o  Johnson  Ins/tute  

o  Legal  Ac/on  Center      

o  (CSAT  Influence  via  RCSP  &  ATR)  

MOVEMENT GOALS

o  Poli/cal/Cultural  Mobiliza/on  of  Communi/es  of  Recovery  

o  Recovery-­‐focused  Public  &  Professional  Educa/on    

o  Advocacy  of  Pro-­‐recovery  Laws  &  Social  Policies      

o  Push  for  Recovery-­‐focused  Redesign  of  Treatment    

o  Promo/on  of  Peer-­‐based  Recovery  Support  Services  

o  Recovery  Celebra/on  

o  Promo/on  of  Recovery  Research    

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CURRENT TRENDS

o  From  recovery  community  to  communi/es  of  recovery  

o  Cultural  &  poli/cal  awakening  across  religious,  spiritual  &  secular  frameworks  of  recovery  

o  New  recovery  support  ins/tu/ons    

o  Cultural  development    

CULTURE OF RECOVERY UPDATE

o  Diversifica/on  of  Peer-­‐based  Recovery  Support  Socie/es  

o  New  Recovery  Advocacy  Movement    

o  Spread  of  Grassroots  Recovery  Community  Organiza/ons  &  Recovery  Support  Centers  

o  Recovery  Home  Movement  

o  Recovery  Industries    

o  Recovery  School  Movement  

o  Recovery  Ministries,  Churches  &  Colonies  

AUDIENCE POLLING QUESTION

Have there been efforts to establish one or more of these recovery support

institutions in your community?

Page 9: 3-6-14 History of Recovery webinar...Mar 06, 2014  · THE HISTORY OF RECOVERY IN THE UNITED STATES AND THE ADDICTION PROFESSION ... of Alcoholics Anonymous? RECOVERY IN NATIVE AMERICA

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CULTURAL CONSCIOUSNESS; CULTURAL DEVELOPMENT

o  Reconstruc/on  of  History  

o  Iden/ty  Reconstruc/on  

o  Language  Audit  &  Construc/on        

o  Values  Defini/on    

o  New  Symbols  

o  Musical  Anthems  

o  Ar/s/c  Expression  

o  Literature  

GRASSROOTS RECOVERY COMMUNITY ORGANIZATIONS (RCOS)

①  Organized  by  and  on  behalf  of  communi/es  of  recovery  

②  Focus  on  advocacy,  educa/on  and  peer  support  services  

③  Establishing  Recovery  Support  Centers,  e.g.,  CCAR’s  Network  of  RSCs  in  CT  

④  Some  contrac/ng  to  do  telephone-­‐based,  post-­‐treatment  recovery  checkups    

RECOVERY HOME MOVEMENT

o  Halfway  Houses  (1950s)  to  Social  Model  Rehabilita/on  Programs  (1970s)  

o  Oxford  House  (1975)  (1,200  homes,  48  states,  24,000  residents  per  year)  

o  Federal  An/-­‐Drug  Abuse  Act  of  1988  (Loan  Fund)  

o  Na/onal  Associa/on  Recovery  Residences  (2011)  

o  Philadelphia  Survey  (21  funded;  250  unfunded)  

RECOVERY SCHOOL MOVEMENT

o  High  School  and  Collegiate  Levels  

o  Associa/on  of  Recovery  Schools  (2002)  

o  Key  Elements  

•  Ac/ve  recruitment  of  people  in  recovery  

•  Scholarships  

•  On-­‐campus  recovery  support  

•  Academic  mentoring    

o  Early  Evalua/ons  (high  rates  of  con/nuous  recovery  &  academic  excellence)  

RECOVERY INDUSTRIES

o  Formats  range  from  “recovery  friendly”  (Zingerman’s  Deli,  Venturetech)  to  “recovery  exclusive”  employers  (Recovery  at  Work)  

o  Preparatory  or  Permanent  Employment    

o  Core  Elements:  

o  Skill  training  

o  Work-­‐based  peer  recovery  coaching  

o  Linkage  to  recovery  communi/es  

o  Establishment  of  legi/mate  work  history  

RECOVERY MINISTRIES, CHURCHES & COLONIES

o  “Recovery  friendly  churches”    

o  Mega-­‐churches  with  a  “recovery  pastor”  

o  Lay  leaders  of  recovery  support  groups  

o  Recovery-­‐focused  worship  services  and  workshops  

o  Recovery  Churches,  e.g.,  Central  Park  Recovery  Church  in  St.  Paul  

o  Faith-­‐based  recovery  colonies,  e.g.,  Dunklin  Memorial  Camp  in  Okeechobee,  Florida  

o   Na/onal  Associa/on  for  Chris/an  Recovery  

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CULTURAL DEVELOPMENT BETWEEN COMMUNITIES OF RECOVERY

•  Iden/ty  Reconstruc/on    •  Reconstruc/on  of  History    •  A  New  Language      •  Values  Defini/on    •  New  Symbols  •  Musical  Anthems  •  Ar/s/c  Expression  •  Literature    

Cultural  Development  Between  

(rather  than  within)                                                

Communi*es  of  Recovery  

THE RECOVERY HOME MOVEMENT: 2010 OXFORD HOUSE CONVENTION

RECOVERY & EDUCATION RECOVERY WITHIN FAITH COMMUNITIES

CULTURAL VISIBILITY & ADVOCACY (WITH ANONYMITY) RECOVERY-FOCUSED COMMUNITY EDUCATION

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RECOVERY COMMUNITY CENTERS RECOVERY MEDIA

RECOVERY & COMMUNITY SERVICE: BALTIMORE RECOVERY CORPS RECOVERY ARTS: PHILADELPHIA RECOVERY MURALS

RECOVERY SPORTS: PHOENIX MULTISPORT RECOVERY & MUSIC

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RECOVERY AS A NEW ORGANIZING PARADIGM

o  Policy  level,  e.g.,  CSAT,  ONDCP  

o  Community  level,  e.g.,  recovery-­‐oriented  systems  of  care  

o  Treatment  level,  e.g.,  recovery  management  models  

o  Non-­‐clinical  recovery  support  level,  e.g.,  new  ins/tu/ons  &  roles  

CHALLENGES THAT RECOVERY CONCEPT IS:

o  Amorphous  

o  Redundant  

o  Faddish  

o  Imprac/cal  

o  Unscien/fic  

o  Dangerous  

CRITICAL ISSUES

How  can  posi/ve  effects  of  acute  treatment  be  extended  to  long-­‐term  recovery?  

Do  new  recovery  support  ins/tu/ons  &  roles  effect  recovery  outcomes?  

What  is  the  rela/onship  between  RCOs  (and  recovery  coach  role)  and  addic/on  treatment?    

CRITICAL ISSUES

What  is  the  poten/al  role  of  recovery  coach  in  other  service  seYngs,  CJ,  CW,  primary  medicine?    

How  will  new  recovery  support  roles  be  structured  to  avoid  role  ambiguity,  conflict  and  poten/al  harm  to  people  seeking  services?  

What  is  role  of  addic/on  professional  in  suppor/ng  later  stages  of  personal/family  recovery?  

IMPLICATIONS

o  AOD  arena  at  personal/family  levels  no  longer  limited  to  treatment  and  mutual  aid    

o  Enhanced  treatment  effec/veness  via  potent  combina/ons  of  treatment,  mutual  aid  and  par/cipa/on  in  new  recovery  support  ins/tu/ons  

o  Needed  clarifica/on  of  boundaries  of  ins/tu/ons  and  roles    

o  Increased  interest  in  recovery  without  treatment    

IMPLICATIONS

o  Greater  focus  on  role  of  community  in  recovery  

o  Greater  focus  on  community  recovery  capital  

o  Growing  interest  in  concept  of  community  recovery  

o  Coyhis  “Healing  Forest”  Metaphor  

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THANK YOU!

ASKING QUESTIONS

Ask  ques/ons  through  the  Ques/ons  Pane  

OTHER RTP WEBINARS

www.naadac.org/webinars    

Defining  Addic*on  Recovery  •  Thursday,  January  9,  2014  @  3-­‐4:30pm  ET  

What  Does  Science  Say?  Reviewing  Recovery  Research  •  Wednesday,  February  5,  2014  @  3-­‐5pm  ET  

The  History  of  Recovery  in  the  United  States  and  the  Addic*on  Profession  •  Thursday,  March  6,  2013  @  3-­‐4:30pm  ET  

Defining  Recovery-­‐Oriented  Systems  of  Care  (ROSC)  •  Thursday,  April  3,  2014  @  3-­‐4:30pm  ET  

Understanding  the  Role  of  Peer  Recovery  Coaches  in  the  Addic*on  Profession  •  Thursday,  May  1,  2014  @  3-­‐4:30pm  ET  

Including  Family  and  Community  in  the  Recovery  Process  •  Thursday,  May  29,  2014  @  3-­‐5pm  ET  

Collabora*ng  with  Other  Professions,  Professionals,  and  Communi*es  •  Thursday,  June  26,  2014  @  3-­‐4:30pm  ET  

Using  Recovery-­‐Oriented  Principles  in  Addic*on  Counseling  Prac*ce  •  Thursday,  July  24,  2014  @  3-­‐5pm  ET  

Exploring  Techniques  to  Support  Long-­‐Term  Addic*on  Recovery  for  Clients  and  Families  •  Thursday,  August  21,  2014  @  3-­‐5pm  ET  

WEBINARS ON DEMAND

•  Medica:on  Assisted  Treatment  •  Building  Your  Business  with  SAP/DOT  •  SBIRT  •  Billing  and  Claim  Submission  •  Ethics  •  Co-­‐occurring  Disorders  •  Test-­‐Taking  Strategies  •  Conflict  Resolu:on  •  Clinical  Supervision  •  ASAM  Placement  Criteria  •  DSM-­‐5  Proposed  Changes  

www.naadac.org/webinars  

CE  credit  s:ll  available!  

Free  to  NAADAC  Members!    

WWW.NAADAC.ORG OBTAINING CE CREDIT

o  The  educa/on  delivered  in  this  webinar  is  FREE  to  all  professionals.    

o  1.5  CEs  are  FREE  to  NAADAC  members  who  aFend  this  webinar.    Non-­‐members  of  NAADAC  receive  1.5  CEs  for  $20.      

o  If  you  wish  to  receive  CE  credit,  you  MUST  complete  and  pass  the  “CE  Quiz”  that  is  located  at:  (look  for  TITLE  of  webinar)  

www.naadac.org/thehistoryofrecoveryintheunitedstatesandtheaddic/onprofession  

www.naadac.org/webinars  

A  CE  cer/ficate  will  be  emailed  to  you  within  21  days  of  submiYng  the  quiz  and  payment  (if  applicable)  –  usually  sooner.  

o  Successfully  passing  the  “CE  Quiz”  is  the  ONLY  way  to  receive  a  CE  cer*ficate.    

Free  to  NAADAC  Members!  

Page 14: 3-6-14 History of Recovery webinar...Mar 06, 2014  · THE HISTORY OF RECOVERY IN THE UNITED STATES AND THE ADDICTION PROFESSION ... of Alcoholics Anonymous? RECOVERY IN NATIVE AMERICA

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William  White:  [email protected]  

Thank  You  for  Par*cipa*ng!  

www.naadac.org/recovery    

NAADAC,  The  Associa*on  for  Addic*on  Professionals  1001  N.  Fairfax  St.  Suite  201  Alexandria,  VA  22314  p  800.548.0497  f  800.377.1136  

NAADACorg    

Naadac    

mis/@naadac.org    

NAADAC  

 


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