f RECOVERY COACHING PRACTICE GUIDELINES Revised March 2020 PRACTICE GUIDELINES 1 TABLE OF CONTENTS INTRODUCTION ............................................................................................................................................................. 4 Purpose ..................................................................................................................................................................... 4 Organization .............................................................................................................................................................. 4 FOUNDATIONAL LEARNING ........................................................................................................................................... 5 Montgomery County Recovery Vision Statement ..................................................................................................... 5 Key Concepts of Recovery ......................................................................................................................................... 6 Recovery Coaching Principles .................................................................................................................................... 7 PRACTICE GUIDELINES ................................................................................................................................................... 9 Accessing Services through Behavioral Health Insurance ......................................................................................... 9 Magellan Intensive Care Coordination – “High Opportunity” ............................................................................... 9 Team Approach ....................................................................................................................................................... 10 Beginning & Ending Services ................................................................................................................................... 11 Engagement ........................................................................................................................................................ 11 Transition ............................................................................................................................................................ 12 Relationships ........................................................................................................................................................... 14 Peer Culture ............................................................................................................................................................ 15 Using Home Visits & Observation to Guide Practice ............................................................................................... 16 Trauma-Informed Care ............................................................................................................................................ 18 Recovery Planning ................................................................................................................................................... 19 Clinical Supports ...................................................................................................................................................... 21 Medication as a Recovery Tool ........................................................................................................................... 22 Crisis Prevention & Intervention ............................................................................................................................. 23 Expectations for On-Call ...................................................................................................................................... 25 Hospitalization .................................................................................................................................................... 26 Physical Health ........................................................................................................................................................ 28 Housing.................................................................................................................................................................... 30 PRACTICE GUIDELINES 2 Homelessness ...................................................................................................................................................... 31 Transitional Residences & Other Congregate Living ............................................................................................... 32 Residential Assessment & Referral ...................................................................................................................... 33 Residential Support & Engagement .................................................................................................................... 35 Income ..................................................................................................................................................................... 37 Employment & Education ....................................................................................................................................... 38 Transportation......................................................................................................................................................... 39 Enhancing Connection to the Community .............................................................................................................. 41 Strengthening Social Networks ............................................................................................................................... 42 Involving Families ................................................................................................................................................ 42 Natural Supports ................................................................................................................................................. 44 Peer Support & Mutual Aid ..................................................................................................................................... 45 Supporting Specific Populations .............................................................................................................................. 46 Transition-Age Young Adults ............................................................................................................................... 46 Families with Children ......................................................................................................................................... 47 Older Adults ........................................................................................................................................................ 49 LGBTQIA+ ............................................................................................................................................................ 50 Spirituality & Cultural Heritage ........................................................................................................................... 51 Co-Occurring Disorders ....................................................................................................................................... 52 Forensic Involvement .......................................................................................................................................... 53 Behavioral Health Court Involvement ................................................................................................................. 55 Intellectual & Developmental Disabilities ........................................................................................................... 56 Vision Loss, Hard of Hearing, & Deaf .................................................................................................................. 58 RECOVERY COACHING LEADERSHIP............................................................................................................................. 60 Creating & Sustaining a Learning Culture ................................................................................................................ 60 Supervision & Consultation ..................................................................................................................................... 62 Referrals & Waitlists ................................................................................................................................................ 63 PRACTICE GUIDELINES 3 Population-Based Planning ..................................................................................................................................... 65 Enhacing Connections to the Community ............................................................................................................... 66 Peer Culture ............................................................................................................................................................ 67 Supporting Peer Employees ................................................................................................................................ 68 Recovery Coaching Sustainability, Evaluation, & Quality Improvement ................................................................. 69 Quality Improvement & Outcomes