IC&RC Peer Recovery flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Recovery (SAMHSA)

A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.

Four dimensions of recovery

SAMHSA's four major dimensions supporting recovery are health, home, purpose, and community; a wellness plan checks balance across all four.

Recovery capital

The total resources a person can draw on to start and sustain recovery, grouped as social, physical, human, and cultural capital; higher capital predicts better outcomes.

Stages of change

Prochaska and DiClemente's cycle: precontemplation, contemplation, preparation, action, and maintenance; recurrence returns a person to earlier stages, so support should match the current stage.

Eight dimensions of wellness

Emotional, physical, occupational, intellectual, spiritual, environmental, financial, and social; a balanced wellness plan addresses all eight, not only substance use.

Trauma-informed four R's

SAMHSA's framework: realize the widespread impact of trauma, recognize its signs, respond by integrating that knowledge, and actively resist re-traumatization.

Harm reduction

An approach that meets people where they are and reduces the negative consequences of substance use and other behaviors without requiring abstinence as a precondition.

Recovery is nonlinear

Setbacks and returns to use are expected parts of the recovery process rather than proof of failure, and they do not by themselves end a person's eligibility for support.

Peer support

A non-clinical, mutual relationship in which a person with lived experience of recovery offers hope, companionship, and practical guidance; it is not therapy or case management.

Doing with, not for

A peer practice rule: support the person's own decisions and actions instead of completing tasks for them, which preserves autonomy and builds self-efficacy.

OARS

Motivational interviewing microskills - open questions, affirmations, reflections, and summaries - used to evoke the person's own change talk rather than to advise or confront.

WRAP

Wellness Recovery Action Plan, developed by Mary Ellen Copeland: a self-written plan covering daily maintenance, triggers, early warning signs, crisis planning, and post-crisis recovery.

Intentional self-disclosure

Purposeful, brief sharing of one's own recovery experience, offered to instill hope and build connection for the peer's benefit rather than to meet the worker's needs.

Empathy versus sympathy

Empathy conveys understanding of another's experience and keeps the relationship equal; sympathy expresses pity from a distance and reinforces a helper-helped power imbalance.

Strengths-based approach

Practice that inventories a person's abilities, interests, relationships, and resources first, rather than organizing support around deficits, diagnoses, or limitations.

Role clarity in peer work

Peers model recovery, mentor, and link to resources, but do not diagnose, provide therapy, or take over case-management tasks outside their defined role.

Warm handoff

A direct, real-time connection to another provider, with an introduction made and a next step confirmed, rather than handing the person a phone number or brochure.

42 CFR Part 2

Federal regulation protecting substance use disorder treatment records; it is stricter than HIPAA and generally requires specific written consent before any re-disclosure.

Release of information

A written, time-limited, revocable authorization naming what information may be shared, with whom, and for what purpose, signed before any disclosure occurs.

Case versus cause advocacy

Case advocacy addresses an individual's unmet need; cause advocacy targets the policies, systems, or laws that create the problem for a whole group.

988 Suicide & Crisis Lifeline

The three-digit number in the United States connecting callers to free, around-the-clock crisis counseling and suicide prevention support.

SAMHSA National Helpline

1-800-662-4357: a free, confidential, 24/7 treatment referral and information service in English and Spanish for mental health and substance use concerns.

Housing First

A low-barrier approach that provides housing without preconditions such as sobriety or treatment compliance, then offers voluntary supports alongside the housing.

Cultural humility

Lifelong self-reflection about one's own biases, openness to the person's cultural context, and attention to power imbalances within the helping relationship.

Scope of practice

The legally and ethically defined limits of the peer role: peers do not diagnose, prescribe medication, provide psychotherapy, or give legal advice, and they refer when needs exceed those limits.

Boundary crossing

A minor, sometimes unavoidable deviation from usual professional limits, such as accepting a small gift, which is disclosed and discussed in supervision rather than hidden.

Boundary violation

A serious breach that harms or exploits the client, such as a sexual relationship or financial gain; it is never acceptable and must be reported.

Mandated reporting

A legal duty to report suspected child abuse, elder or dependent adult abuse, or imminent danger to authorities, even when the client has not consented to the disclosure.

Duty to warn

In many jurisdictions, an obligation to protect an identifiable third party when a client communicates a serious threat of violence against that person.

Dual relationship

When a peer worker holds another significant role with a client, such as friend, relative, or employer; it must be avoided or actively managed through supervision.

Informed consent

Voluntary agreement to services after receiving clear information about what will happen, the limits of confidentiality, and the right to refuse or withdraw.

Documentation standards

Records must be timely, accurate, objective, and written in neutral language; entries are never falsified, back-dated, or altered after the fact.