Skip to main content
SpringerLink
Log in

Recovery-Focused Behavioral Health System Transformation: A Framework for Change and Lessons Learned from Philadelphia

  • Chapter
  • First Online:
Addiction Recovery Management

Part of the book series: Current Clinical Psychiatry ((CCPSY))

Abstract

The concept of recovery is fast becoming the prevailing paradigm in behavioral health policy arenas. Consequently, behavioral health care systems are trying to align their services with a recovery-oriented approach. To date, no blueprint exists to guide systems and communities through the complex process of transformational change. The vision of “what” a recovery-oriented system looks like is becoming increasingly clear, but the process for “how” systems transform and align themselves with this vision remains obscure. This chapter draws upon work in the City of Philadelphia to propose a framework for the recovery-focused transformation of behavioral health systems. Concrete examples of change strategies and lessons learned are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. White W. Recovery management and recovery-oriented systems of care: scientific rationale and promising practices. Chicago, IL: Northeast Addiction Technology Transfer Center, the Great Lakes Addiction Technology Transfer Center, and the Philadelphia Department of Behavioral Health and Mental Retardation Services; 2008.

    Google Scholar 

  2. Davidson L, Tondora J, Lawless MS, O’Connell M, Rowe M. A practical guide to recovery oriented practice. New York: Oxford University Press; 2009.

    Google Scholar 

  3. Davidson L, Harding C, Spaniol L. Recovery from severe mental illness: research evidence and implications for practice. Boston, MA: Center for Psychiatric Rehabilitation; 2005.

    Google Scholar 

  4. Anthony WA. A recovery-oriented service system: setting some system level standards. In: Davidson L, Harding C, Spaniol L, editors. Recovery from severe mental illness: research evidence and implications for practice. Boston, MA: Center for Psychiatric Rehabilitation; 2005.

    Google Scholar 

  5. Jacobson N, Curtis N. Recovery as policy in mental health services: strategies emerging from the states. In: Davidson L, Harding C, Spaniol L, editors. Recovery from severe mental illness: research evidence and implications for practice. Boston, MA: Center for Psychiatric Rehabilitation; 2005.

    Google Scholar 

  6. White W. Peer-based addiction recovery support: history, theory, practice, and scientific evaluation. Chicago, IL: Great Lakes Addiction Technology Transfer Center; and the Philadelphia Department of Behavioral Health and Mental Retardation Services; 2009.

    Google Scholar 

  7. Clark W. Recovery as an organizing concept. In: White W. Perspectives on Systems Transformation: How Visionary Leaders are Shifting Addiction Treatment Toward a Recovery-Oriented System of Care. (Interviews with H. Westley Clark, Thomas A. Kirk, Jr., Arthur C. Evans, Michael Boyle, Phillip Valentine and Lonnetta Albright). Chicago, IL: Great Lakes Addiction Technology Transfer Center; 2008.

    Google Scholar 

  8. Kirk T. Creating a recovery-oriented system of care. In: White W. Perspectives on Systems Transformation: How Visionary Leaders are Shifting Addiction Treatment Toward a Recovery-Oriented System of Care. (Interviews with H. Westley Clark, Thomas A. Kirk, Jr., Arthur C. Evans, Michael Boyle, Phillip Valentine and Lonnetta Albright). Chicago, IL: Great Lakes Addiction Technology Transfer Center; 2008.

    Google Scholar 

  9. Evans A. The recovery-focused transformation of an urban behavioral health care system. In: White W. Perspectives on Systems Transformation: How Visionary Leaders are Shifting Addiction Treatment Toward a Recovery-Oriented System of Care. (Interviews with H. Westley Clark, Thomas A. Kirk, Jr., Arthur C. Evans, Michael Boyle, Phillip Valentine and Lonnetta Albright). Chicago, IL: Great Lakes Addiction Technology Transfer Center; 2008.

    Google Scholar 

  10. Gottheil E, Sterling RC, Weinstein SP. Pretreatment dropouts: Characteristics and outcomes. Journal of Addictive Diseases. 1997;16:1–14.

    Google Scholar 

  11. Substance Abuse Mental Health Services Administration, Office of Applied Studies. Treatment Episode Data Set (TEDS): 2004 Treatment Discharges. Available at: http://www.oas.samhsa.gov/TEDSdischarges/2k4/TEDSsk4chp2.htm. Accessed January 30, 2008.

  12. Shearer J. Psychosocial approaches to psychostimulant dependence: A systematic review. Journal of Substance Abuse Treatment. 2007;32:41–52.

    Google Scholar 

  13. Stevens A, Radcliffe P, Sanders M, Hunt N. Early exit: Estimating and explaining early exit from drug treatment. Harm Reduction Journal. 2008;5:13.

    Google Scholar 

  14. Anglin MD, Hser YI, Grella CE. Drug addiction and treatment careers among clients in the Drug Abuse Treatment Outcome Study (DATOS). Psychology of Addictive Behaviors. 1997;11(4):308–323.

    Google Scholar 

  15. Wilbourne P, Miller W. Treatment of alcoholism: Older and wiser? In: McGovern T, White W, eds. Alcohol Problems in the United States: Twenty Years of Treatment Perspective. New York: Haworth Press; 2002:41–59.

    Google Scholar 

  16. Hubbard RL, Flynn PM, Craddock G, Fletcher B. Relapse after drug abuse treatment. In: Tims F, Leukfield C, Platt J, eds. Relapse and recovery in addictions. New Haven, Conn: Yale University Press; 2001:109–121.

    Google Scholar 

  17. Kotter JP. Leading Change. Boston, MA: Harvard Business School Press; 1996.

    Google Scholar 

  18. Senge P. The fifth discipline: The art and practice of the learning organization. New York: Doubleday; 2006.

    Google Scholar 

  19. Ackerman L. Development, transition, or transformation: The question of change in organizations. In: Van Eynde D, Hoy J, Van Eynde E, eds. Organization Development Classics. San Francisco: Jossey Bass; 1997.

    Google Scholar 

  20. Borkman, T. (1998). Is recovery planning any different from treatment planning? Journal of Substance Abuse Treatment, 15(1):37–42.

    Google Scholar 

  21. Anderson D, Ackerman-Anderson L. Beyond change management: Advanced strategies for today's transformational leaders. San Francisco: Jossey Bass; 2001.

    Google Scholar 

  22. Lamb, R., Evans, A.C, & White, W. (2009). The role of partnership in recovery-oriented systems of care: The Philadelphia experience. Accessed October 29, 2009 at http://www.facesandvoicesofrecovery.org

  23. Bridges W. Managing transitions: Making the most of change. Cambridge, MA: Perseus Publishing; 2003.

    Google Scholar 

  24. Gladwell M. The tipping point. NY, NY: Back Bay Books; 2002.

    Google Scholar 

  25. White W. A recovery revolution in Philadelphia. Counselor. 2007;8(5):34–38.

    Google Scholar 

  26. Adams N, Daniels AS. Sometimes a great notion … a common agenda for change. Administration and Policy in Mental Health. 2002;29(4/5):319–333.

    Google Scholar 

  27. Hoge MA, Selby J, Belitsky R, Migdole S. Graduate education and training for contemporary behavioral health practice. Administration and Policy in Mental Health. 2002;29(4/5):335–358.

    Google Scholar 

  28. Daniels AS, Walter DA. Current issues in continuing education for contemporary behavioral health practice. Administration and Policy in Mental Health. 2002;29(4/5):359–376.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Behavioral Health and Mental Retardation Services, 1101 Market St., 7th Floor, Philadelphia, PA, 19107, USA

    Ijeoma Achara-Abrahams

Authors
  1. Ijeoma Achara-Abrahams
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arthur C. Evans
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Joan Kenerson King
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ijeoma Achara-Abrahams .

Editor information

Editors and Affiliations

  1. Harvard Center for Addiction, Massachusetts General Hospital, Staniford St. 60, Boston, 02114, Massachusetts, USA

    John F. Kelly

  2. Chestnut Health Systems, Lighthouse Institute, 720 W. Chestnut St., Bloomington, 61701, USA

    William L. White

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Achara-Abrahams, I., Evans, A.C., King, J.K. (2010). Recovery-Focused Behavioral Health System Transformation: A Framework for Change and Lessons Learned from Philadelphia. In: Kelly, J., White, W. (eds) Addiction Recovery Management. Current Clinical Psychiatry. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-960-4_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-60327-960-4_11

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60327-959-8

  • Online ISBN: 978-1-60327-960-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation