PCB CRS EXAM CORRECT 100%
Define Recovery. - ANSWERNo single definition. Recovery = different things to different
people at different times.
Defining recovery from: - ANSWER1. Physical illness
2. Trauma
3. Mental health
4. Oppression
5. Racism
6. Poverty
SAMHSA Working Definition of Recovery: - ANSWERA process of change through
which individuals improve their health and wellness, live a self-directed life, and strive to
reach their full potential.
SAMHSA 4 dimensions that support a life in recovery: - ANSWER1. Health: A)
Overcoming or managing one's disease(s) or symptoms—for example, abstaining from
use of alcohol. B) Making informed, healthy choices that support physical and emotional
well-being.
2. Home: A stable and safe place to live.
3. Purpose: Meaningful daily activities, such as a job, school, independence, income
and resources to participate in society.
4. Community: Relationships and social networks that provide support, friendship, love,
and hope.
The History of Addiction & Recovery from 1750-1875 - ANSWER• 1750: 1st sobriety
"Circles" are formed within Native American tribes.
- Contemporary Native American Sobriety Movement: "talking circle."
• 1774: Anthony Benezet's Mighty Destroyer Displayed is published.
- It is the earliest American essay on alcoholism.
• 1784: Dr. Benjamin Rush's says alcoholism = disease.
- His work = beginning of Temperance movement: Driven by mainly women looking @
alcohol abuse; made pledges against drinking.
• 1810: Dr. Benjamin Rush calls for creation of a "Sober House" for the care of the
confirmed drunkard.
• 19th century: Morphine, laudanum, & cocaine were newly discovered, unregulated,
and freely prescribed.
- These drugs were available in patent medicines and sold by traveling salesmen,
drugstores, or by mail.
- In U.S. Civil War, morphine was used freely.
• 1875: opium dens were outlawed in San Francisco.
The History of Addiction & Recovery from 1900-1950 - ANSWER• 1906: Pure Food and
Drug Act required labeling of patent medicines containing opium and some other drugs.
,• 1914: Harrison Narcotic Act forbade the sale of large doses of opiates & cocaine
except by doctors.
- Later, heroin was banned from the sale of medicines.
• Later Supreme Court decisions made it illegal to prescribe narcotics to addicts.
- Doctors who prescribed maintenance doses for treatment were jailed.
• 1920's: use of narcotics and cocaine diminished.
• 1919: the Eighteenth Amendment to the Constitution prohibited the use and
distribution of alcohol.
• 1933: Prohibition repealed.
• 1930's: most states required anti-drug education in schools, but fear that knowledge
led to experimentation caused trainings to end.
• Mid 1930's: U.S. Federal Bureau of Narcotics (now the Drug Enforcement
Administration) ran campaign to show marijuana as addicting drug that led to narcotics
use.
• 1950's: the use of marijuana increased again, along with amphetamines and
tranquilizers.
The History of Addiction & Recovery from 1960s-Present - ANSWER• 1960's: big
increase in drug use and some increased social acceptance.
• 1970's: some states had decriminalized marijuana and lowered the drinking age.
• 1980's: cocaine and crack use soared.
- U.S. troops invaded Panama and brought Manuael Noriega to trial for drug trafficking.
The Foundation of the Recovery Process Transformation: - ANSWERThe Civil Rights
Movement (Civil Rights movements like African-American Civil Rights Movement,
Voting, and Women's, Disability, Patient, HIV, and Prisoner Rights).
The Recovery Process Transformation declares that: - ANSWERPeople in recovery
have the same civil rights as any other citizen: Life, Liberty, and the pursuit of recovery.
Legislation Enacted to Support Changes from the Recovery Process Transformation: -
ANSWER1. Americans with Disabilities Act, 1990
2. Olmstead Decision, June 22, 1999
According to the Americans with Disabilities Act of 1990: - ANSWER• Physical or
mental disabilities in no way diminish a person's right to fully participate in all aspects of
society
• Society has tended to isolate and segregate individuals with disabilities
• Discrimination persists
• Often had no legal recourse
To be protected by the ADA... - ANSWEROne must have a disability or have a
relationship or association with an individual with a disability.
An individual with a disability is defined by the ADA as: - ANSWERA person who has a
physical or mental impairment that substantially limits one or more major life activities, a
, person who has a history or record of such an impairment, or a person who is perceived
by others as having such an impairment. The ADA does not specifically name all of the
impairments that are covered.
Are applicants or employees who are currently illegally using drugs covered by the
ADA? - ANSWERNo.
Is testing for the illegal use of drugs permissible under the ADA? - ANSWERYes.
Are alcoholics covered by the ADA? - ANSWERYes.
1999: Olmstead Decision: - ANSWERUpheld the ADA of 1990, and requires that people
with mental disabilities be treated in the least restrictive, appropriate setting.
History of Recovery Transformation
- Deinstitutionalization: - ANSWER• Part of recovery transformation history, signifying
the release of institutionalized individuals from institutions (i.e. psychiatric hospital) to
care in the community.
• Began in 1955 w/ developments of more effective meds, like Thorazine, & Enactment
of Federal Medicaid and Medicare in 1965
History of Recovery Transformation - Community Support Programs: - ANSWER•
Created in Mid to Late 1970's by the National Institute of Mental Health to show
possibility that people w/ severe mental health issues can live in community w/ good
resources & support (professional & peer).
History of Recovery Transformation - Alcoholics Anonymous - ANSWER• 1935 by Bill
W. and Dr. Bob
• Sponsorship - people with lived experience give back and share with others
• Peer-to-peer perspective
• Person in recovery takes central role and uses non-professional peer supports in the
community
History of Recovery Transformation - Federal Government Support for Recovery
Transformation - ANSWER• Surgeon General's Report on Mental Health (1999) and
Supplement on Culture, Race & Ethnicity (2001)
• New Freedom Commission on Mental Health Final Report: Transforming Mental
Health Care in America (2003)
• Federal Action Agenda (2005)
History of Recovery Transformation - SAMHSA says... - ANSWERIn order to get their
funding, you need to be recovery oriented and offer recovery oriented services.
Transformation definition: - ANSWER• The term was picked by the Commission to show
that more reforms to the existing mental health system are insufficient.
• It has implications for policy, funding, practice, attitudes, and beliefs.
Define Recovery. - ANSWERNo single definition. Recovery = different things to different
people at different times.
Defining recovery from: - ANSWER1. Physical illness
2. Trauma
3. Mental health
4. Oppression
5. Racism
6. Poverty
SAMHSA Working Definition of Recovery: - ANSWERA process of change through
which individuals improve their health and wellness, live a self-directed life, and strive to
reach their full potential.
SAMHSA 4 dimensions that support a life in recovery: - ANSWER1. Health: A)
Overcoming or managing one's disease(s) or symptoms—for example, abstaining from
use of alcohol. B) Making informed, healthy choices that support physical and emotional
well-being.
2. Home: A stable and safe place to live.
3. Purpose: Meaningful daily activities, such as a job, school, independence, income
and resources to participate in society.
4. Community: Relationships and social networks that provide support, friendship, love,
and hope.
The History of Addiction & Recovery from 1750-1875 - ANSWER• 1750: 1st sobriety
"Circles" are formed within Native American tribes.
- Contemporary Native American Sobriety Movement: "talking circle."
• 1774: Anthony Benezet's Mighty Destroyer Displayed is published.
- It is the earliest American essay on alcoholism.
• 1784: Dr. Benjamin Rush's says alcoholism = disease.
- His work = beginning of Temperance movement: Driven by mainly women looking @
alcohol abuse; made pledges against drinking.
• 1810: Dr. Benjamin Rush calls for creation of a "Sober House" for the care of the
confirmed drunkard.
• 19th century: Morphine, laudanum, & cocaine were newly discovered, unregulated,
and freely prescribed.
- These drugs were available in patent medicines and sold by traveling salesmen,
drugstores, or by mail.
- In U.S. Civil War, morphine was used freely.
• 1875: opium dens were outlawed in San Francisco.
The History of Addiction & Recovery from 1900-1950 - ANSWER• 1906: Pure Food and
Drug Act required labeling of patent medicines containing opium and some other drugs.
,• 1914: Harrison Narcotic Act forbade the sale of large doses of opiates & cocaine
except by doctors.
- Later, heroin was banned from the sale of medicines.
• Later Supreme Court decisions made it illegal to prescribe narcotics to addicts.
- Doctors who prescribed maintenance doses for treatment were jailed.
• 1920's: use of narcotics and cocaine diminished.
• 1919: the Eighteenth Amendment to the Constitution prohibited the use and
distribution of alcohol.
• 1933: Prohibition repealed.
• 1930's: most states required anti-drug education in schools, but fear that knowledge
led to experimentation caused trainings to end.
• Mid 1930's: U.S. Federal Bureau of Narcotics (now the Drug Enforcement
Administration) ran campaign to show marijuana as addicting drug that led to narcotics
use.
• 1950's: the use of marijuana increased again, along with amphetamines and
tranquilizers.
The History of Addiction & Recovery from 1960s-Present - ANSWER• 1960's: big
increase in drug use and some increased social acceptance.
• 1970's: some states had decriminalized marijuana and lowered the drinking age.
• 1980's: cocaine and crack use soared.
- U.S. troops invaded Panama and brought Manuael Noriega to trial for drug trafficking.
The Foundation of the Recovery Process Transformation: - ANSWERThe Civil Rights
Movement (Civil Rights movements like African-American Civil Rights Movement,
Voting, and Women's, Disability, Patient, HIV, and Prisoner Rights).
The Recovery Process Transformation declares that: - ANSWERPeople in recovery
have the same civil rights as any other citizen: Life, Liberty, and the pursuit of recovery.
Legislation Enacted to Support Changes from the Recovery Process Transformation: -
ANSWER1. Americans with Disabilities Act, 1990
2. Olmstead Decision, June 22, 1999
According to the Americans with Disabilities Act of 1990: - ANSWER• Physical or
mental disabilities in no way diminish a person's right to fully participate in all aspects of
society
• Society has tended to isolate and segregate individuals with disabilities
• Discrimination persists
• Often had no legal recourse
To be protected by the ADA... - ANSWEROne must have a disability or have a
relationship or association with an individual with a disability.
An individual with a disability is defined by the ADA as: - ANSWERA person who has a
physical or mental impairment that substantially limits one or more major life activities, a
, person who has a history or record of such an impairment, or a person who is perceived
by others as having such an impairment. The ADA does not specifically name all of the
impairments that are covered.
Are applicants or employees who are currently illegally using drugs covered by the
ADA? - ANSWERNo.
Is testing for the illegal use of drugs permissible under the ADA? - ANSWERYes.
Are alcoholics covered by the ADA? - ANSWERYes.
1999: Olmstead Decision: - ANSWERUpheld the ADA of 1990, and requires that people
with mental disabilities be treated in the least restrictive, appropriate setting.
History of Recovery Transformation
- Deinstitutionalization: - ANSWER• Part of recovery transformation history, signifying
the release of institutionalized individuals from institutions (i.e. psychiatric hospital) to
care in the community.
• Began in 1955 w/ developments of more effective meds, like Thorazine, & Enactment
of Federal Medicaid and Medicare in 1965
History of Recovery Transformation - Community Support Programs: - ANSWER•
Created in Mid to Late 1970's by the National Institute of Mental Health to show
possibility that people w/ severe mental health issues can live in community w/ good
resources & support (professional & peer).
History of Recovery Transformation - Alcoholics Anonymous - ANSWER• 1935 by Bill
W. and Dr. Bob
• Sponsorship - people with lived experience give back and share with others
• Peer-to-peer perspective
• Person in recovery takes central role and uses non-professional peer supports in the
community
History of Recovery Transformation - Federal Government Support for Recovery
Transformation - ANSWER• Surgeon General's Report on Mental Health (1999) and
Supplement on Culture, Race & Ethnicity (2001)
• New Freedom Commission on Mental Health Final Report: Transforming Mental
Health Care in America (2003)
• Federal Action Agenda (2005)
History of Recovery Transformation - SAMHSA says... - ANSWERIn order to get their
funding, you need to be recovery oriented and offer recovery oriented services.
Transformation definition: - ANSWER• The term was picked by the Commission to show
that more reforms to the existing mental health system are insufficient.
• It has implications for policy, funding, practice, attitudes, and beliefs.
