PCB CRS LATEST 2025-2026 EXAM UPDATE
QUESTIONS AND ANSWERS
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... - Answer-In
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.
Do people addicted to alcohol and other drugs recover? - Answer-Yes.
More than 50% of people with substance use disorders recover.
Do people with severe mental health diagnoses, such as schizophrenia,
recover? - Answer-Yes, and faster than people think.
The 12 Guiding Principles of Recovery: - Answer-1. There are many
pathways to recovery.
,2. Recovery is self-directed and empowering (• Strength-based, •
Person-first {Person before dysfunction}, • Person-directed {choice &
decision-making power about one's own recovery}).
3. Recovery involves a personal recognition of the need for change and
transformation.
4. Recovery is holistic.
5. Recovery has cultural dimensions.
6. Recovery exists on a continuum of improved health and wellness.
7. Recovery is supported by peers and allies.
8. Recovery emerges from hope and gratitude.
9. Recovery involves a process of healing and self-redefinition.
10. Recovery involves addressing discrimination and transcending
shame and stigma.
11. Recovery involves (re)joining and (re)building a life in the
community.
12. Recovery is a reality.
As a person achieves more and more abstinence time... - Answer-the
likelihood that they will remain abstinent goes up.
Treatment ≠ Recovery BECAUSE... - Answer-1. Recovery is larger
construct. Treatment can be part of but is not equal to recovery.
2. Goal of treatment - absence of symptoms
3. Goal of recovery - holistic health
, 4. Treatment alone does not address challenges such as family,
employment, housing, etc.
5. Recovery is different for each individual
6. Social determinants of health need to be addressed.
MOTIVATION... - Answer-plays a central role in recovery.
• Motivation to change comes from "hitting bottom"
• Motivation is increased when others stop enabling the individual or by
intervention
• Motivation to avoid pain
Defining Peer Based Recovery Support Services (PBRSS). What Are
PBRSS? - Answer-• Help individuals and families initiate, stabilize, and
sustain recovery
• Non-clinical services that assist in removing barriers and providing
resources to those contemplating, initiating, and maintaining recovery
• Links to professional treatment and indigenous communities of support
• They are not:
• Professional addiction treatment services
• Mutual aid support
PBRSS... - Answer-• Draw on the power of example and lived
experience.
• Draw on the desire to "give back."
QUESTIONS AND ANSWERS
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... - Answer-In
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.
Do people addicted to alcohol and other drugs recover? - Answer-Yes.
More than 50% of people with substance use disorders recover.
Do people with severe mental health diagnoses, such as schizophrenia,
recover? - Answer-Yes, and faster than people think.
The 12 Guiding Principles of Recovery: - Answer-1. There are many
pathways to recovery.
,2. Recovery is self-directed and empowering (• Strength-based, •
Person-first {Person before dysfunction}, • Person-directed {choice &
decision-making power about one's own recovery}).
3. Recovery involves a personal recognition of the need for change and
transformation.
4. Recovery is holistic.
5. Recovery has cultural dimensions.
6. Recovery exists on a continuum of improved health and wellness.
7. Recovery is supported by peers and allies.
8. Recovery emerges from hope and gratitude.
9. Recovery involves a process of healing and self-redefinition.
10. Recovery involves addressing discrimination and transcending
shame and stigma.
11. Recovery involves (re)joining and (re)building a life in the
community.
12. Recovery is a reality.
As a person achieves more and more abstinence time... - Answer-the
likelihood that they will remain abstinent goes up.
Treatment ≠ Recovery BECAUSE... - Answer-1. Recovery is larger
construct. Treatment can be part of but is not equal to recovery.
2. Goal of treatment - absence of symptoms
3. Goal of recovery - holistic health
, 4. Treatment alone does not address challenges such as family,
employment, housing, etc.
5. Recovery is different for each individual
6. Social determinants of health need to be addressed.
MOTIVATION... - Answer-plays a central role in recovery.
• Motivation to change comes from "hitting bottom"
• Motivation is increased when others stop enabling the individual or by
intervention
• Motivation to avoid pain
Defining Peer Based Recovery Support Services (PBRSS). What Are
PBRSS? - Answer-• Help individuals and families initiate, stabilize, and
sustain recovery
• Non-clinical services that assist in removing barriers and providing
resources to those contemplating, initiating, and maintaining recovery
• Links to professional treatment and indigenous communities of support
• They are not:
• Professional addiction treatment services
• Mutual aid support
PBRSS... - Answer-• Draw on the power of example and lived
experience.
• Draw on the desire to "give back."
