Termonn Peer Respite is a recovery based voluntary outpatient program that provides peer-based crisis support services in a homelike setting for individuals experiencing emotional distress. The maximum length of stay is 7 days within a 30-day period. The intent of Peer Respite is to provide peer driven stabilization services to help individuals avoid higher levels of behavioral health care such as hospitalization. Peer Respite services are voluntary and available 24/7, 365 days a year to individuals aged 18 and older who reside in Spokane, Stevens, Pend Oreille, Adams, Ferry, or Lincoln County. Individuals must be psychiatrically and medically stable and Medicaid enrolled/eligible or non-Medicaid individuals living between 139%-220% of the federal poverty level.

Termonn Peer Respite offered at Passages Family Support

Supervised, structured programs that offer a wide range of outpatient services which may be coordinated by a case manager and may include individual and group counseling, 12-step meetings, social and recreational activities, educational and vocational services, life skills training, primary health care, perinatal health care, a program for family members, relapse prevention services, a continuing care program and supportive services (such as child care, transportation and parenting skills development) for individuals who have problems related to excessive use of alcohol and/or use of other drugs and need access to treatment to maintain their individual recovery plans but do not require the intensity of a day treatment program or 24-hour hospital care. Participants attend the program on a regularly scheduled basis at least once a month but usually more frequently depending on their individual needs. Intensive outpatient programs are usually available three or four days per week for three or four hours per day.

Comprehensive Outpatient Substance Use Disorder Treatment

Voluntary, short-term programs, some of which may be available overnight, that provide community-based support in homelike settings for individuals who are experiencing or at risk of a psychiatric or substance (drug/alcohol) related crisis. Peer respites provide an alternative to involuntary psychiatric hospitalization or inpatient substance use disorder treatment which may create trauma in addition to the mental health or substance use related challenge. Programs are staffed by people with psychiatric or substance use histories who have experienced trauma and have "lived experience" of the mental health or substance use disorder treatment systems, and may treat both mental health and substance use disorder patients or specialize in services for one or the other. Peer respites do not provide clinical services but focus instead on creating a healing space where peer staff engage guests in trusting relationships within a process of mutual helping based on respect and shared responsibility.

Peer Respite Programs for Mental Health and/or Substance Use Disorder Crises

Programs that connect individuals who have a substance use disorder with a recovery coach who supports patients, family members and treatment personnel in launching the individual's recovery process or stabilizing recovery when needed. While they don't provide clinical services, recovery coaches, as people with lived addiction recovery experience, demonstrate that people can recover. They offer guidance in creating and following through with a recovery plan that reflects the individual's goals, provide support through the inevitable ups and downs, and hope to those living with an alcohol or drug use disorder. Some hospital emergency departments have outside recovery coaches on call, who connect with the client following an opioid overdose or other alcohol or drug related medical crisis. In other cases, clients are introduced to a recovery coach when they begin treatment in an inpatient program or at a community based outpatient treatment facility, or are connected through other channels e.g., outreach programs. Some people engage a recovery coach as a first step to help them figure out what other type of professionals/services they need while others get a recovery coach after rehabilitation to help them make the transition home and continue to support their sobriety.

Substance Use Disorder Peer Recovery Coach Services

Community-based, peer-group-oriented, residential facilities that provide food, shelter and recovery services in a supportive, non-drinking, drug-free environment for people who have completed a hospital or residential substance use disorder rehabilitation program and need continued support in a residential setting to sustain their recovery. Services may include case management, relapse prevention counseling, 12-step meetings, educational and vocational planning, recreational activities and assistance in obtaining health, social, vocational and other services available in the community. Residents are expected to abide by house rules which vary from facility to facility. The objective is to help people who are recovering from an alcohol and/or other drug use disorder bridge the gap between intensive treatment and independent sober living.

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Termonn Peer Respite offered at Passages Family Support