Five Little-Known Facts About The Council

The Council on Recovery is Houston’s oldest and largest non-profit provider of addiction prevention, education, treatment and recovery support services, having served our community for 75 years. Here are five little-known facts about The Council that briefly illustrate its longevity, growth, and commitment to the Houston community.

The Council’s origins go back to original founders of Alcoholics Anonymous.

The founders of Alcoholics Anonymous, Bill Wilson and Bob Smith, needed to raise awareness that alcoholism was a disease, and not a moral weakness. Marty Mann stepped up to the challenge and traveled across the United States to educate the public and fight the stigma of addiction. Marty’s lecture in Houston in the fall of 1946 inspired local community members to organize the Houston Committee for the Education on Alcoholism, now called The Council on Recovery.

We had 208 calls in the first year of offering services to the Houston community.

The Committee opened an information center in July 1952 under the direction of Frances A. Robertson to help Houston’s estimated 40,000 alcoholics. This was its first major effort to support those struggling with alcohol abuse. Over the next 75 years, the organization expanded both its reach as it grew larger and technology evolved, and its scope, as it implemented programs to address individuals and families on all points on the spectrum of addiction. In 2020, our intake team received more than 14,000 calls, with an average of 1,360 calls a month.  

We once had our own TV show.

Long before we began treating clients directly, The Council’s roots were in community education and awareness. We achieved this through phone calls, pamphlets, and radio appearances, but we also used the budding medium of television. In 1954, we produced a 10-week educational television program on KUHT – Channel 8.  Council staff member Mary Catherine Brown developed and hosted it.

We led the effort in Houston to treat people struggling with alcohol abuse with compassion.

For the first half of the 20th century, “revolving door” alcoholics who needed compassion and care were instead sent to prison, sanitariums, or, specifically in Houston, penal labor farms just outside the city. From the 1950s to the 1970s, The Council led an interagency effort to establish multiple halfway houses and detox centers in Houston to enable these people to recover and become contributing members of their community.

five facts about The Council

Our first fundraiser was a barbecue in 1948.

Early records include newspaper clippings advertising a barbecue fundraiser in support of the Houston Committee for the Education on Alcoholism in April 1948. Entertainment for this event included a one-act play entitled “What Can We Do?” which illustrated the Committee’s history and work. Our inaugural luncheon event was in the spring of 1984, and featured former first lady and mental health advocate Betty Ford as the keynote speaker. This event spawned the popular speaker series that continues today and has raised millions of dollars in support of local families impacted by addiction.

Learn more about the rich history of The Council on Recovery in our 75th anniversary feature, Hope Ripples Out, and consider making a gift to help continue our vital work for the next 75 years and beyond.

Generous Grant From Bob Woodruff Foundation Brings Treatment Services to Veterans Impacted by Hurricane Harvey and COVID-19

The Council is excited to announce that we have received a generous contribution from the Bob Woodruff Foundation to provide recovery coaching, intensive case management, and clinical therapy to veterans and their families who are impacted by substance use and co-occurring mental health conditions. The grant is made possible by a partnership between the Bob Woodruff Foundation and the Qatar Harvey Fund to support veterans affected by Hurricane Harvey.

Veterans

Through this grant, The Council will support at least 50 veterans and their families who were originally impacted by Hurricane Harvey and currently struggling with substance use and co-occurring mental health conditions in relation to the COVID-19 pandemic. Veterans and their families are disproportionately impacted by substance use and mental health disorders, and the current trauma only magnifies these problems and far exceeds many people’s ability to cope.

The Council is well-positioned to respond to these individuals, having hosted the 2019 Veterans Mental Health Summit, and participating on the City of Houston’s Mayor’s Challenge Committee to reduce suicide among veterans in our community. As always, this project will include treatment not only for veterans, but also their families.

For more information or to send a referral, please contact our Outreach Coordinator and Veteran Liaison at dsunday@councilonrecovery.org or at 281-200-9242.

Guide: 11 Indicators of Quality Addiction Treatment

How to identify high-quality addiction treatment programs.

The Council on Recovery recommends the following guide published by the Recovery Research Institute, an affiliate of Harvard Medical School. We suggest using it to evaluate addiction treatment options for you or your loved ones. [The Council meets/exceeds all 11 quality indicators.]

Intro

With thousands of programs and rehabs to choose from, it can be challenging to assess which addiction treatment programs offer the highest quality of care.

Finding the right treatment facility is all too important, given the time, money, and energy that substance use disorder treatment and recovery requires of not only the individual, but the entire family.

The 11 Indicators of Quality Addiction Treatment:

Research has identified elements that quality substance use disorder treatment facilities should possess. These range from personalized treatments, to national accreditation, to assertive linkages to continuing care.

The experts at the Recovery Research Institute have compiled a comprehensive list of 11 indicators of effective treatment, as a blueprint to help guide you or your loved one to high-quality addiction treatment, maximizing your recovery success.

1. Assessment and Treatment Matching (Identify)

Finding effective help for an alcohol or other drug use disorder begins with reliable and valid screening for a range of substance use disorders and related conditions, as well as any physical or mental health conditions. This is followed by more comprehensive assessment of substance use history and related disorders, medical history, psychiatric history, individual’s family and social networks, and assessment of available recovery resources (“recovery capital”). These endeavors help uncover the many interrelated factors affecting the patient’s functioning and life and assess a patient’s readiness to change. This careful and comprehensive assessment can help prevent missing aspects or minimizing important aspects of a person’s life, such as trauma or chronic pain, inattention to which could compromise recovery success.

2. Comprehensive, Integrated Treatment Approach (Treat)

As discussed above, patients in treatment may have co-occurring psychiatric disorders, like depression and anxiety, as well as other medical problems like hepatitis C, alcoholic liver disease, or sexually transmitted diseases. Programs should incorporate comprehensive approaches that directly address these additional concerns, or otherwise assertively link patients to needed services. Treating the whole patient, will improve the likelihood of substance use disorder recovery and remission.

3. Emphasis and Assertive Linkage to Subsequent Phases of Treatment and Recovery Support          

Continuing care is defined as the ‘ongoing care of patients suffering from chronic incapacitating illness or disease.’ Ongoing care provides essential recovery-specific social support and necessary recovery support services after the patient leaves or transitions away from the initial phase of treatment. Programs that strongly emphasize this continuing care aspect will provide more than just phone numbers or a list of people to call, but instead, will provide assertive linkages to community resources, on-going health care providers, peer-support groups, and recovery residences. This ‘warm hand-off’ or personalized introduction to potential peers and resources in the recovery community, produces substantially better outcomes.

4. A Dignified and Respectful Environment

The treatment program should possess at least the same type of quality environment as one might see in other medical environments (e.g., oncology or diabetes care). You don’t need palm trees and luxury mattresses, but you should expect a clean, bright, cheerful, and comfortable facility. It is important that the program treats substance use disorders with the same professionalism and allocates similar resources for patient care as other chronic conditions. Creating a respectful and dignified environment may be particularly important for addiction patients, because those suffering from substance use disorders often feel as if they’ve lost their self-respect and dignity. A respectful environment helps them regain it.

5. Significant Other and/or Family Involvement in Treatment

Engaging significant others and loved ones in treatment increases the likelihood that the patient will stay in treatment and that treatment gains will be sustained after treatment has ended. Techniques to clarify family roles, reframe behavior, teach management skills, encourage monitoring and boundary setting, re-intervention plans, and help them access community services all help strengthen the entire family system and help family members cope with, and adapt to, the family system changes that occur in recovery.

6. Employ Strategies to Help Engage and Retain Patients in Treatment

Dropout from addiction within the first month of care is around 50% nationally. Dropout leads to worse outcomes, so it is vital to employ strategies to enhance engagement and retention. These include creating an atmosphere of mutual trust through clear communication and transparency of program rules, regulations, and expectations. Treatment programs can also work to retain patients by providing client-centered, empathic, counseling that works to build strong patient-provider relationships. They also can use motivational incentives to reward patients for continued attendance and abstinence.

7. Use of Evidence-based and Evidence-informed Practices

Programs that deliver services founded on scientific research and principles and that are delivering the available “best practices” tend to have better outcomes. In addition to psychological interventions, these should include accessibility to FDA approved medications for addiction (e.g., buprenorphine/naloxone, methadone, naltrexone/depot naltrexone, acomprosate) as well as psychotropic medication for other types of psychiatric conditions (e.g., SSRIs etc.). This is typically combined with qualified staff (see below).

8. Qualified Staff, Ongoing Training, and Adequate Staff Supervision

Having multi-disciplinary staff (e.g., addiction, medicine, psychiatry, spirituality) can help patients uncover and address a broad array of needs that can aid addiction recovery and improve functioning and psychological wellbeing. Staff with graduate degrees, and adequate licensing or board certification in these specialty areas are indicators of higher quality programs. In addition, clinical supervision and team meetings should take place at least once or twice a week for outpatient programs and three to five times a week for residential and inpatient programs.

9. Personalized Approaches that Include Specialized Populations, Gender, and Cultural Competence

Stemming from individualized comprehensive screening and assessment, programs should treat all patients as individuals attending to their needs accordingly. One size does not fit all, and neither does one treatment approach work for every individual. High-quality treatment programs identify the potentially different needs of men and women, adolescents versus adults, and those from different minority communities (e.g. LGBT) or cultural backgrounds, creating in turn, treatment and recovery plans that address their specific needs and acknowledge their available strengths and recovery resources.

10. Measurement of Program Performance Including During-treatment “Outcomes”

A further indicator of quality treatment is having reliable, valid measurement systems in place to track patients’ response to treatment. Similar to regular assessment of blood pressure at each check-up in treating hypertension, addiction treatment programs should collect “addiction and mental health vital signs” in order to monitor the effectiveness or ineffectiveness of the individualized treatment plan and adjust it accordingly when needed. Without any kind of standardized metrics, it is difficult to document and demonstrate patients’ progress.

11. External Accreditation from Nationally Recognized Quality Monitoring Agencies                            

Accreditation from external regulatory organizations such as the Joint Commission on Accreditation of Healthcare organizations (JCAHO; aka “the Joint Commission”), the Commission on Accreditation of Rehabilitation Facilities (CARF), and the Council on Accreditation (COA); and other programs licensed by the state are required to offer minimum levels of evidence-based care. These licensing and accreditation requirements serve as quality assurance that the treatment program is incorporating a certain level of evidence-based care in its model and is open to random audit of its clinical care.