In a bold effort to combat Pennsylvania's staggering opioid crisis, an innovative initiative is bringing evidence-based treatment directly to individuals struggling with substance use disorder (SUD) and co-occurring conditions. Through the Rural Health Redesign Center (RHRC), the Peer Recovery Expansion Project (PREP) is actively working to reduce overdose deaths and improve public health across Pennsylvania.
Mike Krafick is the ARMOT Recovery Hub Director for Regions 6 and 7 and has been at the forefront of recovery work in Pennsylvania, spearheading training and technical assistance in 22 counties. With a career spanning 14 years, Mike has seen firsthand the transformative power of accessible treatment and support for those in recovery.  He has been an integral part of PREP since its inception, providing technical support and training for newly hired  Community Recovery Specialists (CRSs).
Personal Journey and Reflections
Reflecting on his own journey to becoming a CRS and supervisor, Mike shares candidly his struggles with addiction. "I was hospitalized for opioid overdose five times," he says. "In those moments, I didn't receive much beyond pamphlets or phone numbers. There was little follow-up or genuine understanding." PREP helps to address such gaps in care by connecting SUD patients with people who have lived experiences with recovery.
Despite his setbacks, Mike's perseverance led him through multiple treatment attempts before he found stability. "My recovery was a process of trial and error," he says. "What made my last attempt successful was learning that I was going to be a dad. That served as extra motivation."
Challenges and Recommendations
Mike highlights CRS supervision as a key component often overlooked when supporting CRSs who choose to work in the recovery space. "It should be prioritized," he says. Supervision provides the CRSs support they may need with potentially triggering situations, such as clients returning to use, overdosing, or not participating in their SUD treatment plan. Moving forward, Mike hopes to expand not only individual support but also organizational capacity in the field.
Pride in Professional Achievements
"My biggest accomplishment since starting my recovery journey is my family," Mike shares proudly. "Building a life together with them is what drives me."
Future Aspirations
Looking ahead, Mike sees himself continuing in the recovery field, either directly supporting individuals or guiding CRS staff. "This work changed my life," he reflects. "I look forward to what the future holds."
Mike's dedication to improving the lives of individuals affected by SUD in Pennsylvania is a testament to the transformative impact of accessible, empathetic recovery services. His story and insights underscore the importance of holistic support in addressing the opioid crisis and nurturing long-term recovery. Â The PREP team and the Rural Health Redesign Center thank Mike for all his efforts in supporting PREP and to wish him luck in his future efforts.
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