Recovery: Adult treatment and Young Carers

Mark Gilman,

North West

NTA Regional Manager

30 years of Drug TreatmentFrom Efficiency to Effectiveness & Recovery:

1. Health & Welfare of INDIVIDUAL Addicts (1970s/1980s).

2. PUBLIC Health and Welfare and HIV prevention (1980s/1990s).

3. Crime Reduction and Community Safety (1990s/2000s)

= More Drug Treatment (Quantity) provided in Efficient drug treatment systems.

4. Recovery and Regeneration of People and Places = Recovery Oriented Treatment (Quality) provided in Effective drug treatment systems.

Visible Contagious Addiction

• Addiction - the “SELFISH Disease”

• Addiction - a “disease” of exposure

• ‘Social contagion’, ‘Epidemics’, Families “catch addiction”.

• Collision between personal vulnerability and social opportunity

• Active addiction is visible and contagious and attracts vulnerable people in vulnerable families in vulnerable communities

Visible Contagious Recovery

• Recovery – process of giving to, and being there for others.

• Recovery - a “process” of exposure.

• Catch it from other people in recovery

• Families “catch recovery”.

• Need to have people spreading recovery

• Visible people whose recovery is contagious

• People with wide social networks as recovery champions

Recovery Community

Treatment Community

Recovery Oriented Integrated Systems (ROIS)

bridge the gap…

…and the bridge takes you both ways to and fro...

Treatment Workforce and Recovery

•Physician Heal Thyself; ‘Mindfulness’

•Treat yourself first

•You can’t give away something that you haven't got

•Experience ‘recovery’ for yourself

•We want people to change their behaviour, will we change ours?

Outcome Based Commissioning

Payment By Results: what results?

Parents able to care for their children

Prevention of Inter-Generational Transmission

Social Integration (employment and housing)

Crime Reduction and Community safety

Environmental Recovery

Social Recovery

Psychological Recovery

Physical Recovery

Individual, Personal Recovery spreads from the Physical to Environmental

PhysicalDetox, Medication etc

PsychologicalCounselling etc

SocialEmployment,

Training, Education

EnvironmentalRecovery Activitism

‘RecoveryCommunity’

Community Recovery

Family Recovery

Personal recovery

“Tipping Points” from the Personal to Family & Recovery Communities

“Judge someone’s

recovery NOT by what they

say to professionals

and to peers but their behaviour

with their FAMILY.”

“The Power of Recovery”(Personal communication with Phillip Valentine, Executive Director, CCAR, Connecticut Community for Addiction Recovery)

Time

Pot

enti

al

“Normal People”

“Recovering People”

“A real family and community Asset”

“Recovery is about doing the right thing by their family”

•Prevent the inter-generational transmission

“Early Recovery”

“5 years+

In recovery”

3 Examples of Recovery

Intuitive Recovery SMART Recovery(Self Management and Recovery

Training)

12 Step Mutual Aid

(AA,NA, CA)

Relies solely upon the individual

Addiction is not a disease

Addiction is a disease or “Dis-ease”

Classes are the only meetings to attend

Recovery is based on meetings (“I cant but we can”)

Recovery is based on meetings (“I cant but we can”)

No support groups Programme based on CBT, MET, REBT

Following 12 Step Programme with sponsor

Education the primary tool for dealing with addictive behaviour

No spiritual element A spiritual solution to a spiritual malady

Recovery meets ABCD

Recovery from Drugs + Alcohol

Asset Based Community Development

ABCD(John McKnight)

Communities have deficiencies

Communities and it’s citizens have capacities and assets

Glass Half Empty or Half Full?

Individually focused - Clinical, Medical, Psycho-Social Interventions

SubstituteMedication

CBT

Counselling

RET

Key workingIntuitive Recovery

ME

MYSELF

I

Community Focussed Solutions and Outcomes

“I can’t but we can”

NA

CA AA

SMART Recovery

RecoveryCommunities

Voluntary actions of Associations (often unpaid)

Associations

Mapping voluntary action undertaken by Associations

Statutory Bodies work with Associations and Mutual Aid

associations

statutory bodies

Supporting voluntary action

Deficit Based Approach Asset Based Approach

Weaknesses Strengths

Outside In Inside Out

Dependence on outside Professionals Dependence on each other

Consumers of services Partners in provision of services

Professionals non-judgemental training makes challenge difficult

Challenge each other to “do the right thing”

Disabilities Abilities, capacities, Assets

Client Citizen

Passive victim of problems Active participant in solutions