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Building Recovery in Coventry & Warwickshire Treatment & Recovery: “A Game of Two Halves” Tuesday 26th June 2012 The Welcome Centre, Parkside, Coventry. Mark Gilman Strategic Recovery Lead. “What's the point of treatment?”. Reduce Crime Prevent Blood Borne Virus Transmission - PowerPoint PPT Presentation
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Building Recovery in Coventry & Warwickshire
Treatment & Recovery:“A Game of Two Halves”
Tuesday 26th June 2012The Welcome Centre, Parkside, Coventry
Mark GilmanStrategic Recovery Lead
“WHAT'S THE POINT OF TREATMENT?”
1. Reduce Crime2. Prevent Blood Borne Virus
Transmission3. Control and manage heroin
epidemics4. Initiate Long Term Recovery
Treatment & Recovery Eco Systems
Treatment Community
Recovery Communities
Treatment Community
Recovery Communities
CHANGE THIS...
TO THIS...
Treatment & Recovery Process1. ACCESS, make contact (e.g. Needle & Syringe Programmes)
2. RETENTION, maintain contact (e.g. Stabilisation & medication)
3. SUCCESSFULLY COMPLETE treatment-----------------HALF TIME ----------------------4. CHANGE LIFESTYLE
5. CHANGE IDENTITY
6. Prevent Inter Generational Transmission of Addiction
“All by myself...”
In treatment but socially isolated
...SHOULD NEVER BE...
Epidemiology & the size of Social Worlds
In Active Addiction
“Taking Care of Business”
In Recovery
“Spreading the message”
In Treatment
butSociallyIsolated
Co-Production of Recovery
“Those who successfully
complete don't hang
around”
R ECOVERY
COMMUNITY
TREATMENT
5 ways to well being
“You alone can do it but you can’t do it alone”
TreatmentPlan
Recovery Plan
Long term, in treatment population
5 ways to well being in Recovery
1. Connect… With people around you. Go to meetings (AA, NA, CA, SMART)
2. Be Active…do something, go for a walk, exercise, do anything.
3. Give… Do something for someone else. Volunteer.
4. Keep Learning… Try something new. Become a student of recovery?
5. Take Notice… Be curious. Be present. ‘The Power of Now’ (Ekhart Tolle)
TWELVE STEP FACILITATATION (TSF)
Assertive Linkage to Mutual AidR ECOVERY
COMMUNITY
Identifying and changing social networksQ. Who do you spend your time with in a typical week?
SOCIAL BEHAVIOUR and NETWORK THERAPY
Treatment and Recovery: Content, Themes & Characteristics
Treatment: FIRST HALFAcute Short Term interventions
“I” for Individual, Individualism
Medical & Clinical
Risk Averse
Apathetic
Talking therapies
•Aftercare•Day Programmes (CBT)Residential Rehabilitation
Professionals as Experts
Recovery: SECOND HALFLong term process
“We” as in Community, Mutualism
Social & Communal
Embraces Risk
Ambitious
Activities – Doing stuff
•12 Step Mutual Aid (NA, CA, AA)•SMART Recovery (CBT)Recovery Housing & Mutual Aid
“Recoverees” as Experts
Recovery does slowly what drink, drugs & medications do fast...
...changes perception of reality.
Learning how to fit in
To live life on life’s terms
Free from fear
Free from addiction
“Community as method”
Recovery community a place where you learn how
to live right, with other people...
THE NEXT GAME?
V S DEDRECOVERY
•I want it now
•I want the best
•I want it free
•Somebody owes me!
WORKFORCE
•Transformed people, transform people
•Can’t give away what you haven't got
•Treat yourself first
•Experience recovery for yourself
•We want people to change their behaviour, will we change ours?
•Workforce are biggest: Assets and Liabilities
DIP>TREATMENT>PRISON“Frequent Flyer & Recycling Programme”
DIP
PRISON
TREATMENT
How many?Who are they?Dual Diagnosis?
PPOs?
•Creating Recovery Communities
•Changing Social Networks
•Organising Recovery Communities
“The addition of just one abstinent person to a social network increased the probability
of abstinence for the next year by 27% Litt et al – “Changing network support for drinking” (2009, (p230))
PPOs Carrying the Message
BEFORE
AFTER
Preparing for Relapse “Warrior Down!” http://www.whitebison.org
Treatment Plan Review
Recovery CommunitiesRisky and Ambitious?
“A life beyond your wildest dreams”
“We are family!” Hard Wired to Attachment
“We may not need everybody but all of us need somebody”
Brighton 2012
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