Treatment & Recovery “A Game of Two Halves” Assertively linking treatment and mutual aid

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Treatment & Recovery“A Game of Two Halves”

Assertively linking treatment and mutual aid

Friday, 8th June 2012

Mark GilmanStrategic Recovery Lead

“WHAT'S THE POINT OF TREATMENT?”

1. Reduce Crime

2. Prevent Blood Borne Virus Transmission

3. Initiate Long Term Recovery

1. Make Contact - ACCESSe.g. Needle & Syringe Exchange

2. Maintain Contact - RETENTIONe.g. Methadone Maintenance Treatment

3. TREATMENT COMPLETIONMake Positive Lifestyle Changes

Whole family and community based solutions

“You alone can do it but...You CANNOT do it alone!”

The New Public Health 1987

Public Health & Asset Based Recovery 2012

“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

Treatment and Recovery: Content, Themes & Characteristics

Treatment:Acute Short Term interventions

“I” for Individual, Individualism

Medical & Clinical

Risk Averse

Apathetic

Talking therapies•Aftercare•Day Programmes (CBT)

Residential Rehabilitation

Professionals as Experts

Recovery:Long 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

Treatment & Recovery Eco Systems

Treatment Community

Recovery Communities

Treatment Community

Recovery Communities

CHANGE THIS...

TO THIS...

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

Basic IdeasPeople do recover from addiction

Treatment can initiate long term recovery

People can get well where they got sick (cf. Merseyside NA)

The therapeutic value of one addict helping another is crucial

Recovery as social justice

Recovery Communities are Asset Based Community Development and “Big Society?” in action

3 Recovery Principles

1.CommunalNot “I” always “WE”

2.Working systematically with treatment = new territory

3.Long term process

Do you suffer from CPTI?

"The therapeutic value of one addict helping another”

75 years on:“more than 2

million members”

Wikipedia

Rediscovering AA and Mutual AidRecovery since 1935

“I can’t but WE can”

“You alone can do it but you cannot do it

alone”

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...

Treatment & Recovery Process1. Make contact (e.g. Needle & Syringe Programmes)

2. 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

2nd Half

V S DEDRECOVERY

•I want it now

•I want the best

•I want it free

•Somebody owes me!

“Transformed People, Transform People”3 elements in the treatment room?

TWELVE STEP FACILITATATION (TSF)

By Assertive Linkage to Mutual AidR ECOVERY

COMMUNITY

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)

Identifying and changing social networksQ. Who do you spend your time with in a typical week?

DIP>TREATMENT>PRISON“Frequent Flyer & Recycling Programme”

DIPPRISON

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”