Recovery:
Adult treatment and Young Carers
Mark Gilman,
North West
NTA Regional Manager
30 years of Drug Treatment
From 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 Oriented Integrated Systems (ROIS)
bridge the gap…
Recovery
Community
Treatment
Community
…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
Individual, Personal Recovery spreads from the Physical to Environmental
Physical
Detox, Medication etc
Psychological
Counselling etc
Physical Recovery
Psychological Recovery
Social Recovery
Environmental Recovery
Social
Employment,
Training, Education
Environmental
Recovery Activitism
“Tipping Points” from the Personal to Family & Recovery Communities
Personal recovery
“Judge
someone’s
recovery NOT
by what they
say to
professionals
and to peers
but their
behaviour with
their FAMILY.”
Family Recovery
Community Recovery
‘Recovery
Community’
“The Power of Recovery”
(Personal communication with Phillip Valentine, Executive
Director, CCAR, Connecticut Community for Addiction Recovery)
“5 years+
In recovery”
“Recovering People”
Potential
“Normal
People”
“Early Recovery”
Time
“A real family and community
Asset”
“Recovery is about doing the
right thing by their family”
•Prevent the intergenerational transmission
3 Examples of Recovery
Intuitive Recovery
SMART Recovery
12 Step Mutual Aid
(Self Management and Recovery
Training)
(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
Asset Based Community Development
Recovery from Drugs + Alcohol
ABCD
(John McKnight)
Glass Half Empty or Half Full?
Communities
have deficiencies
Communities and it’s
citizens have capacities
and assets
Individually focused - Clinical, Medical, Psycho-Social Interventions
Substitute
Medication
ME
Counselling
MYSELF
CBT
I
Intuitive Recovery
RET
Key working
Community Focussed Solutions and Outcomes
“I can’t but we can”
SMART Recovery
NA
Recovery
Communities
CA
AA
Voluntary actions of Associations (often unpaid)
Mapping voluntary action
undertaken by Associations
Associations
Statutory Bodies work with Associations and Mutual Aid
statutory
bodies
associations
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