building recovery in coventry & warwickshire treatment & recovery: “a game of two...

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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