recovery: adult treatment and young carers
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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
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