Transcript Recovery
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