The Recovery approach is not suitable for everyone
Recovery for the individual The Recovery Model for Treatment Community-led recovery support
A journey, process, experience Self-defined About quality of life Reduction in problems Different for each individual
Waiting lists Service User feedback – disempowerment, communication, treatment is ‘done to’ someone, lack of options for people seeking abstinence ‘The methadone issue’ / ‘Script & nothing else’ Perceived lack of psycho-social interventions Treatment exits The revolving door – aftercare / sustaining change
Recovery is a process that occurs in the community with others Treatment may be one part of this process Client ownership of the treatment process Greater emphasis on long term goals and aspirations vs. symptom management Valuing the contribution of professional expertise and the expertise of lived experience
Recovery Oriented Integrated Systems - services are not isolated pockets of care but should form a ‘greater whole’ A range of treatment options and client choice Planning for exit Early re-intervention and re-linkage to treatment and recovery supports Recovery communities
Treatment – Aftercare – Community is not linear The grass-roots peer-led recovery movement Supports individuals on all stages of their journey, including throughout treatment Independent life in the community
Differences in the English, Scottish and Welsh approach What does recovery mean for methadone prescribing, non-abstinence based recovery, client choice and treatment options Perceived differences between alcohol and drug recovery Perceived differences in options needed depending on the severity of problem Philosophical differences re: abstinence
Are not separate or opposing paradigms! Focus on individual journeys You need to be alive to recover! A recovery oriented treatment system needs a range of options for people on all stages of their journey and to support all client choices.
Focus on engagement in treatment and treatment retention… then what? Disempowering prescribing practices Long term prescribing with little / no choice to attempt reduction Lack of psycho-social options available
Don’t throw the baby out with the bathwater Medication can be a powerful tool Options and choice People’s needs and choices may change over time We need to validate all recovery pathways: the recovery community is a big tent
Medication Assisted Recovery Support Project Collaboration between the National Alliance of Methadone Advocates (NAMA) and the Albert Einstein College of Medicine Opiate addiction has both medical and behavioural components. Walter Ginter, Director M-A-R advocate
“Methadone is not Recovery, Recovery is Recovery. Methadone is a pathway, a road, a tool. Recovery is a life and a particular way of living your life” The methadone debates de-values the individual’s process of change and achievements We should be focusing on a person’s life functioning.
A partnership prescribing plan Psycho-social-spiritual options alongside prescribing Focus on recovery capital and quality of life Choice and encouragement: to attempt reduction (abstinence is not a dirty word!) Validation of medication assisted recovery: challenging stigma
Harm reduction is a necessary and critical part of a recovery oriented treatment system The recovery community and harm reduction should work together Recovery is about an individual’s quality of life, not about treatment philosophies Policy, commissioning and system design need to support all elements of a recovery oriented treatment system and all recovery pathways!
Definition of Recovery for the individual: “Recovery from alcohol and drug problems is a process of change over time that facilitates an individual to make positive choices and improve the quality of his or her life.” (2012) Still a work in progress!
The definition will be used to support the development of: A definition of a Welsh Recovery Oriented Treatment System An audit criteria to measure recovery- focused practice
A shameless plug! “Embracing Recovery Training” In partnership with