Presentation on theme: "Developing Recovery in Calderdale Stuart Honor, Recovery Facilitator"— Presentation transcript:
1Developing Recovery in Calderdale Stuart Honor, Recovery Facilitator
230 Years and Four Ages of Drug Treatment 1.1970s/1980s: Health & Welfare of INDIVIDUAL Addicts2.1980s/1990s: PUBLIC Health and Welfare and HIV prevention3.1990s/2000s: Crime Reduction and Community Safety4. NOW: The 3 R’s: -Recovery-Reintegration-Regeneration
3Why Recovery? In Calderdale we have high quality treatment services. The numbers retained in treatment are highThe unit costs are very competitiveThe Key targets are all exceededHowever, how many get out drug free?Have we oversold the benefits of a medical model to address what is a social problem?
4What is Recovery?The process of recovery is characterised by voluntarily sustained control over problematic substance use which maximises health and well-being and participation in the rights, roles and responsibilities of society.UKDPC, Consensus Statement
5What can Recovery achieve? Parents are able to care for their childrenIndividuals start coming off benefitsHealth inequalities are reducedWe prevent the Intergenerational transmission of addiction (and other social problems, e.g. teenage parenthood, welfare dependency)
6We built a 6 lane treatment motorway Built ¾ of the way to its destination
8…im down to one drink a day now!” We use abstinence as a basis for recovery as you have to turn the water off to mend the plumbing…im down to one drink a day now!”
9Question for all of us?How can an individual get well in the area where they got sick? Anybody can get clean, but how can an individual sustain sobriety in the life of their community?
10Key to Recovery• “ … the key to successful recovery from addiction is the construction by the addict, of a new identity incorporating non-addict values and perspectives of a non-addict lifestyle.”McIntosh & McKeganey (2002)“To change their lives successfully, addicts must fashion new identities, perspectives and social world involvements wherein the addict identity is excluded or dramatically depreciated.” Biernacki (1986)
11RESTORING A SPOILED IDENTITY • How does an addict restore their spoiled identity?• What factors and circumstances encourage, impede or sustain efforts to achieve this?• The restoration of a spoiled identity cannot be achieved by the simple act of the addict declaring that he or she has stopped taking drugs; a renewed sense of self has to be built and constantly defended against a variety of often-powerful opposing forces.”
12Establishing a Recovery Community A critical aspect of the recovery process involves connecting recovering individuals and families to local recovery support groups and communities of recovery.Common misconception is that NA/AA meetings are all ‘doom, gloom, ginger beer and jesus’. However, all the evidence suggests that 12 step recovery is the most successful route to continued abstinence for the recovering addict.
13What do we do to build it?Provide living role models that illustrate the diversity of the recovering communityProvide information and tools to help people find recoveryCreate opportunities for people to come together to help each other and help the recovery agenda.
14What happens when Recovery is Introduced? Recovery Optimism replaces Treatment Pessimism.Ambitions and Aspirations are raised.Commissioners and Providers learn that substance use disorder is a condition that people recover from.People still suffering with substance use disorders are exposed to the experience, strength and hope of those who have recovered or are recovering.Treatment workers see people they have treated get well in the same communities that they got sick.
15“A grateful addict/alcoholic” “The Power of Recovery”(Phillip Valentine, Executive Director, CCAR, Connecticut Community for Addiction Recovery)“5 years+In recovery”“Recovering People”“Long Term Recovery”“Better than well”“A grateful addict/alcoholic”“Model citizens”“Normal People”Potential“Early Recovery”Time
16Local Recovery Programmes Pre-Recovery (4 weeks)Attendence – Twice/week (min.)Working towards abstinence/detoxAbstinence (12 weeks)Attendence – Three times/week (min.)Must be abstinent from all substances/alcohol
17What’s Involved in Pre-Recovery? Group Work:-These sessions introduce themes such as unmanageability , cycle of change, goal setting, slippery places, detoxification, healthy lifestyles, managing risks and controlling the mind. In all, we work on preparing for a life of recovery and maintaining motivation.All participants will also receive additional one-to-one sessions and the opportunity to build new relationships with recovering addicts.
18DetoxificationThe aim of our pre-recovery groups is to offer the choice of an abstinent lifestyle – they should not be viewed as a hoop to jump through for a detox.Both the pre-recovery and abstinent programmes should be seen as a supportive therapy to achieving a successful detox.All our programmes should be view as a stand-alone service.
19Abstinent GroupsThe sessions are a continuation from the pre-recovery groups work at a deeper level to address and inform the behavioural change that is required to maintain a drug/alcohol-free life.Themes include fear, powerlessness, relationships, sprituality, carrying out a moral inventory and planning for a life in recovery.One-to-one work continues and developing a new identity with new interests becomes a focus towards the end of the programme
20…and the bridge takes you both ways to and from... Recovery Servicesbridge the gap…Recovery CommunityTreatment Community…and the bridge takes you both ways to and from...
21Who can benefit? People who are stable on prescribed medication People who demonstrate the motivation for changePeople who are already abstinentPeople working on planned reductions
22Message to Service Users and Providers Take responsibility for your recoveryTreatment can work if you make it work for youRecognise lapse and relapse will happen but don’t make that an excuseLearn from your “lapses” and “relapses”Stay in contact
23What else has changed? Social Rehabilitation Service. Tier 4 group. Personalisation through IRMF.Recovery Champions.Sober living housing.Potential for segmentation of treatment population.
24Though we hit the target lets not miss the point! Recovery is the point!
25Pathways to Recovery Script to Prison to Recovery Script to DIP to RecoveryDrug use to RecoveryDrug use to Prison to RecoveryDrug use to DIP to RecoveryMMT Script to Detox to Recovery?Long term MMT patients begin to leave treatment
26THE POWER OF THE PERSONEach patient carries his own doctor inside him. They come to us not knowing that truth. We are at our best when we give the doctor who resides within each patient a chance to go to work.’Albert Schweitzer