Coventry & Warwickshire Building Recovery in Coventry & Warwickshire Treatment & Recovery: “A Game of Two Halves” Tuesday 26th June 2012 The Welcome Centre, Parkside, Coventry Mark Gilman Strategic Recovery Lead

“What's the point of treatment?” Reduce Crime Prevent Blood Borne Virus Transmission Control and manage heroin epidemics Initiate Long Term Recovery

Treatment & Recovery Eco Systems CHANGE THIS... Treatment Community Recovery Communities TO THIS... Treatment Community Recovery Communities

Treatment & Recovery Process ACCESS, make contact (e.g. Needle & Syringe Programmes) RETENTION, maintain contact (e.g. Stabilisation & medication) SUCCESSFULLY COMPLETE treatment -----------------HALF TIME ---------------------- CHANGE LIFESTYLE CHANGE IDENTITY Prevent Inter Generational Transmission of Addiction

“All by myself...” ...SHOULD NEVER BE... In treatment but socially isolated “All by myself...” ...SHOULD NEVER BE...

Epidemiology & the size of Social Worlds In Active Addiction “Taking Care of Business” In Recovery “Spreading the message” In Treatment but Socially Isolated

5 ways to well being “You alone can do it but you can’t do it alone” Co-Production of Recovery TREATMENT R E C O V Y M U N I T Treatment Plan “Those who successfully complete don't hang around” Recovery Plan 5 ways to well being “You alone can do it but you can’t do it alone” Long term, in treatment population

5 ways to well being in Recovery Connect… With people around you. Go to meetings (AA, NA, CA, SMART) Be Active…do something, go for a walk, exercise, do anything. Give… Do something for someone else. Volunteer. Keep Learning… Try something new. Become a student of recovery? 5. Take Notice… Be curious. Be present. ‘The Power of Now’ (Ekhart Tolle)

Assertive Linkage to Mutual Aid C O V Y M U N I T TWELVE STEP FACILITATATION (TSF)

Identifying and changing social networks Q. Who do you spend your time with in a typical week?

SOCIAL BEHAVIOUR and NETWORK THERAPY

Treatment and Recovery: Content, Themes & Characteristics Treatment: FIRST HALF Recovery: SECOND HALF Acute Short Term interventions “I” for Individual, Individualism Medical & Clinical Risk Averse Apathetic Talking therapies Aftercare Day Programmes (CBT) Residential Rehabilitation Professionals as Experts Long 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? RECOVERY Somebody owes me! I want it now I want the best I want it free Somebody owes me! RECOVERY V S DED

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” How many? Who are they? Dual Diagnosis? PPOs? PRISON DIP TREATMENT

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 AFTER BEFORE

Preparing for Relapse “Warrior Down!” http://www.whitebison.org

Treatment Plan Review

“A life beyond your wildest dreams” Recovery Communities Risky 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