D EVELOPING A R ECOVERY C OMMUNITY IN C ALDERDALE The Basement Recovery Project, Calderdale

W HY IS THE R ECOVERY A PPROACH SOMETHING DIFFERENT ? W HY C HOOSE A BSTINENCE AS A B ASIS FOR R ECOVERY ? B ECAUSE YOU HAVE TO TURN THE WATER OFF TO MEND THE PLUMBING M ETHADONE M AINTENANCE T REATMENT & RECOVERY

SO WHAT DRIVES OUR COMMUNITY? 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 2009 ) 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 2009 ) Our users identified the need for peer support by people who have sustained abstinence. Recovery requires a variety of paths - CHOICE

Open Access / Referrals from: Drug Service - Statutory Triage Probation Employment Services Drug Service - Non Statutory Arrest Referral / DIP Housing Services Education Services GP Relative / Concerned Other A&E / General Hospital Psychological Services Other Project Colt Social Services CARAT / Prison Recovery Services Pre- Recovery Detox Support Abstinence Sober-Living Housing Breakfast Drop-In Advice & Signposting Emergency Support Social Engagement Generic Services Volunteer Opportunities Breakfast Club User Involvement Reps Recovery Mentors Social Rehab Service Recovery Community Development / Champions Family Support NA, AA, SMART Mutual Aid Training & Education Community Volunteering The Basement Services Pathway

C URRENT B RIDGE W HERE W E W ANT T O B E

ROIS IN C ALDERDALE – A VISION FOR THE F UTURE : C O -P RODUCTION OF R ECOVERY New Presentations – Down & Across Treatment Time CSMS CAT Acute Services Primary Care Probation Officers CSMS CAT Acute Services Primary Care Probation Officers Shared Aims: Shared Successful Completions Shared TOP Exits Shared Aims: Shared Successful Completions Shared TOP Exits “Those who successfully complete don’t hang around” – Recovery Category from segmentation Basement Project Colt Recovery Champions Basement Project Colt Recovery Champions Treatment Plan Recovery Plan 12 Step Mutual Aid (NA, CA, AA) SMART Recovery Coaches Asset Based Community Development Projects 12 Step Mutual Aid (NA, CA, AA) SMART Recovery Coaches Asset Based Community Development Projects D O W N ACROSS RECOVERY COMMUNITY

ROIS IN C ALDERDALE – A VISION FOR THE F UTURE : C O -P RODUCTION OF R ECOVERY Already in Long term treatment – Up & Across Treatment Time In treatment for years, happy and content? - Stallers In treatment for years unhappy and socially isolated – Pre Contemplators, Contemplators & Recovery Potential Group Basement Project Colt Recovery Champions Basement Project Colt Recovery Champions Treatment Plan Review Recovery Plan U P ACROSS RECOVERY COMMUNITY

S O WHAT ’ S NEEDED TO MOVE FORWARD ? FOR COMMISSIONERS: Local solutions are urgently needed for performance managing recovery progress and transitions to later stages of recovery journeys - Integrated system needs creating that allows individuals to constructively utilise the right level of service at the right time FOR PROVIDERS: There is a recognition that the clients fair best when treatment providers and recovery communities work in partnership – utilise the model of co-production/shared outcomes, mutual respect of diverse skill-sets. FOR THE EMERGING RECOVERY COMMUNITIES: More effective bridging is needed between treatment and recovery groups in the community and this process should be peer-led RC’S need to have an openness to engage with treatment providers We need more Power of Example – visible recovery. People need to be exposed to those in abstinent recovery – AND THIS WILL BE THE COMPELLING EVIDENCE THAT PEOPLE DO RECOVER.