1. Mark Gilman, North West NTA Regional Manager
2010 – The Year of Recovery
Mark Gilman,
North West
NTA Regional Manager

2. 40 years and Four Ages of Drug Treatment to get to ROIS – The Final Frontier?
1. Health & Welfare of INDIVIDUAL Addicts (1960s/1970s)
2. PUBLIC Health and Welfare and HIV prevention (1980s/1990s)
3. Crime Reduction and Community Safety (1990s/2000s)
4. The 3 R’s: -Recovery
-Reintegration
-Regeneration
Recovery
Oriented
Integrated
Systems
ROIS

3. Harm Reduction 25 Year Report Card
Make Contact
 Needle and Syringe Exchanges
Maintain Contact
Easy Access To Maintenance Medication Programmes
Make Positive Lifestyle Changes
X Must do better & introduce recovery

4. Professor Dwayne Simpson (ITEP, RELS)
4 major influences for Recovery Oriented Integrated Systems (ROIS) (access via search engine)
Professor Dwayne Simpson (ITEP, RELS)
William L. White (Slaying the Dragon)
George De Leon (Right Thinking)
John McKnight (ABCD)

5. Boundaries & Hinterlands
Commissioned
Treatment
Recovery
Includes AA, NA, CA
SMART
Natural Recoverees
Well Being
Body, Mind and Spirit etc

6. Historical context... Recovery Community Bill W and Dr Bob, AA 1935
Treatment Community
1965?

7. “A grateful addict/alcoholic”
“The Power of Recovery”
(Personal communication with 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

8. …and the bridge takes you both ways to and fro...
Recovery Oriented Integrated Systems (ROIS)
bridge the gap…
Recovery Community
Treatment Community
…and the bridge takes you both ways to and fro...

9. What happens when you introduce a ROIS?
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.
Drug workers see people they have treated get well in the same communities that they got sick.
Professionals take their place; “on tap” and not “on top”

10. Treatment Workforce and Recovery
Physician Heal Thyself
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?

11. Recovery Spreads out from the Personal to create “Tipping Points” in Society
“We are sick and tired
of being sick and tired
- Are you?”

12. Recovery Spreads out from the Personal to create Community Anchors
“This is a Recovery
Community”

13. ROIS speaks to Local Strategic Partnerships
ROIS can produce OUTCOMES that address the “Big Ticket Items”
Parents able to care for their children
Crime Reduction and Community safety
Social Integration (employment and housing)
Health Inequalities
Prevention of Inter-Generational Transmission of Addiction (and other social problems e.g. teenage parenthood, welfare dependency)

14. Asset Based Community Development+ 14 14

15. The Future is where recovery meets ABCD
Recovery from Drugs + Alcohol
Asset Based Community Development

16. Recovery Community Centers…
Are recovery oriented sanctuaries anchored in the hearts of communities
Are physical locations where local communities of recovery can be organized
Places where Recovery Support Services are delivered and are designed, tailored and delivered by local recovery communities
Are fueled by a comprehensive Volunteer Management System – including people in long-term, sustained recovery 16 16

17. Volunteers
Staff

18. Recovery Community Centers in Connecticut
Carlisle?
Penrith?
Barrow?
Workington?
Willimantic, New London, Bridgeport, Hartford 18 18

19. Recovery Coverage using volunteers and 4 recovery centres
1 x CEX + 16 staff
£700k
Volunteers
4 x Staff
4 x Staff
Volunteers
Volunteers
4 x Staff
4 x Staff

20. 20 20

21. Recovery Support Services
All-Recovery Groups (NA, CA, AA, SMART etc)
Recovery Training Series
Family Support Groups
Recovery Coaching
Recovery Social Events
Telephone Recovery Support
Recovery-Oriented Employment Services
Recovery Housing Projects 21 21

22. ROIS: Recovery Oriented Integrated System
Harm
Reduction
Services,NX GP
Primary
Care
Psycho
Social
SDC
Employment 3
Single Point of Assessment& Access
Mutual Aid
Tier 4
IPDetox, Res Rehab
T3 - Community Drug Services
Substitute Medication Assisted
Treatment (e.g. MMT)
Housing
Prisons
(IDTS)

23. ROIS: Recovery Oriented Integrated System
From Independent SPOA
Go DIRECT to Detox & Rehab 3
INDEPENDENT Single Point of Assessment& Access
Do not have to go via Tier 3
Tier 4
IPDetox, Res Rehab

24. ROIS & Traditional Ideas of Residential Treatment
Community
2-3 weeks
In Patient
Assisted
Withdrawal
(In Patient Detox)
6-9 months
Residential
Rehab
Away from
Home
&
“social cues”
Dealers etc
Back to which
Community?
Birmingham
Liverpool
Bristol
This is often a full stop. Many successful people don’t return to their home community from traditional rehabs because home is not a ‘recovery friendly environment’

25. ROIS & More Recent Ideas of Residential Treatment to create recovery friendly environments
Community
Birmingham
Liverpool
Bristol
Detox:
At home
In Patient
In Prison
12 weeks in
Community
Based
Total
Abstinence
Recovery
Oriented
12 Step
Residential
Attend abstinence
support groups
in Community
Of Residential
Centre
“Ambassadors Of
Recovery”
To addicts
Still suffering
Attend abstinence
support groups
in Home
Community
Become active in abstinence
support groups
In Home Community
Encourage others to follow this path
Engage in
Therapeutic
Employment in
Home Community

26. Measuring the success of Recovery Communities
Measuring the success of Recovery Communities? Hit the target but don’t miss the point Recovery is THE point

27. Chameleons and Caterpillars?
Chameleons Change
Caterpillars Transform
“Recovery?
We can do that”
“Recovery will be our organising principle”