Transcript Recovery Practice Development Tool

Recovery Practice Development Tool (RPDT)
Practitioner Discussion
Principles of Recovery
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Hope and aspiration
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A ‘journey’ where different people take different roads
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Values drug-free outcomes, but does not just mean abstinence
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Engaging with the range of an individual’s needs
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Social inclusion
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Service user networks and mutual support
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All about families
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All about communities
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All about taking responsibility
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Includes health and public health interventions
(Building for Recovery, DrugScope, 2012)
Recovery Practice Development Tool (RPDT)
• A method of assessing the extent to which
activities in your service are focused around
factors which are known to promote recovery
i.e. to measure recovery-oriented practice.
• To produce a development plan for improving
recovery-oriented practice or developing new
activities or services.
The Role of the Practitioner
‘… to provide the person with the resources –
information, skills, networks and support – to
manage their own condition as far as possible
and to help them to get access to the
resources they think they need to live their
lives’
(Shepherd et al, 2008)
8 Key Elements of Recovery-Oriented Practice
1. Shows a belief in and commitment to recovery
2. Supports achievement of self-defined goals
3. Is strengths-based
4. Acknowledges and involves significant others
5. Delivers recovery-oriented treatment interventions
6. Encourages and supports meaningful service user involvement
7. Promotes social inclusion/community integration
8. Is managed and supported
A Discussion on the 8 Key Elements
The following slides provide some questions or
considerations to aid or prompt discussion.
Evidence to support participants’ statements
would help in assessing how recovery focused
the service is from a practitioner’s perspective.
Principle 1 – Belief in Recovery
• Do you have a clear definition of what is meant by recovery and understand
the values and principles of recovery?
• Do you have discussions about recovery with service users/their significant
others and enable them to access resources that will help them learn about
recovery?
• Do you actively seek, celebrate and share (with permission) people’s stories
of recovery?
Principle 2 – Achieve Self Defined Goals
• Do you routinely enquire about people’s goals, dreams and interests and use
this information to personalise their care?
• Do you appreciate your role as that of facilitator or coach providing
information and support to enable service users to identify their own goals
and to take the steps to achieve them?
• Do you explain the range and importance of the various ‘treatment’ options
available and their relevance to recovery?
• Do you use tools and or techniques to support service user selfdetermination? E.g. ITEP / BTEI, other mapping tools, motivational
interviewing, person centred questions
Principle 3 – Asset or Strength Based Approach
• Do you have conversations about the person's social and other roles beyond that of
‘addict’ and in so doing amplify the strengths that support recovery?
• Do you help service users to identify their skills and expertise by actively asking about
past successes and how they’ve managed and survive the challenges they have
faced?
• Are experiences of setbacks reframed as learning opportunities within planning?
• Recovery capital & celebrating success.
Principle 4 - Acknowledges and involves significant others
• Do you acknowledge & explain how significant others have an important role in
supporting service users recovery?
• How do you encourage and support families, carers and significant others to be fully
involved?
• Can you give examples of how, when, why and where involvement took place and
what benefits it had for the recovery journey? Reviews etc.
• Do you do assessments of the needs of families, carers and significant others?
• Is family therapy or behavioural couples therapy (BCT) offered? Are there support
groups available?
Principle 5 - Delivers recovery-oriented treatment interventions
• Are clients receiving the range and intensity of interventions that will give them
the best chance of recovery?
• Do you ensure exits from treatment are clearly visible?
• Balance between overcoming dependence and promoting harm reduction, with
the aim of actively encouraging more service users to become drug free?
• The availability of key NICE-recommended psychosocial interventions?
• Are all staff familiar with the recommendations in the RODT Strang Report, 2012
Principle 6 - Meaningful service user involvement
• Are treatment/recovery plans ‘owned’ by the service user? Accessible and clear
language and lay out
• Examples of service user involvement resulting in tangible change?
• Opportunities for peer education, mutual aid & other involvement activities?
• Staff have been recruited / trained by service users?
• Staff attend service user/recovery forums;
• Users involved in all aspects of organisation including high level board meetings
and future strategic planning?
Principle 7 - Social inclusion / community integration
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Do you actively build partnerships to access resources and opportunities for service
users – housing, education/training, benefits?
Do you support individuals to improve their social capital through work,
volunteering, social and leisure activities?
Do you actively facilitate access to mutual aid such as AA, NA, SMART Recovery,
Recovery Forums, Recovery Cafes or Recovery events (walks etc.) - providing
information, transport or premises for meetings.
Have you attended open meetings of NA etc. or visited other recovery community
initiatives, are you familiar with online recovery?
Principle 8 – Governance & Clinical Standards
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Are you sufficiently trained, competent and supervised to deliver a range of low
intensity psychosocial interventions in an individual or group setting?
Does your supervision / appraisal provide support for you to engage in recoveryorientated practice?
Do you have access to recovery-orientated practice learning opportunities? E.g.
training, reflective practice, group supervision, feedback, skills hub