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Treatment & Recovery “A Game of Two Halves” Assertively linking treatment and mutual aid Friday, 8th June 2012 Mark Gilman Strategic Recovery Lead Slide 1 “WHAT'S THE POINT OF TREATMENT?” 1. Reduce Crime 2. Prevent Blood Borne Virus Transmission 3. Initiate Long Term Recovery The New Public Health 1987 Public Health & Asset Based Recovery 2012 1. Make Contact - ACCESS e.g. Needle & Syringe Exchange 2. Maintain Contact - RETENTION e.g. Methadone Maintenance Treatment 3. TREATMENT COMPLETION Make Positive Lifestyle Changes Whole family and community based solutions “You alone can do it but... You CANNOT do it alone!” In treatment but socially isolated “All by myself...” ...SHOULD NEVER BE... Epidemiology & the size of Social Worlds In Active Addiction In Recovery “Taking Care of Business” “Spreading the message” In Treatment but Socially Isolated Treatment and Recovery: Content, Themes & Characteristics Treatment: Recovery: Acute Short Term interventions Long term process “I” for Individual, Individualism “We” as in Community, Mutualism Medical & Clinical Social & Communal Risk Averse Embraces Risk Apathetic Ambitious Talking therapies Activities – Doing stuff •Aftercare •Day Programmes (CBT) •12 Step Mutual Aid (NA, CA, AA) •SMART Recovery (CBT) Residential Rehabilitation Recovery Housing & Mutual Aid Professionals as Experts “Recoverees” as Experts Treatment & Recovery Eco Systems CHANGE THIS... Recovery Communities Treatment Community TO THIS... Treatment Community Recovery Communities Co-Production of Recovery TREATMENT R E C O V E R Y C O M M U N I T Y Treatment Plan Recovery Plan “Those who successfully complete don't hang around” 5 ways to well being “You alone can do it but you can’t do it alone” Long term, in treatment population Basic Ideas People do recover from addiction Treatment can initiate long term recovery People can get well where they got sick (cf. Merseyside NA) The therapeutic value of one addict helping another is crucial Recovery as social justice Recovery Communities are Asset Based Community Development and “Big Society?” in action 3 Recovery Principles 1.Communal Not “I” always “WE” 2.Working systematically with treatment = new territory 3.Long term process Do you suffer from CPTI? Rediscovering AA and Mutual Aid Recovery since 1935 "The therapeutic value of one addict helping another” 75 years on: “more than 2 million members” Wikipedia “I can’t but WE can” “You alone can do it but you cannot do it alone” 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... Treatment & Recovery Process 1. Make contact (e.g. Needle & Syringe Programmes) 2. Maintain contact (e.g. Stabilisation & medication) 3. Successfully complete treatment -----------------HALF TIME ---------------------4. Change Lifestyle 5. Change Identity 6. Prevent Inter Generational Transmission of Addiction 2nd Half •I want it now •I want the best •I want it free RECOVERY VS DED •Somebody owes me! “Transformed People, Transform People” 3 elements in the treatment room? 1. Worker (“You cant give away what you haven't got”) 2. Client/Patient Characteristics 3. Technology (how & what we talk about, disclosure?) By Assertive Linkage to Mutual Aid R E C O V E R Y TWELVE STEP FACILITATATION (TSF) C O M M U N I T Y 5 ways to well being in Recovery 1. Connect… With people around you. Go to meetings (AA, NA, CA, SMART) 2. Be Active…do something, go for a walk, exercise, do anything. 3. Give… Do something for someone else. Volunteer. 4. Keep Learning… Try something new. Become a student of recovery? 5. Take Notice… Be curious. Be present. ‘The Power of Now’ (Ekhart Tolle) Identifying and changing social networks Q. Who do you spend your time with in a typical week? 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 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”