Recovery: Adult treatment and Young Carers Mark Gilman, North West NTA Regional Manager

30 years of Drug Treatment From Efficiency to Effectiveness & Recovery: 1.Health & Welfare of INDIVIDUAL Addicts (1970s/1980s). 2. PUBLIC Health and Welfare and HIV prevention (1980s/1990s). 3. Crime Reduction and Community Safety (1990s/2000s) = More Drug Treatment (Quantity) provided in Efficient drug treatment systems. 4. Recovery and Regeneration of People and Places = Recovery Oriented Treatment (Quality) provided in Effective drug treatment systems.

Visible Contagious Addiction Addiction - the “SELFISH Disease” Addiction - a “disease” of exposure ‘Social contagion’, ‘Epidemics’, Families “catch addiction”. Collision between personal vulnerability and social opportunity Active addiction is visible and contagious and attracts vulnerable people in vulnerable families in vulnerable communities

Visible Contagious Recovery Recovery – process of giving to, and being there for others. Recovery - a “process” of exposure. Catch it from other people in recovery Families “catch recovery”. Need to have people spreading recovery Visible people whose recovery is contagious People with wide social networks as recovery champions

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

Treatment Workforce and Recovery Physician Heal Thyself; ‘Mindfulness’ 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?

Outcome Based Commissioning Payment By Results: what results? Parents able to care for their children Prevention of Inter-Generational Transmission Social Integration (employment and housing) Crime Reduction and Community safety

Individual, Personal Recovery spreads from the Physical to Environmental Physical Detox, Medication etc Psychological Counselling etc Social Employment, Training, Education Environmental Recovery Activitism

“Tipping Points” from the Personal to Family & Recovery Communities “Judge someone’s recovery NOT by what they say to professionals and to peers but their behaviour with their FAMILY.”

“The Power of Recovery” (Personal communication with Phillip Valentine, Executive Director, CCAR, Connecticut Community for Addiction Recovery ) Time Potential “Normal People” “Recovering People” “A real family and community Asset” “Recovery is about doing the right thing by their family” Prevent the inter- generational transmission “Early Recovery” “5 years+ In recovery”

3 Examples of Recovery Intuitive RecoverySMART Recovery (Self Management and Recovery Training ) 12 Step Mutual Aid (AA,NA, CA) Relies solely upon the individual Addiction is not a disease Addiction is a disease or “Dis-ease” Classes are the only meetings to attend Recovery is based on meetings (“I cant but we can”) No support groupsProgramme based on CBT, MET, REBT Following 12 Step Programme with sponsor Education the primary tool for dealing with addictive behaviour No spiritual elementA spiritual solution to a spiritual malady

Recovery meets ABCD Recovery from Drugs + Alcohol Asset Based Community Development ABCD (John McKnight)

Communities have deficiencies Communities and it’s citizens have capacities and assets Glass Half Empty or Half Full?

Individually focused - Clinical, Medical, Psycho-Social Interventions Substitute Medication CBT Counselling RET Key working Intuitive Recovery ME MYSELF I

Community Focussed Solutions and Outcomes “I can’t but we can” NA CA AA SMART Recovery Recovery Communities

Voluntary actions of Associations (often unpaid) Associations Mapping voluntary action undertaken by Associations

Statutory Bodies work with Associations and Mutual Aid associations statutory bodies Supporting voluntary action

Deficit Based Approach Asset Based Approach WeaknessesStrengths Outside InInside Out Dependence on outside ProfessionalsDependence on each other Consumers of servicesPartners in provision of services Professionals non-judgemental training makes challenge difficult Challenge each other to “do the right thing” DisabilitiesAbilities, capacities, Assets ClientCitizen Passive victim of problemsActive participant in solutions