1. Coventry & Warwickshire
Building Recovery in
Coventry & Warwickshire
Treatment & Recovery:
“A Game of Two Halves”
Tuesday 26th June 2012
The Welcome Centre, Parkside, Coventry
Mark Gilman
Strategic Recovery Lead

2. “What's the point of treatment?”
Reduce Crime
Prevent Blood Borne Virus Transmission
Control and manage heroin epidemics
Initiate Long Term Recovery

3. Treatment & Recovery Eco Systems
CHANGE THIS...
Treatment Community
Recovery Communities
TO THIS...
Treatment Community
Recovery Communities

4. Treatment & Recovery Process
ACCESS, make contact (e.g. Needle & Syringe Programmes)
RETENTION, maintain contact (e.g. Stabilisation & medication)
SUCCESSFULLY COMPLETE treatment
HALF TIME
CHANGE LIFESTYLE
CHANGE IDENTITY
Prevent Inter Generational Transmission of Addiction

5. “All by myself...” ...SHOULD NEVER BE...
In treatment but socially isolated
“All by myself...”
...SHOULD NEVER BE...

6. Epidemiology & the size of Social Worlds
In Active Addiction
“Taking Care of Business”
In Recovery
“Spreading the message”
In Treatment
but
Socially
Isolated

7. 5 ways to well being “You alone can do it but you can’t do it alone”
Co-Production of Recovery
TREATMENT R E C O V Y M U N I T
Treatment
Plan
“Those who successfully complete don't hang around”
Recovery
Plan
5 ways to well being
“You alone can do it but
you can’t do it alone”
Long term, in treatment population

8. 5 ways to well being in Recovery
Connect… With people around you. Go to meetings (AA, NA, CA, SMART)
Be Active…do something, go for a walk, exercise, do anything.
Give… Do something for someone else. Volunteer.
Keep Learning… Try something new. Become a student of recovery?
5. Take Notice… Be curious. Be present. ‘The Power of Now’ (Ekhart Tolle)

9. Assertive Linkage to Mutual AidC O V Y M U N I T
TWELVE STEP FACILITATATION (TSF)

10. Identifying and changing social networks
Q. Who do you spend your time with in a typical week?

11. SOCIAL BEHAVIOUR and NETWORK THERAPY

12. Treatment and Recovery: Content, Themes & Characteristics
Treatment: FIRST HALF
Recovery: SECOND HALF
Acute Short Term interventions
“I” for Individual, Individualism
Medical & Clinical
Risk Averse
Apathetic
Talking therapies
Aftercare
Day Programmes (CBT)
Residential Rehabilitation
Professionals as Experts
Long term process
“We” as in Community, Mutualism
Social & Communal
Embraces Risk
Ambitious
Activities – Doing stuff
12 Step Mutual Aid (NA, CA, AA)
SMART Recovery (CBT)
Recovery Housing & Mutual Aid
“Recoverees” as Experts

13. 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...

14. THE NEXT GAME? RECOVERY Somebody owes me! I want it now
I want the best
I want it free
Somebody owes me!
RECOVERY
V S DED

15. WORKFORCE Transformed people, transform people
Can’t give away what you haven't got
Treat yourself first
Experience recovery for yourself
We want people to change their behaviour, will we change ours?
Workforce are biggest: Assets and Liabilities

16. DIP>TREATMENT>PRISON “Frequent Flyer & Recycling Programme”
How many?
Who are they?
Dual Diagnosis?
PPOs?
PRISON
DIP
TREATMENT

17. 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 %
Litt et al – “Changing network support for drinking” (2009, (p230))

18. PPOs Carrying the Message
AFTER
BEFORE

19. Preparing for Relapse “Warrior Down!” http://www.whitebison.org

20. Treatment Plan Review

21. “A life beyond your wildest dreams”
Recovery Communities
Risky and Ambitious?
“A life beyond your wildest dreams”

22. “We are family!” Hard Wired to Attachment
“We may not need everybody but all of us need somebody”
Brighton 2012