1. TTP Counselling Admission & Recovery Community Services Manager (North) andy.tutte@ttpcc.org

2. Trust the Process Counselling History of 12 Step Fellowship Benefits - Attendance of Meetings Barriers - Attending Meetings Growth of Merseyside Fellowship Real Life Case Study Questions

3. Choice of Recovery Model 5 Recovery Community Projects 2 Therapeutic Community Residential Rehabs 3 Inpatient Detox Units 3 Community Residential Twelve Step Rehabs

4. Rehab – 365 clients - completions 295 = 81% Detox – 316 clients - completions 289 = 91% Recovery Community Projects – 474 clients = planned discharges – 286 = 63% Recovery Community Projects – 12 % drop out rate. https://www.ndtms.net

5. Alcoholics Anonymous Dr Bob & Bill W – Akron, Ohio, USA - 1935 2 Million Members Worldwide – 114,000 meetings. Narcotics Anonymous Jimmy K – California, USA - 1953 58,000 meetings per week in 150 countries Cocaine Anonymous Hollywood, USA - 1982 2,000 USA & Canada meetings (UK – 174)

6. Structure Responsibilities Confidence & Self Esteem Empowerment Cost Effective Hope & Inspiration Recovery Capital Abstinent Recovery Journey Improved Health Visible Role Models Improved Social Skills Law Abiding Unity Diversity

7. Religious Element & Cult

9. Spiritual View Belief In Higher Power – Loving & Caring Literature, Group, Sponsor Language – GOD

10. Attending Twelve Step Meetings Abstinent

12. Desire to stop problem substance for membership New people positively encouraged to return (Newcomers) Relapse not viewed a failure – Encouraged to return

13. Fear – Attending Alone for First Time

15. Helpline Numbers Twelve Step Call Open Meetings Sponsorship

16. Religious Element & Cult Attending Twelve Step Meetings Abstinent Fear – Attending Alone for First Time Misinformed Information Drug Treatment Workforce

18. 15 Year Addiction – Heroin, Crack & Methadone Health Related Problems– DVT, Septicaemia, Limb Abscesses, Under Nourishment Criminal Justice Issues – Prison Sentences Broken Family Relationships Periods of Homelessness Failed Suicide Attempts Limited Social Skills Lack of Confidence & Self Esteem

19. 10 Year abstinent recovery journey Excellent Family relationships Positive Relationship with children Improved Health & Well Being Exercise – 3 x Marathon & 10 Triathlon Events 9 Employment Year History Senior Manager BA Hons – Social Work Degree Married Experienced Worldwide Travel Self Esteem & Confidence

21. http://www.cauk.org.uk http://www.na.org https://www.ndtms.net/default.aspx Alcoholics Anonymous World Services, Inc. (2001) 4 th Ed. Alcoholics Anonymous. New York. Narcotics Anonymous World Service Office, Inc. (1988). 5 th Ed. Narcotics Anonymous. Van Nuys CA. NA Helpline – 0300 999 1212 AA Helpline – 0845 769 7555 CA Helpline – 0800 6120225