1. Slide 1 Treatment & Recovery “A Game of Two Halves” Assertively linking treatment and mutual aid Friday, 8 th June 2012 Mark Gilman Strategic Recovery Lead

2. “WHAT'S THE POINT OF TREATMENT?” 1.Reduce Crime 2.Prevent Blood Borne Virus Transmission 3.Initiate Long Term Recovery

3. 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!” The New Public Health 1987 Public Health & Asset Based Recovery 2012

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

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

6. Treatment and Recovery: Content, Themes & Characteristics Treatment: Acute Short Term interventions “I” for Individual, Individualism Medical & Clinical Risk Averse Apathetic Talking therapies Aftercare Day Programmes (CBT) Residential Rehabilitation Professionals as Experts Recovery: 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

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

8. Co-Production of Recovery “Those who successfully complete don't hang around ” RECOVERYCOMMUNITYRECOVERYCOMMUNITY RECOVERYCOMMUNITYRECOVERYCOMMUNITY TREATMENT 5 ways to well being “You alone can do it but you can’t do it alone” Treatment Plan Treatment Plan Recovery Plan Recovery Plan Long term, in treatment population

9. 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

10. 3 Recovery Principles 1.Communal Not “I” always “WE” 2.Working systematically with treatment = new territory 3.Long term process

11. Do you suffer from CPTI?

12. "The therapeutic value of one addict helping another” 75 years on: “more than 2 million members” Wikipedia Rediscovering AA and Mutual Aid Recovery since 1935 “I can’t but WE can” “You alone can do it but you cannot do it alone”

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. 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

15. 2 nd Half V S DED RECOVERY I want it now I want the best I want it free Somebody owes me!

16. “Transformed People, Transform People” 3 elements in the treatment room?

17. TWELVE STEP FACILITATATION (TSF) By Assertive Linkage to Mutual Aid RECOVERYCOMMUNITYRECOVERYCOMMUNITY RECOVERYCOMMUNITYRECOVERYCOMMUNITY

18. 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)

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

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

21. 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))

22. PPOs Carrying the Message BEFORE AFTER

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

24. Treatment Plan Review

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

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