Recovery: Adult treatment and Young Carers

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

2. 30 years of Drug TreatmentFrom Efficiency to Effectiveness & Recovery: 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.

3. 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

4. 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

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

6. 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?

7. 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

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

9. “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.”

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

11. 3 Examples of Recovery

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

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

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

15. Community Focussed Solutions and Outcomes SMART Recovery “Ican’t butwecan” NA Recovery Communities CA AA

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

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

18. Deficit Based ApproachAsset Based Approach