Practitioner Discussion

1. Recovery Practice Development Tool (RPDT) Practitioner Discussion

2. Principles of Recovery • Hope and aspiration • A‘journey’ wheredifferent people take different roads • Values drug-free outcomes, but does not just mean abstinence • Engaging with the range of an individual’s needs • Social inclusion • Service user networks and mutual support • All about families • All about communities • All about taking responsibility • Includes health and public health interventions (Building for Recovery, DrugScope, 2012)

3. Recovery Practice Development Tool (RPDT) • A method of assessing the extent to which activities in your service arefocused around factors which are known to promote recovery i.e. to measure recovery-oriented practice. • To produce a development plan for improving recovery-oriented practice or developing new activities or services.

4. The Role of the Practitioner ‘… to provide the person with the resources – information, skills, networks and support – to manage their own condition as far as possible and to help them to get access to the resources they think they need to live their lives’ (Shepherd et al, 2008)

5. 8 Key Elements of Recovery-Oriented Practice • Shows a belief in and commitment to recovery • Supports achievement of self-defined goals • Is strengths-based • Acknowledges and involves significant others • Delivers recovery-oriented treatment interventions • Encourages and supports meaningful service user involvement • Promotes social inclusion/community integration • Is managed and supported

6. A Discussion on the 8 Key Elements The following slides provide some questions or considerations to aid or prompt discussion. Evidence to support participants’ statements would help in assessing how recovery focused the service is from a practitioner’s perspective.

7. Principle 1 – Belief in Recovery • Do you have a clear definition of what is meant by recovery and understand the values and principles of recovery? • Do you have discussions about recovery with service users/their significant others and enable them to access resources that will help them learn about recovery? • Do you actively seek, celebrate and share (with permission) people’s stories of recovery? Principle 2 – Achieve Self Defined Goals • Doyou routinely enquire about people’s goals, dreams and interests and use this information to personalise their care? • Do you appreciate your role as that of facilitator or coach providing information and support to enable service users to identify their own goals and to take the steps to achieve them? • Do you explain the range and importance of the various ‘treatment’ options available and their relevance to recovery? • Do you use tools and or techniques to support service user self-determination? E.g. ITEP / BTEI, other mapping tools, motivational interviewing, person centred questions

8. Principle 3 – Asset or Strength Based Approach • Do you have conversations about the person's social and other roles beyond that of ‘addict’ and in so doing amplify the strengths that support recovery? • Do you help service users to identify their skills and expertise by actively asking about past successes and how they’ve managed and survive the challenges they have faced? • Are experiences of setbacks reframed as learning opportunities within planning? • Recovery capital & celebrating success. Principle 4 - Acknowledges and involves significant others • Do you acknowledge & explain how significant others have an important role in supporting service users recovery? • How do you encourage and support families, carers and significant others to be fully involved? • Can you give examples of how, when, why and where involvement took place and what benefits it had for the recovery journey? Reviews etc. • Do you do assessments of the needs of families, carers and significant others? • Is family therapy or behavioural couples therapy (BCT) offered? Are there support groups available?

9. Principle 5 - Delivers recovery-oriented treatment interventions • Are clients receiving the range and intensity of interventions that will give them the best chance of recovery? • Do you ensure exits from treatment are clearly visible? • Balance between overcoming dependence and promoting harm reduction, with the aim of actively encouraging more service users to become drug free? • The availability of key NICE-recommended psychosocial interventions? • Are all staff familiar with the recommendations in the RODT Strang Report, 2012 Principle 6 - Meaningful service user involvement • Are treatment/recovery plans ‘owned’ by the service user? Accessible and clear language and lay out • Examples of service user involvement resulting in tangible change? • Opportunities for peer education, mutual aid & other involvement activities? • Staff have been recruited / trained by service users? • Staff attend service user/recovery forums; • Users involved in all aspects of organisation including high level board meetings and future strategic planning?

10. Principle 7 - Social inclusion / community integration • Do you actively build partnerships to access resources and opportunities for service users – housing, education/training, benefits? • Do you support individuals to improve their social capital through work, volunteering, social and leisure activities? • Do you actively facilitate access to mutual aid such as AA, NA, SMART Recovery, Recovery Forums, Recovery Cafes or Recovery events (walks etc.) - providing information, transport or premises for meetings. • Have youattended open meetings of NA etc. or visited other recovery community initiatives, are you familiar with online recovery? • Are you sufficiently trained, competent and supervised to deliver a range of low intensity psychosocial interventions in an individual or group setting? • Does your supervision / appraisal provide support for you to engage in recovery-orientated practice? • Do you have access to recovery-orientated practice learning opportunities? E.g. training, reflective practice, group supervision, feedback, skills hub Principle 8 – Governance & Clinical Standards