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Commissioning Recovery Communities bikes, trains and bridges

Commissioning Recovery Communities bikes, trains and bridges. Mark Gilman, North West NTA Regional Manager. Commissioning: Vision, Leadership & Courage. A Vision for treatment ( Recovery Oriented ) Provide Leadership in promoting the vision

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Commissioning Recovery Communities bikes, trains and bridges

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  1. Commissioning Recovery Communities bikes, trains and bridges Mark Gilman, North West NTA Regional Manager

  2. Commissioning: Vision, Leadership & Courage • A Vision for treatment (Recovery Oriented) • Provide Leadership in promoting the vision • Strategic Development, Service re-design and Integration • Decide what services are needed in the System • Have the Courage to decommission and change services NOT needed • Commissioning is not procurement and purchasing

  3. How we got here

  4. Treatment Journey Bicycle Stuck in a rut?

  5. Addiction - a “disease” of exposure • Social contagion, Epidemics, Families “catching addiction”. • Collision between personal vulnerability and social opportunity • Active addiction is visible and contagious and attracts vulnerable people in vulnerable families in vulnerable communities • Does being in standard orthodox medical treatment look very different to active addiction? • Do people in treatment look like success stories? • Is treatment something to aspire to? We had - Visible Contagious Addiction

  6. In treatment but socially isolated ME MYSELF I Stuck and alone

  7. 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 • Being in recovery looks like a success to aspire to • People with wide social networks as recovery champions • Where are they? We needed - Visible Contagious Recovery

  8. WE NEEDED – MOVEMENTRecovery: The Freedom Train NA-CA- AA- SMART Recovery

  9. Recovery & Freedom Train Timetable DETOX NA, CA, AA, SMART RECOVERY ASSET BASED COMMUNITY DEVELOPMENT

  10. We are social animals, I cant but WE can Out of the rut & moving on together

  11. Visible Contagious AddictionUrban Clustering

  12. Recovery Community Recovery Federations Treatment Community Active Addiction Recovery Oriented Integrated Systems (ROIS) bridge the gap…

  13. Visible Contagious Recovery Urban Clustering

  14. Individual, Personal Recovery spreads from the Physical to Environmental Physical Detox, Medication etc Psychological Counselling etc Social Employment, Training, Education Environmental Recovery Activism “Big Society”

  15. Recovery & “Tipping Points” from the Personal to Recovery Communities

  16. “The Power of Recovery” (Personal communication with Phillip Valentine, Executive Director, CCAR, Connecticut Community for Addiction Recovery) “5 years+ In recovery” “Recovering People” “Long Term Recovery” “Better than well” “A grateful addict/alcoholic” “Model citizens” “Normal People” Potential “Early Recovery” Time

  17. Deficit Based ApproachAsset Based Approach

  18. Treatment - Recovery - ABCD Commissioned Treatment Recovery Includes AA, NA, CA SMART ABCD Asset Based Community Development

  19. Commissioning Recovery Communities What parts of your system are recovery oriented? If commissioned services don't contribute to recovery what do they do? How much (per patient per year) for medical management of addiction to keep people alive and out of prison? Providers managing their re-orientation to recovery outcomes? Successful Completions and TOP compliance? Satisfying yourselves that you are commissioning recovery communities?

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