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Pathways to Recovery. Jon Royle CEO The Bridge Project. Aim. To identify the barriers between the professional community and NA and develop strategies for closer integration and cooperation resulting in increased numbers of drug users utilising NA as a resource.
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Pathways to Recovery Jon Royle CEO The Bridge Project
Aim To identify the barriers between the professional community and NA and develop strategies for closer integration and cooperation resulting in increased numbers of drug users utilising NA as a resource
Kelly J. F. & Yeterian, J. (2008). Mutual-help groups. In W. O’Donohue & J. R. Cunningham (Eds.), Evidence-based adjunctive treatments (pp. 61-106). New York: Elsevier. White, W. (2009). Peer-based Addiction Recovery Support: History, Theory, Practice, and Scientific Evaluation. Chicago, IL: Great Lakes Addiction Technology Transfer Center and Philadelphia Department of Behavioral Health and Mental Retardation Services. Toumbourou, J.W., Hamilton, M., U’Ren, A., Stevens-Jones, P., & Storey, G. (2002). Narcotics Anonymous participation and changes in substance use and social support. Journal of Substance Abuse Treatment, 23, 61- 66.
Understanding the barriers Recovery focus groups Individual interviews Literature review
Themes Ethical Ideological Professional disempowerment
Ethical ‘I’m not referring vulnerable adults to an organisation that doesn’t run CRB checks on its members’ ‘People who’ve gone to NA have been psychologically damaged’
Ideological ‘NA is a cult’ ‘It’s a religious organisation’ ‘Spirituality, 12 step programmes, what’s that, it sounds strange’
Professional Disempowerment ‘They’re not professional’ ‘There is no liaison from NA’ ‘Its difficult to accept their claims of success’
Positive comments ‘I’m in 12 step recovery – don’t tell my colleagues!’ ‘I refer clients to NA’ ‘I don’t know much about them – but I want to learn’
Resistance Not referring clients to NA Presenting ideological/professional arguments against NA e.g. Literature is Americanised Discouraging/disparaging attendance Removing literature
Formulation of attitudes Few workers attended NA meeting Negative client feedback loop
Solution: Pathways to Recovery ‘The 4 Step Programme’
Step 1: Leadership Steering Group Recovery Champions
Step 2: Raise Awareness Training NA presentations NA attendance for staff
Step 3: Build Links In-house NA meetings NA literature Recovery cafe
Step 4: Evaluate Baseline assessment staff attitudes Repeat assessment post training Number of referrals to NA Growth in recovery communities
Conclusions Talk about recovery Staff are ready for change Decide what you’re going to do about it