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Building Recovery DIP Clinic Mark Gilman Strategic Recovery Lead National Treatment Agency

Building Recovery DIP Clinic Mark Gilman Strategic Recovery Lead National Treatment Agency. Contents. Drugs Alcohol Addiction Crime Prison Recovery. 2 very different types of drug and alcohol use. A for “Addict” Pareto Principle

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Building Recovery DIP Clinic Mark Gilman Strategic Recovery Lead National Treatment Agency

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  1. Building Recovery DIP Clinic Mark Gilman Strategic Recovery Lead National Treatment Agency

  2. Contents • Drugs • Alcohol • Addiction • Crime • Prison • Recovery

  3. 2 very different types of drug and alcohol use A for “Addict” Pareto Principle The Addicts 20% use 80% + Responsible for 80% acquisitive crime • Group B • The “Recreational” Users • Bingers • Public Disorder A

  4. Who gets caught in DIP nets? Drug and alcohol addicts offending driven by addiction Offenders who also use drugs and alcohol. Offending not driven by substance use

  5. What do we do with them? Offenders who use Non-OCUs Addicts who offend OCUs Time limited, non medical intervention Retained in treatment

  6. DIP, TREATMENT, CARATFrequent Flyer & Recycling Programme • How many? • Who are they? • Dual Diagnosis? • PPOs? CARATs DIP TREATMENT

  7. Social Isolation in Treatment ME MYSELF I Me, Myself and I – in treatment and alone

  8. Why remodel treatment systems?

  9. 2010 drug strategy: Building Recovery (in Communities) • “Substitute prescribing continues to have a role to play in the treatment of heroin dependence... (But...) • Its first step on the journey to recovery”

  10. 2010 drug strategy: Building Recovery (in Communities) • ... supporting recovery from drug and alcohol dependence.  • puts more responsibility on individuals to seek help and overcome dependency • holistic approach...employment and housing

  11. Recovery Communities Community Treatment Finding Recovery? “Where do I find this recovery stuff?”

  12. Rediscovering AA and Mutual Aid: 10/06/35; “The Enlightenment” (See Griffith Edwards On Lifeline’s FEAD) "The therapeutic value of one addict helping another” 75 years on: “more than 2 million members” Wikipedia “I cant but WE can”

  13. Issue date: July 2007 Drug misuse Psychosocial interventions NICE clinical guideline 51 Developed by the National Collaborating Centre for Mental Health NICE Guidelines “Staff should routinely provide people who misuse drugs with information about self-help groups. These groups should normally be based on 12-step principles; for example, Narcotics Anonymous & Cocaine Anonymous. “

  14. Psychological and Social changes via Mutual Aid Keith Humphreys Active Coping Motivation to change Mutual Aid Group Involvement Reduced Substance Use General Friendship Quality Friends’ Support For Abstinence Note All paths significant at p<.05. Goodness of Fit Index = .950.

  15. Summary of What We Know (ref: Keith Humphreys) • 12-step group participation significantly reduces drug and alcohol use. • 12-step group involvement reduces ongoing health care costs. • Benefits of 12-step groups mediated both by psychological and social changes.

  16. Identifying and changing social networks“You are who you spend time with”

  17. The Lifestyle of Active Addiction

  18. The Lifestyle of Recovery

  19. Recovery as Emigration & Immigration “Farewell Treatment. Thank You” RECOVERY COMMUNITY RECOVERY LAND

  20. Big Ideas SANITATION Asset Based Community Development

  21. Deficit Based ApproachAsset Based Approach

  22. Treatment and Recovery: Content, Themes & Characteristics Treatment: Recovery:

  23. Line = a relationship between two people more embedded = central less embedded = periphery Node = a person CONNECTING & SOCIAL NETWORKS “embedded”: the degree to which a person is connected within a network

  24. CONNECTING & SOCIAL NETWORKS; Contagion, Connection, Homophily • Contagion: what flows across ties • (germs, money, violence, fashions, • organs, happiness, obesity, etc.) • Connection: • who is connected to whom • (ties to family, friends, co-workers, etc.) • Homophily: • the tendency to associate with people who resemble ourselves • (“love of being alike”)

  25. PPOs Carrying the Message AFTER BEFORE

  26. 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))

  27. Relapse = “Warrior Down!”http://www.whitebison.org

  28. 5 ways to well being in Recovery • Connect… With people around you. Go to meetings (AA, NA, CA, SMART) • Be Active…do something, go for a walk, exercise, do anything, WORK • Give… Do something for someone else. Volunteer. Sponsor. • Keep Learning… Try something new. Become a student of recovery? • 5. Take Notice… Be curious. Be present. ‘The Power of Now’.

  29. Recovery Pioneers & Champions

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

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