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Treatment & Recovery “A Game of Two Halves” Assertively linking treatment and mutual aid

Treatment & Recovery “A Game of Two Halves” Assertively linking treatment and mutual aid Friday, 8 th June 2012. Mark Gilman Strategic Recovery Lead. “What's the point of treatment?”. Reduce Crime Prevent Blood Borne Virus Transmission Initiate Long Term Recovery.

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Treatment & Recovery “A Game of Two Halves” Assertively linking treatment and mutual aid

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  1. Treatment & Recovery “A Game of Two Halves” Assertively linking treatment and mutual aid Friday, 8th June 2012 Mark Gilman Strategic Recovery Lead

  2. “What's the point of treatment?” • Reduce Crime • Prevent Blood Borne Virus Transmission • Initiate Long Term Recovery

  3. The New Public Health 1987 Public Health & Asset Based Recovery 2012

  4. In treatment but socially isolated “All by myself...” ...SHOULD NEVER BE...

  5. Epidemiology & the size of Social Worlds In Active Addiction “Taking Care of Business” In Recovery “Spreading the message” In Treatment but Socially Isolated

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

  7. Treatment & Recovery Eco Systems CHANGE THIS... Treatment Community Recovery Communities TO THIS... Treatment Community Recovery Communities

  8. Co-Production of Recovery TREATMENT R E C O V E R Y C O M M U N I T Y Treatment Plan “Those who successfully complete don't hang around” Recovery Plan 5 ways to well being “You alone can do it but you can’t do it alone” Long term, in treatment population

  9. Basic Ideas • People do recover from addiction • Treatment can initiate long term recovery • People can get well where they got sick (cf. Merseyside NA) • The therapeutic value of one addict helping another is crucial • Recovery as social justice • Recovery Communities are Asset Based Community Development and “Big Society?” in action

  10. 3 Recovery Principles • Communal • Not “I” always “WE” • Working systematically with treatment = new territory • Long term process

  11. Do you suffer from CPTI?

  12. Rediscovering AA and Mutual Aid Recovery since 1935 "The therapeutic value of one addict helping another” 75 years on: “more than 2 million members” Wikipedia “I can’t but WE can” “You alone can do it but you cannot do it alone”

  13. Recovery does slowlywhat drink, drugs & medications do fast... ...changes perception of reality. Learning how to fit in To live life on life’s terms Free from fear Free from addiction “Community as method” Recovery community a place where you learn how to live right, with other people...

  14. Treatment & Recovery Process Make contact (e.g. Needle & Syringe Programmes) Maintain contact (e.g. Stabilisation & medication) Successfully complete treatment -----------------HALF TIME ---------------------- Change Lifestyle Change Identity Prevent Inter Generational Transmission of Addiction

  15. 2nd Half • I want it now • I want the best • I want it free • Somebody owes me! RECOVERY V S DED

  16. “Transformed People, Transform People”3 elements in the treatment room?

  17. By Assertive Linkage to Mutual Aid R E C O V E R Y C O M M U N I T Y TWELVE STEP FACILITATATION (TSF)

  18. 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. • Give… Do something for someone else. Volunteer. • Keep Learning… Try something new. Become a student of recovery? • 5. Take Notice… Be curious. Be present. ‘The Power of Now’ (Ekhart Tolle)

  19. Identifying and changing social networks Q. Who do you spend your time with in a typical week?

  20. DIP>TREATMENT>PRISON“Frequent Flyer & Recycling Programme” • How many? • Who are they? • Dual Diagnosis? • PPOs? PRISON DIP TREATMENT

  21. 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))

  22. PPOs Carrying the Message AFTER BEFORE

  23. Preparing for Relapse“Warrior Down!”http://www.whitebison.org

  24. Treatment Plan Review

  25. Recovery Communities Risky and Ambitious? “A life beyond your wildest dreams”

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

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