Commissioning Recovery Communities bikes, trains and bridges
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Commissioning Recovery Communities bikes, trains and bridges
Mark Gilman,
North West
NTA Regional Manager
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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
Commissioning: Vision, Leadership & Courage
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How we got here
1. Make Contact Needle and Syringe Exchanges
2. Maintain Contact Easy Access To Maintenance Medication Programmes
3. Make Positive Lifestyle Changes
Whole family and community based solutions:
“I cant but WE can”
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Stuck in a rut?
Treatment Journey Bicycle
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We had - Visible Contagious Addiction
•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?
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Stuck and alone
In treatment but socially isolated
ME
MYSELF
I
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We needed - Visible Contagious Recovery
•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?
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WE NEEDED – MOVEMENTRecovery: The Freedom Train
NA-CA- AA- SMART Recovery
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Recovery & Freedom Train Timetable
DETOX
NA, CA, AA, SMART RECOVERYASSET BASED COMMUNITY DEVELOPMENT
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Out of the rut & moving on together
We are social animals, I cant but WE can
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Visible Contagious AddictionUrban Clustering
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Recovery Community
Recovery FederationsTreatment
Community
Active Addiction
Recovery Oriented Integrated Systems (ROIS)
bridge the gap…
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Visible Contagious RecoveryUrban Clustering
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Environmental Recovery
Social Recovery
Psychological Recovery
Physical Recovery
Individual, Personal Recovery spreads from the Physical to Environmental
PhysicalDetox, Medication etc
PsychologicalCounselling etc
SocialEmployment,
Training, Education
EnvironmentalRecovery Activism
“Big Society”
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‘RecoveryCommunity’
Community Recovery
Family Recovery
Personal recovery
Recovery & “Tipping Points” from the Personal to Recovery Communities
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“The Power of Recovery”(Personal communication with Phillip Valentine, Executive Director, CCAR, Connecticut Community for Addiction Recovery)
Time
Pot
enti
al
“Normal People”
“Recovering People”
“Long Term Recovery”
“Better than well”
“A grateful addict/alcoholic”
“Model citizens”“Early Recovery”
“5 years+
In recovery”
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Deficit Based Approach Asset Based Approach
Weaknesses Strengths
Outside In Inside Out
Dependence on outside Professionals Dependence on each other
Consumers of services Partners in provision of services
Professionals non-judgemental training makes challenge difficult
Challenge each other to “do the right thing”
Disabilities Abilities, capacities, Assets
Client Citizen
Passive victim of problems Active participant in solutions
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Treatment - Recovery - ABCD
Commissioned
Treatment
RecoveryIncludes AA, NA, CA
SMART
ABCD
Asset Based Community Development
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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?