07basement

							   DEVELOPING A RECOVERY
  COMMUNITY IN CALDERDALE

The Basement Recovery Project,
         Calderdale
  WHY IS THE RECOVERY APPROACH SOMETHING
                 DIFFERENT?
WHY CHOOSE ABSTINENCE AS A BASIS FOR RECOVERY?
 BECAUSE YOU HAVE TO TURN THE WATER OFF TO MEND THE
                     PLUMBING




METHADONE MAINTENANCE TREATMENT & RECOVERY
 SO WHAT DRIVES OUR COMMUNITY?

Our users identified the need for peer support by
people who have sustained abstinence.
Recovery requires a variety of paths - CHOICE


           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 2009)
                                    Open Access / Referrals from:
                                Drug Service -               Drug Service -
                                                                                                 GP                       Other
                                  Statutory                  Non Statutory
                                • Triage                     • Arrest                    • Relative /            • Project Colt
The Basement Services Pathway
                                • Probation                    Referral / DIP              Concerned             • Social
                                • Employment                 • Housing                     Other                   Services
                                  Services                     Services                  • A&E /                 • CARAT /
                                                             • Education                   General                 Prison
                                                               Services                    Hospital
                                                                                         • Psychological
                                                                                           Services


                                        Recovery                                Breakfast                       Volunteer
                                        Services                                 Drop-In                       Opportunities


                                      Pre-                                                                    Breakfast
                                    Recovery                                Advice &
                                                                                                                Club
                                                                           Signposting


                                          Detox                                                                       User
                                                                                Emergency                         Involvement
                                         Support
                                                                                 Support                              Reps


                                   Abstinence                                Social                           Recovery
                                                                          Engagement                          Mentors


                                        Sober-Living                              Generic
                                          Housing
                                                                                  Services




                                      Social Rehab Service       Recovery Community Development / Champions    Family Support
ROIS IN CALDERDALE – A VISION FOR THE FUTURE: CO-PRODUCTION OF RECOVERY
                                                        New Presentations – Down & Across
            •   Basement                                                        Treatment
COMMUNITY



            •   Project Colt
            •   Recovery
                                                                 •   CSMS
                Champions
                               Treatment                         •   CAT
                                  Plan                           •   Acute
                                                                     Services




                                                 DOWN
                                                                 •   Primary Care   Shared Aims:
                Recovery                                         •   Probation
                  Plan                                               Officers        Shared
                                        ACROSS                                        Successful




                                                          Time
                                                                                      Completions
                                                                                     Shared TOP Exits
RECOVERY




            •   12 Step Mutual Aid
                (NA, CA, AA)                                 “Those who successfully complete don’t
            •   SMART                                        hang around” – Recovery Category from
            •   Recovery Coaches                             segmentation
            •   Asset Based Community
                Development Projects
  ROIS IN CALDERDALE – A VISION FOR THE FUTURE: CO-PRODUCTION OF RECOVERY
                                         Already in Long term treatment – Up & Across

            •   Basement                                              Treatment
COMMUNITY




            •   Project Colt
            •   Recovery Champions




                                      ACROSS               In treatment for years, happy




                                                  Time
                                                           and content? - Stallers



                                             UP
                Recovery
RECOVERY




                                                           In treatment for years unhappy
                  Plan                                     and socially isolated – Pre
                                                           Contemplators, Contemplators
                                Treatment                  & Recovery Potential Group
                               Plan Review
 SO WHAT’S NEEDED TO MOVE FORWARD?
FOR COMMISSIONERS:
         Local solutions are urgently needed for performance managing recovery progress and
         transitions to later stages of recovery journeys - Integrated system needs creating that
         allows individuals to constructively utilise the right level of service at the right time
FOR PROVIDERS:
         There is a recognition that the clients fair best when treatment providers and recovery
         communities work in partnership – utilise the model of co-production/shared
         outcomes, mutual respect of diverse skill-sets.
FOR THE EMERGING RECOVERY COMMUNITIES:
         More effective bridging is needed between treatment and recovery groups in the
         community and this process should be peer-led
         RC’S need to have an openness to engage with treatment providers
         We need more Power of Example – visible recovery. People need to be exposed to
         those in abstinent recovery – AND THIS WILL BE THE COMPELLING EVIDENCE



                    THAT PEOPLE DO RECOVER.