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Dear all
Here is the link to the Philadelphia Video/DVD that outlines the kind of Recovery Transformation that we are striving for in the North West of England. The DVD is only 12 minutes long.
I think of this as a series of Russian dolls. The City wide transformation described in Philly is the outer doll (think of a DAAT area), the John McKnight ABCD is the next doll and ITEP the next one and so on till you get down to the minutae of specific clinical and medical issues.
What do you all think?
Nice video. It was moving to hear the thoughts of service users. What impressed me was how empowered they were in the services and systems in Philadelphia.
I’ve got two simultaneous things going on. One is something to do with vision and anticipation and a desire to see this sort of thing happen here. The other is a sort of groan deep inside that acknowledges how far we have to go!
Mark I feel exactly like David, and take solace that if enough people have the vision ….. over time it will come to be.
Thanks for sharing this, its well worth the 12 mins.
A really positive film, providing great hope.
There is evidently a lot to be learnt form the experiences in Philadelphia and it’s great to see steps being put in place to recreate that magic in certain areas of the UK.
Lets hope that, with time, this powerful model can be recreated across the UK, and people can receive recovery orientated services and regain control on their lives.
Thanks for the link Mark!
mark here is a gladwell clip on utube thats sums it up for me ?
what made recovery important we were willing, given the chance?
we can put the hours in groups meetings self development sponcers ,
mentors 8 hours a day giving something back .
just like the beatles did in germany before they made it to the states .
At the Dreamforce conference in San Francisco, Malcolm Gladwell, author of “Blink” and the upcoming “Outliers,” gives two examples of hard work that later looked like genius. Bill Gates got up at 2am to program as a teenager, while the Beatles played together 1200 times, far more than most bands, before they ever got famous. Success, he believes, is the result of putting your heart and mind into something to create successful, meaningful work.
link http://www.youtube.com/watch?v=pIYUMwxKFzo
have a watch !
Thanks for sharing this inspiring video. We have much to learn and there is so much hope to be gleaned from the work being done in the North West. Exciting and challenging times ahead…
Thanks again
Thanks Mark for this vidio, just watched it and thought! this country sure is in a mess with recovery!
Best Wishes to you and all.
What I really liked about the clip is the simplicity. The Recovery model they have implemented doesnt require huge investments or complicated treatment models. It just needs people to change their attitudes and place people with addiction issues at the centre of the solution. Its about empowering people and communities to discover they have all the answers.
I feel very optimistic for the treatment system here in the UK. I am encountering ever increasing numbers of people who are starting to embrace Recovery and make their own definitions for it. And that is heart warming. Because its not important to have one stoic definition, but for people who want to recover to create their own versions and to embrace whatever it is that works for them.
This Recovery Revoltion or whatever it is you want to call it really is all about people helping each other to improve their own lives. There is little or no value in being treated like patients or victims.
There was a fella 2000 years ago who suggested that teaching people to fish was more useful than feeding them a meal. And that, I would suggest, is the role of the peers/advocates/mentors. To teach those who come behind then how to recover. To share what worked and what didnt. To encourage and support in the low times.
Thanks for the link Mark. I also love the stuff Bill McKnight talks about. We need to invest time and money in the most badly affected areas to estabish and develop the Recovery Infrastructure.
Right to Recovery the poorest neighborhoods North Philadelphia
Right to Recovery
RIGHT TO RECOVERY, produced and directed by Joy Butts, brings to focus
the work of Sister Margaret McKenna and the organization she heads,
New Jerusalem Now Inc., a community of former addicts helping each
other achieve a “fullness of life” formerly prevented by drug and
alcohol abuse. From the residents’ narratives, you learn how they run
their community within a community in one of the poorest neighborhoods
in North Philadelphia, PA. You will experience the stories of redemption through their daily lives, as they rebuild abandoned homes, clean up neighboring streets, and feed the elderly. Right to Recovery takes you on a journey through the world of holistic rehabilitation, guided by both residents and experts. It contrasts the devastating impact that substance abuse and alcohol addiction can have on any community with the constructive optimism demonstrated by the residents
as they rehabilitate not just themselves, but also the lives of those
around them.
Dorren Massey talks about problems with globalisation
Doreen Massey (born 1944) is a contemporary British social scientist and geographer, and currently professor of geography at the Open University. Massey was born in Manchester and studied at Oxford and Philadelphia. After a distinguished career, she won the Prix Vautrin ( the “nobel de geographie”) in 1998. She is a relatively frequent media commentator, particularly on industry and regional trends, and in her role as Professor at the OU she is involved in several educational TV programmes and books.
Naming the thing
There are some things, which are so accepted as part of political discourse that they are taken for granted. We stop questioning them. They slide into place as background assumptions shared even between those who disagree on every other point of the debate in hand. They lie there silently, preventing other bigger issues being raised. One such taken-for-granted term in much political discourse at the moment is 'globalisation'. It is a weasel word; too frequently used perhaps, and certainly too rarely analysed politically.
In the autumn of this year, a number of reports were published on the world economy and its future, and two of them were sharply at odds. In one corner, the World Bank was optimistic in its assessment of the prospects for global economic growth and the reduction of poverty in ‘developing countries’ (another weasel term if ever there was one). (1) In the other corner, UNCTAD (The United Nations Conference on Trade and Development) expressed concern both that growth looked likely to he too slow significantly to alleviate poverty and that the road to growth currently being adopted (and imposed) might anyway not be successfu1. (2) The road to growth under dispute between these two organisations is free trade. The World Bank expresses itself as supremely confident thar freeing markets and trade will lead – in the long term’, to the eradication of world poverty, The United Nations is sceptical; it is at least hesitant in assuming any automatic link between opening up global competition on the one hand and faster growth and diminishing inequality on the other,
A host of questions and further arguments immediately arises. How is growth being measured, for instance and should there anyway be any assumption of an automatic association between this ‘growth’ and decreasing poverty and/or inequality? But what is interesting too is that – behind all these questions and the crucial issue on which the reports are in dispute – there is agreement on one thing; free trade means globalisation and globalisation means free trade, In both the reports and even more so in the commentaries upon them the two terms are taken to be synonymous. This 1S the unspoken, shared assumption.
In our more everyday social and political discourse we use the term globalisation in a much more general way, to speak of ‘globalisation’ is to give the impression that in some sense the world is becoming more interconnected. That there has been a stretching-out and a re-working of the geography of social relations, and this is undoubtedly the case, However, the very generality of this use of the word obscures the fact that what we are experiencing at the moment ~ certainly in economic terms ~ is globalisation of a particular type. There can never be ‘globalisation in general’ – if the world is becoming more interconnected then it is doing so, and must do so, in the context of particular power relations, and governed by particular political trajectories, What we have now is neo-liberal, free-market, globalisation, It is most definitely, If we can still use these terms, a globalisation of ‘the right’,
The problem is that the generalised discourse of globalisation hides the fact of this politico-economic specificity, and it also, in consequence, hides the fact that there might be other terms on which the world’s economies (and thus peoples) might be integrated,
“You cannot fully recover, unless you help the society that made you sick recover.” RIGHT TO RECOVERY
! Need:
UTILITY STUDIES
Information that provides guidance
around the practical aspects of
implementation as well as effectiveness
A good Regression Equation
what would we say if addicts acted like the services ?
things like they are selfish ?
no matter what we do they just keep doing the same thing over and over again?
i think services say this because?
THE REAL REASON
ANY DEAD HORSES IN
YOUR ORGANIZATION?
Dakota tribal wisdom says that
when you discover you are
riding a dead horse, the best
strategy is to dismount.
However, in human services, we
often try other strategies with
dead horses, including the
following
Saying things like “This is the
way we have always ridden
this horse.”
Appointing a committee to
study the horse.
Providing additional funding
to increase the horse’s
performance.
Arranging to visit other
sites to see how they ride
dead horses.
Harnessing several dead
horses together for
increased performance.
Increasing the
standards to ride
dead horses.
Creating a training session to
increase our riding ability.
Changing the requirements;
declaring “this horse is not
dead.”
Declaring the
horse
is “better,
faster and
cheaper” dead.
Finding a consultant
knowledgeable about dead
horses.
Promoting the dead
horse to a supervisory
position………………..WHAT WE NEED IS
1 Shaping the Culture
! Use recovery stallions as Change Agent
let the treatment services do what they do to the best for there jockeys.
recovery has it’s own stables
me i am sticking with the winners ….. recovery stallions
change gona come ?
and now we can connect global internet ?
and we have votes.
martin luther king once had a dream look whos in power now.
it works in the same way.thanks for the video.
Hi mark thanks for the link that was very moving and quite exciting to see what is happening there.I think we are now getting some of that here. in the North West however some services and the staff within them remain cluless when it comes to recovery.Somone came to me last week and said they had a client on 90 ml Methadone who wanted to be drug free and out of the treatment system in a year I thought great lets whats the plan .The response was that this was an unrealistic goal.If that is the feedback service users are getting then I wouldnt expect any great bursts of energey from people to move out of the treatment servce into recovery.I think most people working in our treatment services claim to know a great deal about addiction and treatment but Recovery to some people means staying on a small script.and dont talk to me about your condition dont tell me what is wrong with you.?I would also ask why is it that Recovery is always attached to the end of the treatment insted of the beginning. of it.What comes across in the vidio is they are addressing the problems and not putting a patch on them.Anyway I still say watch this space for the Wirral Sorrie about the rant Mark Ollie……Wirral
The mentality of the addict towards recovery options is definitely changing for the better. The word ‘recovery’ is starting to be whispered by addicts stuck in the darkest, dankest places of addiction.
With it comes fear. Fear of failure, fear of the unknown, sometimes just FEAR. But there is something else that raises it head ever so slightly with the mention of this word… HOPE.
Thanks Mark for highlighting this film – brilliant!
1. Top bulletin: Changes to the Treatment Outcomes Profile
reporting frequency
The Treatment Outcomes Profile (TOP) is a practical and powerful tool for measuring the
success of drug treatment. Looking to boost the effectiveness of this resource, the NTA
has reduced the frequency for submitting TOP data. This brief bulletin explains the
rationale and practicalities behind the change, which now asks clinicians and keyworkers
to report the Review TOP in cycles of 26 weeks or six months.
http://www.nta.nhs.uk/publications/documents/topbulletin0709.pdf
mark may be there should be a top recovery tool for measuring outcomes most drug practioners are recovery resistant ..
how about employing recovery 1 year plus drug free x addicts to engage the clients of services to promote recovery and measure the keyworkers independantly and feed back to the NTA.
this would be a good way of saying to the wider future employers
that we are productive and skilled …… in a kind of advocate role /research role .
invest just like malcome gladwell ..says about schooling and as a service you are modeling what you are asking the wider public to do in the N T A …..RECOVERY
Towards successful treatment completions: good practice
guidance
UTILITY STUDIES
Information that provides guidance
around the practical aspects of
implementation as well as effectiveness
A good Regression Equation
what would we say if addicts acted like the services ?
things like they are selfish ?
no matter what we do they just keep doing the same thing over and over again?
i think services say this because?
THE REAL REASON
ANY DEAD HORSES IN
YOUR ORGANIZATION?
Dakota tribal wisdom says that
when you discover you are
riding a dead horse, the best
strategy is to dismount.
However, in human services, we
often try other strategies with
dead horses, including the
following
Saying things like “This is the
way we have always ridden
this horse.”
Appointing a committee to
study the horse.
Providing additional funding
to increase the horse’s
performance.
Arranging to visit other
sites to see how they ride
dead horses.
Harnessing several dead
horses together for
increased performance.
Increasing the
standards to ride
dead horses.
Creating a training session to
increase our riding ability.
Changing the requirements;
declaring “this horse is not
dead.”
Declaring the
horse
is “better,
faster and
cheaper” dead.
Finding a consultant
knowledgeable about dead
horses.
Promoting the dead
horse to a supervisory
position………………..WHAT WE NEED IS
1 Shaping the Culture
! Use recovery stallions as Change Agent
let the treatment services do what they do to the best for there jockeys.
recovery has it’s own stables
me i am sticking with the winners ….. recovery stallions
change gona come ?
and now we can connect global internet ?
and we have votes.
Reintegration: the next chapter in drug treatment
Drug misusers are more likely to recover if they have wider support to rebuild their lives – stable homes; employment and/ or training prospects; and social and family networks. The NTA is working with other agencies to make reintegration a reality.
Since April, the Department of Health has funded a drugs co-ordinator in every Jobcentre Plus district in England, who works with regional NTA teams to get drug users on benefits into treatment, and to facilitate training and employment for those in treatment.
Over the next two years, seven local partnerships will explore innovative and flexible ways to better support drug users through their journey to recovery and reintegration. The System Change Pilots will remove barriers to funding so local partners can choose how best to deliver effective outcomes for users.
Promoting the use of ‘talking therapies’ so that drug workers are equipped with the tools they need to overcome addiction in their clients. In February, we launched a new psychological mapping tool to help promote behaviour change. In March, we joined forces with the British Psychological Society to launch a guide to deliver effective psychological interventions.
we launched a new psychological mapping tool to help promote behaviour change. DO YOU THINK THAT THIS COULD BE USED WITH MANAGEMENT AND KEYWORKERS TO HELP THEM DEAL WITH THE CHANGE AND GET RECOVERY ON THE BLOODY MAP! !!IF YOU CANT GET YOUR OWN SERVICES TO CHANGE HOW CAN RECOVERY TOOLS BE EXCEPTED…….MARK LOVE WHAT YOU ARE DOING BUT ITS THE FOUNDATIONS THAT NEED TO BE SORTED OUT
ARE LOCAL MP’‘’‘’‘S HAVE BEEN CAUGHT WITH THERE HAND IN THE TILL?
AND YET WHEN ADDICTS WANT TO RECOVER IT TAKES SO LONG TO GET IT INTO MAINSTREAM SERVICE S
IF I WAS A BENT BANKER ?
THE CHANGE AND THE MONEY WOULD BE THROWN AT ME TO RECOVER
HOW LONG NTA ! HOW LONG NTA ?
IF YOU CANT MODEL IT ?
THE KEYWORKERS CANT MODEL IT ?
THE ADDICTS CANT MODEL IT ?
THE COMMUNITY CANT MODEL …..?
JOBCENTRES WON’T MODEL IT ?
AND ON …AND ON …..I WONDER HOW MANY FORK LIFT DRIVERS THERE IS OUT THERE ….?
MAY BE I SHOULD BE A BANK ROBBER ?
THERE SEEMS TO BE SOME BONUSES IN IT……?
The NTA is formally responsible to the Department of Health but is also jointly accountable to the Home Office as the lead for drug policy with government, the Department for Children, Schools and Families
as the lead for young people and the Ministry of Justice, which shares responsibility for treatment in
prisons with the Department of Health.
MODEL IT NTA …… HAVE FAITH IN MARK I HAVE .
AND MYSELF .
mark gillaman 1000 new voters
http://www.inexcess.tv/forum/topic.php?id=226
2008 Rally and Cruise for Recovery
Mark,thanks for the link to the video it was great and its how I work exactly total inclusion of all the family and the end goal of being able to function as a family in the community.Its great everytime I come online theres a topic related to exactly what Im doing.
they are good but they don’t have many tools to work with when you look deep in to it ?
why is it that drop ins and art groups have been cut back in drugs services if this is how you engage with the community ?
the nta want everything measured ?
when will the nta work with the faith groups ?
you are asking the addicts and the community to do this yet i dont see it in nta practice?
mark,go tell the home office that what we need to do for recovery
is the same plan as Ashraf Ghani’s passionate and powerful 10-minute talk, emphasizing the necessity of both economic investment and design ingenuity to rebuild broken states, is followed by a conversation with TED curator Chris Anderson on the future of Afghanistan
he makes a statement of what scares him most the answer is the same for the recovery movement over here ?
this is a must love to know what you think?
http://www.ted.com/talks/ashraf_ghani_on_rebuilding_broken_states.html
I trueley hope this holistic approach is all inclusive as i cannot and will not accept the idea of addiction as a disease, and as a devout athiest my faith is in me, do you feel this recovery model could adapt to my needs and beliefs, i sincerely would hope so because generally speaking it’s inspiring to see such good work done.
Here’s looking forward to an all inclusive, holistic approach tailored to an individuals requirments, or is that to much to hope for ?
Following the thread of what Tony was saying about that hopefully a holistic approach will emerge soon that will look beyond detox and treatment and into peoples achievable goals they wish to pursue at the end of treatment and explore these issues.
Mark I watched your interview with great interest fron Inexcess and in fact watched the whole series.I do hope the future brings funding for more abstinent based inpatient programmes.I spent a spell in the past at Castle Craig rehab in Scotland a 12 step based educational programme and it worked wonders for me.
Im reading The Compasssionate Mind by the psycholigist Paul Gilbert at the minute and its helping shape my attitude towards being compassionate to not only others but to myself.I guess thats holistic thinking its certainly helping me anyway.
“we launched a new psychological mapping tool to help promote behaviour change. DO YOU THINK THAT THIS COULD BE USED WITH MANAGEMENT AND KEYWORKERS TO HELP THEM DEAL WITH THE CHANGE AND GET RECOVERY ON THE BLOODY MAP! !!”
One of the core components of the ITEP programme — and the bit that services are supposed to do before they start using the programme with their clients — is a module that looks at an organisation’s own readyness to change, and provides ways of dealing with any deficits in that arena where they exist.
The problem with this, of course, is that there needs to be a willingness to change at the top of an organisation, and far too many people running (and commissioning) services have far too much invested in the status quo. In order to change, first you’ve got to acknowledge that there’s a problem, and far too many people are unwilling to admit that they’ve been doing it all wrong for far too long.
Also: loved your dead horses analogy, cookie.
