‘Why the empty seats at the free public health lunch?’ by Dr. David McCartney

When I worked in the addiction field in the UK in the first decade of this millennium, I was surprised how few treatment practitioners encouraged their ‘clients’ to access Alcoholics Anonymous (AA), Narcotics Anonymous (NA) and other mutual aid groups. This fact was all the more puzzling in that the treatment services that were having the most success in helping people overcome substance use problems always strongly encouraged the people  who were seeking help to access mutual aid groups.

Here’s an excellent blog post on Recovery Review from one of my favourite bloggers, Dr David McCartney of Lothians and Edinburgh Abstinence Programme LEAP), about this issue:

‘A few years back in my first few months of working full time in addictions, I attended a seminar on mutual aid. Facilitated by an addiction psychiatrist, the meeting was packed with a variety of addiction treatment professionals.

The facilitator laid out the evidence base for mutual aid as it was at the time and discussed how assertively referring to mutual aid organisations could result in high take-up rates with benefits to patients. This was in the days when most groups were 12-step – SMART and other groups were still to be launched locally.

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Active ingredients within the processes of successful addiction treatment and recovery: Rudy Moos

Here is a very important blog post that I first uploaded to the website back in June 2013. It is essential reading for those people developing and running recovery communities, as well as people working in the treatment field:

“For nearly five decades, Rudy Moos, PhD, has been one of the giants of modern addiction research. I believe he has, more than any other research scientist, focused on questions of the greatest import to addiction counselors and the individuals and families they serve. His published studies have dramatically expanded our knowledge of addiction treatment and the processes of long-term addiction recovery.” William L White

That is one hell of an introduction to Rudolf Moos, in my humble opinion one of the great addiction researchers of our time. Bill White’s comments come at the beginning of a very interesting interview he conducted with Rudolf in 2011.

In this interview, Bill asks Rudolf if he would summarise the core principles that have been revealed by his research that illuminate the active ingredients within the processes of successful addiction treatment and recovery. Here is what Rudolf had to say (I’ve changed some of the paragraphs and omitted references for clarity purposes):

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Natalie’s Trauma Story: My Childhood Experiences

In my last blog post, I described my 2022 reunion with Natalie, a recovering heroin addict who first inspired me to start writing recovery stories back in the early 2000s. You can read the version of Natalie’s Recovery Story, I Didn’t Plan To Be An Addict, I initially wrote for this website back in 2013 here.

Natalie is now an inspiring senior practitioner in a treatment service and is over 20 years in recovery. In my last blog post, I said that I would describe Natalie’s childhood experiences that led to her becoming traumatised. This section is taken from my eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction, which contains the latest version of Natalie’s Story.

‘I lived in a rural area with my Mum and Dad and brother and sister. I remember that my Dad would disappear to London for a week or two from time to time. When I was 11 years old, we moved to a city, although my Dad wasn’t there for the actual move. Within five days of the move, he was arrested for drug smuggling.

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Visiting UK Recovery Friends: Part 8 (Natalie)

It was wonderful for me to catch up with ‘Natalie’ whilst I was in Wales in September 2022. She was the first treatment service user I spent in-depth time with, and from whom I learnt a good deal about the nature of heroin addiction and recovery.  She told me that when she was using heroin, she did not know how to stop. She could find no information about how to stop using. She knew no one who had stopped using. The solution to these problems was to keep using, letting heroin kill her pain, shame and the hatred of herself for what she had become.

Through listening to Natalie, I first started to realise the importance of key factors facilitating recovery: gaining hope, understanding, and a sense of belonging. As Wired In, we emphasised the key importance of Empowerment and Connection for facilitating recovery. We pointed out that hope, understanding (of the nature of the problem and the solution), and belonging were key factors underlying Empowerment.

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Visiting UK Recovery Friends: Part 7 (Wulf Livingston)

On Friday 23 September, I left Gower and headed to Tregarth in North Wales, via Aberystwyth and Dolgellau (where one of my ancestors was born), to stay with Wulf Livingston and his lovely wife Melanie. As I had such a tight schedule, I was due to stay there only one day, but my cousin Emma (my next visit) had just tested positive for Covid, so I ended up staying two days with Wulf and Mel.

I hadn’t seen Wulf in person for nearly 20 years, although we’ve been conversing on Facetime for the last year or so. I first met Wulf in 2000 when Becky Hancock and I were conducting the Drug and Alcohol Treatment Fund (DATF) evaluation in Wales. The local evaluator for North Wales, Annie Stonebridge, used to organise our meetings when we visited the region, and always arranged for us to meet Wulf, as we got on so well and we were learning so much from him. Wulf was Community Services Manager for the treatment service CAIS at the time. I was always impressed that he used go out and meet service users in their homes or other places of their choice, rather than have them come to visit in the formal surrounds of the treatment service, which was the general practice in the field.

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2022 Recovery Stories Blog Posts, Part 2

I have recently uploaded a blog post which provides the titles of my blog posts this year, along with links to these posts. Here, I provide details of the remaining blog posts:

> The New ‘William White Papers’ Website

> The everyday lives of recovering drug users [Refers to excellent research by Joanne Neale and colleagues]

> Revised ‘Steps to Reintegration Model’ by Julian Buchanan

> Fighting Stigma and Discrimination When Recovering From Problem Drug Use

> ‘Addiction treatment mismatch: when what’s on offer isn’t always what’s wanted’ by David McCartney [From the Recovery Review blog]

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‘Healing is in Our Stories’ by Deron Drumm RIP

Here’s an excellent article by the late Deron Drumm about the importance of Stories in helping people recover and change the mental health system which appeared on Mad in America. I first posted this article on this website in December 2014.

‘”It’s important that we share our experiences with other people. Your story will heal you and your story will heal somebody else. When you tell your story, you free yourself and give other people permission to acknowledge their own story.” Iyanla Vanzant

I have spent a lot of time talking to politicians, media members and those working in the mental health system about the failings of the current method of viewing and treating emotional distress. I have come to the conversations armed with stats and outcomes about the bio-medical paradigm. I have found that the people I speak with do not doubt the facts conveyed. They seem to agree that the current state of affairs is not good. The difference is that I think the tragic outcomes demonstrate the failure of the current system. The folks I talk to tend to think things are so bad because “mental illness is just that serious.”

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Relationships, Connection and Healing from Trauma: Bruce Perry & Maia Szalavitz

For anyone interested in the healing of childhood trauma, I strongly recommend you read, The Boy Who Was Raised as a Dog: And other Stories From a Child Psychiatrists Notebook by Bruce Perry and Maia Szalavitz. Here is a description of the book from the back cover:

‘What happens when a child is traumatized? How does terror affect a child’s mind—and how can that mind recover? Child psychiatrist Bruce Perry has treated children faced with unimaginable horror: genocide survivors, witnesses to their own parents’ murders, children raised in closets and cages, the Branch Davidian children, and victims of family violence.

In The Boy Who Was Raised as a Dog, he tells their stories of trauma and transformation. Dr. Perry clearly explains what happens to the brain when children are exposed to extreme stress. He reveals his innovative methods for helping ease their pain, allowing them to become healthy adults. This deeply informed and moving book dramatically demonstrates that only when we understand the science of the mind can we hope to heal the spirit of even the most wounded child.’

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‘We Shall Remain’: The StyleHorse Collective

‘WE SHALL REMAIN was created to address the effects of historical trauma in our tribal communities. Many times, these untended wounds are at the core of much of the self-inflicted pain experienced in Native America. Much like fire, this pain can either be devastatingly destructive or wisely harnessed to become fuel that helps us to rise up and move forward in life with joy, purpose and dignity.’

I love these words and the film ‘We Shall Remain’ by The StyleHorse Collective. Please check out this powerful piece.

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Learn the Signs and Symptoms of PTSD: Dr. Bessel van der Kolk

Bessel van der Kolk is one of the world’s leading experts on trauma and the healing of trauma. His book The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma, is a classic in the field, one of the best non-fiction books I have ever read.

Bessel starts this seven-minute film clip by describing how the diagnosis for post-traumatic stress disorder (PTSD) was created to remind the Department of Veterans Administration in the USA to take care of war veterans. It was quite clear that a large of number of Vietnam veterans were traumatised by their war-time experiences.

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‘My Family’s Story’ by Wazza Jones

This blog post was submitted by Wazza Jones for The Carrolup Story website I have been running with John Stanton.

‘Here is a film clip from The Healing Foundation that helps us understand why many of our Bibbullmun / Noongar people and our communities are broken.

This is My Dad’s RIP story, my sister’s story, my story and our family’s story.

Yes, life is not easy and everyone is dealing with something, but many of us are also dealing with what happened to our parents, our grandparents, etc… This makes simple things in life that much harder to deal with than what they should be.

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The Impact of Colonialism on a Young Aboriginal Australian

Here is an excellent description of how colonialism impacted upon a young Aboriginal Australian as summarised by Richard Broome in his seminal book Aboriginal Australians: A history since 1788.

‘In Dareton, new South Wales, In 1965, eleven-year-old Malcolm Smith and his brother ‘borrowed’ pushbikes leaning against a bus shelter and went joy-riding. This small act led to the involvement of the police, welfare officers and the court.

Malcolm’s widowed father, who was in seasonal work and thus not always present, was judged as an unfit parent. The boys were taken and placed in a series of homes and foster care placements, where their Aboriginality was undermined, even denigrated.

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Looking for a Last Minute Christmas Present?

Our Recovery Stories BookThen why not check out my eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction, which is available via Amazon, Apple, or Kobo (price: £4.99, A$8.99, US$6.99, €5.99)? You, or a family member or friend, can read the book on a phone, other hand-held device or computer.

Synopsis

Recovery from addiction comes from the person with the problem. He or she does the work in overcoming their substance use and related problems, getting well, and getting their life (back) on track. Recovery is a process of self-healing. Practitioners may facilitate recovery, but they do so by catalysing and supporting natural processes of recovery in the individual.

Our Recovery Stories provides important insights into recovery and recovery-based care by showing the lived experience of recovery, through a collection of twelve inspiring Stories that describe people’s journey’s into and out of drug and/or alcohol addiction. Three additional Recovery Stories focus on family members whose lives have been affected by a loved one’s substance use problem. All the book’s storytellers have gone on to help other people with their recovery journey.

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2022 Recovery Stories Blog Posts, Part 1

As the end of 2022 is approaching, I thought I’d provide the titles of, and links to, the 38 posts on my Recovery Stories blog from this year. The photograph alongside is of Rowdy Yates, who we lost in February this year. Rowdy was a true addiction recovery champion. In the photograph below, taken in Stirling on 25 March 2009 by Mark Gilman, I am with Rowdy. Here are the first 20 of my blog posts this year, the earliest in the year shown first:

> An Awesome Recovery Story to Start 2022 [From The Guardian]

> ‘How I Overcame my Heroin Addiction – and Started to Live’ by John Crace [From The Guardian]

> ‘I was a heroin addict and had given up on myself. Then suddenly, briefly, I felt a desire to live.’ by John Crace [From The Guardian]

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Visiting UK Recovery Friends, Part 6 (Angie and Andy Evason)

Whilst on Gower, I caught up with my old best schoolmate in Melton Mowbray, Jeff Zorko, along with this wife Marian and daughter Rosie. Jeff and I spent a number of years working in jobs in different places around the world, only to find we both ended up living on Gower. They have known my three youngest children since each of them were born. Jeff became an invaluable Trustee on our charity Wired International Ltd, which funded Wired In activities. I am very grateful for the charity work he did then and the long-lasting friendship I have had with him and his family.

One of our meetings on this visit occurred over dinner at my former local pub, The King Arthur in Reynoldston. After dinner, we were joined by two former West Glamorgan Council on Alcohol and Drug Abuse (WGCADA) staff members, Angie and Andy Evason. As I have previously described, WGCADA was where I first began to learn about the nature of drug addiction treatment and interact closely with staff members and service users.

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Visiting UK Recovery Friends: Part 5 (Becky Hancock)

I left Ash Whitney’s house in Cilfrew, and headed to Gower (a peninsula just west of Swansea) where I had rented a house in Llangennith for my two boys (Ben and Sam) and myself for four nights. Llangennith is a village on the west coast of Gower which is close to Rhossili Beach, a beautiful surfing beach. I spent my first year renting a house in the village when I took up a position in the Psychology Department at the University of Wales, Swansea in 1992. I ended up living on Gower for 14 years and had such a great time there. I consider Gower to be my spiritual home.

I had closed down my neuroscience laboratory in the university in 2000 because I did not feel that a medical approach and the use of drugs were the answer to helping people overcome drug addiction. I realised that I needed to learn more about the nature of addiction and how it could be overcome by visiting treatment services and talking to practitioners and people trying to overcome addiction.

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Visiting UK Recovery Friends: Part 4 (Ash Whitney)

After leaving Wynford Ellis Owen and his lovely wife Meira in Creigiau (South Wales), I headed to Cilfrew, located close to Neath, to visit my great friend Ash Whitney, of Wired Up Wales, and his parents. Ash and I have worked together on-and-off for over 20 years now, starting not long after I launched WIRED (Web-based Information REsource on Drugs), which later became known as Wired In.

At the beginning of the new millennium, I received a small level of funding from the Welsh Development Agency, which at the time was the economic development agency for Wales, to develop and maintain an online resource that would help people in Wales better understand the nature of drug and alcohol use problems and how they could be overcome. Use of illegal drugs, in particular heroin, and excessive drinking were major problems in parts of Wales, particularly in areas suffering economic and social problems such as in the Welsh valleys. These problems had increased as coal mines in the valleys closed. 

A technician in my university department, Neil Carter, suggested I approach a web-developer friend of his, Ash Whitney, to see if he would build me a website.

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Visiting UK Recovery Friends, Part 3 (Wynford Ellis Owen)

After visiting my eldest daughter Annalie and family in Manchester, and seeing recovery advocates Kevan Martin and Mark Gilman, I headed down to Reading. The next day, my youngest daughter Natasha and I flew to Rome for a week to visit one of my best friends at City of London Polytechnic (where I did my Psychology degree in the first half of the 1970s) Saifullah Syed and his lovely wife Francoise. There, I also met Jeff Simpson, one of my other best mates from the Poly, someone I hadn’t seen for 45 years!

After Rome, I visited my eldest son Ben in Southampton for a couple of days and then hired a car in Reading to travel to and around Wales. First stop was Creigiau, where I stayed for the weekend with Wynford Ellis Owen and his wonderful wife Meira.

I first met Wynford in 2007 through my role as External Examiner for the Foundation Degree on Addictions Counselling run by Action on Addiction and the Division for Lifelong Learning at the University of Bath. Tim Leighton of Action on Addiction, who was in charge of the Foundation Degree course, asked if I would supervise the degree project of one of the students who lived not far from me in South Wales.

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‘Peer recovery support: a bridge to hope and healing’ by Dr. David McCartney

I’ve just been reading another excellent post from Dr. David McCartney on the Recovery Review blog.

Good human relationships and social connections are potent protections against both physical and mental ill health. In an analysis [1] involving hundreds of thousands of people researchers looked to see to what extent social relationships influenced the risk of death. They found that those who had stronger relationships were 50% less likely to die early. Loneliness and social isolation have significant negative impacts. You want to live a long and healthy life? Get loads of friends.

In the same way, being connected to pro-recovery social networks improve outcomes in addiction treatment. For a variety of reasons, not least because of stigma, those suffering from substance use disorders are often relatively socially isolated. Guidelines consistently recommend connections to peer groups like mutual aid and LEROs [Lived Experience Recovery Organisations], though this has historically not been a priority for some services. For recovery from alcohol use disorders, being part of mutual aid has an impact at least as great as evidenced psychological therapies like cognitive behavioural therapy. [2]

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‘The Myth of Normal’ by Gabor Maté

Whilst in the UK, I bought a hardback copy of Gabor Maté’s thought-provoking new book The Myth of Normal: Trauma, Illness & Healing in a Toxic Culture. Yes, today’s Western society capitalist culture is toxic, according to one of the world’s leading trauma experts.

Here is what the book’s introduction says:

‘”It all starts with waking up… to what our bodies are expressing and our minds are suppressing.”

Western countries invest billions in healthcare, yet mental illness and chronic diseases are on a seemingly unstoppable rise. Nearly 70% [!] of Americans are now on prescription drugs. So what is ‘normal’ when it comes to health?

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