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Recovery Stories Blog

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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Visiting UK Recovery Friends: Part 2 (Mark Gilman)

Last month, I returned from a European trip of just under eight weeks, a trip during which I visited a number of friends who work in the addiction recovery field. In a previous blog, I described my meeting with Kevan Martin, Founder of NERAF (Northern Engagement into Recovery from Addiction).

Two days later, I spent the afternoon in Manchester with Mark Gilman, who many of you know. Mark was North West Regional Manager for the National Treatment Agency (NTA) for Substance Misuse, and more importantly one of the leading recovery advocates in the UK, when I first met him in 2008. He had established Recovery Oriented Integrated Systems (ROIS) in the North West, on the basis of the ideas of George de Leon. The latter’s proposition was that by coming together as part of a therapeutic community, people can learn how to live right.

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The Politics of Personal Distress

A couple of months ago I came across an excellent article in the Guardian newspaper by UK clinical psychologist Sanah Ahsan entitled ‘I’m a psychologist – and I believe we’ve been told devastating lies about mental health’. The article is well worth reading:

‘Society’s understanding of mental health issues locates the problem inside the person – and ignores the politics of their distress’

We are living, we’re told, through a “mental health crisis”. Mental health services cannot cope with the explosion of demand over the past two years: 1.6 million people are on waiting lists, while another 8 million need help but can’t even get on these lists. Even children are showing up at A&E in despair, wanting to die.

But there is another way to see this crisis – one that doesn’t place it firmly in the realm of the medical system. Doesn’t it make sense that so many of us are suffering? Of course it does: we are living in a traumatising and uncertain world. The climate is breaking down, we’re trying to stay on top of rising living costs, still weighted with grief, contagion and isolation, while revelations about the police murdering women and strip-searching children shatter our faith in those who are supposed to protect us.

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Visiting UK Recovery Friends: Part 1 (Kevan Martin)

My apologies that I have not posted on my blog for some time now. I was in Europe (UK, Sweden and Italy) for nearly eight weeks visiting family and friends. I hadn’t been back to the UK in two and half years, due to the fact that we were ‘locked down’ (our borders were closed) in Western Australia due to Covid. I came back home to Perth for a rest (!) and have also been catching up with work, which in part has involved working on a new recovery book. 

During my time in the UK, I travelled around visiting various friends who I first met whilst working in the addiction recovery field. Whilst staying in Manchester with my eldest daughter and her family, I took the opportunity to visit Kevan Martin, whose remarkable Recovery Story, He’s a Loser and Will Never Be Any Good, I first published on this website back in 2013.

After 25 years of problem drinking and eight years in and out of psychiatric hospitals, Kevan set up and ran NERAF (Northern Engagement into Recovery from Addiction) which eventually had nearly 100 staff and volunteers and provided a support service across the north-east of England. It all began in the following way:

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Is Medication Assisted Treatment like the Hotel California?: David McCartney

When I worked in the addiction recovery field in the UK running Wired In, I was a strong advocate of harm reduction services, including medication-assisted treatment. However, I spoke out against a treatment system that locked people into a methadone maintenance programme that provided no other therapeutic options, and no opportunity for abstinence-based treatment if people wanted to move on from daily use of methadone. Many people on methadone maintenance programmes were not even made aware of other treatment options.

Here is an excellent recent post on Recovery Review which discusses this highly pertinent issue by one of my favourite bloggers, Dr David McCartney from Edinburgh.

‘The tragedy of Scotland’s drug-related death figures has been in my mind this last week or so. The media may have largely moved on, but those of us who work in the field of addiction, those of us who know individuals who have died and those of us with lived experience of addiction will not be able to do the same.

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My Interview with Huseyin Djemil for his ‘Journeys’ Podcast

Last year, I was interviewed by Huseyin Djemil of Towards Recovery for his ‘Journeys’ podcast. I was really pleased to be Huseyin’s first interviewee for his podcast, as I hold him and his initiative in high regard. It was also really nice to talk to him again, the first time in around 15 years. The last time we had met was in London, and now we were communicating via Zoom, with me in Perth, Western Australia, and Huseyin in Henley, UK.

Huseyin Djemil is Senior Consultant and Trusted Advisor with 25+ years experience working in the substance use, addiction, recovery, social care, criminal justice, and not-for-profit sectors. He is Founding Director of Towards Recovery, which offers an open safe space for people in recovery from addiction and helps them find the right path for themselves. He started the Journeys Podcast last year because he believes strongly that the stories of recovering people need to be visible to give others hope.

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‘Addiction treatment mismatch: when what’s on offer isn’t always what’s wanted’ by David McCartney

Another really except blog post on Recovery Review by Dr. David McCartney, this one focused on what people want from addiction treatment.

“I never knew that rehab was available to guys like me”, he said to me just before he completed his rehab programme. He’d been in and out of `treatment for many years before he got to rehab. “Why did nobody tell me?” I was left struggling for an answer.

This is one of the things that still upsets me in my work with patients. It is still happening – even in my area where there are clearly established pathways to rehab with no funding barriers to navigate.

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Fighting Stigma and Discrimination When Recovering From Problem Drug Use

Yesterday, I described the difficulty that people recovering from problem drug use face in becoming accepted by mainstream society. They are shunned and socially excluded at a time they need to reintegrate into mainstream society in order to facilitate their recovery and allow them to live a normal life. Here is a related story.

Early in February 2008, I attended with my colleagues Lucie James and Kevin Manley, the first Drink and Drugs News (DDN) / Alliance Service User Conference, which was organised by Claire Brown and Ian Ralph of DDN and held in Birmingham. Around 500 people attended, two-thirds of them service users, a very successful conference.

Lucie, Kevin and I enjoyed our day and made some new friends. A special issue of DDN, which was the leading UK magazine focused on drug and alcohol treatment, was devoted to the conference. Prejudice towards service users was obviously an issue that was discussed during the afternoon’s discussion tables.

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Revised ‘Steps to Reintegration’ Model by Julian Buchanan

In an earlier series of blog posts starting here, I highlighted Julian Buchanan’s classic paper Tackling Problem Drug Use: A New Conceptual Framework in which he describes his ‘Steps to Reintegration’ Model, a model which I consider to be both very pertinent and important.

Julian’s paper is based on his twenty years of research and practice with dependent drug users in Liverpool, England. It draws upon three separate qualitative research studies that involved semi-structured interviews with 200 problem drug users. The studies sought to ascertain the views, suggestions and experiences of drug users in respect of what was helping or hindering them from giving up a drug-dominated lifestyle.

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The everyday lives of recovering drug users

I recently found this very interesting and important piece of research from 2012, The everyday lives of recovering drug users by Joanne Neale, Sarah Nettleton and Lucy Pickering, which was part of a Royal Society of Arts project focused on addiction recovery. Here is what the RSA Director of Research, Steve Broome, said about the research:

‘This is a fascinating, in places touching, and, most importantly, useful book. Seldom heard personal accounts from 40 recovering heroin users reveal the psychological, physiological, and emotional journeys as they overcome their addiction. Ultimately, they are human stories that reveal simple and modest aspirations: recovering heroin users want to participate and feel valued as productive members of society. In the words of several interviewees, they just want to feel “normal”.

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The New ‘William White Papers’ Website

On May 13, William (Bill) L White posted the following important announcement, The Future of William White Papers Website, on his blog (NB. I have broken up some of the original paragraphs):

‘This image, which has greeted visitors to my website since its inception in 2009, will soon have a new look.  The website has grown to include nearly all of my writings over the past half century, including all of my major papers and monographs on recovery advocacy, recovery management, and recovery-oriented systems of care. Also archived are more than 100 interviews with addiction treatment and recovery advocacy leaders and classic documents on the history of addiction treatment and recovery in the United States and in other countries.

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‘Out of the dark into the light: The beginning of the recovery journey’ by Rosie

Whilst looking through my collection of ‘voices of recovery’ to see what might be appropriate for the book on recovery I’m writing, I came across this Recovery Stories blog post from September 2013. This is the first of a series of posts that Rosie first wrote on our online Wired In To Recovery community website which ran from 2008-12.

‘Leaving the dark place of my drinking and moving into the light of my new life has been a journey of self discovery—a journey of change—a painful journey at times—a wonderful journey—which has brought me what I was seeking most—peace.

I have come to understand that recovery is a healing process of mind, body and spirit, and time is an essential factor in this process. We cannot expect to recover from the illness of alcoholism or any other addiction overnight. We cannot undo the harm done in a short space of time. This is a fact which I believe is so often not recognised—people are not realising the importance of time in the recovery process.

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‘Tackling Problem Drug Use: A New Conceptual Framework’ by Julian Buchanan, Part 3

Here is the Conclusion to Julian Buchanan’s excellent 2004 paper on the the debilitating nature of marginalisation and social exclusion that many long term problem drug users experience.

‘This paper has argued that the key issues that drug users face are related to discrimination, isolation and powerlessness. Those drug users, who become long-term and dependent, tend to have been disadvantaged and socially excluded from an early age prior to their taking drugs. For many of these people an all-consuming drug centred lifestyle was not the problem, but a solution to a problem.

Social work has a long standing tradition of highlighting injustice, discrimination and inequality, and seeking to empower the service user. Social workers are then, ideally placed to make a significant contribution to draw attention and develop increasing awareness and understanding to the issues of oppression and discrimination that many drug users experience.

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‘Tackling Problem Drug Use: A New Conceptual Framework’ by Julian Buchanan, Part 2

In my last blog post, I introduced a 2004 paper from Julian Buchanan the focuses on helping people overcome problematic drug use. The paper draws upon the messages from drug users in Liverpool, highlighting ‘the debilitating nature of marginalisation and social exclusion that many long term problem drug users have experienced. It concludes by suggesting a new social model to understand and conceptualise the process of recovery from drug dependence, one that incorporates social reintegration, anti-discrimination and traditional social work values.’

In his paper, Julian presents a new conceptual framework for practice that incorporates and promotes an understanding of the social nature and context of long-term drug dependence. Julian’s ‘Steps to Reintegration’ model model is based on the stage-orientated model of Prochaska and DiClemente. He describes six phases, four of which occur before what he terms the Wall of Exclusion and two afterwards.

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‘Tackling Problem Drug Use: A New Conceptual Framework’ by Julian Buchanan, Part 1

My apologies for not posting for a while on the website, but I have been busy writing a new book… and also feeling a little burnt out. Anyway, I want to mention a 2004 paper by Julian Buchanan that I came across last week, which describes his important research with problematic drugs users and a ‘new conceptual framework for practice that incorporates and promotes an understanding of the social nature and context of long term drug dependence.’

Julian’s paper is based on his twenty years of research and practice with dependent drug users in Liverpool, England. It draws upon three separate qualitative research studies that involved semi-structured interviews with 200 problem drug users. The studies sought to ascertain the views, suggestions and experiences of drug users in respect of what was helping or hindering them from giving up a drug-dominated lifestyle.

The paper highlights ‘the debilitating nature of marginalisation and social exclusion that many long term problem drug users have experienced. It concludes by suggesting a new social model to understand and conceptualise the process of recovery from drug dependence, one that incorporates social reintegration, anti-discrimination and traditional social work values.’

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‘It doesn’t work for everyone’—a take on 12-step approaches, by DJMac

Yesterday, I was going through old Recovery Stories blogs (from the period 2013/4) when I came across this gem. It’s a guest blog by a GP who gives a personal view on professional perspectives of mutual aid. No doubt, it is just as relevant today as it was then.

“‘Astonished’
I was astonished the first time I was taken to an NA meeting. I mean, really gobsmacked—you could have knocked me off my seat. The room was full of recovering heroin addicts; something I’d never seen in my 20 years (at that time) in practice.

I was both excited—at the possibilities—and ashamed at the fact that I didn’t know such places existed. It curls my toes to think of it now, but I had not referred my patients to them. That was a while back.

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