Here’s another excellent blog post by Dr. David McCartney on the Recovery Review blog.
In 2005, concerned at the lack of choice in addiction treatment in Scotland and hearing frustrations from patients and families around lack of access to residential treatment, I sought support and funding to set up a drug and alcohol rehab service based on the therapeutic community (TC) model. This would be unique in Scotland as, based in the NHS, it would be free at the point of delivery, eliminating difficult funding pathways.
I proposed the service should serve a local population to keep people close to their families and allow them to develop local recovery supports and access intensive aftercare. It should develop close working relationships with other treatment and support options – this should be an ‘as-well-as’ service rather than an ‘instead-of’ service. There should be direct family support and detox offered as part of the deal. We would actively connect people to recovery resources in the community, offer them peer support and open avenues into education, training and employability.
Outcomes from rehab in Scotland (and even the UK) at the time were hard to find – but so were any treatment outcomes from services already in operation, so I built in that we should commission a robust evaluation. If this wasn’t going to work, we needed to know that – and if it helped people achieve their goals we wanted to get that message (and any other learning) out there.
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.
