My Second Interview With James Deakin of North Wales Recovery Communities

My second interview with James Deakin, Founder of North Wales Recovery Communities (NWRC), took place on 16 June 2023. It involved Perth, Western Australia, linking up with Bangor, North Wales, on Zoom, with a seven-hour time difference. I edited 11 films from the interview, totalling just under 58 minutes.

We covered a range of topics relating to the functioning of NWRC. These topics included NWRC trying to create as many recovery pathways as possible, involving various mutual aid groups holding meetings at NWRC’s Penrhyn House; the power of ‘the group’ in helping individuals; the importance of being committed to, and engaged with, the various activities offered by NWRC; the importance of service to the community and further afield (with examples, including a project in Kenya); education; and dealing with trauma and its impact.

I’m fascinated and excited by what is going on at NWRC. I hope our films involving NWRC—33 Voices Films totalling over three hours of film—illustrate what can be achieved with a peer-led recovery service, and provide insights into the nature of recovery.

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The King’s Shilling: James Deakin

Wulf starts a discussion about how a peer-led, independent recovery group obtains funding such that it is not working to the agenda of the funder. In the early stage of NWRC’s development, James has ‘zero trust and zero faith’ in the commissioning process in the North Wales substance misuse field. He has seen too much control and tokenism in the field, and fears that his community’s work will be undermined by the system.

He receives funding from outside the field which allows him to control the community’s housing. The building he and his colleagues acquire hosts mutual aid groups which work with members of the recovery community.

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My Addiction & Recovery: Dr. Wendy Dossett

Wendy identifies as a person in recovery from addiction. She describes herself as recovering, rather than recovered, as she believes that if she were to drink alcohol again, she would quite likely eventually return to the same position she was in at the height of her drinking problem.

At that time, her life was unravelling, she was experiencing a lot of suicidal ideation and attempting suicide, and was clinging on to a job with ‘splintering finger nails’. She was living in a mouldy touring caravan in a field, showering in the university she worked at, and trying to pretend everything was okay. She thought alcohol was keeping her alive.

When Wendy reached what she considered was her rock bottom, a time of absolute agony, she reached out for help. She didn’t go to treatment, and attributes her recovery to mutual aid. As her sobriety continued, her mental health improved incrementally.

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Peer Support Groups

This page provides links to the home pages of a number of key peer support groups, e.g. AA, SMART Recovery. Learn why peer support is important.

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Tim’s Story: ‘Doctor in Recovery’

As Tim found out, having a medical degree offers no protection against addiction, nor from the hard work that is required to change oneself as a key part of the recovery journey. (7,135 words)

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‘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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‘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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‘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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‘The Astonishing Power of Example’ by Peapod

Here is a post from one of my favourite bloggers on our online recovery community Wired In To Recovery, which dates back to April 2009.

‘Astonishment. That’s what I felt the first time I was taken to a mutual aid group meeting.

I was in treatment at the time in a residential centre. I was also neck deep in trouble. I had lost my job through my using. As part of the fallout from my own million megaton addiction detonation, I’d caused someone else to lose their job. The police were on my tail and I was massively in debt.

I didn’t particularly want to be in treatment, but I’d run out of alternatives. As the detox began to bite (and my god, the teeth were sharp), the permanent fog in my head began to clear. This was not a good thing.

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Learning From Wired In To Recovery

As part of our Wired In strategy, my colleagues and I launched the Wired In To Recovery online community in November 2008. Our initial aims with Wired In To Recovery were to:

  • Highlight role models who show that recovery from addiction is possible, and illustrate the multitude of paths to recovery.
  • Provide information and tools that help people better understand and use the options they have to overcome the problems caused by their own, or a loved one’s, substance use.
  • Create an environment in which people can inspire and learn from each other and provide mutually beneficial support.
  • Establish a ‘people’s journalism’, or Voice of Recovery, which acts as a strong source of advocacy both for recovery and the Recovery Movement.
  • Identify key individuals who would join, or collaborate with, Wired In to help us realise our ambitions.

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The Recovery Scholarship of Ernie Kurtz

Ernie GLAATC InterviewHere’s some great reading for you, from one great scholar and storyteller about another. Bill White starts the New Year with this excellent posting on his blog. Enjoy!

‘One of the distinctive voices within the modern history of addiction recovery is that of Harvard-trained historian Ernie Kurtz.

Spanning the 1979 publication of his classic Not-God: A History of Alcoholics Anonymous to the just-released Experiencing Spirituality (with Katherine Ketcham), Kurtz has forged a deep imprint in studies of the history of A.A. and other recovery mutual aid groups, the varieties of recovery experience, the role of spirituality in addiction recovery, and the personal and clinical management of shame and guilt.

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‘“It doesn’t work for everyone” – a take on 12-step approaches’ by DJMac

iStock_000011501444XSmall-300x199Excellent blog from the DJMac website. Good discussion as well.

‘What follows is a guest blog by a GP who gives a personal view on professional perspectives of mutual aid:

“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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‘Experiencing Recovery – Part 8′ by William L. White: History of Recovery Support

Bill introduces about the various types of recovery support that have existed historically: natural support, limited generalist support within the community, peer recovery (mutual aid) and treatment. He then goes on to describe how things have been changing in recent years.

‘Experiencing Recovery – Part 4′ by William L. White: Frameworks of Recovery

In this part of his talk, Bill White discusses the degrees/depths of recovery. He describes how some better people feel ‘better than well’ after recovery.

He goes on to describe different types of recovery initiation/maintenance framework and different styles of recovery.

‘Experiencing Recovery – Part 2′ by William L. White: The Rise of Modern Addiction Treatment

I continue Bill White’s talk that he gave at the Harvard Addiction Conference in 2012, the Norman E. Zinberg Memorial Lecture. An amazing history of recovery and treatment for alcohol and drug addiction.

‘Experiencing Recovery – Part 1’ by William L. White: Early History of Recovery in the US

Last week, I highlighted the fact that a new edition of Bill White’s classic book Slaying the Dragon: The History of Addiction Treatment and Recovery in America has just rolled off the presses. I can tell you that this is one of the best (and most fascinating) books that you will ever read.

To celebrate the ‘rolling of the presses’ and Bill’s remarkable career in the recovery field, I am going to show a talk Bill gave at the Harvard Addiction Conference in 2012, the Norman E. Zinberg Memorial Lecture. I will show one part a day for the next 10 days, taken from Bill’s excellent website.

In the first part, Bill describes shows just how far back recovery goes historically in the US – to Native American Indians in the 1730s!

The Road from Crime – Extended Preview

Excellent preview, I’m heading to watch the full film.

‘What can we learn from those former prisoners who have successfully “desisted” from criminal behaviour or “gone straight?”

The exit at the prison gate often appears to be a revolving door with nearly 60 per cent of released prisoners re-offending within two years of their release. Prisons and probation departments have, almost literally, tried everything in efforts to rehabilitate offenders over the past century, but the results have been uniformly bleak leading many to conclude that “nothing works.”

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What Works in Treatment?: Tim’s Story

rsz_img_2891Here are Tim’s experiences of treatment. Well, actually two different forms of treatment, one which did not help and the other that helped Tim overcome his addiction to alcohol and opiates. Tim is a doctor and his Story is packed full of insights. Here, I’ll start with his moment of clarity.

‘The epiphany which did eventually provoke some help-seeking was relatively simple. I came down to the kitchen one morning feeling wretched and defeated. I opened the cupboard and reached up. With one hand I brought down the cornflakes and with the other the whisky bottle.

I flexed my elbows to bring the two closer to me and weighing them up in my hands I thought, “There’s something not right about this… there’s something very wrong with this picture.” The bit of me that wanted to drink finally began to yield to the bit that didn’t. Shortly after, I went so see my GP.

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‘Narcotics Anonymous Comes of Age’ by Bill White

rsz_201307diamondjubileelogoBill White has recently written a blog and co-authored an article on the 60th Anniversary of NA.

‘Narcotics Anonymous (NA) is too often relegated to the status of stepchild of Alcoholics Anonymous (AA).  NA’s unique history, culture, and distinctiveness are routinely obscured within references to “AA and other Twelve Step programs.” 

For the past several years, Chris Budnick, Boyd Pickard and I have been conducting research on the history of NA, and we recently authored an article commemorating the 60th anniversary of NA’s founding.  In this article we identified and discussed 12 things we believed every addiction professional should know about NA.

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Serenity Recovery Fringe Festival

cafe-shotIn an earlier blog, I highlighted an article by Bill White on Recovery Carriers.

Recovery Carriers are people, usually in recovery, who make recovery infectious to those around them by their openness about their recovery experiences, their quality of life and character, and the compassion for and service to people still suffering from alcohol and other drug problems.

I know two special Recovery Carriers in Edinburgh – and there are many more – David McCartney and John Arthur.  Here’s John’s latest blog:

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