‘Addiction can’t always be cured so let’s focus on quality of life’ by David Best

rsz_3ycm9w7x-1380697705David Best has a new short article out in The Conversation. Would be great if you could sign up and comment. 

‘Alcohol and substance abuse costs the Australian economy A$24.5bn a year. The human toll from accidents, overdoses, chronic disease, violence, mental illness and family disruption, however, is immeasurable.

Modern, evidence-based policy responses to addiction focus on treatment, where patients aim to withdraw from drugs through therapy and medications. Harm-minimisation strategies such as the supply of clean needles and syringes and the prescribing of substitution medications are also key elements of Australia’s drug strategy.

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‘The Four Walls’ by Mark Ragins

rsz_markHere’s some great earlier writing on recovery from Mark Ragins, who set up The Village in California. This is what recovery is about!

‘In 1989, the California State Legislature authorized the funding for three model mental health programs, including the Village Integrated Service Agency in Long Beach, in part to answer the question, “Does anything work?”

We created a radical departure from traditional mental health services basing our entire system on psychosocial rehabilitation principles, quality of life outcomes and community integration. Arguably, we have created the most comprehensive, integrated and effective recovery based mental health program anywhere.

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The culture of addiction: Part 1

384985_10150365241281765_1866835833_nThis is the first of two blogs on the culture of addiction. I will later look at the culture of recovery, and after that consider how we can help people move from the culture of addiction to the culture of recovery.

These articles are based on the seminal writings of William L White, in particular from his book Pathways from the Culture of Addiction to the Culture of Recovery. In this book, Bill provides key insights into how we can help people move cultures – essential in their journey along the path to recovery.

‘Culture’ generally refers to patterns of human activity and the symbolic structures that give such activities significance and importance. Wikipedia

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‘Recovery: what matters?’ by David McCartney

IMG_2315Here’s an interesting Wired In To Recovery blog from David McCartney from September 2013 about the importance of social relationships.

‘If you wanted to live a long and healthy life, what measures could you take to achieve your goals? Stop smoking? Lose weight? Exercise? Drop your blood pressure? We have evidence that all of these make a difference, but a recent analysis of 148 studies on the subject found two things that made more of a difference to mortality than anything else. What were they?

Well, having strong social relationships and being integrated socially seem to protect against death. This analysis was not specifically about addiction, but suffering from addiction is strongly associated with increased death rates and it seems very likely that if we could promote strong social links in those seeking help it will reduce the risk of relapse and ultimately of early death.

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Natalie’s Story: ‘I didn’t plan to be an addict’ (Part 2)

IMG_3468I first met ‘Natalie’ over 12 years ago when I lived in South Wales. I will never forget how she emphasised the importance of providing online support for people with substance use problems. She had been desperate to find helpful online information when she trying to overcome her drug problem.

Natalie has always been such an inspiration to people around her. Mind you, many people had to first get over the shock of finding that such a lovely lady had once been a heroin addict.

We left Natalie in Part 1 of this Story in the pre-treatment part of a 12-step treatment programme.

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The future of treatment

P4071117The following quote is taken from one of my favourite books, Slaying the Dragon: The History of Addiction Treatment and Recovery in America by William L White.

‘During the past 150 years, “treatment” in the addictions field has been viewed as something that occurs within an institution – a medical, psychological, and spiritual sanctuary isolated from the community at large.

In the future, this locus will be moved from the institution to the community itself. Treatment will be viewed as something that happens in indigenous networks of recovering people that exist within the broader community.

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Loneliness: a call to generosity

100_0690Here is a wonderful blog from US recovery advocate Pat Deegan:

‘Like many people, I experienced periods of intense loneliness during my recovery after being diagnosed with schizophrenia. Over time, I learned that my loneliness was a call for me to be more generous and to give of myself. Here’s what I mean:

Loneliness and being alone are two different things. In my early recovery, being alone was an important self-care strategy for me.

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Reflections on Kevan’s Story (Part 3)

Kevan MartinHope you’ve been following Part 1 and Part 2 of my reflections on Kevan’s Story. I’ve been highlighting some of the processes occurring in Kevan’s recovery.

We’ve seen changes in his thinking and behaviours, and followed the lifestyle changes that Kevan made. We’ve seen how Kevan’s confidence in himself has grown over time and as the changes have occurred.

What is absolutely clear is that this recovery process was driven by Kevan. It was something he did, not something that was given to him by someone else. In fact, he spent many years in and out of a psychiatric hospital and no one suggested to him that he had a drinking problem. When he did meet with a drug and alcohol counsellor, the advice he was given was nonsensical!

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The challenges of recovering from heroin addiction

DSCF2083When you ask people what difficulties a person faces when trying to overcome heroin addiction, most will focus on the early withdrawal symptoms, which comprise both physical and psychological elements.

There are far greater challenges that lie ahead in a journey to recovery from heroin addiction. It is important that people know this (users, family members, family members, etc), although it is also important that people with a heroin problem are not put off by these challenges. Many people have overcome heroin addiction.

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A journey toward recovery: From the inside out

IMG_2364I recently read an extraordinary article by Dale Walsh written back in 1996 which really summed up what recovery and recovery principles mean to a person who has been suffering from mental health problems. I thought I would highlight some of the main points here. [The article seems to have disappeared since the original website has been modified. I’ll put up link if it resurfaces.]

The Problem
“For many years I believed in a traditional medical model. I had a disease. I was sick. I was told I was mentally ill, that I should learn to cope with my anxiety, my depression, my pain, and my panic. I never told anyone about the voices, but they were there, too. I was told I should change my expectations of myself and realize I would always have to live a very restricted life.

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