Measuring Recovery and Recovery Community Development

Why bother?

Medical model ValidityStandardisationSpecific measuresEvidence based interventions

“The Power of Recovery”(Personal communication with Phillip Valentine, Executive Director, CCAR, Connecticut Community for Addiction Recovery)

Pot

enti

al

“Long Term Recovery”

“Better than well”

“Model citizens”

“Early Recovery”

“5 years+

In recovery”

Time

Logic models and theory of change…

Whatever works

Pot

enti

al

Time

Push

Pull

Individual

Community

Community

Quality of Life

Relationships

Health

Life Basics

Recovery

• Not a hierarchy• Not linear

progression• Multiple

dependencies• Multiple

variables• Interlinked

indicators

Low self management

Higher self awareness

Moved back in with supportive parents

Benefits eligibility

Reduced self harm

Diet and exercise obsession

Isolated and withdrawnRebuild relationships with parents

Friendships

Volunteering, finds a passion

Happy

Community participation

Sense of belonging

Improved self management

Skills to help others’ recovery

Benefits appeals

Health literacy

Befriending newcomers

Learning, new opportunities

Community leadership

Tools• Recovery journeys• Personal goals and progress• Scales• Logs, worker recording• Environmental monitoring• Community mapping

Welfare Reform

Commissioning cycle of other services

Interventions of other services

Mutual aid

Think about context

Pot

enti

al

“5 years+

In recovery”

Time

3 year commissioning cycle……

Recovery Community Development

• Not a service• Not an intervention• Long term engagement is desirable• Based on what people gain and give back• Can be encouraged and nurtured by

professionals but not created by them

To boldly go…

Community level• Action research• Total reportingIn treatment• Treatment –long term outcomes• Monitor recyclingHealth Board / ADP level• Outcomes viewed from the best vantage point• How the recovery system is knitted together