Recovery Plus How to help addicts into long-term enriched recovery SSaveave ttime,ime, ssaveave liveslives RECOVERY FROM ADDICTION IS POSSIBLE: Experience, research and hope, by the experts MUTUAL AID: RESEARCH ON EFFECTIVENESS by Professor John Kelly HOW TO MEASURE RECOVERY: by Professor Joanne Neale WHAT IS ADDICTION? 15 MANIFESTATIONS and 12 core characteristics, by Mandy Saligari HELP THE CHILDREN OF ALCOHOLICS Politician Liam Byrne’s campaign THE COMPLEX PATIENT: Integrated treatment, by Dr Michael Genovese WOMEN’S ISSUES, MEN’S ISSUES: Similarities and diff erences, by Paul Hokemeyer ADOLESCENTS: PREVENTION & TREATMENT by Dr Andrea Grubb-Barthwell, Mary Brett REDUCING STIGMA EASES PATH TO CARE: Recovery Brands’ £7,000/$10,000 prize to help FAMILY MATTERS: SUPPORT & BE SUPPORTED by Don Lavender ADVANCES IN DRUG AND ALCOHOL TESTING: Innovation, technology – and integrity SPOT THE 7 SIGNS OF RELAPSE ... use them to help change, by David Brown STRUCTURED FAMILY INTERVENTIONS History and overview by Rebecca Flood PLUS: Where to fi nd rehabs and self-help groups... alphamusic... Laura Loves, Laura Loathes... and 12-page Recovery Plus pullout programme. your library’s essential reference February Feb 2016 2016 1 Recovery Plus Recovery Plus SSaveave ttime,ime, ssaveave liveslives Welcome to Recovery Plus, will do the same. That’s the our fi rst annual publication philosophy of the experts in this dedicated to the professional publication and the publishers. knowledge of how to recover People are what matter in this from addictive behaviours. world – not money nor fame nor Worldclass experts have written buildings nor organisations nor articles on their specialist topics to institutions. Only people, values give you a comprehensive overview and ethics. Achievement comes to or ‘crash course’ on addiction and people who can do great things for recovery. We hold them in such high themselves. Success comes when they regard that they were invited them to lead followers to do great things for speak at our conferences – and they generously them. But a legacy is created only when leaders off er you their PowerPoint presentations, too. All enable their people to do great things without you need do is access our accompanying online them – hard as that might sound to you initially. Recovery Plus journal, then click on the “Click for presentation” icon embedded in their articles. This applies not only to staff and colleagues: it is Professor John Kelly’s article, for instance, stands also the most eff ective way to give healthy life alone but also links to 70 pages of select research. choices to people with dependencies. And so Download them from www.dbrecoveryresources.com. we hope to help you to help others. We hope to help you... Gain confi dence in handling clients What should be the legacy of a successful leader? with complex needs… Prevent relapse... Break And how is that relevant to this publication? destructive intergenerational patterns... Know 20 years from now, all that will matter is the when to refer and who you can safely refer to… people you connected with in such a way that Discover new colleagues... and fi nd sources of you added value and meaning to their lives. The help from our Directories of mutual-aid groups fi nal test of a leader is that s/he leaves behind in and treatment centres towards the back of this others the conviction and will to carry on. That publication. Click on the photos in our online requires imparting expertise as well as passion, journal to be brought directly to their websites. and helping people to connect with others. The greatest legacy a leader can leave is having In the course of your work, as you increasingly helped to develop other leaders. Develop them encounter people/colleagues with alcohol or as widely and as deeply as you can, supported by drug problems or addictive behaviours, you can the knowledge and contacts in Recovery Plus. grow confi dent that you are doing the best for them – and yourself, following best practice. If If you want to leave a legacy, invest in people, you need more support, do join the next intense and encourage those you develop to pass on fully-rounded ‘crash course’ in how to recover everything they learn from you to others who from addiction, on 20 May: see page 35. 2 Feb 2016 your library’s essential reference Feb 2016 3 Recovery Plus Recovery Plus In our online ‘sister’ Recovery Plus journal, you can click on the orange button beside each article to be automatically brought to it. Contents FOR YOUR DIARY: DRUG AND ALCOHOL POLICY IN 2016 3 WELCOME TO THE FIRST RECOVERY PLUS ESSENTIAL REFERENCE 47 Recovery Plus What should be the legacy of a successful leader? Creating more leaders – like you. Will there be an open consultation? What will policy include? Laura Graham investigates. conference NEWS FAMILY MATTERS: THROWING A LIFELINE 7 48 20 May 2016 Catch up on the addiction field: latest legislation, rehab closures – and hope, psychoactive Don Lavender explains the importance of family behaviours when addicts return after rehab. Interventions Plus substances, dependency on prescribed medicines, legalisation lobbying and more... HELP PARENTS TO HELP THE NEXT GENERATION, part 1 tutorials, training 50 MEASURING RECOVERY: MOVING TO AGREEMENT The later a person starts to use substances, the better their life chances, urges Dr Andrea Barthwell. 12 21 May 2016 To optimise treatment and recovery, service providers’ and users’ definitions of addiction Waldorf Hilton, recovery must converge more – Dr Joanne Neale and colleagues start the research. 52 PREVENTION: SUFFER THE CHILDREN, part 2 London. How cannabis affects children is often misinterpreted and denied; Mary Brett lists the facts. SCIENTIFICALLY-INFORMED RECOVERY: WHAT’S NEW? 16 Harvard’s first professor of addiction medicine, John Kelly, summarises rigorous studies by 56 THE SEVEN WARNING SIGNS OF RELAPSE IC&RC CEUs and the scientific community on the clinical utility and cost offsets of mutual-help groups. Relapse back into addiction is not an overnight event – it is weeks or months in the making. CIPs awarded. David Brown identifies seven warning signs so that disaster can be prevented. MEN AND WOMEN IN TREATMENT: THE ISSUES 20 For men and women in active addiction, or accessing treatment, or in recovery, what are the INTERVENTIONS: THE HISTORICAL PERSPECTIVE 62 similarities and differences? Paul Hokemeyer did the research for you and gives his findings. Over 90% of structured interventions can be successful in persuading a reluctant addict into treatment - they also create a shield for troubled family members. Rebecca Flood explains. ADDICTION COMES IN PEOPLE, NOT PACKAGES 26 “It is not only possible to get completely well from addiction – I would also claim that it is BRAINWAVES, MUSIC, ADDICTION, TRAUMA possible to prevent it,” says Mandy Saligari, who has ‘manualised’ how to achieve this. 66 How can music actively assist in the treatment of addiction and trauma? John Levine explains. INTEGRATE TREATMENT FOR COMPLEX PATIENTS STIGMA AS BARRIER TO RECOVERY – PLUS £7,000/$10,000 COMPETITION 28 70 Integrative treatment includes all viable modalities. While we cannot cure dual diagnosis, Recovery Brands is campaigning to reduce the stigma of addiction treatment and recovery. IM can help to heal, maintaining hope and positive growth. Dr Michael Genovese explains. 72 HOW TO FIND: SELF HELP GROUPS LATEST ADVANCES IN DRUG AND ALCOHOL TESTING How to contact the mutual-aid groups recommended by WHO and NICE. 30 George Powell explains how innovation and technology have impacted the rehab sector. 76 LAURA LOVES, LAURA LOATHES HELP THE CHILDREN OF ALCOHOLICS: A POLITICIAN’S CAMPAIGN Despite a “dismal year for recovery” in 2015, Laura Graham fi nds reasons to be optimistic. 34 MP Liam Byrne recently opened up publicly about his experience as the child of an alcoholic – and is proposing legislation for all local authoriites to recognise and support them. 78 HOW TO FIND: PROFESSIONAL CARE If you or a loved one want the best of treatment for an addiction problem, fi nd it here. FREE 12-PAGE PULLOUT PROGRAMME: RECOVERY PLUS CONFERENCE WHAT IS... A CIP? EXPLAINING CERTIFIED INTERVENTION PROFESSIONALS 35 82 Join our team and a host of professionals and trainees in London on 20 and 21 May! Credentialling gives you an ‘edge’ over lesser-qualifi ed counterparts. 4 Feb 2016 your library’s essential reference Feb 2016 5 Recovery Plus Recovery Plus Celebrate recovery: News: stories symbolising trends to watch This year’s challenges Catch up with the addiction fi eld! Each of the news invest in recovery items below crystallises a major nuance in the drug and alcohol prevention and treatment fi eld: challenges we will be facing in 2016 and for years to come. PRESCRIBED DRUGS associated with dependence and withdrawal – building a consensus for action... was published by the British Medical Association last October. Read CEP summary and link to the 44-page report at http://cepuk.org/2015/10/13/cep-welcomes-report- This year celebrates the millions of people who have recovered from addiction bma-prescribed-drug-dependence. Campaigners have been – and the work of the caring professionals who reach out daily to help the many, fi ghting for recognition for over 30 years. 5-year drug strategy many millions of vulnerable people and suff ering families who still need to E-CIGARETTES... with opinion still sharply divided as comes out in March experience enriched recovery. to whether e-cigarettes help stop tobacco smoking or We celebrate, encourage and advance that by introducing Recovery Plus as the instead cause harm, the NHS spends taxpayer money “With deaths from illegal drugs in England and Wales at the highest rate ever recorded, we might imagine UK’s major print-and-posted journal on how to recover from addiction, as well prescribing them: see overview at www.telegraph.co.uk/ that the Home Offi ce would be desperate for a as being available fully interactive online (with over 2million views in 2015).