Social Policy and Administration, 50(3), 2016, pp.398-413.
Publisher:
Wiley
... implications of the new recovery agenda. The article has three main objectives. First, it explores current shifts in England, in which drug service commissioning has moved from being centrally funded and directed, to locally determined. Second, it references the rise of the well-informed user in the reconfigured landscape of recovery and the ways in which commissioning models may enhance or negate the contribution of user activists to local cultures of recovery. Third, it references the changing political context, in which austerity is being used to increase the pressure on provider services to demonstrate social value, utility and effectiveness. The article argues that there is a palpable need to re-politicize drug debates and recognize the structural and demographic factors which frame problem drug use, as well as the social and cultural factors which support or negate their opportunities for recovery.
(Publisher abstract)
This article critically examines the implications accompanying the introduction and implementation of recovery-based policy. The article draws upon research conducted in Lancashire, England, where commissioners have been at the forefront of recent developments in ‘whole system’ models of commissioning. Empirical data are drawn on to make a series of new arguments about the tensions and practice implications of the new recovery agenda. The article has three main objectives. First, it explores current shifts in England, in which drug service commissioning has moved from being centrally funded and directed, to locally determined. Second, it references the rise of the well-informed user in the reconfigured landscape of recovery and the ways in which commissioning models may enhance or negate the contribution of user activists to local cultures of recovery. Third, it references the changing political context, in which austerity is being used to increase the pressure on provider services to demonstrate social value, utility and effectiveness. The article argues that there is a palpable need to re-politicize drug debates and recognize the structural and demographic factors which frame problem drug use, as well as the social and cultural factors which support or negate their opportunities for recovery.
(Publisher abstract)
Subject terms:
recovery, commissioning, drug misuse, service provision, models;
... The principles are, that: effective population-level actions are in place to reduce alcohol-related harms; there is large scale delivery of targeted brief advice; there are specialist alcohol care services for people in hospital; there is prompt access to high quality, effective alcohol treatment that is recovery- orientated; and commissioners work with partners to commission effective alcohol and drug
(Edited publisher abstract)
This commissioning support pack outlines key principles for local authorities and areas to consider when developing plans for an integrated response, aimed at individual drinkers at risk and whole populations. It will help local authorities to develop joint strategic needs assessment and local joint health and wellbeing strategies to address public health issues relating to alcohol use in adults. The principles are, that: effective population-level actions are in place to reduce alcohol-related harms; there is large scale delivery of targeted brief advice; there are specialist alcohol care services for people in hospital; there is prompt access to high quality, effective alcohol treatment that is recovery- orientated; and commissioners work with partners to commission effective alcohol and drug treatment services. The principles also include indicators to help commissioners put them into practice.
(Edited publisher abstract)
Subject terms:
alcohol misuse, commissioning, prevention, therapy and treatment, recovery, public health, intervention, interagency cooperation, service provision, needs assessment;
A commissioning support pack which outlines key principles for local areas to consider when developing plans for an integrated drugs prevention, treatment and recovery system. It will help local authorities to develop joint strategic needs assessment and local joint health and wellbeing strategies to address public health issues relating to drug use in adults. The four key principles
(Edited publisher abstract)
A commissioning support pack which outlines key principles for local areas to consider when developing plans for an integrated drugs prevention, treatment and recovery system. It will help local authorities to develop joint strategic needs assessment and local joint health and wellbeing strategies to address public health issues relating to drug use in adults. The four key principles are that: drug misuse and dependence are prevented by early identification and interventions; there is prompt access to high quality, effective drug treatment that is recovery-orientated; there are interventions to address the health harms of drug use, and; commissioners work with partners to commission effective alcohol and drug services. The principles also include indicators to help commissioners put them into practice.
(Edited publisher abstract)
Subject terms:
drug misuse, commissioning, prevention, intervention, therapy and treatment, recovery, adults, public health, interagency cooperation, needs assessment;
This report highlights six initiatives being implemented in mental health services in Essex which combine recovery and co-production to improve outcomes for service users. The six initiatives have fundamentally rethought where the agency and power for recovery comes from, designing approaches that seek to put citizen agency and capability at the centre. The initiatives are Recovery College - to deliver ‘first aid for mental health’; and Intensive enablement – which helps people with complex needs to move from residential or in-patient care to independent living with personalised support. The report provides an overview of the six initiatives; provides three case studies to highlight the positive impact of co-production on recovery; lists key features of co-production, including beliefs, attitudes, behaviours and practices; and highlights challenges for commissioners in order to create the right conditions for co-production and recovery. Quotations from service users, practitioner and commissioners are included.
(Edited publisher abstract)
This report highlights six initiatives being implemented in mental health services in Essex which combine recovery and co-production to improve outcomes for service users. The six initiatives have fundamentally rethought where the agency and power for recovery comes from, designing approaches that seek to put citizen agency and capability at the centre. The initiatives are Recovery College - which help build individuals resilience and help people to fulfil their potential through a peer-led educational programme; Personal budgets and personal health budgets; Sociability - supporting people with mental health problems to develop and run their own peer support initiative; carer-led workforce training; Zero suicide – raising awareness of suicide and skilling-up the community and workforce to deliver ‘first aid for mental health’; and Intensive enablement – which helps people with complex needs to move from residential or in-patient care to independent living with personalised support. The report provides an overview of the six initiatives; provides three case studies to highlight the positive impact of co-production on recovery; lists key features of co-production, including beliefs, attitudes, behaviours and practices; and highlights challenges for commissioners in order to create the right conditions for co-production and recovery. Quotations from service users, practitioner and commissioners are included.
(Edited publisher abstract)
Subject terms:
mental health problems, recovery, co-production, local authorities, commissioning, peer support, personal budgets, mental health services, independent living;
Purpose: As UK substance misuse policy has increasingly focused on the concept of recovery, policymakers, service providers and service users have found “recovery capital” a useful concept to understand the barriers to and facilitators of recovery from substance misuse. There is a rich strand of research that considers the composition of recovery capital in terms of the relevance of resources such as access to mutual aid, familial support and friendship networks, stable housing, structured psychosocial support and education, training and employment. However, such general accounts have tended not to engage with the potential spatial element of recovery capital; that is, how location contributes to the acquisition and management of recovery capital. The purpose of this paper is to add nuance to more generalised accounts through a critical interrogation, exploration and analysis of the role of geography in recovery.
Design/methodology/approach: The paper draws on in-depth interviews with service users and service providers in a predominantly rural county in the south-west of England.
Findings: The ability to build and sustain recovery capital is shown to be marked by a complex web of social and spatial inclusions/exclusions.
Originality/value: This paper makes three important contributions to prevailing understandings of recovery capital. First, it shows how narratives of recovery are intimately tied to perceptions and experiences of place. Second, it reveals some of the important challenges and complex dilemmas that local drug and alcohol commissioners face in designing and delivering recovery-orientated treatment systems. Third, and finally, it argues that there is a pressing need for a more nuanced appreciation of the social and spatial dynamics of recovery capital.
(Publisher abstract)
Purpose: As UK substance misuse policy has increasingly focused on the concept of recovery, policymakers, service providers and service users have found “recovery capital” a useful concept to understand the barriers to and facilitators of recovery from substance misuse. There is a rich strand of research that considers the composition of recovery capital in terms of the relevance of resources such as access to mutual aid, familial support and friendship networks, stable housing, structured psychosocial support and education, training and employment. However, such general accounts have tended not to engage with the potential spatial element of recovery capital; that is, how location contributes to the acquisition and management of recovery capital. The purpose of this paper is to add nuance to more generalised accounts through a critical interrogation, exploration and analysis of the role of geography in recovery.
Design/methodology/approach: The paper draws on in-depth interviews with service users and service providers in a predominantly rural county in the south-west of England.
Findings: The ability to build and sustain recovery capital is shown to be marked by a complex web of social and spatial inclusions/exclusions.
Originality/value: This paper makes three important contributions to prevailing understandings of recovery capital. First, it shows how narratives of recovery are intimately tied to perceptions and experiences of place. Second, it reveals some of the important challenges and complex dilemmas that local drug and alcohol commissioners face in designing and delivering recovery-orientated treatment systems. Third, and finally, it argues that there is a pressing need for a more nuanced appreciation of the social and spatial dynamics of recovery capital.
(Publisher abstract)
Subject terms:
recovery, substance misuse, rural areas, drug misuse, alcohol misuse, service provision, commissioning, service users;
Practice guide highlighting the benefits of involving recovering alcohol and drug users in the design and development of their own, and others treatment and recovery. The guide describes four different levels of service user involvement: co-developing one’s own care plan; involvement in strategic development and commissioning; developing and delivering peer mentoring and support; and initiating and running recovery-focused enterprises. Checklists are included to assist commissioners, providers and service users in the development of service user involvement, generally and at each level. The guide illustrates how involvement in services at all levels increases confidence in, and suitability of the services, while seeing the successful stories of others in recovery motivates those still working to achieve recovery. Part 2 of the guide presents examples of services from across the country that have been set-up by, or run by, former alcohol and drug users.
(Edited publisher abstract)
Practice guide highlighting the benefits of involving recovering alcohol and drug users in the design and development of their own, and others treatment and recovery. The guide describes four different levels of service user involvement: co-developing one’s own care plan; involvement in strategic development and commissioning; developing and delivering peer mentoring and support; and initiating and running recovery-focused enterprises. Checklists are included to assist commissioners, providers and service users in the development of service user involvement, generally and at each level. The guide illustrates how involvement in services at all levels increases confidence in, and suitability of the services, while seeing the successful stories of others in recovery motivates those still working to achieve recovery. Part 2 of the guide presents examples of services from across the country that have been set-up by, or run by, former alcohol and drug users.
(Edited publisher abstract)
Subject terms:
drug misuse, alcohol misuse, user participation, service provision, case studies, service development, commissioning, recovery, co-production;
This report reviews current evidence on trauma-informed care for responding to child sexual abuse and exploitation and the needs of the practitioner supporting that individual or survivor. It also presents the findings from fieldwork aimed at testing both the extent to which a best practice or ‘exemplar’, trauma informed recovery service model is currently being implemented, and the efficacy of the model. Findings from the literature review suggest that a trusting one-to-one relationship is central to recovery from trauma and that a pedagogic and strengths-based approach is most likely to support recovery. The fieldwork looks at the extent to which a pedagogic and strengths-based service could be delivered current local service commissioning environment, whether sufficient support can be made available for frontline practitioners, and whether a currently delivered pedagogic and strengths-based service can be successful in helping young people to recovery. It also provides a description of an exemplar trauma-informed recovery service for young people, identifying the activities, costs and core elements of such a service. The report aims to provide information for the development of trauma-informed recovery services for children and young people who have experienced trauma as a result of sexual abuse and exploitation, and will be useful those with responsibility for commissioning and provision of services. Based on the findings, the report makes recommendations for health and care commissioners.
(Edited publisher abstract)
This report reviews current evidence on trauma-informed care for responding to child sexual abuse and exploitation and the needs of the practitioner supporting that individual or survivor. It also presents the findings from fieldwork aimed at testing both the extent to which a best practice or ‘exemplar’, trauma informed recovery service model is currently being implemented, and the efficacy of the model. Findings from the literature review suggest that a trusting one-to-one relationship is central to recovery from trauma and that a pedagogic and strengths-based approach is most likely to support recovery. The fieldwork looks at the extent to which a pedagogic and strengths-based service could be delivered current local service commissioning environment, whether sufficient support can be made available for frontline practitioners, and whether a currently delivered pedagogic and strengths-based service can be successful in helping young people to recovery. It also provides a description of an exemplar trauma-informed recovery service for young people, identifying the activities, costs and core elements of such a service. The report aims to provide information for the development of trauma-informed recovery services for children and young people who have experienced trauma as a result of sexual abuse and exploitation, and will be useful those with responsibility for commissioning and provision of services. Based on the findings, the report makes recommendations for health and care commissioners.
(Edited publisher abstract)
Subject terms:
child sexual exploitation, child sexual abuse, traumas, service development, commissioning, models, intervention, strengths-based approach, keyworkers, social pedagogy, recovery, literature reviews, staff-user relationships;