Recovery is something done by the person with the substance use problem, not by a treatment practitioner or anyone else. Whilst there are a multitude of pathways to recovery, there are a number of key factors that facilitate recovery from serious substance use problems. (9,586 words) *
Factors that Facilitate Recovery (Short Version, 2013)
The importance of these factors has been demonstrated by listening to the narratives of recovering people about their journeys into and out of addiction (1,116 words). *
Stopping Heroin Use Without Treatment
Research by Patrick Biernacki reveals important insights into how people recover from heroin addiction. It also illustrates the major challenges that people with a heroin addiction face on their journey to recovery (2,283 words).
What facilitates recovery from mental health problems?: Scottish Recovery Network
It is important to note the close similarity in the nature of elements that underlie recovery from serious substance use problems and recovery from mental health problems.
An excellent 2007 paper published by the Scottish Recovery Network by Wendy Brown and Niki Kandirikirira, entitled Recovering Mental Health in Scotland: Report on Narrative Investigation of Mental Health Recovery, provides important insights into the latter. This research involved the recovery narratives of 64 individuals in Scotland who identified themselves as being in recovery or recovered from a long-term mental health problems. Here is what the authors write in the Executive Summary of the Report (NB. That I have broken up one long paragraph for ease of reading online]:
‘Across the stories consistent internal and external elements could be found. For a recovery journey to begin and continue to prosper, narrators accounts of their experiences suggest that six basic internal (individual and self controlled) elements were required (though not necessarily in this order and not necessarily seen in every case):
Factors Facilitating Addiction Recovery
In my last blog post, The Nature of Addiction Recovery, I finished by saying that I would describe the key factors that facilitate recovery from addiction in today’s blog post. In fact, I’m going to summarise these factors and provide links to my relevant blog posts of 2022 which provide much more detail. The descriptions linked to have come from a chapter of my eBook Our Recovery Stories: Journeys from Drug and Alcohol Addiction.
Hope: This hope is based on a sense that life can hold more for one than it currently does, and it inspires a desire and motivation to improve one’s lot in life and pursue recovery.
Empowerment: To move forward, recovering people need to have a sense of their own capability, their own power.
Self-Responsibility: Setting one’s own goals and pathways, taking one’s own risks, and learning one’s own lessons are essential parts of a recovery journey.
A Sense of Belonging: People recovering from addiction need to feel the acceptance, care and love of other people, and to be considered a person of value and worth.
(Gaining) Recovery Capital: Recovery capital is the quantity and quality of internal and external resources that one can bring to bear on the initiation and maintenance of recovery.
The everyday lives of recovering drug users
I recently found this very interesting and important piece of research from 2012, The everyday lives of recovering drug users by Joanne Neale, Sarah Nettleton and Lucy Pickering, which was part of a Royal Society of Arts project focused on addiction recovery. Here is what the RSA Director of Research, Steve Broome, said about the research:
‘This is a fascinating, in places touching, and, most importantly, useful book. Seldom heard personal accounts from 40 recovering heroin users reveal the psychological, physiological, and emotional journeys as they overcome their addiction. Ultimately, they are human stories that reveal simple and modest aspirations: recovering heroin users want to participate and feel valued as productive members of society. In the words of several interviewees, they just want to feel “normal”.
What facilitates recovery from mental health problems?
I was looking through my old blogs on Wired In To Recovery and came across this one.
The blog is based on a paper by Wendy Brown and Niki Kandirikirira, entitled “Recovering Mental Health in Scotland: Report on Narrative Investigation of Mental Health Recovery”. It’s the 19th manuscript in the list on this page.
‘This research involved the recovery narratives of 64 individuals in Scotland who identified themselves as being in recovery or recovered from a long-term mental health problems.
‘Keeping the monkey off your back: top five tools to sustain recovery’ by Peapod
“Just because you got the monkey off your back, doesn’t mean the circus has left town” George Carlin, comedian and author.
Getting sober and drug-free is hard enough for most of us, but staying that way is a challenge. The evidence is that many people coming out of abstinence-oriented treatment will relapse in the first year and most of them in the first few weeks. Recovery initiation, the start of the journey, is just that: a beginning. In the past, we’ve treated it like the main event and had little thought for what happens next.
The circus may not have left town, but there are ways to avoid ending up in a ringside seat and having that pesky monkey trouble you again. These things are the tools of recovery. There are plenty of them and we need to find the ones that work for us. Some however are more reliable than others according to the evidence we have. Here are my own top five tools:
‘A North Wales Perspective on Grass Roots Recovery’ by PM
Birth of a Recovery Organisation.
AGRO – what a strange acronym! It conjures up visions of difficult situations or awkward people. Perhaps those people that some services just don’t want to be involved with.
The truth is that AGRO stands for Anglesey and Gwynedd Recovery Organisation! A grassroots movement borne from the hopes and aspirations of a few dedicated workers in the field – all of whom are in recovery – and their wish to fulfil some of the principles that were coming across the Atlantic from already established movements such as Faces and Voices of Recovery.
The message we heard was loud! The message we heard was clear! Recovery is more than possible. It’s happening and it’s underway… NOW!
‘Natural Highs’ by Anthony Nevens
Where do I start? At the beginning, middle or end, who knows? It all ties in with itself in some twisted tangled ball, but I will try and unravel some of it!
I am just like most other Brits who feel uncomfortable talking about themselves! However, here is a quick summery of the Natural Highs project and how it has tied in with my own recovery.
Natural Highs was born out of the frustrations of government and professionals stating that to recover from substance use problems we must end up in education or employment. This expectation for me personally, someone who has suffered a massive brain haemorrhage and lost the use of my legs, and experienced memory problems, was clearly unrealistic, to say the least.
‘Keeping the monkey off your back: top five tools to sustain recovery’ by Peapod
“Just because you got the monkey off your back, doesn’t mean the circus has left town” George Carlin, comedian, author
Getting sober and drug-free is hard enough for most of us, but staying that way is a challenge. The evidence is that many people coming out of abstinence-oriented treatment will relapse in the first year and most of them in the first few weeks. Recovery initiation, the start of the journey, is just that: a beginning. In the past, we’ve treated it like the main event and had little thought for what happens next.
The circus may not have left town, but there are ways to avoid ending up in a ringside seat and having that pesky monkey trouble you again. These things are the tools of recovery. There are plenty of them and we need to find the ones that work for us. Some however are more reliable than others according to the evidence we have. Here are my own top five tools:
1. Ask for help
This journey is so much easier if we do it in the company of others. Get help. Find peer based support, service user groups, a mentor, a recovery coach, a counselor, or a support worker. Use their support and keep using it.
2. Aftercare
If just out of treatment, go to aftercare. If they don’t have aftercare see if you can find another service that does and ask them if they’ll let you come along. We do that in our service from time to time and other recovery-oriented services may well do it too.
3. Get connected
Connect to mutual aid and recovery communities. Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous and SMART are examples of mutual aid groups. If you go to a 12-step fellowship, get a sponsor; research indicates you are much less likely to relapse if you do. Find recovery activities like Recovery Cafes or social groups. And stick with the winners.
4. Find something to do
Meaningful activity is a predictor of sustained recovery. By that, I mean thing like volunteering; getting some qualifications or training or a job; getting to the gym or for a swim; join a leisure or social group. Meet regularly with recovery friends and supportive family members. Make plans and keep them.
5. Help others
Giving something back and supporting other folk is good for us generally, though we need to keep ourselves safe too. A kind word of encouragement to a nervous newcomer goes a long way. Spreading the message of recovery and sharing what works for you is something we can all do. Recovery is infectious and we need to spread it around.
These power tools worked for me, but there are many more in the toolbox.