RECOVERY IN PERSPECTIVE

 

Recovery is built on both internal factors and external conditions which help people resolve past issues and begin to look forward to a positive life.

hogmanay10-11

Internally

  • Hope
  • Healing
  • Empowerment
  • Connection

Externally:

  • Implementation of the principle of human rights
  • A positive culture of inclusion and trust
  • Services which believe in recovery as a realistic journey for people who are experiencing setbacks or who are faced with making major changes in their lives

RECOVERY COACH TRAINING

Peer to peer Coaching is based on the premise that human beings are capable of change, and that when we want to change, the key resource is within us. A coach does not change us. A coach helps us work out what change we want, and how to make change in our lives that will last.

  People in recovery from addiction have already made a major change in their lives: they decided to become abstinent, and they are now working on sustaining their abstinence. At any stage of abstinent recovery people may want someone to help them:

  • reflect on how their life is going, and where they want to get to
  • explore a specific aspect of their life and make some progress
  • consider what makes them tick and what ‘holds them back’ in their personal development

coach

A Recovery Coach is a person with experience of recovery who can help other people in recovery by acting as a facilitator for this process. A Recovery Coach can help people to explore any aspect of their lives, and is especially interested in areas of life which contribute towards a happy, fulfilled and sustained recovery.
A Recovery Coach is in recovery, and this shared experience helps them to understand some of the challenges, barriers and common experiences that people in recovery go through. Insight is an important quality for Recovery Coaches to have. But a Recovery Coach is not a therapist, advisor, counsellor or teacher. Their role is to help people in recovery learn about themselves and find their own answers.

In 2010-11 the long term conditions alliance in Scotland funded Comas to develop a Recovery Coach training programme.

The Recovery Coach training was developed as an in-depth course using an accreditation framework recognized by the Association for Coaching. Participants are required to attend all parts of the course and to practice their coaching during the course, and on completion with a ‘peer client’ (another course member) and a ‘practice client’ (an individual in recovery who is coached as a ‘real’ client but is aware of the trainee status of the coach). The trainee coach is also asked to complete a portfolio of exercises and reflections to demonstrate their understanding of coaching. These may seem like onerous requirements, but we strongly believed in the potential of people in recovery to achieve a level of skill comparable with professional coaches.

Although the Recovery Coach training programme was based on training similar to professional lifecoach training, significant development and adaptation was required, firstly to ensure that people with no previous experience and possibly no recent learning experience could participate from an easy and accessible starting point; and secondly to make the programme relevant to recovery from addiction itself, using a ‘recovery capital’ framework for the coach/client self assessment tools.

The Recovery Coach training began in November, 12 people attended an open introductory evening and nine people went on to start the course. 8 people are now in the final stages of this course, and 1 person has relapsed.

The Recovery Coach training programme includes:

  • An introductory session – what is Recovery Coaching, course requirements
  • Introduction to coaching, recovery capital and code of practice
  • Foundation skills of coaching
  • Using a coaching framework – assessment and goal setting
  • Coaching people on a personal development journey
  • Emotional intelligence
  • Practice coaching with other trainees
  • Practice coaching with a ‘client’
  • Assessment – observation of coaching, peer and client feedback, portfolio of learning.

 

http://www.fayettecompanies.org/RecoveryCoach/RC%20Manual%20DASA%20edition%207-22-05.pdf

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2 thoughts on “RECOVERY IN PERSPECTIVE

  1. Hi I would like to know when a person is drug free can a pregnant women take naltrexone blocker as I am concern as I am in recovery and don’t want methadone nor subbies I want to stay drug free, I want to prove myself that I can look after a child and that I can keep them in my care instead of taking methadone or subitex please help so I can have as much infomation as I can get thank you

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    • Hi Lisa-Marie,

      Thanks for reaching out, sorry for delay in response. Regardless of whether a person is drug free or not the effects of Naltrexone would be similar once in the system. This opioid substitute therapy is not a course of action I would suggest if pregnant. There is not much research on the matter but what there is has been sufficient enough for Naltrexone to be catagorised as a Class C substance with regards to pregnancy.

      Category C as defined by FDA states ‘Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.

      Tests have shown that it has the potential to be embyocidal, basically it can effectively kill the embryo. I would advise to discuss this with your GP and look at alternatives. Naltrexone is only used if ‘the benefit outweighs the risk’ which by all accounts is potentially quite a high risk. The exemptions would be if there was polydrug use, such as illicit substances, or opioid dependency and alcoholism. In this scenario the risk to the unborn are exceptionally high and the use of Naltexone may be more beneficial than alternatives. if given. This study was carried out with high doses, 30-60 times the human dose, but given the body mass of the animals tested this factor levels itself out. Inevitably the risk was high enough grade it cat C.

      Even after birth there is still evidence to support the fact that Naltrexone passes into the milk so if breastfeeding it is still advisable to find another means of maintaining. Another thing that might be of interest is the fact that Naltrexone currently interacts negatively with at least 132 other medications, catagorised as major risk, a further 385 negative interactions are listed under minor risk, a full list of these indications can be found if you follow this link….

      https://www.drugs.com/drug-interactions/naltrexone-index.html?filter=3&generic_only=

      I would seriously consider either Buprenorphine, or methadone if there is a need for a substitute as the risks are far less.

      Buprenorphine has been found to reduce the effects of opioid withdrawal in newborns according to the National Institute on Drug Abuse. With little to no downside during pregnancy. But, the evidence would suggest that methadone is still the firm favourite with minimal negative outcomes. For a more comprehensive and detailed account, please follow the link below….

      https://www.nih.gov/news-events/news-releases/buprenorphine-treatment-pregnancy-less-distress-babies

      Please do ensure that you discuss this with your GP before taking any action. I not a medic and this is based on personal research not experience. I hope you sort something out and hope everything turns out well.

      Regards

      Like

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