Abstract

Contemporary recovery-models of treatment for substance misuse prioritise community-based support systems that focus on developing individuals’ strengths and quality of life. The research project aimed to explore the perceived mechanisms and processes that underpinned support in three abstinence-based recovery communities (RCs) across England. Focus groups and telephone interviews were conducted with 44 individuals. This was to identify self-prioritised outcomes for members and other key factors contributing to the delivery of an effective recovery community. Data were thematically analysed. Along with a number of other key outcomes, the achievement and maintenance of abstinence by participants was considered to be a key indicator of an effective RC. RC processes were also viewed as underpinning the development of recovery capital. The study provides an insight into the processes of RCs and highlights that development and support of recovery capital is an important aspect of service provision and delivery for those in abstinence-based recovery.

Highlights

  • Substance use and dependence is a key public health priority within the United Kingdom (UK)

  • The methodological approach was informed by Social Return on Investment (SROI) (The SROI Network 2012) evaluation of these recovery communities (RCs) as part of a broader social value framework (Social Value International & Social Value UK 2016)

  • The study provides a unique insight into the processes of RCs, and the multiplicity of factors affecting and supporting the development of recovery capital

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Summary

Introduction

Substance use and dependence is a key public health priority within the United Kingdom (UK). In 2016/2017 there were 279,793 individuals in contact with drug and alcohol treatment services in England and Wales (a decrease of 3% from 2015 to 16) (Public Health England [PHE] 2017). The 2017 UK Drug Strategy highlights the importance of providing services that focus on recovery and the wider support that individuals need to ‘achieve and sustain a life free from drugs’ (Her Majesty’s Government [HM Government] 2017, p.2). This approach utilises the concept of recovery capital to underpin and enhance the quality and quantity of resources available to individuals when initiating and sustaining recovery from problematic substance use (Granfield and Cloud 2001)

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