Abstract

Aim To understand how the social networks of a new recovery community can help sustain recovery, focusing on processes of social identity change, in the context of the wider UK recovery movement. Methods A cross-sectional, mixed-methods social network analysis (SNA) of ego-network sociograms to map network transitions, using retrospective measures. Ten men were recruited from a peer-worker programme, in the South Ayrshire Alcohol and Drug Partnership (ADP), West of Scotland. Network measures were compared between two timepoints, just prior to current recovery and the present time. Measures included size and density, closeness of members, and their positive or negative influence, proportion of alcohol and other drug (AOD) using and recovery peers, and extent of separate subgroups. These were complemented with qualitative interview data. Findings There was a significant transition in network composition, with the replacing of AOD-using peers with recovery peers and a broader transformation from relationships being framed as negative to positive. However, there was no significant transition in network structure, with AOD-using and recovery networks both consisting of strong ties and a similar density of connections between people in the networks. Conclusions The transition in network composition between pre-recovery and the present indicates a different set of social influences, while the similarities in network structure indicate that the recovery network replaced the role of the using network in providing close bonds. This helped reduce social isolation experienced in early-recovery and provided a pathway into more structured opportunities for volunteering and employment.

Highlights

  • Alcohol and other drug (AOD) use is a major global disease burden (Degenhardt et al, 2018)

  • The proportion of AOD-using peers fell from 42% at T1 to 0% at T2 (X2 (1, N 1⁄4 169) 1⁄4 47.821, p < .001) and the proportion of recovery peers rose from 4.3% at T1 to 40% at T2 (X2 (1, N 1⁄4 169) 1⁄4 25.51, p < .001)

  • Research has linked AOD use to social isolation (Alexander, 2008; Beckwith et al, 2015) and the need for a non-using network (Neale et al, 2012) but this study found that social isolation was most severe in early-recovery and provides insight into the extremity and length of the isolation

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Summary

Introduction

Alcohol and other drug (AOD) use is a major global disease burden (Degenhardt et al, 2018). The UK grassroots recovery movement involves community-building, peer-based support, and public events that celebrate recovery (Best & Lubman, 2012). In Scotland, Alcohol and Drug Partnerships (ADPs) are responsible for commissioning recovery informed strategies at the local authority level (Cunningham, 2012). Harm-reduction approaches, evidence-based, have been critiqued for failing to help people build the drug-free lives aspired to in government policy (McKeganey, 2012) and the shift to a strengths-based recovery approach coincided with significant funding cuts for drug and alcohol services (McPhee & Sheridan, 2020).

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