Essential Care: A Report on the Approach Required to Maximise Opportunity for Recovery from Problem Substance Use in Scotland

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Appendix 5 - Recovery - Formal programmes and services

HINDERS RECOVERY

FACILITATES RECOVERY

Coercion and forced treatment

Forced treatment avoided

Treatment and/or medication used as a means of social control

Freedom of whether and how to participate in services and meds/self management of medications

Debilitating effects and experiences of long term hospitalization

Inpatient services last resort, but available and small scale/alternatives to hospitalisation/self directed inpatient care

Sub-standard services/poor Quality Assurance

Quality clinical care/consumer-doctor partnership/up to date treatment knowledge/clean and modern programme environments

Limited access to services and supports/not timely/time Limits

No waiting/flexible

Fragmentation of services, eligibility restrictions

Coordinated services across problems, settings and systems/effective case managers with low caseloads and high pay/disengagement or reductions in services based on consumers self directed needs

Lack of individualisation

Tailored to Individual/wide range of choices as to who provides, what and where is provided

Lack of needed range of services, treatments and options

Peer support services/therapy and counselling/'atypical' meds (treatments)/family services/employment support and career development/respite care/integrated dual diagnosis services/jail diversion and community reintegration services

Lack of education for consumers, family members and community

Patient education /illness education/information on meds/effective treatment services and how to secure rights info/family education/public awareness education (anti-stigma and pro-recovery)

Inadequate continuity of care

System navigators/extensive outreach and support (multiple languages, 24hr, minority focused)/homeless outreach /safety net services

Access to records/can change inaccurate information

Early intervention and public screenings/outreach to churches, schools, communities

Page updated: Thursday, March 20, 2008