Development of a programme of service development to change professional and community cultures, establish recovery champions and a recovery vision. 

The ACT project team led the initial training and motivation sessions for all levels of staff about the recovery philosophy. As a result of these inspiring sessions, recovery champions were identified to generate supportive networks capable of generating recovery activities that catalyse and inspire recovery.

The work led on to the development of a Recovery Coalition and an emerging recovery vision for the area. As the work gained momentum it was led by the established Recovery Coalition and ACT members became active contributors to this developing process of system change and action based research, to assess the potential effectiveness of the emerging group of Recovery Champions and changing professional and community cultures.

City of York

The ACT Recovery team led a programme of work to promote and support the transition to a recovery oriented system of care. This consisted of a number of phases starting with initial workshops for all staff on the evidence base for recovery and to inspire and motivate teams to become involved in developing a recovery oriented system of care.

ACT completed a comprehensive baseline assessment of recovery readiness in York, developing an in-depth picture of York’s community asset, strengths and barriers to transforming the system. This involved structured and in-depth interviews of a whole range of partners including senior council members / leaders and service users across the City of York which created a wealth of information for subsequent expert analysis. 

Recovery Champions and early adopters are central to the development and implementation of a recovery model and ACT provided expert mentoring to the Community Recovery Builder, an exciting new post in York as a result of the work.  ACT led on establishing the Recovery Forum and supported members in the development of their recovery vision securing the buy-in from senior leaders, specialist workers, and individuals in treatment and recovery.

As a result of the innovative programme of work in City of York, a vibrant recovery community has been identified and mobilized and a series of innovative recommendations bespoke to York have been provided for their further development / uptake. 

Models of Recovery across Yorkshire and Humber 

Assessment of recovery innovations at a regional level. ACT undertook a comprehensive evaluation of eight programmes of work selected for inclusion by the NTA. The approach looked at what the key elements of innovation were in each area and began by assessing what is working and what the key ingredients of success were in each area. Our analysis focused on three levels of recovery activity – the individual, the service and the wider system – referred to as a ‘recovery-oriented system of care’. The report produced a comprehensive programme of recommendations that inform the wider development of Recovery Orientated Systems of Care. 

The ACT programme of evaluation identified nine key areas that the local programmes attempt to address and that provide the foundation for mapping their traction in local treatment systems and their ability to generate and support long-term recovery.

This, to date, is by far the most comprehensive and detailed evaluation of challenges and achievements that recovery programmes face within the UK and ACT clients benefit from our wealth of expertise and experience in the recovery field.

Recovery segmentation work (NTA)

As part of the preparatory work for the NTA report on Recovery-Oriented Prescribing (chaired by Professor John Strang), David Best developed a method based on TOP score profiles and research interviews with members of local recovery communities in three DAAT areas – Liverpool, the Wirral and Calderdale. The aim of the project was to use routine data to capture both objective and subjective data from clients in treatment to measure their recovery enablers (the pre-conditions for recovery journeys) and their wellbeing and quality of life. This model has subsequently been used in other DAAT (Wigan and Sandwell) to provide a snapshot of treatment clients and their recovery preparedness.

In the initial study, this secondary analysis of the recovery readiness of the treatment cohort was supplemented by in-depth interviews with visible members of the recovery communities who provided information about their social networks and wellbeing.

These two components of recovery mapping can be undertaken jointly or independently to assess:

  1. The number of clients in treatment who are in a position to move forward and exit treatment
  2. To assess the size of the visible recovery community who will be able to support newly recovered individuals post-treatment