Download ORT Event `What`s The Script?`

ORT, Recovery and Me
“What’s the Script? “
Dundee, The Steeple Church, May 6th 2015
Introduction
The Scottish Government published the findings of the Opiate Replacement
Therapy Review in November 2013. The report encouraged local areas to build
more ORT recovery opportunities. One strand of the Scottish Recovery
Consortium’s response was to develop ORT, Recovery and Me events in
partnership with local ADP’s, treatment providers and recovery communities.
Dundee ADP sponsored the “What’s the Script” event, and worked alongside
the SRC, local recovery communities and treatment providers to co-create the
day.
Our Aim
To gather treatment providers directly involved in the provision of ORT
treatments in the city together with mutual aid organisations and people
with a lived experience of recovery that includes coming off ORT.
For those gathered to learn from each other’s different experiences and
knowledge about ORT recovery
In this way to help build more successful exits from ORT treatment programmes.
Event Planning and Evaluation
Dundee Substance Forum in partnership with the Scottish Recovery Consortium and the local
Recovery Community, set up A working group which first gathered in late January 2014 to
begin thinking about and slice of the imagined event community; ADP lead, GP’s, Nurse, Local
Recovery Community rep and SRC, formed the working group. Their conversations were the
basis on which the event took shape. The working group organised every aspect of the event
including finding the venue that would set the right tone for dialogue. Event feedback came on
the day directly and via survey monkey and colleague networks after the event, and emails of
appreciation.
Equally interesting although our dates were set early in the year another ORT Event, facilitated
by SRC’s Chief Executive, Kuladharini was running on the same day in Edinburgh. It was
decided to invite the Minister for Community Health and Safety, Paul Wheelhouse, who was
newly in post to attend the Dundee event, however although expressing a real interest in
attending was unable to do so as the elections were taking place and he was “in Purdie”
Figure 1 - The Steeple Church Dundee
The Programme for the Day
9.00-9.30
9.30-11.00
11.00-11.30
11.30-13.00
13.00-13.45
13.45-15.00
15.00-15.15
15.15-16.00
16.00-16.15
16.15
Registration & Refreshments
Appreciating the Part Played by ORT in Treatment: Our round table dialogues and
reflection will be prompted by

A sharing of a personal experience of ORT recovery

ORT in Dundee – A historic perspective
Dr Brian A Kidd, MD FRC Psych, Clinical Senior Lecturer in Addiction in
Psychiatry

A sharing of professional experience of ORT recovery journeys
Elaine McIntyre, Pharmacy Superintendent, the Caring Pharmacy
Refreshment Break
witnessing our Struggles with ORT: A sharing of some of the challenges in ORT
programmes

ORT Involvement in Drug Deaths
Lynne Hamilton, Locum Consultant in Public Health Medicine

ORT my current practice dilemmas
Grant Stewart, Charge Nurse

‘The Two Minute Silence’ reflection and dialogue
Lunch
Seeing ORT Recovery with New Eyes: Mutual aid meetings – experience a range
of recovery fellowships led by people in recovery for people seeking recovery:
ORT
SMART
Hub Café/R&R Cocaine Anonymous
Refreshment Break
Taking action on ORT recovery in treatment
Our thinking about what we might do differently stimulated by:

Dundee’s Accountable Officer
An overview by Dundee’s Accountable Officer, Frances Rooney, Director of
Pharmacy for NHS Tayside introduces her remit in relation to ORT and of her
personal reflections of today.

Making a personal or collective commitment
Last Words: Responses, reflections and ‘Methadone Memoirs’
Close: Collect CPD Certificate
How successful were we in achieving our aim?
85
people were registered for the event and 82 people attended on the day.
22
Recovery Commitments were given
0%
0%
42.86%
47.62%
of survey monkey respondents found it not useful.
found the event neither useful nor not
found it quite useful
found it very useful
Who Came to the Event?
Person in Recovery/Mutual Aid representative
Primary Care
Tayside Substance Misuse Services
Third Sector substance misuse
Other
4.76%
4.76%
42.86%
33.33%
14.29%
Treatment providers attending were prescribing GP’s, Addictions Nurses, Community Mental
Health Nurses, Practice Nurses, Clinical Director, Public Health practitioners and senior staff,
Pharmacists, Social Workers in Addictions teams, Social workers in Child protection teams,
Tayside Substance Misuse frontline workers, and many of the team leaders and lead officers.
There was also a l4.29% of people who identified as neither and many of them came from the
family in recovery and those People in recovery attended from mutual aid fellowships such as
NA/ CA/ ORT recovery and SMART recovery, ORT Mutual Aid and Team Consortium. Feedback: From
the Participants
We asked how useful to your work the ORT was –
What's the Script event? You said:Not at all useful
Not very useful
Neither useful nor not useful
Quite useful
Very useful
0.00%
0.00%
9.52%
42.86%
47.62%
Feedback: From the Participants
“All the information and speakers were informative and it was also very well thought out and
have a person at each
table willing to share about their own recovery journey. It was inclusive for everyone as a
worker or anyone who has
had contact with the recovery or criminal justice services.”
“Learning about the effect of ORT from the seeds opened my eyes. The groups CA and the
developed ORT group
show what can be done and the support at peer level that is available. The guest speakers
while I think were useful for
some members of staff they were a little detailed for service users.”
“Good to see another tool that could be useful to those in recovery. Methadone has an
unfairly bad reputation, with
ORT groups we can further help people finally overcome the last hurdles.”
How likely are you now to recommend NA/CA/SMART or ORT recovery groups to
others?
71.3% of you said you were very likely.
We asked - Would you like to attend further similar
events?
A staggering 100% said yes to this.
Is there anything else you would like to tell us (the organising group), about your
experience of the day?
“Nice place to carry out training but sometimes difficult to hear speakers and facilitator”
“ORT & Me group giving info was great!”
“It was interesting moving around talking to different people and listening to professionals
and service users alike it widens your own understanding of what's trying to be achieved and
how best to go about it. Forward thinking and positive spins makes for a good experience of
the day.”
Feedback from Team
Debriefing Session
Which was held in the
lovely McManus Art
Galleries and Museum
We had a general
informal feedback
from the working
group that in fact this
event was useful and
well received.
Figure 2 McManus Art Galleries and Museum
We acknowledged that there were frustrations within the working group and this is always a
good indicator that the event can have a similar feel. There were difficult conversations
round the table and one of the seeds which was a picture was intentional to provoke a
difficult conversation and was measured. Apologies to people who found this difficult,
however sometimes we NEED to have these difficult conversations in order to move forward.
There was a general feel that people were still having difficulties approaching the
conversations as “human beings” and being totally honest, and give their true
opinions……but not in all cases.
We also acknowledged that the timings of the speakers could have been better. As part of our
learning the venue was well received, but the acoustics were not good and several people
mentioned this in their feedback.
The general consensus was that front line treatment staff felt that ORT has been getting
“hammered” unfairly and it was good to look at ORT as part of someone’s Recovery
Journey.
The “Chill out Room” was well received and allowed people somewhere to go to quietly
reflect.
Appreciation
We were very grateful for all the seeds and the Recovery Activists and Mutual Aid Groups
who came to the event and made their valuable contribution.
The Recovery Bounce –
CAIR Scotland interviewed for 3 Peer Worker posts. 15 people in recovery applied for the
jobs – all of a high standard. Those who were unsuccessful were all offered places on an
SVQ module in Peer Mentoring to help develop their skills further. The Peer Workers are
training in an SVQ 3 in Health & Social Care to help them obtain an industry standard
qualification that will allow them to work with people in a range of different fields not just
addiction.
An ORT Mutual Aid meeting will start up in Dundee
Over 200 people currently reducing – ORT & Buprenorphine and so one of the tools
provided on the day (the 12 week Detox group programme) was immediately taken up
by a member of our working group and she implemented the first pilot of this..
What have we learned?
Sometimes you need to have difficult conversations.
It was really helpful allowing for an open space the day before to speak with all the
Seeds and connect with them prior to the event.
Check the Acoustics of a venue prior to the event.
Never under-estimate the value of a de-brief session with your working group.
Anne Marie Quigg
December 2015