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Increased self-respect and confidence through peer support for drug misusers Toby Dodson Manager – ODAAT Programme Hope Worldwide (One Day at a Time) ODAAT One Day At A Time About Hope Worldwide • Active since 1992 • 4 UK programmes • Two Step - Helping people access PRS • Moving On - Mentoring support for Two Step Clients • ODAAT (One Day at a Time) - Recovery from Drug and Alcohol Addiction • Fundraising - For UK programmes and for affiliated Charities overseas • Staffing - Seven full time + numerous volunteers ODAAT One Day At A Time About ODAAT • • • • • • • • • Began in Philadelphia, USA in 1983 Grass roots community based programme ‘Transported’ to UK in 1993 Adopted 12 Step Methodology 1998 Offered Free Treatment 1993-2004 Recovery Houses located in Lambeth Accommodation arranged for move-on Referrals from wide range of sources Success: in excess of 50% completion for last 6 years: for those who complete 80%+ still in recovery ODAAT One Day At A Time Who are the Clients? Males • 25-45 yrs old • Homeless • Previous convictions • Tried and failed at previous attempts to get/stay clean • Low mental health needs • MOTIVATED TO CHANGE ODAAT One Day At A Time How does ODAAT generate positive Peer Support and Relationships? • • • • • • • Genesis of Programme, Size, Flow Careful admissions policy Focus on unity, mutual support, recovery family House Meals Connection with Family of AA/NA/CA Involvement of ex-residents and volunteers Use of groups to support, challenge ODAAT One Day At A Time How does ODAAT generate increased confidence and self-respect? • • • • • Slowly! Increased freedom leading to increased responsibility Trust - Money Roles – Key, Senior Resident, Volunteer Voluntary work, Service, Commitments at AA Meetings ODAAT One Day At A Time How does ODAAT generate a sense of purpose and belonging? • • • • • • Being part of the solution Positive use of negative past ODAAT Family – Family Day, events, outings, sports AA/NA/CA Family Service, Volunteering Phil H story ODAAT One Day At A Time How does ODAAT involve relatives and friends? • Emphasis from pre-admission on the need for support • Deliberate contact and communication where possible • Focus in recovery programme on Amends, repair • Support networks • Family Day, Events ODAAT One Day At A Time Impact on Service Users • • • • • • • • Slowly does it! No longer involved in criminal activity No longer using/abusing drugs and alcohol Improvement in general health Graduates going on to study, work or volunteer NVQ level 3 in Health & Social Care Graduates finding work in the recovery ‘field’ Helping others at ODAAT, through AA/NA/CA ODAAT One Day At A Time How can other organisations use peer support? • • • • Believe Real trust, not token Break out of risk averse culture Vary according to client/organisation ODAAT One Day At A Time
