From Lived Experience to the Written Word: Reconstructing Practical Knowledge in the Early Modern World

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These standards will help lived experience initiatives and system partners to identify what stage of development they are at and how they want to develop further. CLERO has developed a map of LERO provision in the UK and Ireland. References

a range of non-structured interventions that run alongside or after structured treatment and are designed to reinforce the gains made in structured treatment and improve the client’s quality of life in general. Recovery support can include mutual aid and peer support, practical help such as housing or employment support. Peer volunteers and staff bring expertise from their own lived experience. This means that they are well-placed to understand, connect with and help people to sustain recovery. Diverse and inclusive build on the strengths and resilience of individuals, families, recovery communities and the wider communityFigure 1 is a Venn diagram that outlines the roles of treatment services, RSS and LEROs by highlighting the core function of each, and the overlaps between their functions in the provision of recovery-oriented care. It can help you see the distinct and shared functions of each service type and how these services can improve care for people affected by problem alcohol or drug use, by working together. It does not provide an exhaustive list of all the interventions provided by each service type. The 3 circles represent: CLERO is currently developing standards for LEROs aligned with the CHIME framework of mental health recovery (Leamy and others, 2019). This framework identifies 5 recovery processes making up the word CHIME: Peer support roles not only benefit the person receiving support but also the person providing it (Du Plessis and others, 2019). This is a foundational principle in the 12-step fellowship model, in which people acting as sponsors not only help others with their recovery, but in doing so strengthen their own recovery. The benefits for people in peer support roles can include: Since peer-led initiatives are made up of people who have followed different routes into recovery, they recognise and respect each person’s journey. Complementary to treatment Each of the overlapping parts of these circles provide a simple description of some of the main interventions that can be delivered by 2 or more of these service types. Where 2 circles intersect, we list the core interventions delivered by both services.

National Drug Treatment Monitoring System business definitions for core data set Q define the recovery support interventions provided while someone is in treatment as: Peer-led initiatives offer out-of-hours support in the evenings and at weekends when treatment services are normally closed. This out-of-hours support can include in-person and remote one-to-one or group sessions, and helplines. Most peer-led initiatives provide outreach and in-reach to people at the point of need. Some more established LEROs have a physical base from where they offer support. Experts by experience offer choice by providing a flexible and inclusive menu of services, community support and opportunities, including lived experience initiatives, recognising that there are many pathways to recovery

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significantly reduce heroin and cocaine use in people presenting to a hospital walk-in clinic (Bernstein and others, 2005) unclear job descriptions, indistinct role boundaries and limited understanding of peer support roles across teams (Englander and others, 2019) authenticity of voice: this means that RCOs exist to represent the recovery community. This includes actively involving all members of the recovery community