Category Archives: Addiction

Addiction, Federal, Homeless

A Tale of Two Addicts

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It was the best of times, it was the worst of times.

The opening lines of Dickens “A tale of two cities” came to mind the other day, following encounters I had with two members of the homeless community I have known for several years. After years of addiction both men had found the desire and strength to go into treatment.

The first gentleman was fresh out of treatment, looking fat and sassy, full of life, humour and joy. Bright-eyed and full of plans he spoke of going to UCFV.

The second gentleman had also been full of life and plans when he was fresh out of treatment several months ago. This day found him looking thin and tired, slipping back into addiction.

The true tragedy here is not the second gentleman losing his way and his life to addiction once again, the true tragedy is this is “business as usual”.

People struggle to find the will and strength to get into treatment to get clean and sober. In treatment they are provided shelter and plenty of food, programs and support in dealing with their need, their addiction.

One to three months later they are released to homelessness. Just reaching the point where they are capable of getting solidly on the road to recovery they are abandoned. We forsake them, failing to provide the programs and support to continue on the journey of recovery.

Three months later and they are again losing their lives to addiction again. This is the cycle for all but a miniscule percentage of those dumped back onto the streets from treatment. A painful, wasteful cycle that we choose to allow to happen; I say choose because we know what needs to be done to be far more successful.

Personal experience has taught me how much time, hard work, and sheer strength it takes to get and stay on the path to recovery and mental health. I have experienced how important having the appropriate, the needed resources and support is to recovery

With the advantage of hindsight I can see how lucky I was, not only to find the programs (VOICE, WRAP etc.) and support I needed, but once having found what was needed there were resources available so that I could receive support essential to my continued recovery.

I see, unacceptably often, what happens to people who do not find what they need or worse – find what they need but there is no space, no resources, to meet their needs.

Those who find the programs, the resources, the support, prosper. Those who don’t find a way to fill these needs end up in the misery of homelessness and often addiction.

This is also the reality for those struggling with addiction. Not really surprising given that at least 50% are estimated to suffer from the concurrent disorders of mental illness and addiction.

One or even three months does not “treat” or “cure” addiction, even if we label facilities and programs as “treatment”.

Recovery is a continual journey of learning, self knowledge, personal growth and change. During the first year(s) of this journey one needs programs and resources to guide and promote this learning and growth, with support not only through the rough patches, but from day to day.

We can keep doing what we have been doing, hoping for a different outcome. Which as anyone familiar with Alcoholics Anonymous can tell you is the definition of insanity.

Or we can change our behaviour, put in place the programs, resources and support that research, current knowledge and experience tell us is needed to reclaim lives from the scourge of addiction.

We can continue to waste millions, hundreds of millions, of dollars to achieve little success. Or we can choose to spend our money wisely, saving hundreds of millions, even billions of dollars, and starting to reclaim lives by intelligently addressing the affliction and torment that is addiction.

Lao Tsa in his “ART OF War” writes: “Life is a series of natural and spontaneous changes. Don’t resist them – that only creates sorrow. Let reality be reality. Let things flow naturally forward in whatever way they like.”

Reality is that recovery from addiction is, like recovery from mental illness, a demanding and arduous years long journey, not a quick easy fix.

To deny this reality, to resist the changes needed only creates more sorrow. Let reality be reality and provide the resources we know are needed for people to flow forward into recovery.

Addiction, Homeless

Asking in order to evaluate or creat recovery based programs

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When I was looking to find a new mechanic I asked 4 or 5 people for their recommendations. It turned out there was one garage they all recommended and that was where I went. It has proved a very good choice and when asked about where I go to have my auto cared for I do not hesitate to recommend them myself.

When I wanted to know about mechanics I asked those who used them; for who better to make judgments about the capability of the mechanics? An intelligent approach that is applicable to evaluate effectiveness in a variety of applications and circumstances.

Why is then, that the government does not ask for the input of those who use the programs and services?

This question came to mind recently as I offered to write (and wrote) a letter to those involved in making the decision about continuing funding to a mental health program. I wrote in the context of someone who had been a client of the program and knew how important the program was in my continuing journey of recovery.

This is an important point because it is my experience that a substantial barrier to recovery is that often those making the funding decisions and judging the programs do not seek the opinions or input of the people in the best position to judge program efficacy – those using the programs in their personal recovery.

This is of particular importance with programs such as this one where the most important, and to often overlooked or not appreciated, benefits to the clients are not easily or at all quantifiable. This is an employment oriented program but my experience, and that of other clients (users) of the program, was that the support offered to people by the program was far more important and useful in recovery than the “job” side was.

It is easy to come up with numbers for the “job” side of the program, but how do you quantify the support provided by the program? And yet … my personal experience and observation is that without support recovery is not possible and that lack of support leads to relapse. Indeed there is no doubt in my mind that had I not been fortunate enough to find the program I would not have made the progress I have.

The program provided support at a time when I was most vulnerable and in need of support. I wrote in support of the program to ensure that those in need of support would be able to find the support to find their path to recovery.

Yet it is only by asking those such as me that someone evaluating the program would be aware of this aspect of the program and how important it is.

Asking also needs to apply in awarding contracts to provide services. I have seen and experienced, on several different occasions, the fallout of the current process the government uses for awarding contracts. And while in some cases the contract needed to be awarded elsewhere, in others it turned a useful resource/program into something that was of benefit only to those awarded the contract.

Auditors general have a term of reference involving “value for money”, as in are we getting our monies worth? That is the question that should be poised when making contract awards. And you make that judgment by asking the people who use the programs and services. I mean ask directly. I have been involved with programs where client feedback was part of the program, through the contractor. Fox guarding the henhouse.

This concept of asking clients or users what they think is also needed in establishing new programs. It is through experience that one learns what the real needs are, which are often different from what would appear to be or theoretically be the needs.

It is easy to “sell” the concept of an employment program, much harder to convince someone that a program offering support is truly needed if those needing this support are to every have an opportunity to be employed. Yet support is a fundament or key concept in recovery.

It is a major frustration that so many politicians, experts and others “know” what needs to be done for a variety of problems that require some form of recovery, without ever asking the people who need and or are seeking recovery. This “knowledge” leads to programs that are pointless, that fail to provide what is truly needed for recovery, that fail to provide what is their stated purpose to provide and waste millions of taxpayer $$$.

Yes we need ideas from as wide a source as possible, for having lots of ideas is the best way to ensure having good ideas. But to evaluate what is a good idea, what is needed, what programs are effective or which providers do an excellent job we need to ask and listen to those who need and /or use the programs.

If our goal is to provide the programs and services needed for people to move into and follow the path to recovery we need to be sure that we ask those whose life experience has provided them with understanding and insight into recovery and what is needed for recovery for their input. Then listen and pay attention to what those in recovery or in need of recovery say, and be willing to act on their input.

Homelessness, mental illness, addiction, poverty are all issues we face, but can address if we so choose. Part of that choice is choosing to ask for input and listen to the answers – even if they are answers we did not expect or want to hear.

Addiction

Just an addict.

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He/she is “just an addict” is an attitude far to prevalent in our society because so often underneath the addict lies a whole other world or person.

Based on my experiences and observations I have come to the conclusion that if we want to be efficient and effective in dealing with addiction and homelessness we need to move away from current practices and towards the best practices in the field of mental health. This will require adopting a much longer view of treatment and recovery; in many ways adopting a much more holistic view of what constituted recovery and being healthy.

I knew someone while he was in his addiction, saw him off to treatment, back from treatment and as he struggled with sobriety and dealing with his mental illness sober and without the use of illegal drugs. It is and was an incredibly painful struggle for him, and in some ways for me.

I know just what a mess his head is in because my head was in just such a mess not that many years ago and I have to admire his tenacity in staying sober and not using drugs to escape what is going on in his mind. I am thankful that the way my head works would not permit me to seek escape through mind-altering substances. Perhaps even more thankful that experiences in my youth had taught me that for me, unlike most, there was no escape into oblivion via drugs.

This is the struggle almost all of the homeless and addicts face in getting their lives back on track and why we need to begin using a long term mental health recovery model to be effective and efficient.

Experience had lead me to the conclusion that we had to change the way we think about, plan and deliver services to the homeless. Still I was blown away by the personal store told by a new friend, who when I asked if I could relate her story in my writing said if it would help someone I was welcome to post it on billboards around the lower mainland.

She was a heroin addict, one of those viewed as “just an addict”. The first time she cleaned up she fell back into addiction. The second time she cleaned up she stayed clean and thus had to face her inner demons sober and without heroin.

Obsessive/compulsive disorder and agoraphobia, can I ever relate. Maybe it was hearing in her story of the struggle we shared with these mental illnesses that struck such a cord with me. Once again I could only be thankful that mind-altering drugs was not a route that promised me escape from my mental demons and so I had avoided addiction.

Listening to her story was wrenching, illuminating and life affirming. But it left me more convinced than ever that we need to change our way of thinking, planning and focusing on addiction recovery. It was supporting to find in conversation that she too felt that we needed a much longer term, more mental illness recovery model in haw we approach and deal with addiction.

Perhaps the most telling and thought provoking statement she made in reference to addiction was “…its less painful”. Heroin addiction, being a heroin addict was less painful than dealing with her mental illness. I wonder how many of those who would have judged her “just an addict” would have the intestinal fortitude to deal with those mental demons that come with mental illness without escaping into addiction?

We need to change. We know our old and current approaches are not resulting in attaining effective and efficient outcomes for the homeless, the addicted. To just mindlessly continue doing what we have done in the past is insane behaviour, even more insane is to do more of what is not working.

It is time for leadership willing to embrace change, risk and new ideas to be applied to helping those suffering the blight of homelessness and/or addiction.