# Presentation: 242089

## SUSTAINABLE  LIVELIHOODS, 

**SUSTAINABLE  LIVELIHOODS, **

**REHABILITATION  AND **

**RE-INTEGRATION**

## Sustained Recovery Management

**Addiction is a chronic problem and  issues related to recovery are complex**
**Shift  focus from acute care model to sustained recovery management**

## Voices of Recovery

**“****Starting all over again”**

**“****Making changes, having goals”**

**“****Getting a job / Education ”**

**“****Staying clean and sober”**

**“****Doing everyday things”**

**“****Getting well /**
**getting better”**

**“****Having same rights as others” **

**“****Having hope”**

**“****Be seen as a whole person”**

## Building  Recovery Capital

**Identify and build upon each individual’s assets, strengths and competence**

**Support towards regaining a meaningful, constructive, sense of membership in the broader community**

## Elements of Recovery Capital 

**Developing vocational                                         skills / education**
**Obtaining employment and regular income**
**Addressing mental and medical health needs**

**Building social and family support **
**Building cultural and community support**

**Safe housing**

**Achieving spiritual and faith based            support**

## Principles

**Driven by recovery       outcomes**
**Public education to combat stigma is essential to recovery**

**Treatment process  to be        culturally relevant **

## Recovery Vision

**Make him assume individual responsibility and control towards independent functioning **
**Increase in individual and family participation in all aspects of service delivery  **

**Focus on building recovery capital -                    vocational, social, spiritual,                                      recreation and physical well being **
**Network and collaborate with                               treatment resource to achieve                               holistic recovery **

## Work-in- progress

**Sustainable Livelihoods**

## The Project – Documentation of  Sustainable Livelihoods

**Objectives **
**To identify existing research that                 evaluates the impact of providing sustainable livelihoods, rehabilitation and reintegration**
**To identify creative and promising practices in different cultures throughout the world.**
**To produce a promising practice document on ****Sustainable Livelihoods for Rehabilitation and Reintegration****.**

## The work group

**Mr. Max Hopperdietzel**

**Germany**

**Nigeria**

**USA**

**Colombia**

**India**

**Mr. Michael G Boyle  **

**Mr. Akin O Akinwande **

**Mr. Mario Alberto Zapata**** **

**Dr. Shanthi Ranganathan**

## An overview of the manual

**Introducing the concept of  recovery capital **
**International review of literature to identify existing research **
**Case studies of promising practices**
**Principles and guidelines for creating                 recovery capital **
**Advocacy and building community support **
**Training**
**Documentation and evaluation **

## Activities carried out

**Literature review by Mr. W. White,                   Light house Institute, USA and peer reviewed **
**Collection of promising practices **
**Through network members**
**Associate members **
**Contacting agencies like ILO, EC, INL, etc. **
**Through net**** **
**Peer review of material by                               network members and other experts**

## Exchange of ideas

**Constant flow of communication**
**Networking with members and associate members and their contacts through electronic mail**

**Opportunities for a few members to meet in person**** **

## Challenges

**Inadequacy of published information on sustainability,  available material originating         only from North America  **
**Through network members, collected                unpublished material**** **

**In many countries reintegration issues are not taken up at all, or dealt only minimally**

## Challenges  (contd...)

**Non availability of case studies on post treatment services related to **
**Addressing mental and medical health needs**
**Building social and family support **
**Building cultural and community support**
**Achieving spiritual and faith based support**

## Challenges  (contd...)

**Available resources in the community (especially in  developing countries or countries with minimal resources) are not utilized appropriately to build recovery capital **
**Systems have to be developed**** **
**Inability to assess authenticity and sustainability of some of the projects in other countries **
**Making use of network members and associate members to assess **

## Challenges  (contd...)

**Self sustaining programmes are  available in  developing countries which are not documented (for e.g. Friends International, Cambodia)****  **
**Solicit the support of  network members for documentation **
**Understanding the cultural milieu is another factor **
**Availability of  material other than  English and difficulty in getting them translated.**

## Insights Gained

**Understood  the need to focus on rehabilitation and reintegration**
**Reintegration issues related to providing medical and psychiatric services, family support, community support and spiritual support to be given priority.   **
**Some case studies provide step by step approach which are universal  and can be replicated **
**Need to develop network regionally –  Asia,  Europe, South America, Africa, etc. **

## THANK  YOU

**THANK  YOU**