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- The fight against stigma: How we can better support people with addictions - the basic idea behind the ‘RECOVER’ project
The problem of stigmatisation of people with addictions Addictive disorders are highly stigmatised, and this stigmatisation has come more into focus in recent years. The stigma of substance addiction has long been scientifically neglected. There are generally many incorrect stereotypes about people with addictions. However, there are also many situations in which they are true. For example, violence and alcohol intoxication are often closely linked. Even though, of course, not all people with an alcohol problem are violent. Substance dependence and consumption are often problematic, especially if you lose control and disregard social norms. Trivialising consumption and the resulting health and social problems cannot be a credible anti-stigma strategy. When people are ostracised because of their addictions, this can be understood as a social stigma that addictive behaviour is not tolerated. The exclusion has a kind of educational purpose here; people with addiction problems are treated badly so that they feel the need to change their behaviour. Addiction problems cannot be solved by stigmatisation. Ostracising people with addiction problems is not a solution for them and can actually exacerbate the problems. How can the stigma of addiction be reduced? Destigmatisation can only work if a better, alternative way of dealing with addiction is demonstrated. This means help instead of marginalisation and empowerment instead of devaluation. Improvements in the help system play an important role. It is strongly criticised here that people are ‘labelled’ and discriminated against by a diagnosis, and that this sticks with them for the rest of their lives. For example, a former alcoholic has to struggle with stigmatisation even after 10 years of abstinence. Diagnoses should not stick to people for life but should only accompany them for as long as they are useful to them. As long as people with addiction feel badly treated in this way, they will understandably avoid professional help if at all possible. Therefore, it is required that every training programme in the field of health and social sciences includes an ‘anti-stigma competence’ part. In order to promote an appropriate therapeutic attitude towards people with addictions at an early stage. It must be taught here that marginalisation and belittlement achieve the exact opposite of what is actually intended. As long as people with addiction feel badly treated in this way, they will understandably avoid professional help if at all possible. For this reason, every training programme in the field of health and social sciences should include an “anti-stigma competence” component. In order to promote an appropriate therapeutic attitude towards people with addictions at an early stage. It must be communicated that marginalisation and belittlement achieve the exact opposite of what is actually intended. “Anti-stigma competence”: a necessary step towards a more humane society In my view, ‘anti-stigma competence’ is very important for all people as a basis for dealing with each other and can have a great impact. People with addictions do not only have contact with people in the social and health sciences. Both the shop assistant in the kiosk who sells the addict the bottle of vodka, for example, and the ordinary citizen who walks past him while he takes a sip from it. Everyone should get an understanding and an insight into ‘the other side’, that of the addict. To show people how it feels for this person to be marginalised and sometimes treated and looked at inhumanely. We are all human beings, and everyone has their own individual story. No one has the right to pass judgement on the life of an addict if they are not aware of the person's background. Nevertheless, we are shaped by our experiences and have an image of the world through our childhood, among other things. Addiction may or may not have played a role in our world view and family experiences. It is therefore in the nature of things that people react individually to addicts. The special added value of the “RECOVER” project The ‘Recover’ project has a broad target group. This includes teachers, institutions with recovery programmes, those affected themselves who need and seek help in their recovery process, community organisations such as self-help groups, the general public and many more. Inclusivity and diversity are key components of the project. For this reason, particular attention is paid to taking into account the individual needs of all people. Targeted professional training is provided to improve the skills of carers in dealing with those affected and to reflect on their own behaviour. The general support system is strengthened and access to helpful resources and materials for successful recovery is expanded. The aim is to reduce the relapse rate. The project builds a network of different actors that contributes to a supportive environment for adults in recovery. By bringing together people from different areas who are pursuing the same overall goal, important challenges can be tackled and positive changes created. This project has a strong added value and will make the world a little (big) bit better!
- The mentoring service for chronically disease patients: a little step to recovery.
Each year, thousands of people around the world receive a diagnosis of a chronic disease. This diagnosis has become a major border in many developed countries. The overview that World Health Organization (WHO) provide for them is that chronic diseases, also know as noncommunicable diseases (NCDs) tend to be of long duration and are the result of a combination of genetic, physiological, environmental and behavioral factors. The diagnosis of a chronic disease changes people’s lives in an instant. The process of facing such a diagnosis is neither simple nor linear. Rebuilding after that is not easy. Sometimes, in this situation and throughout the process, the patient may ask unanswered questions. This will cause her/him have doubts and fears. This is when the role of non-profit organizations can be of great help, since through interdisciplinary groups they provide services to guide the newly diagnosed in this process. A comprehensive psychological department or mentoring service can be very helpful in these early stages of diagnosis. The mentoring service is very useful for recent diagnoses, but it can also be helpful at any stage of the process. This is provided by the figure of a mentor, person who gives younger o less experienced in a NCDs concretes and the process, who can be a volunteer or an que expert patient who is adept in identifying some needs that are not considered or are only poorly considered by doctors and other healthcare professionals. A Mentor is a person who gives a younger or less experienced person help and advice over a period of time at any time during the process. Mentor is an important figure that will not give opinions as to what the patients should do, she/he poses open questions to the person seeking mentoring and maybe enables the mentee to reflect on acts he not considered before. Mentor helps the patient make their own decision whit his advice and personal experiences. This process helps the mentee to increase self-confidence that is sometimes lost when you have a chronic disease. The relationship between the mentor and the mentee must be trust and confidentiality. A few examples about this program can be found in a different non-profit organization around the world or volunteer organizations like AGDEM in Granada (Spain), which works with multiple sclerosis patients. Good support through transversal teams, in which there are, for example, the figure of mentors and psychologists, is the key in recovery processes, inclusion and empowerment of new patients diagnosed with chronic diseases. Only by working together can we have a more inclusive world.
- A New Approach to Mental Illness: The Concept ofRecovery
Mental illnesses have long been surrounded by stigma and negative perceptions across Europe. Historically, these disorders were often considered incurable, a perspective influenced by figures such as Emil Kraepelin. However, this grim view is changing. Today, a notable transformation in the representations and social practices regarding mental disorders is underway, largely thanks to the emergence of the concept of recovery. Traditionally, the management of mental disorders was dominated by psychiatry, seen as the sole authority on the matter. But since the 2000s, this dynamic has been evolving. User associations have played a key role in influencing patient rights legislation and promoting equal opportunities in several European countries. The recognition of psychiatric disabilities, for instance, has been a major advancement, highlighting that the obstacles faced by people with mental disorders in their daily lives are often more limiting than the disorders themselves. The concept of recovery, introduced by patients in North America in the 1980s, has revolutionized the understanding of mental health. Unlike healing, recovery does not mean the elimination of symptoms, but rather a process of personal transformation. It involves accepting one's limitations while discovering new possibilities. According to W. Anthony, recovery is "a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles." This approach is primarily subjective, centred on hope, autonomy, and self-rediscovery. Mutual Aid Groups, present in various European countries, exemplify this change. These spaces, managed by users themselves, help break isolation, strengthen social bonds, and redefine self-perception. They facilitate recovery and contribute to the destigmatization of mental disorders. Moreover, the role of peer support workers and patient experts is increasingly recognized across Europe. These individuals, who have undergone the recovery process, share their experiential knowledge, providing valuable support to other patients. Their integration into healthcare teams and the training of psychiatry professionals enrich care practices. Recovery has become a cornerstone of mental health policies in many European countries, particularly in the Anglo-Saxon world. However, it is crucial not to turn it into a rigid norm. Recovery must remain a personal choice, supported by a favourable social and medical environment. In conclusion, the new approach to mental illness in Europe, centred on recovery, marks a significant advancement. It recognizes the complexity of mental disorders and values each individual's potential to reinvent themselves, to regain a satisfying and meaningful life, despite the limitations imposed by illness. This humanistic and dynamic perspective helps change how society perceives and treats mental disorders, offering a more inclusive and optimistic view of mental health.
- Building Bridges to Recovery: The Vital Role of Adult Educators
RECOVER: 2023-2-LT01-K210-ADU-000185371 In this banal and mundane society, people with a dependency who are going through a personal recovery need the help of adult educators. This group plays a very important role in society, as they are not only responsible for sharing all their knowledge, but we could say that they are "social builders" who create links that connect people with a dependency to the materials, resources and support they need to get their lives back on track. The recovery process from any misfortune, be it addiction, mental illness or trauma, is a very complicated, unstable process with a very powerful personal background. This requires not only the absence of physical or emotional symptoms, but also the re-establishment of a meaningful and meaningful life. Thus, the greatest responsibility here lies with the adult educators and they themselves are quite multifaceted in the sense that they provide information, serve as psychological and emotional support, establish a kind of practical guide that helps to orientate the lives of recovering adults and most importantly give them hope. We could consider that one of the most remarkable aspects of adult educators is the capacity of adaptability to each and every personal situation that each user goes through. Each adult has his or her own unique story, with his or her personal challenges and inner fears. All educators need to show a certain sensitivity to these people, and at the same time be able to take approaches appropriate to each individual. The RECOVER project identifies all these needs and works hard to develop inclusive methodologies that embrace the personal diversity of adults in recovery. Another important aspect is that educators must have a high level of competence in their field. This is very important as it concerns the subsequent cycle of recovery, when individuals face social reintegration and are very much in contact with relapses. On many occasions, this step has not been adequately developed due to the lack of this type of competence among educators. The RECOVER project aims to address this gap by providing adequate training and resources for educators, ensuring a quality foundation at all stages of the recovery process. In addition, another relevant challenge to mention is that faced by people going through a recovery process, namely limited access to innovative recovery methods. Resources and treatment options have always been very limited, which makes it difficult for many people to thrive and even have access to recovery. The RECOVER project in this case seeks to expand access to such resources by providing new methodologies and training materials that can make a difference in the lives of those facing recovery. At the same time, it is worth mentioning that the failure to adequately support the individual in recovery has been one of the main causes of many people relapsing and failing in their recovery process. The work of a good educator can make a significant difference to the path of each person in recovery. Providing solid and continuous support really helps to strengthen the foundations on which people can build a stable and dignified life after recovery. The RECOVER project recognizes the importance of this support and seeks to enhance existing support schemes, ensuring that no one feels alone or is truly alone in the recovery process. In conclusion, we believe that adult educators play an extremely relevant role in the process of reintegration and recovery of a user. This is how through the RECOVER project we can build links, solid bridges to recovery, giving hope and opportunities to all those who are trying to rebuild their lives after adversity.
- Charting a New Path: Overcoming Challenges and Finding Hope in Addiction Recovery
RECOVER: 2023-2-LT01-K210-ADU-000185371 What obstacles do we encounter in our lives? Every individual encounters distinct challenges and situations. For some, this journey may be characterized by a struggle against substance abuse and dependency, a struggle that can appear endless. However, in the midst of the darkness there is always a light, a hope that offers the possibility of rebirth and new life. Recovery from addiction is not only a physical process, but also an emotional one. It is a process that requires courage, determination and a lot of support. For those struggling with addiction, every step on the road to recovery is an achievement, and an act of inner strength. Asking for help is essential and you don't have to go it alone. One of the key things is support from caring and compassionate people: friends, family and mental health and addiction professionals. The recovery process greatly relies on the vital role played by social support, education, and access to information. Building a strong base for sustained recovery involves grasping the elements that contribute to addiction, acquiring effective coping mechanisms, and establishing attainable objectives. How can we prioritize self-preservation during this journey? Self-care also serves as a vital component in thwarting relapse. This encompasses nurturing both the physical and mental well-being through nutritious eating, consistent physical activity, sufficient rest, and stress management techniques. From my perspective, the process of healing is and individual and exceptional expedition. With the right support, education and self-care, we can overcome challenges and find the peace and happiness we each deserve.
- Drugs: Problem of the present or monster of the past?
RECOVER: 2023-2-LT01-K210-ADU-000185371 The 'European Drug Report 2022: Trends and Developments' provides some very significant data that allow us to understand how the drug problem in Europe is an extremely topical issue. In 2022, it is estimated that about 1.2% of the European population, 3.5 million people, had used cocaine, 2.2 million of whom were in the 15-35 age group. Still with regard to MDMA use, the report states that about 0.9 per cent of the population had used it, about 2.6 million people. In this case, the very young appear to be the main users, about 1.9 million, this being a drug that is mainly used in festive environments and attracts very young people. Finally, as far as heroin consumption is concerned, it can be noted that all the information struggle waged in the 1980s/90s is bearing fruit. Opiates are in fact the least used drug in the EU, affecting about 1 million people (0.33%), in this case the age of users is higher, obviously there is still a lot of work to be done. Analysing the reported data, therefore, we realise that drug use is still common in EU countries, but what drives a person to take drugs, still in 2024 despite the fact that it is now public knowledge that drugs are detrimental to mental and physical health? Lack of institutions: it is no coincidence that drugs are mainly consumed in neighbourhoods and cities where institutions are lacking. A 16-year-old boy living in a neighbourhood that does not allow him to see an alternative street, because it simply does not offer healthy socialising spaces, will be more attracted to drug use, perhaps starting out of boredom; Lack of job opportunities: According to Eurostat data, the unemployment rate in Europe will be around 6% in 2024, of which 15% will be youth unemployment. However, there are some countries that are particularly affected by the problem, Italy has an unemployment rate of 7.2%, of which 21.8% is youth unemployment. A young person who does not succeed in entering the world of work is a young person who can not see future prospects, and this very often leads to a state of depression that induces them to use drugs; Emulating wrong models: very frequently nowadays we see films in which the protagonists use drugs, very often they live dream lives that arouse admiration in the minds of the spectators. I do not want to blame the world of cinema in any way, but the role of parents or educators in making the distinction between fiction and reality is crucial, especially at a young age; Lack of information: sometimes it is taken for granted that the population is informed about the actual dangers of drugs, clearly if the data on use are still considerable this is not the case. Everyone of course knows that drugs are bad for mental and physical health, but it would be necessary to distribute information that is not just rhetoric but that actually explains how drugs can ruin people's lives, for example how drugs can be harmful to family and work relationships. So what is the right way to wage war on drugs? Obviously the main avenue should be prevention, whether through institutions offering alternatives to drug use, including job creation, or through information. However, when we talk about the rehabilitation of drug addicts, it is first of all necessary to move away from the old 'blaming' approach. In the past, in part because of a strong religious component, there was a tendency to blame the addict, but this path often leads to even stronger states of depression, which in turn leads to greater substance consumption. Instead, it is much more effective to work on an approach that tries to understand the motivations that led the person to start using drugs in the past, and then try to show them different perspectives, not only on a theoretical level, but also and above all on a practical level, for example by teaching them a job that allows them to live with dignity, or by creating social spaces and opportunities to meet former drug addicts, thus enabling them not to feel judged. It must also be remembered that the most critical phase is the post-recovery phase, when the former drug addict could relapse into using the substance, for this it is necessary to structure very long paths that follow the subjects for years even after detoxification.