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Many services commissioned by local authorities failed to ask if the individual accessing them had served
within the armed forces. This comment from Tony Wright (cover story, page 8) is striking in its simplicity and
revealing in its explanation of why so many veterans find themselves struggling alone to adapt to life back in
the civilian community. It’s an issue that comes up regularly in Parliamentary circles; maybe our case study
from the US veterans court can inspire a different – and more humane – approach that reflects respect and
gratitude as well as service provision.
In this month’s profile (page 18), Roland Lamb shares another vision of supporting vulnerable people. ‘One
in every 100 Americans is incarcerated... we have broken families... a lot of fragmentation all over the place.’
Once again tackling this starts with communication, getting substance and mental health services to integrate
so they can reach out effectively. It’s a cohesive ethos that many UK services are doing their best to foster in
an attempt to reach society’s most vulnerable. Adfam has addressed the difficult area of child to parent abuse
through a new report (page12, 13) and Cinzia Altobelli (page 15) looks at ways to support clients who are
victims of all kinds of domestic abuse. By tackling taboos together, the hidden harmed stand half a chance.
FEATURES
6
NEWS FOCUS
Will Public Health England and a newministerial team help to refocus drug and alcohol policy, or
are they empty exercises in rebranding? DDN reports.
8
A VETERAN PERFORMANCE
– COVER STORY
Tony Wright visits an inspiring US initiative to divert military veterans with substance issues away
from the criminal justice system, and contrasts the lack of support here.
11 NEW ERA
A lot has changed since the advent of the CQC and there are more changes on the way. David
Finney explains what services can expect in the coming months and years.
12 THE LAST TABOO
More support is needed for victims of abuse perpetrated by their children, says Oliver Standing.
15 JOINING FORCES
New partnership-led training aims to help victims of domestic abuse incidents where substances
are an issue, says Cinzia Altobelli.
16 IT’S WHERE YOU’RE AT
Harm reduction should be about ‘meeting people where they’re at’, according to the recent HIT
Hot topics
conference. Jamie Bridge reports.
18 LIBERTY TO CHANGE
Philadelphia is integrating its substance and mental health services to provide seamless support
for vulnerable people. David Gilliver talks to its director of addiction services, Roland Lamb.
20 SPREADING THE EVIDENCE
Grace Ball reports back from the UK Recovery Academy’s recent Manchester conference.
REGULARS
4
NEWS ROUND-UP
: NorthWest tops alcohol-related liver deaths • Scots hit treatment wait targets early •
fall in Bolivian coca cultivation • Second fatal anthrax case in Blackpool • News in brief.
7
POST-ITS FROM PRACTICE
:
Recovery should only be defined by the individual, says Dr Steve Brinksman.
7
MEDIA SAVVY
: Who’s been saying what..?
10 LEGAL LINE
: release solicitor Kirstie Douse answers your questions. This issue: should old convictions count?
10 LETTERS
: New rules could reinvigorate the public consultation process, says Marcus Roberts.
13 ENTERPRISE CORNER
: Recovery must reach every member of the family, says Amar Lodhia.
13 FAMILY MATTERS
: How do we respond appropriately to child to parent violence, asks Joss Smith.
17 POLICY SCOPE
:
The mantra of drug policy failure is drowning out our successes, says Marcus Roberts.
21 VOICES OF RECOVERY
:
Harnessing the strengths of individuals shows the power of community-led
recovery, says Alistair Sinclair.
22 MY JOURNEY OF SELF-RECOVERY
:
In the second part of her story, Marie Tolman finds herself falling
deeper into addiction and has her first brush with the law.
23 SOAPBOX:
We must learn to balance risk and freedom, says John Ashton.
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