Figure 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:

Lived experience initiatives and recovery support services ( RSS) support people in recovery and their families and benefit the wider community. They offer practical and emotional support to meet a person’s needs and build on their strengths. The lived experience of a peer volunteer or worker helps to overcome the power difference that often exists in the relationship between a clinician and the person they are supporting (Collins and others, 2019). Peer support also links people into the recovery community and its recovery-supportive social networks and other kinds of support. It benefits not only individuals but also the recovery community and wider community when people offer peer support to each other. Where peer support is available The intensity, duration and type of recovery support people require at different stages differs between individuals (Best and others, 2019). have access to a range of community resources that can help their recovery (including outside spaces, community centres and workplaces)

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Recovery communities are networks of people in recovery, their families and friends, recovery-focused organisations and support groups. Recovery-oriented system of care The roles of treatment and recovery support services in a ROSC are not entirely distinct or separate, nor do or should they operate solely within the definitions given here. In an effective ROSC, the relationships between treatment and recovery services:

When someone has made the changes they want to their alcohol or drug use, and is in early recovery, recovery support services give more focus to further developing their recovery capital and recovery identity. This can:

The traditional distinction between disciplines of the mind and disciplines of the body had been codified in the medieval education system. Moxon’s geometry and astronomy were counted among the seven liberal arts. They belonged to the quadrivium, the more advanced arts that followed the trivium. But the separation of spheres wasn’t without its detractors. As Anya Burgon has suggested, Alan of Lille, a scholar at Chartres in the 12th century, employed a vivid allegory in his Anticlaudianus to endorse an older, apprenticeship-style education system, as opposed to the professionalisation of disciplines he witnessed at the new universities. Alan imagines the liberal arts personified as mechanics, undertaking the very practical process of building a chariot for Wisdom to prepare her for immortality. First come the sisters of the trivium: Grammar, who makes the wooden axle beam; Logic, who makes the iron axle; and Rhetoric, who enhances the natural materials of the axle by adorning it with precious gems, causing it to flash and glitter as it spins. They work with great exertion, bending the raw materials to their will. Then, the sisters of the quadrivium (Arithmetic and Music, alongside Geometry and Astronomy) make the wheels. For these more advanced personifications, the process is less arduous. When their work is complete, Wisdom ascends and five horses representing sight, hearing, smell, taste and touch draw the chariot to the very edge of the firmament. But here they can go no further. To proceed, Wisdom is compelled to cast her chariot aside and continue to heaven alone. The belief that the blood of a goat could soften or even dissolve crystal or diamond appears in popular medieval compendia of the natural world and derives from Pliny’s Natural History. The 15th-century mariner Michael of Rhodes, who wrote a treatise on shipbuilding as part of an ambitious composition documenting navigation, mathematics and astronomy, urges his reader not to begin anything on ‘the first Monday of April, because on this day Cain killed his brother, Abel, and this was the first blood shed in the world’.

International Union of Geological Sciences. Commission on Stratigraphy. Anthropocene Working Group 1 the breadth and depth of internal and external resources that can be drawn upon to initiate and sustain recovery from alcohol and other drug problems. Since peer-led initiatives are likely to have multiple funding streams including contracts, grants and donations, they have more autonomy than other service providers. Their independence and autonomy are vital to their ability to respond, evolve and advocate effectively. Take an asset-based community development approach 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 How and why early modern European artisans began to record their knowledge. In From Lived Experience to the Written Word: Reconstructing Practical Knowledge in the Early Modern World (U Chicago Press, 2022), Pamela H. Smith considers how and why, beginning in 1400 CE, European craftspeople began to write down their making practices. Rather than simply passing along knowledge in the workshop, these literate artisans chose to publish handbooks, guides, treatises, tip sheets, graphs, and recipe books, sparking early technical writing and laying the groundwork for how we think about scientific knowledge today. Focusing on metalworking from 1400-1800 CE, Smith looks at the nature of craft knowledge and skill, studying present-day and historical practices, objects, recipes, and artisanal manuals. From these sources, she considers how we can reconstruct centuries of largely lost knowledge. In doing so, she aims not only to unearth the techniques, material processes, and embodied experience of the past but also to gain insight into the lifeworld of artisans and their understandings of matter. Please visit MS FR 640 at The Making and Knowing Project.

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In From Lived Experience to the Written Word , Pamela H. Smith considers how and why, beginning in 1400 CE, European craftspeople began to write down their making practices. Rather than simply passing along knowledge in the workshop, these literate artisans chose to publish handbooks, guides, treatises, tip sheets, graphs, and recipe books, sparking early technical writing and laying the groundwork for how we think about scientific knowledge today. The existing guidance shows why local areas should focus on lived experience initiatives and recovery support services. Until now the guidance about these issues has been disparate and there has been a need for a comprehensive set of guidance in one place. So, this guidance aims to provide that. Also, the existing guidance focuses on peer support, self-help, community support networks and mutual aid for people in treatment and in early recovery. The focus of this guidance is on support for people who are at any stage of recovery, including people who have never accessed treatment. Peer-led initiatives are often started without any formal funding and led by an individual or small group, so are necessarily resourceful and entrepreneurial. This means that they are skilled at identifying and tapping into community resources, including: