From Lived Experience to the Written Word: Reconstructing Practical Knowledge in the Early Modern World

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This relationship between treatment and recovery services will often blur the boundaries of operation. For example, there will be times when a treatment worker will carry out significant recovery support work as part of a person’s treatment and recovery care plan and that person has no wish to engage with RSS. Similarly, RSS and lived experience initiatives can play a vital role in providing harm reduction services to vulnerable people who are not accessing treatment. There are pathways to recovery that do not involve treatment services at all. The distinct and shared roles of specialist services in delivering recovery-oriented care The final outer layer of figure 2 represents the wider community and the factors in it that can promote and inhibit recovery. These factors are represented here by the 5 steps to mental wellbeing and the 5 ways to wellbeing. These are: CLERO is currently developing standards for LEROs aligned with the CHIME framework of mental health recovery (Leamy and others, 2019). This framework identifies 5 recovery processes making up the word CHIME: 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.

Peer-led initiatives are set up with little or no funding by people who have accessed (or, in some cases, have struggled to access) treatment and support. This means they are built on local assets and developed in response to community needs, by the community (see definition of asset-based community development in the glossary). Offer a culture of recovery Dotted lines between the specialist and non-specialist services are used to represent the need for interconnectivity between all services that can play a key role in supporting someone to reduce harm and recover from problem alcohol and drug use. How the wider community can promote recovery 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.The juxtaposition of trade taxonomies and the supernatural had its roots in earlier works. The Luttrell Psalter, made in England around 1330, contains a sequence of marginal illustrations showing agricultural activities through the year. These images surround and even gloss the words of Psalm 96, among them: ‘Let the fields be jubilant, and everything in them.’ They draw on the Labours of the Months, a pictorial cycle found in manuscripts, sculpture and wall paintings from across medieval Europe, that connects the work of humans in the fields with the passing of the seasons and the movement of the stars. Placing human invention and activity in relation to nature, they lead the viewer towards the divine.

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: Peer-led initiatives offer out-of-hours support in the evenings and at weekends when treatment services are normally closed. This out-of-hours support can include in-person and remote one-to-one or group sessions, and helplines. Most peer-led initiatives provide outreach and in-reach to people at the point of need. Some more established LEROs have a physical base from where they offer support. Experts by experience

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Brief interventions delivered by peers have been shown to support treatment and recovery outcomes (Bernstein and others, 2005). Research also suggests that a single peer-delivered brief intervention can: When people in recovery form a community, it makes recovery more visible and so can inspire other people. This has been described in research as the ‘social contagion of hope’ (Best and Lubman, 2012). What we mean by recovery Different definitions of recovery