Social networks are important to recovery-fewer drug users and fewer heavy drinkers in a social network have been associated with a higher likelihood of remission. The aim of this study is to evaluate the recovery capital and quality of life of recovery peer supporters and their community peer contacts and to map their social networks. Qualitative and quantitative approaches were combined in a cross-sectional survey with matched pairs recruited through the Lothians & Edinburgh Abstinence Programme, based on 13 paired interviews. There are positive correlations between outcomes on the recovery-functioning scales and time in recovery. People in recovery are well connected to other people in recovery; they spend the most time with other people in recovery and go to them for emotional support and practical help.
In both Scotland and England, the current drug strategies (HM Government, 2008;Scottish Government, 2008) have demonstrated a clear commitment to an integrated recovery-oriented model of treatment for drug problems, which represents a significant change in focus toward a more person-centered and individualized philosophy for the delivery of drug treatment in the United Kingdom. This change has met with some resistance from a range of professionals in the United Kingdom, and the purpose of the article is to make explicit these concerns and objections, classify them, and examine their foundations. A group of UK academics, policymakers, and practitioners, who met under the auspices of the UK Recovery Academy, agreed to collate a list of objections to the viability of recovery approaches in the addiction field and to assess the merits of each concern. This process resulted in a total of 26 objections that are reviewed. The article concludes with an overview of the questions remaining unanswered in the United Kingdom and an assessment of the position of the "recovery movement" in the UK addictions field.
Summary
To better understand outcomes in postpartum patients who receive peripartum anaesthetic interventions, we aimed to assess quality of recovery metrics following childbirth in a UK‐based multicentre cohort study. This study was performed during a 2‐week period in October 2021 to assess in‐ and outpatient post‐delivery recovery at 1 and 30 days postpartum. The following outcomes were reported: obstetric quality of recovery 10‐item measure (ObsQoR‐10); EuroQoL (EQ‐5D‐5L) survey; global health visual analogue scale; postpartum pain scores at rest and movement; length of hospital stay; readmission rates; and self‐reported complications. In total, 1638 patients were recruited and responses analysed from 1631 (99.6%) and 1282 patients (80%) at one and 30 days postpartum, respectively. Median (IQR [range]) length of stay postpartum was 39.3 (28.5–61.0 [17.7–513.4]), 40.3 (28.5–59.1 [17.8–220.9]), and 35.9 (27.1–54.1 [17.9–188.4]) h following caesarean, instrumental and vaginal deliveries, respectively. Median (IQR [range]) ObsQoR‐10 score was 75 ([62–86] 4–100) on day 1, with the lowest ObsQoR‐10 scores (worst recovery) reported by patients undergoing caesarean delivery. Of the 1282 patients, complications within the first 30 days postpartum were reported by 252 (19.7%) of all patients. Readmission to hospital within 30 days of discharge occurred in 69 patients (5.4%), with 49 (3%) for maternal reasons. These data can be used to inform patients regarding expected recovery trajectories; facilitate optimal discharge planning; and identify populations that may benefit most from targeted interventions to improve postpartum recovery experience.
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