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 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 RSS help individuals and their families to connect to wider communities of people in recovery, and in so doing help them to sustain and develop their recovery in the long term. Why we need this guidanceEach of the overlapping parts of these circles provide a simple description of some of the main interventions that can be delivered by 2 or more of these service types. Where 2 circles intersect, we list the core interventions delivered by both services. 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 communities, services and supports offer people recovery support in the long term. It is hard to imagine an effective recovery-oriented system of care without any peer-led services and supports. Recovery communities are networks of people in recovery, their families and friends, recovery-focused organisations and support groups. Recovery-oriented system of care Religious faith and spirituality are important to some people’s recovery journeys. This includes people returning to old or adopting new religious or spiritual practices. Healthy environments and access to community resources These peer-led initiatives often grow from small local projects delivered by an informal group of people in treatment or recovery, into organisations with formal legal structures and staff and volunteer teams. Some LERO leaders believe that more than half of an organisation’s staff and volunteer teams, especially leadership roles, need to have lived experience for it to be defined as a LERO. A lived experience recovery organisation ( LERO) is an organisation led by people with lived experience of drug and alcohol recovery. LEROs deliver a range of harm reduction interventions, peer support and recovery support services and they can help people to access and engage in treatment and other support services.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. treatment services support people to stabilise and reduce their alcohol and drug use and promote recovery A person’s initial treatment and recovery care plan typically involves reducing, or abstaining from, alcohol or drug use. From the outset, care plans should also seek to identify and build upon a person’s recovery capital to support positive outcomes from treatment. Peer support has been used at various stages of the treatment and recovery journey. Treatment data from the National Drug Treatment Monitoring System shows that 19% of people in treatment accessed peer support involvement in 2020 to 2021 in England. Brief interventions delivered by peers When a person increases the amount of meaningful activity they take part in, this has been linked to an increase in their recovery capital and improved wellbeing (Cano and others, 2017). This meaningful activity includes: