Publications / 2025

An "Outside In" Model of Recovery Capital Growth: Building Personal and Social Recovery Capital From Community Resources

David Best, Shelley Duffy, Dot Smith, Jennifer Bryson, Bill White

Addiction Research & Theory, 2025

Plain-Language Summary

Recovery capital grows across three domains: personal, social, and community. The usual assumption is that change starts inside the individual and works outward. This paper argues the opposite: for people who arrive with low or even negative personal and social capital and severe, complex, long-running problems, growth runs "outside in." The realistic starting point is community capital, the resources, assets, and welcoming spaces that create the conditions in which social connections can form, and only then does personal capital have ground to grow in.

The authors lay out a conceptual framework for how that cascade works, using Recovery Oriented Systems of Care and Inclusive Recovery Cities as working examples, with real illustrations from Middlesbrough, the UK's first Inclusive Recovery City. The ambition reaches past individual recovery: by building "reciprocal altruism," where people in recovery both draw on and give back to their communities, the model aims to grow collective efficacy and overall community wellbeing across diverse cultural contexts. For anyone designing recovery systems, the message is to invest in community conditions first, because that is where individual recovery journeys actually begin.