Joined: 17 Feb 2007 Posts: 26 Location: Delray Beach, FL US
What Are Good Intervention Techniques ? Posted: 10-17-07 04:10am
Many of us are confused about how to help
our spouse, children, family members,
friends or someone else that we care
about, to break the cycle of addiction and
start on the path of recovery.
Many times an Intervention of loving and
caring people, combine with specialist in
addiction seem to be necessary.
If you have any experience in
Interventions, please share it with us
Thank you
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CarolDiane
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Joined: 23 Sep 2007 Posts: 2396
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Importance of Intervention Posted: 10-19-07 19:18pm
Intervention is the most inportant thing
for a recovery. First of all you need to
set aside a time where the family is
together. Make sure the addict is in a
fairly good mood. Make sure he/she is in
the mood to talk.
Then approach the addict and ask (don't
tell) him or her if it is OK if you all
had a family talk.
The first thing the the family must do is
inforce the fact that you love the person
very much and care about their welfare.
And that you would do anything in your
power to help them.
Then it is time to let them do the
talking. Ask the person if there is
anything they would like to discuss about
the issue at hand. Don't push it! Let the
person open up to you. If the person backs
off, then let it be for awhile and try
again another time. The person may just
come to you as their family for
intervention after you have broken the
ice.
If the addict opens up right away, just
listen. Don't say anything unless they ask
a question that needs an answer. This is
"tough love" and it is not easy. It is a
long and hard road.
Don't dwell on the intervention for long
periods of time or the addict will have a
melt down. Be there as long as they need
you to be and know when to cut it off.
The most inportant part of intervention is
to let that person know you care and love
them and want to see them healthy and
strong. Reinforce their skills, their
lives and their self esteem.
Over time you may start seeing some
changes. But, there is no promise with
intervention. It is like " You can lead a
horse to water, but you can't make him
drink."
Intervention will not work unless the
addict is ready for recovery. Then and
only then will he/she open up and talk
about it freely. You have to be strong and
calm through this. Try not to loose your
temper, that will be a demise for all
involved.
Once intervention is on it's way and the
addict shows exceptance, then it is time
to think about counseling.
Hope this helped,
Carrie
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daffodil67
Experienced User , Rather EHEALTHy
Joined: 02 Nov 2007 Posts: 54 Location: , midsouth, usa (think presidential pair)
Posted: 11-04-07 02:04am
Many people get sober without an
intervention. Lots of others die sick and
alone. Intervention is not the most
important aspect of getting sober--the
person who has the problem getting to the
point where they WANT to change is the
most important aspect of getting them to
recover. That MIGHt be an intervention, it
might not be.
When to do an intervention?? And how?? My
unequivical suggestion would be to contact
a person who specializes in addiction
medicine. It is unwise and potentially
harmful to attempt to intervene on your
own, unless you are armed with a heck of a
lot of knowledge. The kind of knowldege
that msot people jsut don't have or would
take years to acquire.
An addiciton specialist is the best way to
go. There's jsut so much to know and it's
so important. I can't IMAGINE trying to
do it alone or without at LEAST trying to
go to AlAnon. For one thing, you risk
being ineffective. You risk making the
addict MORE resistant to
help/change--pretty much the LAST thing
you want. Alcoholism and addiction affect
the whole family...it's not as simple as
"fixing" the addict and everything being
OK at long last. In other words, there's
more to an intervention than jsut an
intervention.
In an intervention, you need to have a
plan for what to do if the person says
"yeah, ok, you're right, I need help."
What plan to choose??? What conditions to
impose? You need to have a plan if the
person says "you're nuts. I don't have a
problem. I wouldn't do it if you weren't
such a pain." What are you prepared to do
then?? what's the best for your family??
These are complex, difficult questions to
answer, and are best answered with the
guidance of someone who knows the ins and
outs of addiction/alcoholism at the
professional level.
Without some guidance from a professional
(and really, I don't mean your pastor,
unless she also has an MSW and specializes
in doing interventins and treating
addicts), you risk your "intervention"
jsut being another case of you pleading
with your loved one to quit. How's that
been working so far?
Seek help!!
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CarolDiane
Supporter
Joined: 23 Sep 2007 Posts: 2396
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Posted: 11-04-07 08:54am
Intervention is very important. If the
person is ready for it. Then and only then
is the start to recovery and rehab.
Hopefully the person will realize they are
killing themselves and that the ones that
are trying to intervein are the ones that
love and care about them. That is the
first breakthough before rehab.
Have you ever seen a person in a locked
padded room on a mattress on the floor in
four star retraints? Well, I have. And it
is not a pretty sight watching that person
go through DT's for days. Going into fits
of rage and having to be sedated. Ever
been part of a 5 person take down just so
you can sedate them? Well, I have.
My uncle was killed in a head on colision
going 45 miles an hour and died 3 days
later after being in a vegitative state.
My mother has been dry now for 13 years
and only after family intervention did she
realize how much we loved her and wanted
her to live, then decided to go into 30
day rehab.
Yes, intervention is the first step to
recovery.
Carrie
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daffodil67
Experienced User , Rather EHEALTHy
Joined: 02 Nov 2007 Posts: 54 Location: , midsouth, usa (think presidential pair)
Posted: 11-05-07 18:14pm
I realize this is off-topic in a way, but
then it might be argued, so is a
"response" to a post of perfectly
reasonable and professionally santioned
advice that jsut doesn't seem to jibe with
your experience.
So these people you saw in DTs and
restraints--these were your clients?? Or
other alcoholic family members? And the
only reason I ask is tha tyour "response"
to my post is so definitive....
And when you say your mother has been
"dry" for 13 years...um...to someone
trained in alcohol recovery, the term
"dry" is, well, suspect. Is she sober?
Meaning functioning well, not prone to
depression or rage, does not expereince
intense cravings? Things like that?
I'll say it again...intervention MAY be
the first step to recovery, and Carrie, it
sounds liek it was in your mother's case.
But it isn't always. It's great if you
can do it. But for one thing, even with
the best plan, a great specialist helping
you LEAD the intervention, addiction and
alcoholism are SOOO fierce, they may not
work every time. At the other end of the
spectrum, when the adict/alcoholic gets to
that sweet spot of "I'm ready to do things
diffferently" and they REALLY want to get
sober, NOTHING will stop them. Rehab is
not even a requirement, though it is the
cultural norm at this point cuase it gives
the person the best shot at recovery. But
how many people ahve you heard of who go
through treatment 7 times and still never
"get" it...So, yeah, I agree. If you cna
do an intervention and it brings about
that change in the person with the
substance abuse problem--AWSOME...like
hitting it out of the park. It's jsut
that it's a very complex, difficult
process that does nto always succeed,and
people should know that going in.
Thanks,
Sarah
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CarolDiane
Supporter
Joined: 23 Sep 2007 Posts: 2396
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Sarah Posted: 11-05-07 18:37pm
If you are questioning my background, I
don't mind at all. I have earned every
moment of it. And miss it very much having
to retire early due to illness.
To your first question, yes they were my
clients or patients. I agree 100% that
intervention will only work if the person
is willing and ready for recovery. Some
deffinatly find it much to invasive and as
if you are trying to force them into
sobriety. In that case, the person has no
intention to stop drinking.
I spent 4 years working both alcohol and
drug rehab. The person has to want to
recovery in order to go to rehab unless it
is court ordered in some cases as DUI etc.
You are right, the way to sobriety is a
very rocky road, and unless you have
someone who is willing to change, it is
useless. Take my X husband for instance.
He stayed on the wagon for 18 years. A
woman brought him back down. He is still
drinking. This is a man that went to AA
four nights a week if not more. Staying
sober is the hardest thing to achieve.
You are absolutly right in you post. You
have to want to stop or all is lost.
The patients I dealt with were there on
their own accord, so they were willing to
listen. And yes, I have been through so
awesome moments where I thought my life
was in danger with someone in the DT's.
This one time we had group meeting and a
fight broke out and every male from every
unit had to come and help brake it up.
That day I will never forget. Once the
patient is passed the stage of withdrawl,
only then are they able to communicate
properly and listen. On the flip side,
there are those that finish the program
and are discharged and go right to the
nearest bar. Everyone is different. All I
am saying is that intervention is worth
trying. All you can do is loss. At least
you know you have tried. All you can do is
hope the person one day will realize that
they are killing themselves.
I spent most of my 23 years in health care
in a hospital setting on every unit and 5
years as office assistant. Then the 4
years in rehab counseling.
I was trained as a mental health
technician and had to attend 6 months of 8
hour class room and then internship. They
gave that class right at the facility
itself. I think the hardest part was
dealing with adulesents. Angry,
deppressed, suicidal, you name it.
Carrie
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daffodil67
Experienced User , Rather EHEALTHy
Joined: 02 Nov 2007 Posts: 54 Location: , midsouth, usa (think presidential pair)
Posted: 11-06-07 02:58am
So like a CADC certification kind of thing
you mean?? Doesnt' really matter...
I jsut did some cursory internet
browsing...and found a couple things of
note.
Fist off, at lovefirst.net you can read
about a Hazelden book written about how
interventions work. Hazelden is probably
the second most well-known treatment
facility in the US, and they publish
hundreds of recovery-related titles, used
by addicts and alcoholics nationwide
daily.
Second, at About.com, you can read about
what interventions are all about. The
man who wrote the info I found has been in
recovery himself for about 18 yrs and has
a bachelor's degree in Psychology. Here's
a portion of what he wrote:
Some Risks Involved
Professional intervention is not an option
for every family and every situation. The
decision to choose the intervention path
is one that should be made carefully and
with the advice of an experienced
counselor. There are some potential
risks.
As one health care professional put it:
"There are a fair number of substance
abuse treatment centers who have stopped
doing these interventions because when the
intervention fails, as it sometimes
inevitably does, the family can be further
torn apart by all the bad feelings about
the intervention. Not a small point for a
family already on the edge of destruction
from having an actively alcoholic
member."
"The intervention may fail if the
alcoholic doesn't make some important
transitions during and after formal
treatment, but the alcoholic identified
patient may very well storm out of the
intervention session and the family will
have to pick up the pieces of a failed
intervention on top of the rest of their
problems."
There are others who believe no
intervention can be successful in the long
run, because of their experience that most
alcoholics can't be helped until they are
ready to reach out for help on their own.
Although the confrontation itself may in
fact put the alcoholic in the frame of
mind to be "ready" to get help, it can
also be a point of resentment in the
future.
END QUOTE
Apparently, too, it has come into vogue to
NOT completely ambush the person with the
probelm behavior, be it an eating disorder
or drug use. Soem interventionists have
the family disclose that they have
contaced the interventionist for help
several days before the intervention is
scheduled, so the person being confronted
does NOT feel so ambushed (which I
personally think couldn't possibly really
be all that bad--I mean, I can't imagine
being confronted that way, after YEARS of
trying to deny and hide....Plus it would
give the target patient a couple days for
it to sink in that oh wow...my bacon is
really cooked now...they haven't done THIS
before, I must really be on my last chance
here--which I would think would only bring
a problem drinker, let's say, CLOSER to
accepting help that is offered if the
problem has gotten big enough for the
family to seek out an intervention.)
And then there's the story of the old
black man who died in Little Rock, AR last
week at the age of 78. He was the first
black man who got sober in AA in Little
Rock--in 1961. He said that back then
they put the white drunks in the hospital
and the black drunks in the nut house (the
State hospital.) When he got out and was
advised to go to the AA meetings, he
mainly went for the coffee and cigarettes.
It was hard, because in those days,
things still weren't even close to being
completely integrated in Little Rock, and
the people didn't all accept him the same.
But the program took hold, he got sober,
stayed sober, and went on to write several
internationally known books on recovery
from alcoholism (The Steps We Took), and
to found a treatment center in Littel Rock
called Serenity Park.
RIP Joe McQ.
Getting sober is hard....but sometiems
people jsut want it that bad.
So. All this to say that the intervention
is not some mighty, magical cure-all, but
rather a comlex, hard thing to pull off.
They can work!!! They are great when they
work!!! But they should never be taken
lightly. And again, the main ingredient
in getting a person recovered form probelm
behavior, whatever it may be, is THAT
PERSON getting to the point of deciding
they are WILLING to do what it takes to
change. It can be an intervention. Yes
indeed. There's jsut a lot to think
about before confronting your loved one in
the living room.
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CarolDiane
Supporter
Joined: 23 Sep 2007 Posts: 2396
Thanks: 111
Thanked:156
Posted: 11-06-07 05:51am
If I'm not mistaken, the qotes from the
book are exactly what I am trying to say..
Please re-read my post over your last
post. I am saying that intervention is
important,yes. But does not work for those
that do not want to stop drinking. It did
not work with my X husband. So I know the
pro's and con's of intervention.
Why do I feel I am being questioned here
on my knowledge? I am very confident in
what I have learned in 23 years and it was
a hard road getting there.
And what do you exactly mean "So like a
CADC certification kind of thing you
mean?? Doesnt' really matter... "? Every
day I went to work it took all the
consintration I had and it was the only
thing that mattered. I took my work very
seriously and put everything I had into
it. Trying to help someone reach recovery.
It wa not easy, but I loved my work.
I always said "If in a one hour one on one
session with a client or patient, I was
able to say ONE thing that hit home to
them, I have done my job".
I take it you have worked the field and
have a degree and an abundance of
knowledge to go with it. You are
challenging me on things I have already
agreed are true. I joined this board to be
of some help as admin knows. And that is
what I plan to do. Be some help.
And if it matters at all, I was taught by
a Psychologist. I also suffer from passive
aggressiveness. I'm sure you know what
that is.
Thanks for the tip on the book. I will go
to Barnes and Nobel and work up on my
knowledge.
God, grant me the serenity to except the
things I can not change,
Corage to change the things that I can,
And the wisdom to know the difference.