Morehouse School of Medicine Department of Psychiatry and Behavioral Sciences

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1 Pastoral Care: Ministering To The Addicted And Those Who Love Them Mr. David Jordan, Director of Development and Admissions Penfield Christian Homes & Spirituality An Emerging Best Practice for Students, Faculty and Staff Dr. Linda Kirkland-Harris, Counseling Center Director, Hampton University Morehouse School of Medicine Department of Psychiatry and Behavioral Sciences

2 Through a Cooperative Agreement with the Substance Abuse and Mental Health Services Administration s (SAMHSA) Center for Substance Abuse Treatment, (CSAT) and Center for Mental Health Services, (CMHS) Morehouse School of Medicine established the Historically Black Colleges and Universities Center for Excellence in Behavioral Health (HBCU-CFE), funded as Grant No. TI

3 Promote student behavioral health to positively impact student retention Expand campus service capacity, including the provision of culturally appropriate behavioral health resources Facilitate best practices dissemination and behavioral health workforce development

4 David Jordan is a native Georgian and a graduate of Brewton-Parker College, Mt Vernon, Georgia and Southwestern Baptist Theological Seminary, Fort Worth, TX. David is a Master Addiction Counselor as well as a Certified Clinical Supervisor and Certified Co-Occurring Disorder Professional Diplomat. David serves on the Advisory Board of the Student Addiction Technology Transfer Center and has served as a mentor for their Leadership Institute. He has been a presenter at State and National Conferences on Addiction Treatment. He is an Ordained Minister of the Gospel. David serves as the Director of Development and Admissions at Penfield Christian Homes. He also serves as Pastor of Penfield Baptist Church. David also serves on the Board of Directors for the Georgia School of Addiction Studies and Chair of the Marketing Committee on that Board.

5 The Reverend Dr. Linda Kirkland-Harris is a Virginia Licensed Professional Counselor and a Fellow of the American Association of Pastoral Counselors. She is the Director of the Hampton University Student Counseling Center, and has just completed activities in an Operation Undergrad grant from the Virginia Dept. of Alcoholic Beverage Control. Dr. Kirkland-Harris has earned undergraduate and graduate degrees from Bates College, Rhode Island College, Andover Newton Theological School, and Boston University Graduate School of Arts and Sciences from which she received the Ph.D. in Pastoral Psychology in She is the Coordinator of Associate Ministers at the First Baptist Church of Hampton, and hopes to involve local churches in the work of curbing underage and binge drinking among area college students.

6 Presented By: David B. Jordan, MDIV, MAC, CCS, ICCDP-D

7 A. To understand addiction as a behavioral health issue. B. To enable recognition of signs and symptoms of addiction in order to provide assistance. C. To provide strategies for incorporating spirituality in the addiction treatment process.

8 Addiction is defined as a chronic, relapsing brain disease that is characterized by compulsive alcohol and/or drug seeking and use, despite harmful consequences.

9 Addiction is considered a brain disease because drugs and/or alcohol change the brain - They change its structure and how it works. These brain changes can be long lasting, and can lead to the harmful behaviors seen in people who abuse drugs.

10 Alcohol becomes a major focus for the person s behavior and thinking. The person loses the ability to make sober choices over the use of alcoholic beverages. The loss brings harm to the person s physical, emotional, spiritual, and social well-being. With this loss of freedom to choose, the alcohol dependence develops into a lifethreatening addiction.

11 Drinking for the effect of the chemical itself; purposely taking the drug alone to feel better. Amnesia/Blackouts Preoccupation with alcohol and drugs Sneaking drinks; using drugs alone Gulping first drinks or drugs to get the effects as rapidly as possible

12 Loss of control Increase in tolerance; needing more to get the same effect Inability to discuss the problem Denial of any problem related to chemical abuse Continued use in spite of harmful consequences

13 Alcoholics Anonymous Step 12. Having had a spiritual awakening as a result of these steps Spirituality is an important, even essential, part of recovery from addiction.

14

15 1. Addiction is a complex but treatable disease that affects brain function and behavior.

16 No one chooses to become addicted. Like heart disease, diabetes, and cancer, poor lifestyle choices (sin) leads to addiction. Spiritual help is necessary to change our lifestyles.

17 2. No single treatment is appropriate for everyone.

18 Paul recognized individual needs in 1 Corinthians 9:22 I am made all things to all men, that I might by all means save some. KJV Some are delivered instantly; others through a process.

19 3. Treatment needs to be readily available

20 Spiritual leaders develop relationships with local hospitals and nursing homes in order to minister to the elderly and sick. They need to develop these same relationships with the providers of help for addicted persons.

21 4. Effective treatment attends to multiple needs of the individual, not just his or her drug abuse.

22 Addiction is a bio/psycho/social/ spiritual problem. The faith community can provide social/spiritual help. Professional assistance should be encouraged for help with biological/ psychological problems.

23 5. Remaining in treatment for an adequate period of time is critical.

24 Ephesians 6:13 13 Therefore take up the whole armor of God, that you may be able to withstand in the evil day, and having done all, to stand. NKJV

25 6. Counseling individual and/or group and other behavioral therapies are the most commonly used forms of drug abuse treatment.

26 Ephesians 4: And He Himself gave some to be apostles, some prophets, some evangelists, and some pastors and teachers, 12 For the equipping of the saints, for the work of ministry, for the edifying of the body of Christ: (NKJV)

27 7. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies.

28 James 2:16 16 And one of you says to them, Depart in peace, be warmed and filled, but you do not give them the things which are needed for the body, what does it profit? (NKJV)

29 8. An individual's treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs.

30 Hebrews 5:12 12 For though by this time you ought to be teachers, you need someone to teach you again the first principles of the oracles of God; and you have come to need milk and not solid food. (NKJV)

31 9. Many drug-addicted individuals also have other mental disorders.

32 Four primary elements of spiritual growth are: prayer, praise, worship and to read/study Sacred writings. Depression and other mental disorders prohibit one s ability to participate in these activities.

33 10. Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug abuse.

34 Philippians 3:12 12 Not that I have already attained, or am already perfected: but I press on (NKJV) Awakening is only the first step in our spiritual journey.

35 11. Treatment does not need to be voluntary to be effective.

36 Jonah 1:3 3 But Jonah arose to flee to Tarshish from the presence of the LORD (NKJV)

37 12. Drug use during treatment must be monitored continuously, as lapses during treatment do occur.

38 James 5:16 16 Confess your trespasses to another, and pray for one another, that ye may be healed (NKJV)

39 13. Treatment programs should assess patients for the presence of HIV/ AIDS, hepatitis B and C, tuberculosis, and other infectious diseases as well as provide targeted risk-reduction counseling to help patients modify or change behaviors that place them at risk of contracting or spreading infectious diseases.

40 Core Competencies for Clergy and Other Pastoral Ministers In Addressing Alcohol and Drug Dependence and the Impact On Family Members

41 These competencies are presented as a specific guide to the core knowledge, attitudes, and skills essential to the ability of clergy and pastoral ministers to meet the needs of persons with alcohol or drug dependence and their family members.

42 Be aware of the: Generally accepted definition of alcohol and drug dependence Societal stigma attached to alcohol and drug dependence

43 Be aware that possible indicators of the disease may include, among others: marital conflict, family violence (physical, emotional, and verbal), suicide, hospitalization, or encounters with the criminal justice system.

44 The person s behavior becomes compulsive, responsive to what might be called an inside command or drive to act in a certain way, despite the harm caused. This can lead to marital conflict, family violence or encounters with the criminal justice system.

45 The addict losses control over using the drug. This loss of control is physical, mental and emotional. Thus he or she rarely sees himself or herself as the problem. They blame other people or circumstances for what happens. This self- deception leads to conflicts, resentment and run-ins with the law.

46 Understand that addiction erodes and blocks religious and spiritual development; and be able to effectively communicate the importance of spirituality and the practice of religion in recovery, using the scripture, traditions, and rituals of the faith community.

47 Is the experience of being connected deeply with ourselves, others, nature and God. The focus of addiction is on experiences and connection with the drug. The drug then mediates our experiences and connectedness with our self, others, nature and most profoundly God. Thus addiction is really a spiritual disease that can only be cured by Grace.

48 The importance of using the scripture, traditions, and rituals of the faith community in recovery, as they are means of Grace. For the recovering person Grace is the unmerited offer of the gift of healing, love and reconciliation.

49 Grace invites the addict to seek God, this is a gradual process of unfolding awareness of the means of grace. It is sanctifying hope. It s new life that follows as naturally as physical growth follows the birth of a baby

50 All scripture, traditions, and rituals of the faith community are a result of God s faithfulness to us. They provide us with power to break down whatever barriers to hope one may build. In recovery, one must come to know they have real freedom to resist God s grace. They are invited to choose new life which is unconditional through the religious practices of the faith community.

51 Be aware of the potential benefits of early intervention to the: Addicted person Family system Affected children

52 People with addictions get well Families heal Money is saved Life gets better Recovered people give back Congregations rejoice Communities are safer

53 Positive posture rather than judgment allows help to arrive for troubled families very early in the progression of either misuse or addiction to mood-altering chemicals. Educated and aware congregations often identify troubled families through their behavior and concerns for that home.

54 Be aware of appropriate pastoral interactions with the: Addicted person Family system Affected children

55 Be able to communicate and sustain: An appropriate level of concern Messages of hope and caring

56 Telling the truth in love is possible if the religious leader has come to terms with her or his own attitude towards the illness and those suffering from it. The religious leader must be sufficiently self-differentiated to withstand the possible rejection that may ensue from honestly and lovingly naming the presence of the illness.

57 I am not a diagnostician, but it feels like you are really hurting and I believe that addiction is at the root of your problem I can hardly imagine the depth of the pain you are experiencing. I would say that addiction is a strong possibility and I can try to help you do something about that.

58 It is a fearful thing to tell the truth in love to another person. It is however a moral imperative that is necessary in order that health and healing might occur. Sometimes we need to hurt people in order not to harm them!

59 Be familiar with and utilize available community resources to ensure a continuum of care for the: Addicted person Family system Affected children

60 Be familiar with resources in the community to make referrals to. Detoxes, Crisis Stabilization Units, Treatment Facilities. Other Community Based Resources Employment, Housing, Food, etc.

61 Have a general knowledge of and, where possible, exposure to: The 12-step programs AA, NA, Al-Anon, Nar-Anon, Alateen, A.C.O.A., etc. Other groups including Faith-Based groups like Celebrate Recovery and the like.

62 Know the 12 steps of AA Know the 12 Traditions Know the factors that will contribute to the success of a 12 step group

63 Be able to acknowledge and address values, issues, and attitudes regarding alcohol and drug use and dependence in: Oneself One s own family

64 Parents: attitudes demonstrated by parents are imprinted on the psyche of children Peers: interaction with peers in conversation and activity influences a person s response to addiction. The Media: Pain is to be avoided at all costs. Alcohol anesthetizes personal and corporate pain.

65 Religious leaders: policies & practices of religious communities & their use of alcohol can be either positive or negative Personal Experience: experience in the home. adult child of an alcoholic may be minimal or extensive depending on experiences.

66 Be able to shape, form, and educate a caring congregation that welcomes and supports persons and families affected by alcohol and drug dependence.

67 Many Pastors lack understanding of misuse or addiction to alcohol and other drugs. 12 percent of America s pastors who are engaged in pastoral counseling have any training at all in addiction. More than two-thirds of the issues they deal with in counseling have roots in addiction. Many judge addictions as a sin which discourages a caring congregation.

68 Be aware of how prevention strategies can benefit the larger community.

69 Personal and Communal Health and Growth Prevention Treatment/Recovery Public Policy/Law Enforcement Revival of Hope

70 Accurate information Acceptance and care for persons in need Parenting education Full support for education After-school programs

71 Texas Tech University pioneered the Collegiate Recovery Community. Many Others have followed suit. recovery.php Great Resource for Campuses!!!

72 NAADAC AND NACOA jointly provides resources for a Certificate in Spiritual Caregiving. The following link will provide you with information on the Certificate Training. https://www.naadac.org/certification/539

73 Gerald C. May, M.D. Addiction and Grace, Harper & Row Publishers, San Francisco, 1988

74 Jeff VanVonderen, Good News for the Chemically Dependent and those who Love Them, Bethany House, Minneapolis, MN, 1995

75 Core Competencies for Clergy and Other Pastoral Ministers in Addressing Alcohol and Drug Dependence and the Impact On Family Members DHHS Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, [2004]. Gerald May, Addiction and Grace NIDA Publication, Principles of Effective Treatment, Second Edition PPT Accessed on the WWW: June 8, 2013, Rev. Fred Smith, Jr. PHD and Fr. Tom Dragga, DMin, Core Competencies PPT.

76 She is presenting from the context of the Hampton University Student Counseling Center s work with students in individual counseling and having just completed the first year of an alcohol and drug education class for mandated students, and a Virginia Dept. of Alcoholic Beverage Control education and prevention grant.

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