Persons in treatment at Herrington have addiction. Herrington provides professional treatment to persons
|
|
- Ashlie Fowler
- 8 years ago
- Views:
Transcription
1 Why AA? For Patients in Residential Treatment at the Herrington Recovery Center Medical Director Herrington Recovery Center Rogers Memorial Hospital Persons in treatment at Herrington have addiction Herrington provides professional treatment to persons who have not achieved their goals via self-help or via professional treatment at a less intensive level of care. Persons with addiction may try to quit on their own, or reduce their use so they don t experience problems, or they may seek professional treatment: 1:1 visits with a counselor, doctor, or mental health professional; or enrollment in an IOP or PHP or in another residential program Rogers Memorial Hospital 1
2 ASAM Public Policy Statement on Alcoholism as a Primary Disease Based on many years of clinical experience, reinforced by recent and continuing research into the genetic, biochemical and physiological aspects of the effects of alcohol on living systems and of alcoholics and their families, the American Society of Addiction Medicine finds that alcoholism is a complex primary physiological disease, and neither a primary behavior disorder nor a symptomatic manifestation of any other disease process. Adoption Date: October 1, 1983; revised October 1, 1996 When the disease is still active When substance use is still happening and the person doesn t exhibit control over their use When problems due to use keep accumulating When addressing the problem yourself hasn t worked When other professional help hasn t worked then, people come to Herrington at Rogers Rogers Memorial Hospital 2
3 So, why so much emphasis on AA? Residents at Herrington attend AA or NA almost nightly Residents attend meetings on campus these are open meetings including persons from the community, but are almost like institutional meetings established for persons in inpatient/residential treatment Other Rogers patients attend as well: from other residential and IOP programs, or from inpatient psychiatry unit or inpatient eating disorders unit Why not just do professional treatment without all the involvement in 12-Step groups (which are NOT professional treatment)? AA is a supplement to treatment It is for recovering people, and offered by recovering people, without a trained professional to lead the group, without any charges or documentation It is NOT treatment. It promotes recovery. Rogers Memorial Hospital 3
4 Who is AA for? Not just for persons with addiction Not just for persons who identify themselves (admit it) that they have addiction The only criterion for attendance: A person with a desire to stop drinking. (or, for N.A., using. ) It s for persons not pursing professional treatment. It s for persons pursing professional treatment. (It can help treatment work better!) What are we trying to accomplish through Professional Treatment? ASAM Public Policy Statement on Treatment for Alcohol and Other Drug Addiction Addiction Treatment is the use of any planned, intentional intervention in the health, behavior, personal and/or family life of an individual suffering from alcoholism or from another drug addiction, and which is designed to enable the affected individual to achieve and maintain sobriety, physical, spiritual and mental health, and a maximum functional ability. Addiction Treatment services are professional healthcare services, offered to a person diagnosed with addiction, or to that person s s family, by an addiction professional. Addiction professionals providing addiction treatment services are licensed or certified to practice in their local jurisdiction and may be nationally certified by a professional certification body for their professional discipline. Adopted by ASAM Board of Directors May 1980; revised September 1986, October 1997, July 2001, October 2009, and January Rogers Memorial Hospital 4
5 Targeted Therapeutic Changes in Addiction Treatment BEHAVIORAL CHANGES Eliminate alcohol and other drug use behaviors Eliminate other problematic behaviors Expand repertoire of healthy behaviors Develop alternative behaviors Identify triggers for using behaviors/relapses BIOLOGICAL CHANGES Resolve acute alcohol l and other drug withdrawal symptoms Physically stabilize the organism Develop sense of personal responsibility for wellness Initiate health promotion activities (e.g., diet, exercise, safe sex, sober sex) Address cravings through medical interventions (treatment medications) Targeted Therapeutic Changes in Addiction Treatment COGNITIVE CHANGES Increase awareness of illness Increase awareness of negative consequences of use Increase awareness of addictive disease in self Decrease denial AFFECTIVE CHANGES Increase emotional awareness of negative consequences of use Increase ability to tolerate feelings without defenses Manage anxiety and depression Manage shame and guilt Rogers Memorial Hospital 5
6 Targeted Therapeutic Changes in Addiction Treatment SOCIAL CHANGES Increase personal responsibility in all areas of life Increase reliability and trustworthiness Become resocialized: reestablished sober social network Increase social coping skills: with spouse/partner, with colleagues, with neighbors, with strangers SPIRITUAL CHANGES Increase self-love/esteem; decrease self-loathing Reestablish personal values Enhance connectedness Increase appreciation of transcendence Taken from: Miller, Michael M. Principles of Addiction Medicine, 1994; published by American Society of Addiction Medicine, Chevy Chase, MD What can AA do for you? Follow the Steps 1. We admitted we were powerless over alcohol that our lives had become unmanageable. 2. Came to believe that a Power greater than ourselves could restore us to sanity. 3. Made a decision to turn our will and our lives over 4.Made a searching and fearless moral inventory of ourselves. 5. Admitted the exact nature of our wrongs (and stated this openly to another human begin) 6. Were entirely ready to have all these defects of character [removed]. 7. [Humbly asked to have these shortcomings removed ]. 8. Made a list of all persons we had harmed, and became willing to make amends to them all. 9. Made direct amends to such people wherever possible, except when to do so would injure them or others. Rogers Memorial Hospital 6
7 Readiness for Change Stages of Change Precontemplative Contemplative Preparation Action Maintenance [Motivational Enhancement Therapy] Downward Spiral / Progression Addi Addiction (constriction of affects, behaviors, social network) Rogers Memorial Hospital 7
8 Atrophy Of social network People Of activities / interests Places, Things Of emotions Flatness, less expressive, dysthymic / alexithymic Everything is anger/resentment Of rewards Salience Downward Spiral of Addiction and Upward Spiral of Recovery Addiction (constriction of affects, behaviors, social network) Recovery (expansion of feelings, rewards, activities, social connections) Copyright (c)2011, Covington, Griffin, & Dauer Rogers Memorial Hospital 8
9 How to come out of the depths? How to RECOVER? Re-people-ization AA Sponsor Church Social clubs Activities with others Family Professional Treatment (group therapy, meet others) Re-Connectedness So What Can AA Give Us? A place to go (structured daily activity) Something on your daily schedule Accountability to be somewhere Be reliable: keep your promises A place to be A supportive physical environment A place that is alcohol/drug free Separation from people/places/things l /thi that t are unhealthy People to be with A group of folks you can identify with Identify similarities to others, not focus on differences Find real-life examples of persons who are succeeding Rogers Memorial Hospital 9
10 So What Can AA Give Us? People to be with Whenever two or more are gathered Overcome isolation Supportive recovery environment (people support your abstinence vs. oppose/sabotage it) People to listen be there with you on your journey Accept, not criticize, not debate, not berate No cross talk : people talk, people listen So What Can AA Give Us? A Group even if it s not a professionally-led psychotherapy group it s different from professionally-directed group therapy, where a therapist might provide active advice (vs. the feedback that comes in the hallways at an AA clubhouse after a meeting) but the curative factors seen in professionally-led groups, can happen in AA groups Rogers Memorial Hospital 10
11 Irvin Yalom's Curative Factors of Group Treatment Instillation of Hope - faith that the treatment mode can and will be effective. Universality - demonstration that we are not alone in our misery or our "problems". Imparting of information - didactic instruction about mental health, mental illness, psychodynamics or whatever else might be the focal problem of the group (Ex. ACOA, Alanon; learning about the disease process itself). Altruism - opportunity to rise out of oneself and help somebody else; the feeling of usefulness; get out of yourself; give back Corrective recapitulation of primary family group - experiencing transference relationships growing out of primary family experiences, providing the opportunity to relearn and clarify distortions. The Theory and Practice of Group Psychotherapy, 4th Ed., Irvin Yalom's Curative Factors of Group Treatment Direct Advice - receiving and giving suggestions for strategies for handling problems. Interpersonal learning - receiving feedback from others and experimenting with new ways of relating. Development of socializing techniques - social learning or development of interpersonal skills Imitative behavior - taking on the manner of group members who function at a higher level el (model the experienced ones) Catharsis - opportunity for expression of strong emotions Existential factors - recognition of the basic features of existence through sharing with others (e.g. ultimate aloneness, ultimate death, ultimate responsibility for our own actions). Rogers Memorial Hospital 11
12 Treatment can make AA work better! Twelve Step Facilitation treatment /Vie ention asp The principles include acknowledging that willpower alone cannot achieve sustained sobriety, that surrender to the group conscience must replace self-centeredness, and that long-term recovery consists of a process of spiritual renewal. Therapy focuses on two general goals: (1) acceptance of the need for abstinence from alcohol and other drug use and (2) surrender, or the willingness to participate actively in 12-Step fellowships as a means of sustaining sobriety. Treatment can make AA work better! The TSF counselor assesses the client's alcohol or drug use, advocates abstinence, explains the basic 12-step concepts, and actively supports and facilitates initial involvement and ongoing participation in AA. The counselor also discusses specific readings from the AA/NA literature with the client, aids the client in using AA/NA resources in crisis times, and presents more advanced concepts such as moral inventories. A key is for the therapist to ask follow-up questions to the patient about their experiences when they attend AA meetings, what s working for them, what barriers they are experiencing. Setting goals is important: Are you attending the number of meetings you said you would? Are you talking with a sponsor? Are you talking with people you got phone numbers from? Are you talking when you attend, or just saying I pass? Rogers Memorial Hospital 12
13 So What Can AA Give Us? A place for re-people-ization and to establish a new Social Network of sober/recovering people! A place to try out new things SAY SOMETHING, get out of your shell, break the No Talk rule of your family of origin A place to ASK FOR HELP from someone else It s not all me Help comes from outside, to turn it over How Does it Work? Fake it till you make it Just Do It! (Nike) Show Up! (attend; establish the habit/regimen) Talk! Be a participant in A.A. Don t just be a spectator at A.A. Don t just pass each time Do SOMETHING different. Take a (healthy) risk. Rogers Memorial Hospital 13
14 How Does it Work? Listen! To the stories To those who have made it vicarious learning modeling Do more than just listen be a part of it! take a risk and share your experiences, what s going on for you this can decrease your shame and guilt as you experience acceptance when you do this, you ll end up being able to identify with others at the level of shared experience. The bottom line like they say around the tables at AA It works only if you work it. How It Works (paraphrased from Chap. 5 of The Big Book) Remember that we deal with alcohol cunning, baffling, powerful! Without help it is too much for us. It s bigger than us. But there is help: outside of yourself, beyond yourself. May you find it now. Half measures availed us nothing. We stood at the turning point. We asked our Higher Power for protection and care, with complete abandon. Rogers Memorial Hospital 14
15 AA is a Spiritual Program of Recovery What does this mean????????? Does this mean being religious? Does this mean I have to believe in God? Have a religious faith Not be agnostic or atheistic ASAM Definition of Addiction Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. Addiction is a Bio-Psycho-Social-Spiritual Disease Rogers Memorial Hospital 15
16 ASAM Definition The orientation of the ASAM work group was that the spiritual dimension could be looked at as describing the basic values which give meaning to a person s life and which provide a framework for a human being s relationship beyond oneself and with the transcendent. Mayo Foundation for Medical Education and Research Spirituality has many definitions, but at its core spirituality helps give our lives context. It s not necessarily connected to a specific belief system or even religious worship. Instead, it arises from your connection with yourself and with others, the development of your personal value system and your search for meaning in life. For many, this takes the form of religious observance,,prayer, meditation or a belief in a higher power. For others, it can be found in nature, music art or a secular community. Spirituality is different for everyone. Rogers Memorial Hospital 16
17 Recovery and Connectedness Connectedness to self Connectedness to others Connectedness to a greater whole Get out of your emptiness/your hole Get out of your self Recovery is HOPE It s been Hell on earth, but it doesn t have to stay that t way. Unmanageability can be replaced by sanity. Yes, it can happen to you. Yes, it s a gift. An attitude of gratitude helps. Rogers Memorial Hospital 17
18 AA Works! Persons who have long-term recovery Regular/long-term attendees of AA are over-represented among those in long-term recovery Some persons can do it on their own Strong-willed; will-power This actually isn t that common Fellowship is the key plus some accountability to others as well as yourself Rogers Memorial Hospital 18
19 Evidence for 12-Step Facilitation Dennis M. Donovan, Ph.D. Alcohol & Drug Abuse Institute and Department of Psychiatry & Behavioral Sciences University of Washington Dennis M. Donovan, Ph.D. Alcohol & Drug Abuse Institute And Department of Psychiatry & Behavioral Sciences University of Washington NIDA Blending Conference, Blending Addiction Science & Treatment: The Impact of Evidence-Based Practices on Individuals, Families, and Communities. Cincinnati, OH, June, 2008 NIDA Blending Conference, Blending Addiction Science & Treatment: The Impact of Evidence-Based Practices on Individuals, Families, and Communities. Cincinnati, OH. June, 2008 Results from Previous Research on 12-Step Involvement AA and NA participation is associated with greater likelihood of abstinence, improved social functioning, and greater self-efficacy 12-Step self-help groups significantly reduce health care utilization and costs Combined 12-Step and formal treatment leads to better outcomes than found for either alone Engaging in other 12-Step group activities seems more helpful than attending meetings. Donovan, NIDA Blending Conference, June 2008 Rogers Memorial Hospital 19
20 Results from Previous Research on 12-Step Involvement Consistent and early attendance/involvement leads to better substance use outcomes Even small amounts of participation may be helpful in increasing abstinence, whereas higher doses may be needed to reduce relapse intensity Reductions in substance use associated with 12-Step involvement are not attributable to potential third variable influences such as motivation, psychopathology, or severity. Donovan, NIDA Blending Conference, June 2008 Abstinence Rates at 1-Year Follow-Up as a Function Post treatment 12-Step Group Attendance 80 Percent Abstinent None (n = 1326) (n = 614) (n = 570) (n = 506) Number of Meetings Attended. Donovan, NIDA Blending Conference, June 2008 x 2 = 248.3, p <.001 Moos, et al., 1999 Rogers Memorial Hospital 20
21 Abstinence Rates at 8-Year Follow-Up by Duration of 12-Step Meeting Attendance in the First Year x 2 = 25.5, p <.01 Percent Abstinent None (n = 201) (n = 89) (n = 89) (n = 94) Weeks of Participation in 12-Step Groups. Donovan, NIDA Blending Conference, June 2008 Moos, et al., 2004 Abstinence Rates at 8 Years by Duration of Meeting Attendance in Years 2 to 8 Percent Abstinent None (n = 128) (n = 43) (n = 39) (n = 62) Months of Additional Participation in AA. Donovan, NIDA Blending Conference, June x 2 = 28.3, p <.01 Moos, et al., 2004 Rogers Memorial Hospital 21
22 Drug and Alcohol Use (During the 6 Months Prior to 24-Month Post-treatment Follow-Up) as a Function of Frequency of Attendance at 12-Step Groups ubjects Reporting Any Use % S (n Yes = 128) (n No = 134) (n = Yes 103) (n = No 25) Any 12-Step Participation Weekly or More Frequent Participation. Donovan, NIDA Blending Conference, June ** *** * *** Drug Use Alcohol Use * p <.05 ** p <.01 *** p <.001 Fiorentine, 1999 Drug and Alcohol Abstinence (During the 6 Months Prior to 24-Month Post-treatment Follow-Up) as a Function of Frequency of Attendance at 12-Step Groups Use tinent from Drug and Alcohol in Prior 6 Months % Abst Never Less than Weekly Weekly (n = 134) (n = 25) (n = 103) 12-Step Meeting Attendance Drug Use Alcohol Use Fiorentine, Donovan, NIDA Blending Conference, June 2008 Rogers Memorial Hospital 22
23 Percentage of Persons Abstinent at Both 6- and 12-Month Follow-Ups, Based on Self-Help Group Meeting Attendance Percent Abstinent No Yes No Yes At least 1 Meeting At least 1 Meeting per Week. Donovan, NIDA Blending Conference, June 2008 Timko & DeBenedetti, 2007 Do People Use 12-Step Support During or After Treatment? 75% of persons with alcohol use disorders entering residential treatment reported they had attended AA meetings previously. However, only 16% indicated that they had ever worked any of the 12 Steps. Despite strong encouragement to attend, 30% of persons with cocaine use disorders receiving outpatient treatment and 40% of those discharged from inpatient treatment reported that they had attended 12-Step groups.. Donovan, NIDA Blending Conference, June 2008 Rogers Memorial Hospital 23
24 Jones would walk through a blizzard to score his dope. The question remains: What will he do to get to a meeting?. Donovan, NIDA Blending Conference, June What do we expect at Herrington? That you ll TRY IT That you won t say AA sucks, it s not for me without t having had your own personal experience with it That you ll experience different groups That you ll take risks and go on your own to new groups That you ll have some experience with the sponsorsponsee relationship before you leave That you ll attend AA in your home area and, ideally, secure a local sponsor, before you leave the structured/protected environment of residential treatment. Rogers Memorial Hospital 24
25 Is it just AA? No, but we think you need to engage and participate in something that can do for you what AA can do Other 12-Step programs Narcotics Anon, Cocaine Anon, Nicotine Anon, Gambling Anon, Sex Addicts Anon, Overeaters Anon Alanon Adult Children of Alcoholics (ACOA) groups Rational Recovery (RR) / SMART Recovery Summary Do something every day to affirm your recovery (admit your disease, commit to change) Establish a routine, a set of healthy behaviors Get outside of yourself; don t go it alone It s available everywhere Phone number lists for people in your home group When out of town, you can go (plan ahead) When in crisis: if it s not unfamiliar to you, you re more likely to use it Rogers Memorial Hospital 25
26 What can AA do for you? How to live the Steps 1. ADMIT IT your life wasn t as rosy as you were making it out to be, you and others were being hurt; you were NOT handling it 2. The source of your life s unmanageability is no mystery: it s your pathological pursuit or reward or relief, your drug 3. Trying to overcome it by the sheer force of your will, generally won t work--and it ll leave you disappointed/frustrated and your loved ones not trusting your declarations and platitudes 4. There is hope and getting outside of yourself is a path, and doing it different Acceptance. Willingness. Readiness to change. Actually changing. Admitting what you have done that you could have done differently/ better. Being fully prepared to behave differently Actually changing what you do. Have regrets, say you re sorry, make amends. Changing how you deal with your feeling life be aware of your feelings, let yourself experience them, let yourself show them Changing how you relate to others. Getting connected with yourself, with others, and with the larger whole (H.P.) A bit of history From Alcoholics Anonymous, the Big Book of A.A. A Rogers Memorial Hospital 26
27 Foreword to First Edition PRECISELY HOW WE HAVE RECOVERED Better understand the alcoholic The alcoholic is a very sick person Anonymity Non alliance Foreword to the Second Edition By 1955 a miracle has happened 6,000 groups; 150,000 members The two elements of recovery Carry the message alcoholic to alcoholic Spiritual principles A brief history of the early days Rogers Memorial Hospital 27
28 Foreword to the Third Edition By 1976 over 1,000,000 members and 28,000 groups At its core it remains simple and personal. One alcoholic talks to another alcoholic sharing experience strength and hope. Thank you!, FASAM, FAPA Medical Director Herrington Recovery Center Rogers Memorial Hospital 28
GDC Session #6 Self-Help Groups
GDC Session #6 Self-Help Groups Objectives of Session 1. Identify barriers to and benefits of participating in self-help groups (AA, NA, CA). 2. Provide information about the structure, format, and tools
More informationStep 1 "WE ADMITTED WE WERE POWERLESS OVER ALCOHOL AND THAT OUR LIVES HAD BECOME UNMANAGEABLE."
THE TWELVE STEPS OF ALCOHOLIC ANONYMOUS (AA) Step 1 "WE ADMITTED WE WERE POWERLESS OVER ALCOHOL AND THAT OUR LIVES HAD BECOME UNMANAGEABLE." Step 2"WE CAME TO BELIEVE THAT A POWER GREATER THAN OURSELVES
More informationIntroduction to Alcoholics Anonymous and Other Twelve Step Programs. Sarah Bagley MD CRIT 2014
Introduction to Alcoholics Anonymous and Other Twelve Step Programs Sarah Bagley MD CRIT 2014 I have attended an Alcoholics Anonymous or Narcotics Anonymous meeting in the past. 1. Never 2. Once 3. 2-5
More informationWORKING ALONGSIDE A 12-STEP PROGRAM RIPPLE DRUG DEPENDENCY SERVICES BRADFORD
WORKING ALONGSIDE A 12-STEP PROGRAM RIPPLE DRUG DEPENDENCY SERVICES BRADFORD Working alongside a 12-step programme Brief description of Ripple Drug Services What is 12-step facilitation? How is 12-step
More informationWhat Is the Narcotics Anonymous Program?
Who Is an Addict? Most of us do not have to think twice about this question. We know! Our whole life and thinking was centered in drugs in one form or another the getting and using and finding ways and
More informationAmerican Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,
More informationCopyright 1980 Alcoholics Anonymous World Services, Inc. Mail address: Box 459 Grand Central Station New York, NY 10163. www.aa.
ALCOHOLICS ANONYMOUS is a fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from alcoholism.
More informationMartha Brewer, MS, LPC,LADC. Substance Abuse and Treatment
Martha Brewer, MS, LPC,LADC Substance Abuse and Treatment What is a substance use disorder? Long-term and chronic illness Can affect anyone: rich or poor, male or female, employed or unemployed, young
More informationStatewide Medicaid Managed Care Program Healthy Behaviors Program Description
Part I. Program Overview Plan Name Program Name Brief Description of Program Preferred Medical Plan (PMP) Healthy Behaviors Program Alcohol and Substance Abuse Program Summary: In collaboration with Psychcare,
More informationAlcohol intervention programs in other countries
Alcohol intervention programs in other countries Assist. Prof. Dr. Suttiporn Janenawasin Siriraj Hosp. Mahidol Univ. A Major Task for Drug Treatment is Changing Brains Back! The Most Effective Treatment
More informationOn-Line AA Skype Meetings Format
On-Line AA Skype Meetings Format [This is our suggested format for the on-line Skype meetings. We are fortunate to have this option and many of us find talking on-line is the next best thing to in-person
More information5. The average alcoholic dies years earlier than he or she would otherwise. 6. It is said that alcoholic patients have two sides. What are they?
Chapter One Study Guide - Help for Alcoholics This Key Study Guide is to be used as study guide for Course 414: Help for Alcoholics. Use this guide to take chapter and submit to your instructor as directed.
More informationAddiction: Disease or Choice?
Addiction: Disease or Choice? Presented by Michael Coughlin RN October 18, 2012 Introduced by Melanie Willows B.Sc. M.D. C.C.F.P. C.A.S.A.M. C.C.S.A.M. Assistant Professor University Of Ottawa Clinical
More informationHow It Works for Addiction Professionals and their Clients
How It Works for Addiction Professionals and their Clients Scientific Method vs. Anonymity Stigma of Alcoholism Relative to Anonymity Ernie Kurtz A Reverence for History Stigma is why Alcoholics Anonymous
More informationCo-Occurring Disorders: Treatment and Supports for Persons with Mental Health and Substance Use Disorders
Preparing the Adult Mental Health Workforce to Succeed in a Transformed System of Care Co-Occurring Disorders: Treatment and Supports for Persons with Mental Health and Substance Use Disorders NASMHPD/OTA
More informationSTEP ONE: We admitted we were powerless over cocaine and all other mind-altering substances that our lives had become unmanageable.
A Guide to the 12 Steps This pamphlet contains a description of one method for taking the Twelve Steps of Cocaine Anonymous. To help us work the Twelve Steps, Cocaine Anonymous uses a text entitled Alcoholics
More informationEffectiveness of Treatment The Evidence
Effectiveness of Treatment The Evidence The treatment programme at Castle Craig is based on the 12 Step abstinence model. This document describes the evidence for residential and 12 Step treatment programmes.
More informationAA - APA Webinar 5/2014 1
THE PSYCHOLOGY OF AA AND NA AND THEIR ROLE IN CLINICAL CARE Marc Galanter, M.D. Professor of Psychiatry and Director Division of Alcoholism and Drug Abuse NYU School of Medicine Dr. Galanter has no conflicts
More informationTwelve-Step and Other Types of Support Groups. Twelve-Step Groups. Alcoholics Anonymous. Hagedorn MHS 6450 1
Twelve-Step and Other Types of Support Groups A Unique Part of the Treatment of Addictive Disorders W. Bryce Hagedorn, PhD, LMHC, NCC, MAC Twelve-Step Groups Essential part of many or most Tx programs
More informationHope, Help & Healing
and Washington Hope, Help & Healing A guide to helping someone who might have a drug or alcohol problem www.drugfree.org 1-800-562-1240 YOU ARE NOT ALONE Are you worried that someone you care about has
More informationTreatment of Alcoholism
Treatment of Alcoholism Why is it important Prevents further to body by getting people off alcohol. Can prevent death. Helps keep health insurance down. Provides assistance so alcoholics don t t have to
More information12 Step Worksheet Questions
12 Step Worksheet Questions STEP 1 We admitted we were powerless over alcohol that our lives had become unmanageable. The first time I took a drink I knew it wasn't for me. Every time I drank I got drunk
More informationUnderstanding and Implementing the 12 Steps into Your Program: Court Accountability and Spiritual Development
Understanding and Implementing the 12 Steps into Your Program: Court Accountability and Spiritual Development 2010 Drug, DUI, and Mental Health Court Conference Atlanta GA Bob King, MSW, LCSW Dawson County
More informationA Suggested Format for Conducting an A.A. Meeting
A Suggested Format for Conducting an A.A. Meeting 1. Good Evening ladies and gentlemen. This is the regular meeting of the group of Alcoholics Anonymous. My name is and I am an alcoholic and your Secretary.
More informationHope, Help & Healing. A guide to helping someone who might have a drug or alcohol problem. www.drugfree.org
Hope, Help & Healing A guide to helping someone who might have a drug or alcohol problem www.drugfree.org Are you worried that someone you care about has a drug or alcohol problem? Or do you feel your
More informationHope, Help & Healing. A guide to helping someone who might have a drug or alcohol problem. www.warecoveryhelpline.
Hope, Help & Healing A guide to helping someone who might have a drug or alcohol problem www.warecoveryhelpline.org 1-866-789-1511 Are you worried that someone you care about has a drug or alcohol problem?
More informationConceptual Models of Substance Use
Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes
More informationI m concerned about someone who has an addiction 1. I m concerned about someone who has an addiction. What can I do?
I m concerned about someone who has an addiction 1 I m concerned about someone who has an addiction. What can I do? 300 S. Adams, Green Bay, WI 54301 920-448-4300 www.adrcofbrowncounty.org January 2014
More informationOVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy
OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY 1 Overview of Cognitive Behavioral Therapy TABLE OF CONTENTS Introduction 3 What is Cognitive-Behavioral Therapy? 4 CBT is an Effective Therapy 7 Addictions Treated
More informationREATMENT AND TBEYOND
REATMENT AND TBEYOND OA support during and after treatment The Twelve Steps 1. We admitted we were powerless over food that our lives had become unmanageable. 2. Came to believe that a Power greater than
More informationIf You are a Professional...
This is A.A. General Service Conference-approved literature If You are a Professional... Alcoholics Anonymous wants to work with you ALCOHOLICS ANONYMOUS is a fellowship of men and women who share their
More informationAN OVERVIEW OF TREATMENT MODELS
AN OVERVIEW OF TREATMENT MODELS The 12-step Programs: Self-led groups that focus on the individual s achievement of sobriety. These groups are independent, self-supported, and are not aligned with any
More informationThe Universal 12 Steps of AA for Atheists & Freethinkers by Dennis J. Fitzpatrick
The Universal 12 Steps of AA for Atheists & Freethinkers by Dennis J. Fitzpatrick Freethought holds that individuals should not accept ideas proposed as truth without recourse to knowledge and reason.
More informationINTRODUCTION TO THE 12-STEPS
Group Eight INTRODUCTION TO THE 12-STEPS Skills to Be Taught Identifying What Is and Is Not Controllable Understanding When to Let Go and When to Take Action Identifying One s Personal Source of Strength
More informationRelapse and Recovery: A crash course on the basics of addiction.
Relapse and Recovery: A crash course on the basics of addiction. Christopher O Reilly, MA, LPC, CAADC, ACRPS, CSAT Relapse Unit Clinical Supervisor Caron Treatment Centers About the Presenter Christopher
More information12 Step Addiction Programs
Alcoholics Anonymous (AA): www.aa.org Narcotics Anonymous (NA): www.na.org Suggested local meetings AA: COMMUNICATIONS GROUP Sundays 8 9 p.m. 12 Step Addiction Programs 30 minutes open speaker; 30 minutes
More informationBefore You Take That Bite
Before You Take That Bite Before you take that bite, read this pamphlet and remember today you have a choice. Food Addicts in Recovery Anonymous (FA) offers a solution for all forms of food addiction.
More informationWhat is your addiction? Please describe it:
Addiction can be thought of as repeating a behavior over and over even though it is causing problems for you in different areas of your life (negative consequences). When someone has an addiction, such
More informationThis is A.A. General Service Conference-approved literature. AA as a Resource for the Health Care Professional
This is A.A. General Service Conference-approved literature AA as a Resource for the Health Care Professional ii ALCOHOLICS ANONYMOUS is a fellowship of men and women who share their experience, strength
More informationApproaches to Drug and Alcohol Counseling
Approaches to Drug and Alcohol Counseling Multiple Choice Identify the choice that best completes the statement or answers the question. 1. Dual Disorders Recovery Counseling This recovery model emphasizes
More informationA STUDY OF A LACK OF DIFFUSION: THE CASE OF NICOTINE ANONYMOUS
A STUDY OF A LACK OF DIFFUSION: THE CASE OF NICOTINE ANONYMOUS NHCHC CONFERENCE 2012 Presented by Irene Glasser, PhD, Research Associate, Center for Alcohol and Addiction Studies, Brown University Darlene
More informationINTERNATIONAL CENTER FOR URBAN TRAINING. The 12 Steps and Their Roots in Alcoholics Anonymous
INTERNATIONAL CENTER FOR URBAN TRAINING The 12 Steps and Their Roots in Alcoholics Anonymous CAS 003a; 3.5 quarter hours Wade Lawrence Hess 408-232-5688 whess@cityteam.org November 2009 SYLLABUS Course
More informationCopyright Recovery Connection 1 RECOVERY CONNECTION
1 Choosing a Quality Christian Alcohol and Drug Rehab Some people who seek alcohol and drug treatment arrive at the treatment facility longing for a renewed or a new connection with a spiritual power.
More informationA Sample Radio Interview
A Sample Radio Interview By Erik R, 7/5/00 The following is a sample interview that has been put together to help show how to provide a positive approach to answering questions about Narcotics Anonymous.
More informationTABLE OF CONTENTS 2 10 QUESTIONS TO ASK
TABLE OF CONTENTS Do You Offer Treatment Programs for People Who Have a Dual-Diagnosis Disorder? What Role Will My Family Play in the Rehabilitative Process? Do You Have Medical Personnel Available to
More informationFOR PROFESSIONALS WORKING WITH DRUG ADDICTS
DRUG ADDICTS ANONYMOUS PUBLIC INFORMATION BOOKLET FOR PROFESSIONALS WORKING WITH DRUG ADDICTS DAA OFFERS FREEDOM FROM DRUG ADDICTION Introduction - What is Drug Addicts Anonymous? DAA is a fellowship of
More informationBeginning the Journey. Alcohol & Drug Abuse Recovery in Brown County
Beginning the Journey Alcohol & Drug Abuse Recovery in Brown County 300 S. Adams, Green Bay, WI 54301 920-448-4300 www.adrcofbrowncounty.org February 2014 Beginning the Journey 2 I need help. Where do
More informationGDC Session #3 The Process of Recovery: Part II
GDC Session #3 The Process of Recovery: Part II Objectives of Session 1. Identify emotional and physical symptoms of withdrawal from cocaine and other substances. 2. Identify stages of recovery from cocaine
More informationContents. Preface 7. Contents
Contents Contents Preface 7 Part One: Twelve Steps 9 Step One 10 Step Two 15 Step Three 19 Step Four 25 Step Five 31 Step Six 35 Step Seven 39 Step Eight 43 Step Nine 47 Step Ten 52 Step Eleven 56 Step
More informationunderstanding 12-step recovery
12 understanding 12-step recovery contents 1 2 3 4 5 6 7 8 21 22 23 24 Addiction is absolutely human, recovery is absolutely possible A simple way of understanding how people deal with life Finding a more
More informationHow To Choose A Drug Rehab Program
Common Drug Rehab Concerns Does drug rehab work? How do I find the right treatment program for my loved one s needs? Does my loved one need to detox prior to entering rehab? Can my loved one leave rehab
More informationSouth Dade Area. H&I Subcommittee. Orientation Package
South Dade Area H&I Subcommittee Orientation Package INTRODUCTION It is in the best interest of Narcotics Anonymous that we provide an Orientation. An Orientation will allow Narcotics Anonymous members
More informationRPD1015 Self-Help and 12 Step Programs Post Test
Multiple Choice (circle the answer that best represents the answer.) 1. Most self/mutual-help support groups originated from: a. Winners Circle b. Narcotics Anonymous c. Alcoholics Anonymous d. Secular
More informationInside the Relapse Toolkit by Claudia Black Note from Claudia Black One of the most tragic maritime disasters in history was the sinking of the
Inside the Relapse Toolkit by Claudia Black Note from Claudia Black One of the most tragic maritime disasters in history was the sinking of the Titanic. Just before midnight on April 14, 1912 the Titanic
More informationApplication of the Minnesota/Medical Model : An Approach to Substance Abuse Treatment of Deaf and Hard of Hearing Individuals
Application of the Minnesota/Medical Model : An Approach to Substance Abuse Treatment of Deaf and Hard of Hearing Individuals Debra Guthmann, Ed.D and Kathy Sandberg, B.S., LADC Debra S. Guthmann, Ed.D
More informationIntake Consultation and Assessment Before Detox. What Happens During Drug Detox?
What Happens During Drug Detox? Many addicts and alcoholics believe they can quit using substances on their own. But after a few painful and confidence-crushing failed attempts, the need for an inpatient
More informationProviding Support to Those in Recovery. A Christian Perspective
The Place For Wellness Providing Support to Those in Recovery. A Christian Perspective What does it mean to offer support to a person who is suffering from addiction? Support people are key factors in
More informationHow. HOLiSTIC REHAB. Benefits You
How HOLiSTIC REHAB Benefits You Table of Content Holistic Rehab Centers are More Popular than Ever The Need for Drug & Alcohol Rehabilitation Programs Alcohol Abuse and Addiction These Issues Need Treatment
More informationChapter 7. Screening and Assessment
Chapter 7 Screening and Assessment Screening And Assessment Starting the dialogue and begin relationship Each are sizing each other up Information gathering Listening to their story Asking the questions
More informationI am a principal and the Professional Training Coordinator at ACORN Food Dependency Recovery Service, a treatment and training program based in
I am a principal and the Professional Training Coordinator at ACORN Food Dependency Recovery Service, a treatment and training program based in Sarasota, Florida. I have written and published several books,
More informationMatrix Reload Rehab Helps you to be with us. Information package
Matrix Reload Rehab Helps you to be with us Information package Matrix Reload Rehab Helps you to be yourself Welcome to Matrix Reload Rehab! The recognition of a problem and understanding of the fact that
More informationAddiction Recovery Program Overview. LDS Family Services
WELFARE SERVICES Addiction Recovery Program Overview LDS Family Services 1 President James E. Faust (1920 2007) The Church has an addiction recovery program that has been adapted from the original Twelve
More informationAddictions: Why Don t They Just Quit?
Counseling Center of New Smyrna Beach 265 N. Causeway New Smyrna Beach FL 32169 Ph: 386-423-9161 Fax: 386-423-3094 Addictions: Why Don t They Just Quit? By Shane Porter One of the most frustrating issues
More informationA History of Food Addiction Treatment
A History of Food Addiction Treatment While food addicts in 12 Step fellowships receive all of their help free of charge, there are many food addicts who need more help than they can acquire in Overeaters
More informationAddressing Nicotine Dependence in Treatment
Addressing Nicotine Dependence in Treatment The Elephant in the Living Room Loretta Worthington, MA, MSP Director Worthington Consulting Tobacco Use Has Traditionally Been Trivialized Nicotine addiction
More informationAddiction takes a toll not only on the
FAMILY PROGRAM Addiction takes a toll not only on the individual, but on the family, as well. When using, addicts are selfish and selfcentered; their wants and needs are placed ahead of the ones they love.
More informationPersonal Experience as a Dentist in the California Dental Diversion Program
Personal Experience as a Dentist in the California Dental Diversion Program History of Treatment Early AA meetings, both the alcoholic and the wives attended meetings AA began in Treatment centers Hospitals
More informationThe entire 12 step program is faith-oriented
Faith-Based Recovery & The National Center on Addiction and Substance Abuse Study So Help Me God The entire 12 step program is faith-oriented 1. We admitted we were powerless over alcohol - that our lives
More informationBroadway Treatment Center. Drug & Alcohol Treatment Facility Huntington Beach, CA
Drug & Alcohol Treatment Facility Huntington Beach, CA Welcome to s industry leading addiction treatment program. We want to thank you for taking the time to look through our materials and hope that we
More informationAlcoholism In The Office SCOTT PAIST, III, M. D.
Alcoholism In The Office SCOTT PAIST, III, M. D. The Dopaminergic Mesolimbic System PFC= Prefrontal Cortex NA=Nucleus Accumbens VTA= Ventral Tegemntal Area A = Amygdala C = Caudate Nucleus The Limbic System
More informationIntegrating 12-Steps Into Counseling. APNC Spring Conference 2015 Austin Smith Jr. CSAC-I
Integrating 12-Steps Into Counseling APNC Spring Conference 2015 Austin Smith Jr. CSAC-I 1 The Debate To Step or Not Dr. Lance Dodes The Sober Truth: Debunking the Bad Science Behind 12-Step Programs and
More informationGetting Help With an Addiction by Jim Auer
Getting Help With an Addiction by Jim Auer It was the best of times; it was the worst of times. Every person recovering from an addiction can identify with Charles Dickens famous line when remembering
More informationTEN WAYS TO SUPPORT YOUR MALE LOVED ONE IN RECOVERY
TEN WAYS TO SUPPORT YOUR MALE LOVED ONE IN RECOVERY TABLE OF CONTENTS 3 5 9 12 18 21 26 28 31 33 37 INTRODUCTION UNDERSTAND ADDICTION LEARN ABOUT TREATMENT UNDERSTAND RECOVERY RECOGNIZE TRIGGERS UNDERSTAND
More informationTheRecoveryBook.com. Answers to All Your Questions About Addiction and Alcoholism and Finding Health and Happiness in Sobriety
Quick Start Guide The Recovery Book: Answers to All Your Questions About Addiction and Alcoholism and Finding Health and Happiness in Sobriety How To Use The Recovery Book Newcomers, start here: Are you
More informationGroup Intended Participant Locations Cost Curriculum Length. Longmont & Boulder. Longmont & Boulder
County Public Health ADDICTION RECOVERY CENTERS (ARC) www.countyarc.org We offer some of the best evidence-based outpatient treatment services for men, women, and teens in the State of Colorado. We offer
More informationWORKING WITH FAMILY MEMBERS OF PEOPLE WITH ADDICTION: EVIDENCE- BASED METHODS FOR HELPING FAMILY MEMBERS GET THEIR LOVED ONE INTO TREATMENT
WORKING WITH FAMILY MEMBERS OF PEOPLE WITH ADDICTION: EVIDENCE- BASED METHODS FOR HELPING FAMILY MEMBERS GET THEIR LOVED ONE INTO TREATMENT Christeine Terry, Ph.D., independent practitioner at Seattle
More informationFrequently Asked Questions (FAQ) Phoenix House New England
About What is? Phoenix House is a nationally recognized and accredited behavioral healthcare provider, specializing in the treatment and prevention of substance use disorders and co-occurring substance
More informationChester County Drug & Alcohol Services Map
START Call 911 Yes Chester County Drug & Alcohol Services Map Are you in a lifethreatening situation/ condition (medical or psychiatric)? Yes Do you need ambulance assistance? No Go to the nearest hospital/er
More informationOUTLINE OF PROPOSED CLERGY TRAINING PROGRAM IN ROMANIA
OUTLINE OF PROPOSED CLERGY TRAINING PROGRAM IN ROMANIA GENERAL COMMENTS: PURPOSE: The purpose of this program is to educate and train the Romanian clergy to work with people affected directly or indirectly
More informationCurrent Models of Recovery Support Services: Where We Have Data and Where We Don t
Current Models of Recovery Support Services: Where We Have Data and Where We Don t Richard Rawson, Ph.D. Integrated Substance Abuse Programs University of California, Los Angeles 1. Define recovery Talk
More informationAppendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines
Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding
More informationTHE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH. Presented by Linda Gertson, Ph.D. Behavioral Health Manager
THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH Presented by Linda Gertson, Ph.D. Behavioral Health Manager The California Institute of Mental Health (CIMH) was awarded
More informationAmerican Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Parity in Benefit Coverage: A Joint Statement by ASAM and AMBHA The American Managed Behavioral Healthcare Association (AMBHA) and the
More informationWhat is Addiction? DSM-IV-TR Substance Abuse Criteria
Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.
More informationOverview of Chemical Addictions Treatment. Psychology 470. Background
Overview of Chemical Addictions Treatment Psychology 470 Introduction to Chemical Additions Steven E. Meier, Ph.D. Listen to the audio lecture while viewing these slides 1 Background Treatment approaches
More information1 GUIDE TO ALCOHOLISM
1 GUIDE TO ALCOHOLISM Understanding Alcoholism While a glass of wine with dinner or a couple of beers while watching the big game may seem like a harmless way to unwind, for 14 million Americans, it is
More informationAA and the Gospel Introduction Lutheran Service Book; Pastoral Care Companion What is Alcoholics Anonymous? Preamble of Alcoholics Anonymous
AA and the Gospel Rev. Jon C. Olson Our Saviour s Lutheran Church Pipestone, Minnesota Introduction Who here has ever been to an AA meeting? Do you know an Alcoholic? You do now * What do you know about
More information100 Tips for Building a Strong Recovery
45/13 Soi Pha Phum Tambon Bang Phra Amphoe Si Racha Chon Buri 20110 Thailand 100 Tips for Building a Strong Recovery Email: simon@hoperehabcenterthailand.com - Telephone: 0066 895 291297 Giving up alcohol
More informationLove speaks, and we know what true love is
Christian Spirituality and Recovery From Addiction Ed Conlin, BSEd., CADC Religion is humanity's way of expressing our relationship with a Higher Power corporately. Spirituality IS that relationship. There
More informationI am a principal and the Professional Training Coordinator at ACORN Food Dependency Recovery Service, a treatment and training program based in
I am a principal and the Professional Training Coordinator at ACORN Food Dependency Recovery Service, a treatment and training program based in Sarasota, Florida. I have written and published several books,
More informationSteps by the Big Book 12 Step Flowcharts
Steps by the Big Book 12 Step Flowcharts Let s talk about the 12 Steps! This pamphlet supplements the larger Steps by the Big Book workbook (available free of charge from ), and it
More informationIf the only tool you have is a hammer, you tend to see every problem as a nail.
How do we approach addiction? ADDICTION 101 A basic primer on addiction If the only tool you have is a hammer, you tend to see every problem as a nail. (Abraham Maslow) Definition of addiction Alcoholism
More informationUNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015
UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING
More informationPathological Gambling and Spirituality
Pathological Gambling and Spirituality Joanna Franklin MS NCGC II ncpgambling@aol.com Special thanks to Lori Rugle PhD and the patients and staff of the Custer Center and Las Vegas GTP Defining Spirituality
More informationProduced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated?
and How is it Treated? 1 About this book This E-book has been produced as a guide to help explain some of the fundamental things you need to understand about addiction and its treatment, starting with
More informationHOMEWOOD ARTICLES CONTENTS. RCDSO in partnership with Homewood Health Centre launches new addiction treatment program tailor-made for dentists...
ARTICLES CONTENTS RCDSO in partnership with Homewood Health Centre launches new addiction treatment program tailor-made for dentists.... 2 Addiction is a Family Disease... 5 Addiction in Health Care Professionals...
More informationFAMILY THERAPY CAN HELP FOR PEOPLE IN RECOVERY FROM MENTAL ILLNESS OR ADDICTION
FAMILY THERAPY CAN HELP FOR PEOPLE IN RECOVERY FROM MENTAL ILLNESS OR ADDICTION U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance
More information12 Steps to Changing Neuropathways. Julie Denton
12 Steps to Changing Neuropathways Julie Denton Review the neurobiology of the brain Understand the basics of neurological damage to the brain from addiction Understand how medications and psychotherapy
More informationSimilarities and Differences between GA and AA
Similarities and Differences between GA and AA Michael Brubaker, CSAC, NCGC Email: mbruba15@yahoo.com Website:www.michaelbrubaker.com Gamblers Anonymous Jim W., Gamblers Anonymous number one man, tried
More informationAddiction and the Brain's Pleasure Pathway: Beyond Willpower
Addiction and the Brain's Pleasure Pathway: Beyond Willpower The human brain is an extraordinarily complex and fine-tuned communications network containing billions of specialized cells (neurons) that
More information