INTERVENTION…
What to do when you suspect your Loved One is abusing or addicted to Drugs or
Alcohol, Or is addicted to something such as Internet Use, Gambling, Shopping,
Food, and Porn or Sex.
Does the Addicted Loved One (“ALO”) need to “HIT
BOTTOM” before getting help?
The myth that “Hitting
Bottom” is required before an ALO is ready for treatment has been disproven and
disregarded by addiction professionals, mental health professionals, and
medical professionals for quite some time.
Further, waiting until an ALO recognizes his or her problem or asks for
help is potentially dangerous because denial is a strong characteristic of addiction
and the ALO may cause irreparable damage to himself, herself, or others if left
untreated. More importantly, the
definition of “hitting bottom” is often different for every person. For some, becoming homeless is hitting
bottom. For others, simply having their
boss or their spouse tell them they have a problem is enough.
If your ALO’s substance
use or abuse has become out of control, has progressed beyond recreational use,
or its consequences require attention, it is the right time for concerned others
to take action. As a concerned family
member or friend, in the past you may not have been more than vocal in your
concerns. Either way, your approach has
not been successful. If you haven’t
stated your worries, if you have stood by silently while your fear, resentment,
and frustration grew, the first intervention you should do is calmly express
your concerns about his or her behavior.
He or she need to hear this from
you. The first step is to express your
fears and tell him or her that you want him or her to get professional help.
Indicators of Drug or Alcohol Abuse or Other Addictive
Behaviors
1.
Has the drug or alcohol use or other
behavior affected your ALO’s
a. Responsibilities
at home (housework, daily responsibilities, paying bills)?
b. Responsibilities
and performance at work or school (calling in sick, being unable to perform at
work, missing classes and assignments)?
c. Personal
relationships (canceling on friends and family)?
d. Financial
status?
2.
Has the drug or alcohol use or behavior
led to legal or financial difficulties?
3.
Does he or she have feelings of shame,
regret, or embarrassment about what he or she has done when under the influence
or uses again after staying sober?
4.
Does he or she continue to use even
though he or she puts himself in physically dangerous situations?
Initial Interventions
If your ALO is willing to try to
quit his or her substance abuse or addictive behavior, it is critical to put a
plan into action. Most of the time, the
ALO will want to do the minimal amount of changing possible. There are two things the addict or alcoholic
dislike most – 1) the way things are, and 2) change that he or she cannot
control. So what is the ALO willing to
do?
1.
Quit
strictly on his or her own?
2.
Attend a 12
Step Meeting – AA, NA or some other program?
3.
See an
addiction counselor?
4.
Outpatient
treatment?
5.
Intensive
day/night treatment?
6.
Inpatient
treatment?
However, what if her or she says
“NO” when asked to get help? What if he or she agrees to cut down but not
quit? In these circumstances, a more
formal intervention may be necessary.
The
Family Intervention
A family or friend intervention
can be very effective. There are several
books, available on family intervention.
Many interventionists have published books on “do-it-yourself” interventions. The following are a few:
·
Vernon E.
Johnson, “Intervention: A Step-by-Step
Guide for Families and Friends of Chemically Dependent Persons”, Center
City: Hazelden, 1986.
·
Jeff Day
& Debra Day, Love First, Center
City: Hazelden, 2000.
·
Judith
Landau & James Garrett, Invitational
Intervention: A Step by Step Guide, Booksurge, 2006.
·
Andrew T.
Wainwright & Robert Poznanovich, It’s
not OK to be a Cannibal, Center City: Hazelden, 2007.
·
Brad Lamm, “How to Change Someone You Love”, New
York: St Martin’s Press, 2009.
·
Candy
Finnigan, When Enough is Enough, New
York: Penguin Press, 2008.
·
Joanni
Gammill, The Interventionist, Center
City: Hazelden, 2011.
·
Mark S.
Komrad, You Need Help!, Center City:
Hazelden, 2012.
The Do-It-Yourself Intervention
The Do-It-Yourself Intervention
can be highly effective if done with compassion and clarity. To do this type of intervention, select one
person to be the chairperson and another or the same person to be the detail person. Try to find three to eight family members and
friends whom the ALO trusts, respects and values. Then, generally follow the checklist below:
1.
Set up a
planning meeting to discuss moving forward with the intervention and set a
date.
2.
Discuss the
importance of not alerting the ALO until all the plans are finalized and
everything is in place.
3.
Have each
person write a letter describing how much the ALO means to you, the ways that
his/her substance abuse have caused negative consequences and affect you as
well as him or her. Make sure to include a message of hope at the end.
4.
Read your
letters to each other to edit out anger, blame, and judgment.
5.
Determine
bottom lines,
6.
Find an
appropriate treatment program and make arrangements for treatment.
7.
Discuss with
the treatment center whether detox will be necessary. If the person is abusing alcohol, opiates,
benzodiazepines such as Valium and Xanax, the person will likely need
detox. If the person is abusing cocaine,
crystal meth, crack, or other forms of speed, then detox may or may not be necessary.
8.
Make airline
reservations if the treatment center is out of state.
9.
Create a
plan to likely assure the ALO will be present at the intervention.
10.
Pack suit
case and make list of prescriptions used by ALO.
11.
Conduct the
intervention in a peaceful, safe place – usually not the home of the ALO.
12.
If the ALO
agrees to get help, have someone accompany him or her to treatment with
encouragement. If the ALO does not
agree, have a back-up plan in place.
Types of
Interventions
Many people have seen the A&E
television program “Intervention” so they have an idea of one type of
intervention. Generally, there are three
types of interventions:
1.
Confrontational
– This is
the type used by the A&E television show “Intervention”. The ALO is not told that the intervention
will take place; it is a surprise. The
focus is simply on getting the ALO into treatment and generally does not deal
with concurrent issues in the family.
2.
ARISE
or Invitational – This type
of intervention is set by the Family Contact and the ALO is told “We are
concerned about “your drinking” or “your behavior” and a few of your friends
and family are meeting this Saturday at 10 am to discuss what needs to be done
and we would like you to come. Often the
ALO refuses, but when he or she is told that the group is still going to meet
to discuss what they are going to do, the ALO rarely refuses to attend for the
mere fact that he or she wants to know what everyone will say about him or
her. In this method, usually everyone
becomes involved in change or treatment of some kind.
3.
Systemic
Family Systems – This
model is highly successful with multiple addictive or mental health issues
among family members. The focus is on
the family, not the individual.
When to Use a Professional Interventionist
A professional interventionist
takes a great deal of the heavy work off the shoulders of the family member who
is planning the intervention. They have
access to the appropriate treatment center, can arrange for detox and special
needs, and often can safely transport the ALO from the intervention to
treatment. The specific situations when
a professional interventionist is advisable are the following:
1.
If there
have been previous attempts at intervention and they were unsuccessful,
2.
If there is
a history of violence or abuse,
3.
If there are
concurrent mental health issues, such as depression, bi-polar, anxiety or
schizophrenia,
4.
If there
have been threats or attempts at suicide,
5.
If the ALO
has a complicated substance abuse or cross-addictive behaviors, or
6.
If the family
members are intimidated or beholding to the ALO.
Professional interventionists
should be licensed and insured. Ask for
references and check them out.
Conclusions
Intervening upon a person engaged
in such self-destructive behavior such as substance abuse, compulsive gambling,
shopping, or sex, or eating disorders, such as bulimia and anorexia, is one of
the greatest acts of love that one can give.
Trauma and other painful experiences are usually behind addictive
behaviors. Interventions bring hope and healing. It allows everyone to heal, to change and to
grow. I never give up on anyone and I
encourage you to seek help from family, friends or a professional if you are
dealing with someone in the grip of addiction.