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Addictions: Treating Family Manipulation, Mistrust, & Misdirection
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On the last track, we discussed preparing for a structured family intervention by determining if the skills of a professional interventionist are needed. On this track, we will discuss the first five points of a checklist to help families prepare for an intervention: building a team, setting up a planning meeting, choosing a team chairperson, discussing the negative consequences of the addiction, and listing ways family members have unwittingly enabled the addiction. As you know, preparing for a structured family intervention involves a lot of time and willingness to learn, whether the family is working with a professional interventionist or not. In my experience, there are ten essential steps to laying the groundwork for an intervention. It is important to remember that this checklist is an overview of the basics, it is not meant as a training course for conducting an intervention. 1-5 of 10 Steps to Prepare for an Intervention Step # 1 - Build a Team Step # 2 - Set Up a Planning Meeting Next, the team should set a definite date for the intervention, when everyone is available, as well as dates for rehearsals. If the family team is not working with an interventionist, I recommend they appoint a detail person to gather and distribute information about interventions, and about the planning process. Step # 3 - Chose a Team Chairperson Step # 4 - Discuss the Negative
Consequences As you are aware, if the team is poorly informed about the problem, they will be more easily swayed by addicts who are convinced they do not have a problem. A well informed intervention team will find it easier to stand firm. It is also important to have a drug use history when arranging for an admission into a treatment center. Encourage your client and his family to write down all of the negative consequences they have witnessed. I find it useful to tell them to keep in mind that they are cataloging symptoms of a disease, and how it has manifested in the addict’s family life, work, friendships, and emotions. Step # 5 - List Ways the Team has Unwittingly Enabled the Addiction I find it is very difficult for family members who have been living with addiction for a long time to break out of the enabling cycle. Al-Anon, Nar-Anon, and Families Anonymous are 12-step groups that have resources to help families change these behaviors, and I find them to be invaluable resources for clients dealing with a family member’s addiction. On this track, we have discussed the first five steps in preparing for a structured
family intervention. These are building a team, setting up a planning meeting,
choosing a team chairperson, discussing the negative consequences of the addiction,
and listing ways family members have unwittingly enabled the addiction. On the
next track, we will discuss the final five steps: writing an intervention letter,
brainstorming objections, determining bottom lines, rehearsing the intervention,
and the intervention itself.
Peer-Reviewed Journal Article References: Cordova, D., Huang, S., Pantin, H., & Prado, G. (2012). Do the effects of a family intervention on alcohol and drug use vary by nativity status? Psychology of Addictive Behaviors, 26(3), 655–660. Gorman-Smith, D., Tolan, P. H., Henry, D. B., Leventhal, A., Schoeny, M., Lutovsky, K., & Quintana, E. (2002). Predictors of participation in a family-focused preventive intervention for substance use. Psychology of Addictive Behaviors, 16(4, Suppl), S55–S64. Hogue, A., & Liddle, H. A. (1999). Family-based preventive intervention: An approach to preventing substance use and antisocial behavior. American Journal of Orthopsychiatry, 69(3), 278–293. Johnson, A. K., Fulco, C. J., & Augustyn, M. B. (2019). Intergenerational continuity in alcohol misuse: Maternal alcohol use disorder and the sequelae of maternal and family functioning. Psychology of Addictive Behaviors, 33(5), 442–456. Joyner, K. J., Acuff, S. F., Meshesha, L. Z., Patrick, C. J., & Murphy, J. G. (2018). Alcohol family history moderates the association between evening substance-free reinforcement and alcohol problems. Experimental and Clinical Psychopharmacology, 26(6), 560–569. Online Continuing Education QUESTION
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