1. Invitational Intervention:The ARISE ModelGetting Resistant Substance Abusers into Treatment Char Scott Maloney Passages Counseling Center, Inc. www.passagescounseling.net www.ARISEInterventionNow.com Office: 630.848.0445 charlcswcadc@sbcglobal.net
2. Today’s Agenda Scope of addiction and current challenges Psychosocial Aspects The role of families and support systems in treatment engagement Impact of stressors Treatment engagement, treatment and long-term recovery How families can bring about healing
3. DEFINITION OF ADDICTION LOSS OF CONTROL PROBLEMS IN ONE OR MORE OF THE FOLLOWING HEALTH HOME LEGAL WORK FINANCIAL EMOTIONAL CONTINUED USE IN SPITE OF PROBLEMS
4. ADDICTION STEREOTYPES & MYTHS Myth 1: “You are powerless to help until the substance abuser is ready” Myth 2: “Putting pressure on the substance abuser will push him/her over the edge” Myth 3: Secrets are really secret Myth 4: “The substance abuser must ‘hit bottom’ before getting help” Myth 5: Substance Abusers are disconnected from their families Myth 6: “Tough consequences will chase the substance abuser away forever”
5. TREATMENT ENGAGEMENT A very small proportion of people with drug dependency or abuse are engaged in treatment or self-help NATHAN (1990) ESTIMATED 5% FRANCES ET AL. (1989) ESTIMATED 10% KESSLER ET AL. (1994) ESTIMATED 8%
39. Despite prevailing beliefs, a well-guided Intervention with no secrecy or ambush will not chase a resistant substance abuser away, but can motivate him/her to enter and maintain treatment and long-term recovery
44. Family Motivation to Change is the combined forces operating within a family guiding it toward maintaining survival and healthy functioning in the face of serious threat, and toward healing when that threat is removed.
45. FAMILY MOTIVATION TO CHANGE: THE PROCESS IN ACTION First Protecting and then Healing the Family Completing the Transitional Task for “Peace of Mind.” Getting a Loved One Back Preventing Further Loss
67. RELATIONSHIP OF CONCERNED OTHERTO THE Addicted Individual 94.7% OF ALL CONCERNED OTHERS WERE FAMILY MEMBERS PARENTS 38 40.3% SPOUSES/PARTNERS 29 30.9% OFFSPRING 4 4.3% OTHER RELATIVES 18 19.2% NON-RELATIVES 5 5.3% The majority was female: 68.8% Their mean age was 46.6 (range 15-78)
68. Outcome By Level Of Care 60.00% 52.70% 50.00% Inpatient Intensive OPD 40.00% 27.50% SA OPD 30.00% Self-Help 20.00% 13.20% 10.00% 5.50% 0.00%
69. Invitational Intervention: The ARISE Model(Relational Intervention Sequence for Engagement) Results of Real World Replication of ARISE at SSTAR (Stanley Street Treatment & Resources)