Tag: Addiction Treatment Options and Help

  • How Horse Riding Helps Addiction Treatment & Recovery

    How Horse Riding Helps Addiction Treatment & Recovery

    ARTICLE SUMMARY: Horses can help us develop emotional congruence, good boundaries, responses rather than reaction, perspective, and instinct. More on how to apply this to recovery here.

    TABLE OF CONTENTS

    By Susan E Conley

    Getting Started

    When I started riding horses, I was 41, going on 42 years old and had never been near an equine in my life. The closest I came was standing near to the carriage horses that congregated on Central Park South, daring a pat now and then until their drivers chivvied me off as it was clear I was not a potential client.

    I took up the sport due to my burgeoning codependency recovery: having left my marriage to a substance abuser, I decided to do something for myself. Never mind that it seemed as precarious an undertaking as trying to ‘make’ someone clean and sober; I took a notion to do it and unexpectedly found a hobby that helped me get healthy in mind, body and spirit.

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    A World of Healing

    I soon found that many of the behaviors that I employed on a daily basis were going to get me into serious trouble with the animals; the equestrian lifestyle, in many ways, is antithetical to the codependent lifestyle, or indeed any addiction lifestyle.

    For example, in The Tao of Equus, Linda Kohanov speaks of ‘emotional congruence’, of being in alignment with your mount, a state which can only come into being when the rider is in line with herself. In my case, being congruent meant:

    • Not lying.
    • Not fudging.
    • Not making up stories about the way things should have been, could have been, or ought to have been if only someone in my life hadn’t abused substances.

    5 Ways Horses Help With Addiction

    The more time I spent around horses, the more I realized that I was not only learning how to ride, I was also learning how to be the sort of person I wanted to be: clear, calm, a person who was becoming emotionally stronger as well as physically.

    I guessed my improvement had to be down to the horses, because that was the only new thing in my life, but surely that was impossible?

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    It is completely possible, and there’s a whole world of healing that employs horses as therapeutic partners, covering client bases from children struggling with autism and ADD, to people of all ages with learning and physical challenges. It’s a fascinating field that’s growing by leaps and bounds, but how does being around a horse help us with our issues?

    Here are five ways that horses can become a healing touchstone for addicts in recovery. And don’t worry: you don’t have to ride the horse to reap the rewards.

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    #1 Body Language

    To refer to Kohanov’s example of congruence, you can’t fake anything around a horse.

    You may think you’re covering up your feelings, but a horse can spot your true mood a mile away.

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    As herd animals, their safety is inextricably linked with being in harmony with their herd mates. Should a predator approach, it is vital the herd be able to move as one in order to protect the group. They achieve homeostasis as a form of protection, and extends to the humans who would interact with them.

    Philippe D’Helft, a practitioner with EAGALA, Equine Assisted Growth and Learning Association, explains. “Horses are hyper vigilant and have constant awareness of each other and their place in the herd, and they apply the same to us,” he says. “They are constantly watching our body language, our breathing, the way we move and then they mirror that. And then depending on the way we behave, they react a certain way.”

    A 2017 study via the University of Sussex involved 30 horses and examined the animals’ reactions to human body language. Humans who approached in a non-threatening, submissive manner, with arms and legs held close to the body and in a slight slouch drew the horse towards them; those who rocked up with chests puffed out and arms in an aggressive posture such as hands on hips or elbows out were avoided by the animals.

    Horses are well able to pick up much subtler clues, and will mirror back to you what’s going on inside, even if you think you’ve got your outside sorted. You’re either a potential herd member, or you’re threat.

    #2 Good Boundaries

    Failure to set good boundaries when working with horses is dangerous, to both human and animal. They are much bigger and stronger than we are and it is paramount to ensure the horse respects you and your space. Get your foot stepped on one time by a 1200 pound creature, and you learn fast.

    However, there’s a difference between being aggressive and assertive.

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    As shown above, aggressiveness sets you up in the horse’s mind as a predator and they will do everything in their power to remove themselves from your presence. If you are assertive, you set yourself up as a leader and this also dovetails nicely with the herd mentality. In the interests of self-preservation, a horse is always happy enough to defer to a stronger creature.

    If you can be that strong for a horse, you can be that strong for yourself.

    #3 Response, Not Reaction

    Quite a lot of horseback riding and working with horses on the ground is repetitive. You do the same things over and over, and yet due to variable conditions — weather, your health, the horse’s health, the instructors mood, your mood, the horse’s mood — little things can have great impact.

    In the past, changes outside of my control used to send me into a tailspin. I’d react in the snap of a finger, and start fixing things before I knew whether they were actually broken or not, or most importantly, whether it was my business to do so.

    Horses are sentient beings and they are always reacting to their environment. In order to stay safe around them, we must learn to respond to their reactions; that is, we begin to learn to read a situation and make conscious decisions how to behave.

    Because many of our tasks around the horse, from grooming to show jumping, require a set process, it allows us to become more aware of ourselves in the situation and gives us the opportunity to build our own lexicon of responses.

    We become able to assess, with clarity and calm, what the best solution in a given situation is and to put it into gentle action.

    This was a real watershed for me in my own recovery: I began to see that I had choices, that I was able to be clearheaded and to make decisions based on evidence, and not old coping mechanisms or distorted feelings.

    #4 Perspective

    EAGALA specializes in training psychology and horse professionals to work as teams, in order to apply techniques to help all sorts of populations, including people in addiction recovery.

    Sometimes when we’re deep in our challenges, we can’t see the wood for the trees – or the feed buckets for the traffic cones.

    D’Helf cites an example in which a client was asked to use simple props – that feed bucket, those traffic cones, along with rings, lightweight poles and mounting blocks – and build areas in a riding arena that symbolize certain aspects of their lives. The horse is then set at liberty in the arena, and the instructor and the client pay attention to where the horse goes… or doesn’t.

    “We’d say that we noticed that the horses went with them in other areas that they’ve built, and were happy to share those spaces with them, except for one, and the client will say, ‘Well, it’s generally not a great place to be, nobody wants to go there with me,’” he explains. “We’d ask what the space represented and the answer was ‘The bookies’. The fact that they see it for themselves is very powerful.”

    #5 Trusting Your Instincts

    As a codependent, I never trusted myself, even the evidence of my own eyes and experience.

    Horses have helped me recover and build upon my ability to believe that I can trust myself to know what’s correct, what I have still to learn and work on.

    I began to know, even as my butt hit the saddle, how I was going to get on with a horse. I began to learn how to be as gentle with myself as I was with a horse. I learned when to say ‘no’ (to a horse that was too frisky for me), and when to say ‘yes’ (even though I was a tiny bit nervous.) I learned that I would always be learning, which resulted in humility, a cornerstone of 12-step recovery. Humbled before the horse, I paradoxically became stronger in myself, and continue to grow and heal every day I am around them.

    Your Questions

    Do you have any questions for Susan? Perhaps you’d like to share an experience about your work with horses? Please leave your questions in the comments section at the end. We try to respond to all real life comments with a personal and prompt reply.

    About the Author: Susan E Conley is the author of Many Brave Fools: A Story of Addiction, Dysfunction, Codependency… and Horses, available now from www.horseandriderbooks.com. Follow Susan on Twitter and Instagram @manybravefools.
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    View the original article at addictionblog.org

  • A Checklist for Hiring an Addiction Interventionist

    A Checklist for Hiring an Addiction Interventionist

    ARTICLE SUMMARY:This article offers guidelines on how to select a professional interventionist when you are ready to confront a family member about a drug or alcohol problem.

    ESTIMATED READING TIME: Less than 10 minutes.

    TABLE OF CONTENTS:

    Readiness for Help

    So, you’re ready to find an interventionist.

    Most likely, you’re at your wit’s end. You may not be sleeping at night from worry. You might feel like the world is spiraling out of control. And you may be angry, frustrated, and downright sick of the person in your family who’s using drugs or alcohol.

    Guess what?

    These are all normal feelings!

    Selecting and working with an interventionist might be the best thing that you can do for your family. The right person will have just the right combination of techniques and words to move your entire family into a new era. The right person will also have experience and a track record to show for it. Plus, the right person will not only get your loved one into rehab, s/he will guide your family on what to do next.

    So, the decision about WHO is best for your family should not be taken lightly. Your choice will be informed by your specific needs, situation, and case. And you need to do your research. We hope that this informative article will help!

    Credentials

    Currently, addiction interventionists are not required to attend university, pass certification exams, or be approved as “clinicians” before they begin to practice. In fact, it’s a bit like the Wild, Wild West.

    Still, a skilled interventionist should be highly trained in addiction interventions. The right person can help you and your family get unstuck. However, it can be tricky to make a decision on credentials alone. Some interventionists are licensed clinicians, some are trained by colleagues, while others have experience under their belt.

    Q: So, what should you be looking for, in terms of credentials?

    A: Basically, you need to know that the person KNOWS what they’re doing…and has the experience to back it up.

    Clinical skills are helpful and desired when looking for an interventionist. However, credentials are not a prerequisite. Experience matters. Plus, it can also help to work with other professionals who complement interventions. Trained attorneys, psychiatrists, psychologists and others who themselves are in recovery are excellent allies.

    THE BOTTOM LINE IS THIS: Regardless of the interventionist’s academic background, you need to figure out:

    1.  What they know.
    2.  Who they’ve been trained by.
    3.  What mentoring they’ve had.
    4.  What skills they bring to the table.

    How Much Do Interventionists Charge?

    Interventionists charge from $2,500 to $10,000 or more for their services. The price will depend on the level of service offered and the person’s experience with interventions. For example, some interventionists offer coaching to families for 3-6 months after the intervention is over. Others will end their work with your family when your loved one enters treatment, or after a family weekend.

    When interventionists partner with or work for treatment centers, the intervention may be lower priced than for someone who works independently. This is because the intervention may be just another service of the entire rehab process. Note also fees are not necessarily less if you pick an interventionist in your state versus across the country.

    When considering costs, keep in mind the ultimate value of the result. The upfront costs might seem high, but in exchange, you’re increasing the chances your loved one will attend rehab and get their life back on track. How much is that worth to you?

    As a comparison, according to the U.S. Bureau of Labor Statistics, as of 2017, the average annual salary of counselors working in the field of addiction was $43,300. Interventionists on the higher end of the earnings scale, or 90th percentile, earned $60,000 and those on the lower end of the earnings scale, or 10th percentile, earned $25,140.

    How to Find an Interventionist

    There are a few ways you can identify the best person for your family.

    1. Search member directories of the professional associations.

    It is important to find someone with experience, the appropriate licenses/certifications for your needs, and a strong code of ethics. Two professional guilds list members’ credentials, licenses, and certifications. So, where finances are concerned, be sure that you clarify fees and services up front.

    To look for an interventionist, search the member listings for the NII and AIS:

    2. Seek a reference from a mental health professional.

    Second, the National Council on Alcoholism and Drug Dependence recommends that you seek help from the following professionals for intervention services:

    •  An alcohol and addictions counselor
    •  An addiction treatment center
    •  Psychiatrist
    •  Psychologist
    •  Social Worker

    Some of these professionals may have experience in interventions themselves. Other times, a mental health professional can refer you to a colleague or someone with a good reputation in the field. The organization also suggests that you reach out to NCADD Affiliates to be connected to referrals.

    3. Call us for help.

    The telephone number listed on this page will connect you to a helpline. All calls will be answered by American Addiction Centers (AAC). Caring admissions consultants are standing by to discuss your treatment options, which can include family intervention specialists. The helpline is offered at no cost and with no obligation to enter treatment.

    Whatever route you choose, we recommend picking up the phone and interviewing at least three people that you want to work with. Use the checklist at the end of this article to guide your conversation. Finally, confirm references that the person offers and have conversations about the person’s methods.

    Do Interventionists Work?

    Yes, professional interventionists work.

    According to the Association of Intervention Specialists, research suggests that up to 90% of professionally guided interventions succeed at getting the person into treatment. Whether your loved one will find and maintain a drug-free life is more of a long-term investment. In fact, someone facing addiction needs to put in a great deal of effort to change their thoughts and behaviors.

    But if you’re doing an intervention correctly – and using the Collective Intervention Strategy outlined in the book, The Definitive Guide to Addiction Interventions – the family system will change. So, regardless of whether your loved one goes to treatment or not, the system will never be the same.

    Therefore, every addiction intervention has the possibility to be successful.

    A Printable Checklist

    It’s important for families who hire an interventionist to first check out an interventionist’s credentials and amount of time they have spent in the field. You’ll also want to know more about their services, costs, and personal experience with addiction. Here are is a checklist of questions that you can use to help you vet professionals. Feel free to write answers to the questions…or use the space for your own notes.

    □ Credentials
    □ Licensed Clinical Professional Counselor, LPC or LCPC
    □ Licensed Mental Health Counselor, LMHC
    □ Licensed Clinical Social Worker, LCSW
    □ Masters or Doctorate of Psychology, Masters in Psychology, Psy.D.,
    □ Marriage and Family Therapist, MFT

     

    Member of professional association (circle any of the following)

    • AIS: Association of Intervention Specialists

    • NII: Network of Independent Interventionists

    • American Hospital Association

    • NATAP: National Association of Addiction Treatment Providers

    • NAADAC: National Association for Alcoholism and Drug Abuse Counselors

    • NASW: The National Association of Social Workers

    • CARF: Commission on Accreditation of Rehabilitation Facilities

    • CADAC: California Association of Alcohol and Other Drug Counselors

    □ Is the interventionist independent or employed by a particular treatment center or centers?

     

    □ What is the person’s academic background, training, and/or experience background?

     

    □ Is the interventionist in recovery him/herself, or not?

     

    □ Does s/he work alone or have a team?

     

    □ What exact services does s/he provide? What is the cost?

     

    □ What services do they not provide?

     

    □ What are their professional affiliations?

     

    □ What do they specialize in (not all people can do everything)?

     

    □ What does their engagement offer? Length of service and actual services.

     

    □ What is the length of time for their engagement? Does the person work with you and your family AFTER initial treatment placement?

     

    □ How accessible is the person or their team to you? Can you reach the person 24-7? What’s the turn around time on phone calls, emails, etc?

     

    □ Does the interventionist have references you can call for verification?

     

    Your Questions

    We hope to have set you on the right path for getting help.

    But we understand you still may have questions.

    Please ask any question in the comments section below. We do our best to respond to each real-life situation with a personal and prompt reply. And if we can’t help…we’ll refer you to someone who can!

    We wish you all the best.

    —–

    Reference Sources: The Definitive Guide to Addiction Interventions, A Collective Strategy
    Available via Routledge Press or on Amazon.

    View the original article at

  • How to Find an Interventionist Near You

    How to Find an Interventionist Near You

    ARTICLE SUMMARY: A guide to finding a professional interventionist in your city or state. We also review how you can broaden your search to include out-of-state experts.

    ESTIMATED READING TIME: Less than 10 minutes.

    TABLE OF CONTENTS:

    Not Everyone is a Good Interventionist

    So, you’re ready to hire a professional interventionist?

    This person can and should help you get a loved one into alcohol or drug rehab.

    First, we’d like to acknowledge the difficulty in making this decision. The upfront costs might seem high. However, the Association of Intervention Specialists states that the numbers suggest up to 90% of professionally guided interventions succeed at getting the person into treatment. So, not only are you increasing the chances your loved one will attend rehab…you can also have hope that they’ll get their life back on track. How much is that worth to you?
    In fact, an intervention might be the most important thing you do for your family! However, please be advised:

    Not everyone is a good interventionist.

    No matter who they are – whether Ph.D., MD, social worker, a marriage and family therapist, or have only a ‘hard knocks’ degree – training is necessary. Taking a weekend course or joining a supervision group does not make a person effective as an interventionist. Further still, even if the person is in addiction recovery…that does not mean that s/he is a clinician or knows about addiction treatment, nor does it mean that they know how to conduct an intervention.

    Interventions require training, ongoing supervision, and experience!

    Experience is Necessary

    Q: So, what should you be looking for when you spend $3,000+ on a professional intervention?
    A: A professional interventionist must know what they’re doing and have the experience to back it up.

    In fact, credentials are not a prerequisite. Experience matters. Regardless of the interventionist’s academic background, you need to figure out:

    •  What they know.
    •  What skills they have.
    •  Who’s trained them.
    •  What mentoring they’ve had.

    You can be sure to vet the person correctly by downloading and printing this Checklist for Hiring an Addiction Interventionist.

    For even more advice, you can check out The Definitive Guide to Addiction Interventions, a book that synthesizes the 30+ years of clinical work of Dr. Louise Stanger that has been edited by Addiction Blog Editor, Lee Weber.

    How to Find an Interventionist

    An intervention can change everything. It can give you hope. It can restore a sense of harmony to your family. And, the person struggling with an alcohol or drug addiction can finally get the medical attention that they need. How can you find the right person?

    There are a few ways you can identify the best person for your family.

    1. Search professional associations.

    It is important to find someone with experience, the appropriate licenses/certifications for your needs, and a strong code of ethics. Two professional organizations exist that collect this information: The Network of Independent Interventionists (NII) and the Association of Intervention Specialists (AIS). These organizations list members’ credentials, licenses, and certifications. You can search member listings here:

    •  The NII website, the Network of Independent Interventionists.
    •  The AIS website, the Association of Intervention Specialists.

    2. Seek a reference from a mental health professional.

    The National Council on Alcoholism and Drug Dependence (NCADD) exists as the nation’s premier advocacy group for addiction treatment. This NGO recommends that you seek help from the following professionals for intervention services:

    •  An alcohol and addictions counselor
    •  An addiction treatment center
    •  Psychiatrist
    •  Psychologist
    •  Social Worker

    Some of these professionals may have experience in interventions themselves. Other times, a mental health professional can refer you to a colleague or someone with a good reputation in the field. The organization also suggests that you reach out to NCADD Affiliates to be connected to referrals.

    3. Call us for help.

    The telephone number listed on this page will connect you to a helpline answered by American Addiction Centers (AAC). The helpline is offered at no cost and with no obligation to enter treatment. Caring admissions consultants are standing by to discuss your treatment options, which can include family intervention specialists. So, if you are ready to get help for you or a family member, reach out and pick up the phone.

    My Area or Out of State?

    So, should you be looking locally….or should you consider someone who’s out of state?

    Contrary to popular belief, a good interventionist is NOT LIMITED TO REGION. The right person is ready and able to travel…and has experience working with families of all types. In fact, their fees may not be incredibly different from someone who is local. Further, an out-of-state interventionist may have a broader outlook than someone who is near you. Here are some of the PROs and CONs of each.

    A local interventionist may:

    •  Be able to travel quickly to you or meet frequently.
    •  Be connected to local behavioral and mental health care providers.
    •  Be connected to local city/state agencies, including social services.
    •  Be limited in their referrals for treatment.
    •  Refer to local rehabs or treatment centers.

    An out-of-state interventionist may:

    •  Be available 24-7 on the phone or via email.
    •  Be connected to national behavioral and mental health care providers.
    •  Bill for travel expenses.
    •  Bring a fresh perspective to the situation.
    •  Have a broader network of referral sources.

    Local Search Tips

    If you’re looking for an alcohol or drug addiction interventionist near you, it can help to search for the right person via referral. Start with your family doctor and work your way out to other connections. For example, you can seek referrals from:

    While you may be concerned about anonymity, also know that Americans are increasingly destigmatizing addiction, especially through advocacy groups like Facing Addiction. In fact, an estimated one in three American families experiences addiction through one close family member. So, your friends and family can also be a source of help.

    National Search Tips

    If you’re interested in hiring someone who may have a wider view of the addiction treatment landscape, it can help to search nationwide databases for references to resources. Non-government organizations are especially helpful. Again, you’ll want to refern to the NII website, the Network of Independent Interventionists, and the AIS website, the Association of Intervention Specialists.

    Otherwise, we recommend that you look for an interventionist using the following websites:

     Clinical Qualities to Look For

    Again, not all interventionists offer the same level of expertise. For this reason, we suggest a quality check before hiring someone. You’ll want the person to demonstrate the following qualities outlined in part of Chapter 10 of The Definitive Guide to Addiction Interventions:

    1. Boundaries.

    A good interventionist will establish clinical boundaries between themselves and clients. These boundaries address the length of a counseling relationship, self-disclosure by a counselor, giving of gifts, and the limits of touch or personal communication between counselor and client. A boundary will also define or limit personal benefit of money or services that the interventionist receives. The emotional or dependency needs of a counselor should also be in check.

    NOTE HERE: Hiring an interventionist is like working with a contractor. So, it is helpful to vet the person you want to work with via a Google search or by talking with colleagues about her/his reputation. Also, ask for a very clear contract and terms of service at the beginning of your contractual relationship.

    2. Competence.

    A good interventionist will be able to reference achievements of professional competence. S/He should also exhibit cultural competence when working with specific groups…but not overstep abilities.

    NOTE HERE: You can ask for all professional qualifications before you sign a contract with an interventionist. You might ask for a resume, a CV, or for 2-3 professional references.

    3. Confidentiality.

    Keeping private information private is the hallmark of a therapeutic relationship. HIPPA Forms attempt to clarify the confidential nature of the work of addiction interventionist. However, strict confidentiality should be from the first phone call. The principle of confidentiality should govern record keeping, accounting, informal and formal conversations, treatment decisions, and the person’s progress notes. The right person will also be familiar with state laws about confidentiality and have necessary consent forms, signed, and on file. Mandated reporting, the “Duty to Warn” laws, and exceptions to confidentiality law (drug court, federally assisted treatment programs, confidentiality and minors, age of consent) vary by state.

    NOTE HERE: Ask potential interventionists to provide you with a statement describing the extent to which confidentiality of records will be maintained, including an explanation on limits of confidentiality, plus who to contact in emergency in my official documentation.

    4. Avoid brokers or unethical referral services.

    Treatment centers have been known to pay bounties to for referrals. This leads to a practice called “patient brokering.” In return for referring a patient to a drug treatment facility, the broker receives a generous compensation of $500 to $5000. Brokers will offer to share this money with patients or entice them with drugs to leave an existing facility and qualify for another because they have relapsed, leading to a revolving door syndrome.

    Additionally, federal laws such as the Anti-Kick Back Statute make is a criminal offense for anyone to give a kickback with the intent of influencing referral of patients. Some examples include trips, hotels, or gifts. Further, the Stark Law tries to prevent physician’s self-referral, or when a physician refers a patient to a facility s/he owns or family has financial interest.

    NOTE HERE: Ask an interventionist directly about monetary relationships s/he has with treatment centers. If the person works for the treatment center, this is not necessarily a bad thing. However,know whether you’ll be contracting with the center or the individual directly.

    5. Informed consent.

    You need to officially grant an interventionist permission to carry out an intervention, in full knowledge of the possible consequences, risks, and benefits. An informed content should include a description of any reasonable foreseeable risks or discomforts (consequences of early withdrawal), a description of any benefits to the subject or others, as well as disclosure of any alternative treatments, including medications.

    NOTE HERE: Ask to sign consent forms at the beginning of your relationship with an interventionist to manage your expectations and set the guidelines for the clinical help you’ll receive.

    Your Questions

     We hope to have given you a good, solid place to start looking for help.

    We also understand that you may still have questions. Please leave your questions in the comments section below. We try to respond to all questions with a personal and prompt reply.

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