Family-Involvement-is-Important-in-Substance-Abuse-Treatment

Family Involvement is Important in Substance Abuse Treatment

Family Involvement is Important in Substance Abuse Treatment

For family and friends of drug- or alcohol-addicted individuals, addressing the addiction is one of the most difficult aspects of helping the addicted person seek treatment. Often, over time, daily family involvement has only managed to enable the addict. Family members frequently do not know how to bring up the issue of addiction therapy, and opt to ignore the problem for fear of pushing their loved one away during a confrontation or intervention.

These are legitimate concerns, and while families should understand that approaching their loved one should be a gentle and supportive process, they also need to understand that most patients seek substance abuse treatment because of positive family involvement and intervention.

Prior to Substance Abuse Treatment and Intervention

Each family is different, and the best way to approach family involvement with addiction therapy will differ with every person. There are counselors in your area who are trained to work with drug- and alcohol-addicted patients and their families, and while they can be useful to mediate the intervention process, your family may decide to have a private, non-confrontational and honest talk with the addict to implore them to seek treatment.

Whichever approach you take, it is important to understand that the family dynamic in drug and alcohol addiction is incredibly powerful, and that addressing an unhealthy imbalance in communication is your first step in moving your loved one toward addiction therapy. This type of positive family involvement can also help lead the rest of your family toward a journey of recovery and self-discovery.

During a Patient’s Substance Abuse Treatment Program

After an intervention, the best-case scenario is that the addicted individual will be compelled to enter either an inpatient or outpatient substance abuse treatment program. Each patient’s needs and means are different, and outpatient and inpatient programs have varying benefits for patients and family.

Involvement in an outpatient addiction therapy program means that patients are not separated from their families, they are able to attend classes in a facility close to their home, and patients can continue substance abuse treatment for an extended amount of time. In an inpatient (residential) program, patients travel to a facility where they undergo an intensive 28- to 30-day detoxification and recovery program. They are immersed in the recovery process and do not have the ability to leave the substance abuse treatment campus. However, family involvement is important, and inpatient addiction therapy programs often encourage frequent interaction with visiting family and friends.

As previously mentioned, patients’ needs vary, but inpatient substance abuse treatment has the obvious benefit of removing the drug- or alcohol -addicted individual from the toxic atmosphere that was enabling their addiction, and helping them through addiction therapy without distraction. This same benefit is transferred to the patient’s friends and family, who are often able to gain a new perspective about their loved one’s addiction and their own behaviours.

Family involvement, once the patient is in an off-site substance abuse treatment facility, is periodic and helps families step back and recognize negative behavior patterns. For example, well-meaning family and friends often become trapped in a cycle of enabling and codependency with the patient prior to addiction therapy. They pretend like nothing is wrong and unintentionally assist the patient’s addiction by ignoring the problem.

Conversely, family members might become distant, angry, and resentful. They may believe that they cannot address the issue without angering the patient or exacerbating their loved one’s addiction. When the family members are able to take a break and assess their behaviors and environment while their loved one is undergoing addiction therapy, they often identify behaviors and traits that they can adjust to break the cycle.

This is not to say that residential substance abuse treatment programs isolate the patient from their friends and family – quite the opposite. In a quality residential substance abuse treatment program, the focus is on the patient’s physical recovery from drug and alcohol addiction as much as it is on a mental recovery from the addictive disease. Addiction therapy is supported heavily by positive and frequent family involvement. The support that a family provides to a patient recovering from addiction is essential to that patient’s success, and residential centers will often have not only visitation throughout the week or on weekends, but will also provide educational programs for family members, such as supportive and dynamic recovery workshops and sessions for family involvement.

Outside of the residential substance abuse treatment facility, patients’ family and friends are highly encouraged to attend Al Anon or Nar Anon meetings. These free programs are held around the nation and are dedicated to providing group support to drug- and alcohol-addicted individuals’ family and friends. The meetings address things such as:

helping an addict seek assistance for his or her own problem
addressing a loved one’s drug or alcohol addiction
building family through the addiction therapy process
supporting yourself and your loved one through the recovery process

These programs support friends and family during and after the substance abuse treatment program. They are essential for family involvement.

After a Substance Abuse Treatment Program

There truly is no clear-cut “end” to the addiction therapy process. Families struggling with the effects of their loved one’s drug and alcohol addiction should continually attend Al Anon or Nar Anon meetings (perhaps both) on a regular basis to continue a constructive program of support and ongoing education.

Alcohol and drug addiction are both considered “family diseases,” and family involvement with people combating drug and alcohol addiction requires continual attendance at these meetings during and after the formal inpatient or outpatient addiction therapy session. Additionally, while these meetings help individuals to understand the disease and how to support someone they care about, they also assist friends and family with their own emotional support during what is most often an incredibly trying and stressful time. By continuing to attend Al Anon and Nar Anon meetings, friends and family of an addicted individual can continue to stay out of the destructive cycle of enabling and codependency and fully realize the benefits of addiction therapy.

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The Have I Got A Problem website is a free online resource to help people better understand any issues or concerns they may have about mental health or addiction. The website includes resources specifically focused to; general Mental Health, Depression, Stress, Anxiety, Insecurities, Self-harm Schizophrenia, Bipolar, Anger Management, Eating Disorders, Coping, general Addiction, Alcohol, Smoking, Gambling, Drugs, Cocaine, Heroin, Marijuana (Cannabis) Ecstasy, PCP, Mephedrone, Ketamine & Crystal Meth.

The site was created to give the public information to help them understand mental health and addiction issues and to assist people in making better informed decisions about their life and personal choices.

www.haveigotaproblem.com was created and is run by 'Advising Communities’, which is a UK registered charity (Charity No. 1061055)

Quotes

"Along with perceived risk, your teen’s alcohol use can be predicted by the expectation that one will feel a certain way when they drink."

drugfree.org

"I tried to blame everyone and everything I knew for my drinking; the death of my child, the ex-husbands, etc. Everyone was responsible for my drinking except me."

Jean

"When I was thirteen, friends would make fun of me if I didn’t have a drink. I just gave in because it was easier to join the crowd"

Samantha

"I woke up on the weekends needing a cup of coffee in one hand and a beer in the other."

Nick

"Because I’m an alcoholic I can’t go to the pub and have three pints then go home, when I drink I drink untill I pass out."

Mike

"You need to realize that the little voice in your head telling you to use is your own."

Maya

"I gave up hope of ever becoming sober. I decided to drink myself to death. It didn't work. Now I am left no choice but facing my problems."

Jean

"It was as if there was a hole inside me, which two or three drinks filled quite nicely."

Jane

"I couldn’t wait to get home and get something to drink. It was the only relief I could get from myself."

George

"For so many years it seemed like such a struggle; suddenly, it isn't a struggle any more."

H.L.

"My life was chaotic. I hardly ate. I wasn't interested in anything except drink."

Suzanne

"When I went to school I made new friends. These new friends liked to drink and stay out at night, so I did the same."

Anonymous

"I am embarrassed about the volume of alcohol I consume, I drink every day and I drink a lot…"

Olivia

"I had friends that didn't drink that way. I didn't want to drink that way, I didn't want to be that way."

Peggy

"I came into recovery because I got tired of losing all the time. I lost my first set of children and turned around was about to lose my second set. But even that's not the reason why I came into recovery."

Theresa

"When I was drinking I would use alcohol to avoid the things I didn't want to deal with or accept. I would wallow in the past with my memories and my bottle or I would fantasize about a future I could never realize unless I let go of the alcohol completely"

Marion

"I was a completely different person when I drank. Trouble brewed wherever I appeared. Yes, some times were fun and I behaved, but majority of the time I was terrible. I did things I would have never done sober."

Jeanette

"I got married at 21 and we drank and fought together. We were together three years and after the marriage ended I really went wild. Drinking became even more important to me and a whole string of relationships followed."

Nancy

"I drank to get drunk from the start. I was a blackout drinker from the start. I never knew if it would take two drinks or 20 to get me to the place I wanted to be. That place was anyplace else."

Gwen

"I lay in the ER from a atempted overdose, that I didn't succeed at doing. I had tried it three times in the past two years. I had to find peace, serenity, happiness. That day was Easter Sunday. I knew I had to go back to AA."

Madeleine

"I was in complete denial of what alcohol was doing to the chemical make up of my body."

Mark

"In May of 2006, I rushed to the emergency room because my hands, arms, feet and legs cramped so bad that I couldn't move them and my face was tingling. I was dehydrated and malnourished. My body was trying to tell me something and I was forced to listen."

Christy

"After a bout of depression at university, I started drinking to relieve anxiety and help me sleep. The quantity quickly escalated and by the time I was 24, I was drinking every day."

Tina

"My children were young when I was active in my addiction. I don’t believe they understood what was going on, though my husband worked to be honest with them. He told them I was sick and would become well."

Deborah

"It was sort of scary at first, but I was certain I was not the only one who needed to approach recovery in a unconventional way."

Deborah

"The genetic factors that contribute to the full range of alcohol consumption versus alcohol dependence in humans are distinct.”"

Dr Boris Tabakoff

"It reached a stage where I couldn't sleep without a drink, but I couldn't get out of bed without one either"

Steve

"When my wife decided she couldn't live with me anymore, and subsequently left - that was when I knew I had to do something."

Nigel

"Drinking is so ingrained in our culture that to refrain from it may be seen as a denial of that culture or an admission that we cannot conform to what is socially acceptable."

Norm Cohen

"Self-control is key when it comes to drinking"

Norm Cohen

"Enabling is “removing the natural consequences to the addict of his or her behavior.”"

Darlene Lancer, JD

"You may have to weigh the consequences of experiencing short-term pain vs. long-term misery,"

Darlene Lancer, JD

"Always have a Plan B to cope with addicts’ unreliability; otherwise, you end up feeling like a victim."

Darlene Lancer, JD

"When I look in the mirror, I can say I actually like this person; I had to deal with all my emotions and stuff. Before my emotions were in a bottle."

Debra

"I woke up one morning after a heavy night out to find I'd wet the bed, and the babe I'd pulled the night before was missing"

James

"After about five hours of drinking, I vaguely remember a taxi journey home. I also remember falling on my face. Yes, face. Not hands, or knees but face."

Cheezie

"Whichever approach you take, it is important to understand that the family dynamic in drug and alcohol addiction is incredibly powerful"

Steven Gifford

"The goal is to find what works now, and to educate yourself about all the options available"

Mark S Gold, MD

"Many kids have internalized a dangerous and false message: “Unless you are at a large gathering of friends drinking, you are a loser.”"

Roger

"I like to drink. You could even say I’m a heavy drinker. Does that mean I’m an alcoholic?"

Anonymous

"After all, they didn’t know about the college “accidents” that sent me to the hospital emergency room with severe ankle sprains (from falling while drunk) or the night that friends thought I was having a heart attack after a bad combination of alcohol and"

Beth

"If I were more responsible, I would stop waking up in strange places with strange people, or so I told myself."

Beth

"I realized with a sudden force that every time I got into trouble, alcohol was involved"

Beth

"It's just too easy to look at life as a half-empty glass… especially when you've been drinking"

Philip

"There is no law stating that alcohol is a necessary ingredient for holiday cheer"

Drew Edwards

"I’ve seen hundreds of families in this very situation and their dilemma is always the same: they all want to influence their child to get on a better path"

Dr Michael Pantalon

"Occasional intoxication is not a symptom of a disease; it is a choice"

Kenneth

"I lost my job and I lost my family. But the bottle was always there for me"

Ryan

"We knew we were enabling him - but what else is a parent to do?"

Barbara

"I landed back in my suburban city, however, anything but free. I was a 23-year-old, full-blown alcoholic with a lot to show for my school career but little recollection of how I got it."

Beth

"After university, most people stopped going out drinking four times a week. But I was still young, and I wanted to have fun, and I thought I could handle it"

Derek

"I can stop drinking whenever I like. I just don't see the need."

Fred

"I know we’ve got problems, but it’s hard to cut back because all of our friends drink."

Gary

"Things were great before we had kids. But I’m worried. We’ve had some bad fights. And I can’t seem to reach him anymore. Every night he drinks a few beers and just sits in front of the TV."

Sharon

"We just got home from a party. We had a few drinks and a great time. Now we’re bickering again over nothing!"

Sharon

"We went out for a romantic dinner and shared a bottle of wine. We were relaxed and felt close. Then we went to a club and had a few more. Now she’s losing control again and flirting with a stranger. Why does this keep happening? Does she really love me?"

Gary

"Many parents make the mistake of waiting until the child has begun drinking, but if you listen and respond to your child sensitively, you may be able to help prevent problems from developing later."

Mark S Gold, MD

"Two of the more traumatic things I went through were growing up with an alcoholic parent and my parents’ divorce. I tried to stuff the void I experienced with drugs and alcohol"

Alice

"I never even considered the idea that I might become an alcoholic or drug addict, and I swore to myself that I would never end up like my father"

Alice

"I wanted to fit in and feel better about myself. The fact that I gave in to peer pressure is no surprise."

Alice

"Drinking and college go together like “love and marriage”—right? Wrong!"

Rita

"In families with alcoholism, emotions and priorities can get very mixed up — and not just by the alcoholic."

Erika

"I've been an alcoholic for 2 years in my life untill I found the strength to recover, it took a couple of tries and quite some support from friends, but I did it."

Anonymous

"I realized that, through no fault of my own, but rather a strong inherited predisposition, I could not drink alcohol the way other people could. I could not stop once I started, so I knew then that I would have to not drink at all-for life."

Richard

"I felt trapped, lost, and broken. I was walking through hell everyday but I was dragging the people who care right behind me."

Becca

"I’m very insecure as a result of my dad's drinking. And because my dad let me down so many times, I feel like I can’t rely on anyone. I hate the way that alcohol is seen as cool and glamorous."

Charlotte

"For ten years I was a functioning alcoholic. Because I was constantly topping up, I never had withdrawal symptoms, but my health began to suffer. I regret putting my family through this but I feel optimistic about the future."

Loris

"Although they were initially shocked and disappointed when I told them, friends and family have been incredibly supportive."

Jenny

"One bottle of wine a night turned into two, then three, and when I set up my own business working from home it gave me carte blanche to drink all day."

Karen

"Video games were a very important factor in my recovery. They helped take my mind off drinking. Keeping active is key."

Jason

"I stopped drinking 13 years ago after a shock when I thought I had dropped my baby girl over the side of a fishing trawler in a blackout."

Jill

"I feel SO VERY guilty and shameful that I got drunk when I as 17 weeks pregnant. This is by far the worse thing I have ever done."

Lanice

"Smoking kills half of all lifetime smokers."

Dr. Alex Bobak

More Send us your Quotes

Tips & Hints

Ask for support
Tell friends and family that you’re trying to cut down on alcohol - they might be more supportive than you think. But beware, some pe...
Tell friends and family that you’re trying to cut down on alcohol - they might be more supportive than you think. But beware, some people don’t like to have their drinking behaviour challenged, so be prepared to defend your decision by remembering the benefits that cutting down on alcohol brings.
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Keep track of the alcohol units you’re drinking
The government advises that people should not regularly drink more than the daily unit guidelines of 3-4 units of alcohol for men (equi...
The government advises that people should not regularly drink more than the daily unit guidelines of 3-4 units of alcohol for men (equivalent to a pint and a half of 4% beer) and 2-3 units of alcohol for women (equivalent to a 175 ml glass of wine). ‘Regularly’ means drinking every day or most days of the week.
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Avoid visiting bars and clubs with bars
Instead resort to amusement such as recreational areas, movies, sports events and family events where alcohol isn’t present. That inc...
Instead resort to amusement such as recreational areas, movies, sports events and family events where alcohol isn’t present. That includes going to parties that serve alcohol without a family member or friend to support their choice to abstain from drink. If the alcoholic feels bound by duty to attend a party or gathering, then he should be accompanied by a trusted other who will remain with them all the way through the celebration and be prepared to halt them from consuming alcohol.
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Develop an alcohol-free daily routine
Wake up earlier, include some exercise into the daily schedule, the potential is endless. Keep in mind that to stop drinking is to make...
Wake up earlier, include some exercise into the daily schedule, the potential is endless. Keep in mind that to stop drinking is to make a clean start on its own.
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Spend as little time alone as possible
For single people this can be a tall order. If you can’t surround yourself with people, get out more and help yourself to generate a ...
For single people this can be a tall order. If you can’t surround yourself with people, get out more and help yourself to generate a fresh perspective on life.
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Be determined

If you are addicted to alcohol, you must admit it and then be determined to seek professional intervention. The detoxification and reco...

Stay optimistic

During the alcohol addiction treatment, you can feel depressed and initially all your attempts at abstinence can fail miserably. Keep a...

Find a support group

It is easy to share your feelings, during your path of recovery to people involved in the same kind of experience as you. A support gro...

Stay away from bars

It is important to avoid visiting bars with friends and colleagues which may lead you to drink alcohol, before your realize it, althoug...

Find a hobby

Many people indulge in drinking alcohol since they are bored and have no activity to engage in. Finding a new leisure time activity or ...

Try meditation

Meditate or practice yoga and explore your spiritual side, while you enrol yourself in alcohol detoxification programs. Meditation can ...

Exercise

Exercising can increase the levels of endorphins or feel good hormones in your body that make you feel happy. How about trying jogging,...

Indulge in sports

Revive your interest in some kind of sport that you enjoyed earlier and spend more time playing it with friends and family....

Hypnosis

Considered an excellent alcohol addiction treatment, hypnotherapy can allow you to remove an affinity to alcohol. This complimentary tr...

Recognize there is a Problem

The first thing that you need to realize is that an alcohol addiction is extremely dangerous. Alcoholism is considered by many experts ...

Drinking water

The body needs water at the cellular level to function. Detoxing from alcohol is very taxing on the body's functions, and on the immune...

Know your "no"

You're likely to be offered a drink at times when you don't want one. Have a polite, convincing "no, thanks" ready. The faster you can ...

Plan to handle urges

When you cannot avoid a trigger and an urge hits, consider these options: Remind yourself of your reasons for changing (it can help to ...

Get Rid of All Your Alcohol

Go through your cabinets and throw away every single bottle of alcohol. If you have a spouse or roommate who drinks alcohol, kindly ask...

Use Visualization Techniques

Visualize yourself and how it will be when you've completely kicked the alcohol habit. Visualization is very powerful in instilling int...

Do Not Skip Meals

Perhaps the most important tip to quit drinking is to NEVER skip a meal, as that simply opens the door to alcohol abuse. Not only does ...

Be Powerful

Do NOT talk, think or act as if you are powerless before your addiction. Alcohol is powerless before you, and not vice versa. Remember,...

Don’t guilt trip yourself whenever you are unsuccessful

Getting upset with yourself for any temporary drawback will be non productive, and will make people more prone to not quit. Should you ...

Limit the amount of money you have on you and leave your credit card at home

Take a certain amount of money with you if you go out and hold yourself to that amount. Once it is spent, call it a day or night and si...

Help Other People

You can also help yourself to quit drinking alcohol by helping other people do the same thing. The battle against alcohol cravings is n...

Create an alcohol free day-to-day schedule

Get up earlier, include some physical exercise into the daily schedule, the potential is countless. After all, to stop drinking alcohol...

Treat Other Illnesses

Alcohol May seem to be “quick” answer to relief of stress, anxiety, depression, or other mental health problems. However, the effec...

Drink Slowly

Only take a few sips of your drink at the time. Do not drink multiple drinks in an hour. Your body absorbs alcohol more than 90 minutes...

Resist the pressure to drink

At social events, it isn’t rude to refuse an alcoholic drink or substitute it with a soft option....

12 Step Programs

Alcoholics Anonymous isn’t for everybody. In some places there will be a strong emphasis on using religion to conquer your addiction,...

Ask yourself:

Of all the time, energy and tears I have invested in trying to make them stop drinking, what has been successful? If the answer is “n...

Rock Bottom

Don’t wait for your loved one to hit rock bottom before attempting to fix their problem. Rock bottom might be jail or intensive care,...

Relationships

Is alcohol ruining your relationship? Or is the influence of alcohol bringing relationship issues to the fore? Consider getting help, ...

Enabling

Enabling is defined as “removing the natural consequences to the addict of his or her behaviour”. This basically involves anything ...

How to stop enabling

Leave evidence of the alcoholic’s destructive behaviour - don’t clean up vomit or wash their soiled bedding, because they caused th...

Start with drinking a soda or other non alcoholic drinks

If you start by drinking a soda instead of drinking an alcoholic drink first, you will reduce the chance of you getting drunk quickly. ...

Just because you don’t remember it doesn’t mean it didn’t happen

You still have to take responsibility for the things your Evil Twin did last night. Another good reason to avoid blackouts. Hemmingway...

Keep good friends, and listen to their advice

There are many people who can stop you from making bad decisions. Listen to them and try to look at yourself from outside....

Why do I drink?

For many people, the triggers that make them start drinking are pretty clear. Learn what situations, ideas or feelings make you want to...

Decide whether your goal is abstinence, or controlled or social drinking

Only you can decide on what your achievable goal will be. If you really believe you can cut down, then set days and times when you can ...

Do not set unachievable goals

When setting goals, don’t be too hard on yourself. It's about knowing and accepting yourself. For example, if you’re not a person w...

Tell your story to yourself

Some people find it helpful to pretend that they are listening to a friend talking about their own situation. Imagine what advice you w...

What do you associate with NOT drinking?

You may have to put yourself in situations where you do not drink. For example, some people go for a walk, go somewhere with the childr...

Learn to say “NO”

One big factor in alcoholism is peer pressure. Learn to say “NO” also to your friends because you prioritize your health rather tha...

Don't do anything you don't feel ready to do

If going to the beach is a time when you drank a lot. Don't go this year. If going to a certain friend's home for dinner is a time when...

More Tips & Hints