Drugs

How Do We Keep Recovery Participants Motivated?

How do we help participants to stay motivated so they will complete our programs and succeed afterwards?

1. I’ve stayed in touch with the “hands on” dimension of the ministry by volunteering at our local rescue missions. Conducting chapel services for program participants and interacting with them is something I always look forward to doing. One local mission, the Kansas City Rescue Mission, where Joe Colaizzi serves as executive director, is an example of a rescue mission recovery program that is doing a lot of things right. Their recent follow-up efforts reveal that for three years running, 70% of their graduates are still sober for year or more after leaving the mission. This is a very good rate of success. So, what are some of the things they are doing to promote such success?

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When is a Client Truly Ready to Move On?

I am convinced that our goal in any recovery program is to “work ourselves out of a job.” Or to say it another way, we ought always to be helping program people to become stable and growing believers who can experience God’s power and guidance for themselves. This is the exact opposite “missionizing people” — the rescue mission version of institutionalization. I am referring to the problem of teaching people how to live in the confines of the mission, but not equipping them for life outside. This is usually the case when program people seem to doing fine but end up crashing and burning a day after they leave the program.

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Hallmarks of a Healthy Support Group

Simply stated, a support group is a regular meeting of individuals who have joined together to offer one another support and encouragement in order to overcome a shared problem. In informal, small group settings, participants, in turn, share their own experiences, feelings and struggles

Ideally, a good support group is, first, a place where recovering addicts will find true acceptance and a sense of what unconditional love is all about. It is a safe, non-judgmental setting where they can express struggles, thoughts, ideas, and feelings without fear of rejection. Hearing the stories of others with similar difficulties and how they overcame them, gives the struggling addict great encouragement to go on in a life of sobriety.

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Support Groups in the Church

How do “support groups” help church members who are struggling with addiction and other life issues?

    A. “Support groups” are not a new idea for the Church — John Wesley’s “Rules for Small Groups,” written in 1816, is an outline that embodies “the Method” from which the name “Methodist” came. This method resulted in one of the greatest revivals the world has ever known. Believers gathered together in small groups, sharing honestly, becoming accountable to one another, asking probing questions, praying for one another with a deep knowledge of their mutual needs and struggles. Any believer can benefit from this type of gathering. It can be a tremendously healing and encouraging experience for those in recovery.

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The Hamster Wheel: Are You Doing the Same Thing Over and Over?

The famous phrase, “the definition of insanity is doing the same thing over and over again, yet expecting a different result” can probably best be depicted by the hamster on the hamster wheel.

Ever had a hamster as a pet? When I was eleven, I had one by the name of Mitsy. The concept of having a hamster didn’t quite measure up to the actual reality. For one, I could never pick her up and cuddle her. One attempt at doing so, Mitsy whipped her head around and sunk those two long front teeth into my finger. Here’s a helpful factoid: hamster bites HUR-R-R-R-T!!!

And then there was that hamster smell, emanating from her cage. I don’t think I need to elaborate.

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Checklist of Symptoms Leading to Relapse

While each individual must maintain the disciplines that insure sobriety, there are ways in which others can help. Nearly every person close to the addicted person is able to recognize behavior changes that indicate a return to the old ways of thinking. Often these individuals and fellow Christians in Recovery® members have tried to warn the subject, who by now may not be willing to be told. He may consider it nagging or a violation of his privacy. There are many danger signs.

Most addicted people, if approached properly, would be willing to go over an inventory of symptoms with a spouse or other confidante. If the symptoms are caught early enough and recognized, the addicted person will usually try to change the way they think, to get “back on the beam” again.

A weekly inventory of symptoms might prevent some relapses. This added discipline is one that many addicted people seem willing to try. The following list can be used by spouses, close friends, or the addicted person.

1. Exhaustion: Allowing yourself to become too tired or in poor health.

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Client’s Boundaries and Recovery

In our two earlier installments, we highlighted the importance of counselors carefully guarding their own personal boundaries while working with troubled people. Respecting the boundaries of those we seek to help is equally important. Here are a few thoughts on the topic:

A. We must teach and model healthy boundaries

    People who grow up in dysfunctional families tend to believe that they are not allowed to have personal boundaries. Though abused and mistreated, they do not feel they deserve anything else. As mentioned earlier, a personal boundary is, essentially, the line that divides me from you. Without boundaries I can’t tell what’s my stuff and what’s yours. Something as simple as saying “No” to drugs and alcohol – or to sin in any form -is a boundaries issue. To do so takes a commitment to caring about myself, while seeking to maintain a growing relationship with God. So, teaching and modeling healthy boundaries is vital if these folks are to begin the road to recovery.

B. “Fixing” vs. “Empowering”

    Healthy recovery can not happen until an individual is able to establish a program of “self-care.” At the Pool of Siloam, Jesus said to a crippled man, “Rise, take up your bed and walk. ” (John 5:8) In a very real way, this illustrates how we ought to minister to troubled people.

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Organizing the Addiction Counseling Process – Part 5

Part 1 | Part 2 | Part 3 | Part 4

In our last installment in this series we discussed, briefly, the importance of meeting the needs of each individual in the recovery program. To do this most effectively, a process of documentation is essential, using paper forms or computer-based data collection. In residential recovery programs for the homeless, it is also important to adopt a team approach to working with our clients.


    A. Developing a system of documentation.
    The essential elements include:

      Regularly updated recovery plans/contracts
      Daily progress notes
      Summaries of one-on-one counseling sessions

    When all of these elements are in place, supervisors can get a good picture of what each counselor or chaplain is doing with each of the individuals with whom he or she is assigned work. Besides serving as a measure of job performance, proper documentation makes it easier for another counselor to step in and keep working with the client if that is necessary. Good documentation provides a permanent record that can be accessed if the individual leaves the program and returns at a later date. And, it provides valuable information that may be used by other ministries or agencies that work with the client in the future.

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