Daily Articles

Organizing the Addiction Counseling Process – Part 2

Part 1 | Part 3 | Part 4 | Part 5

In this installment, I would explore a very basic question; “Just what can we expect to accomplish in the life of a homeless addict during their stay at a rescue mission program?” The answer comes from recognizing some basic needs that need to be addressed so those we work can develop productive, satisfying sober lives.

The answer comes from recognizing some basic needs that need to be addressed so those we work can develop productive, satisfying sober lives. The goal of a written recovery plan is to set down these goals, in order of priority, and then develop a strategy for working through them while in the program. This plan, then, becomes the basic road map for the counseling process with the individual. Weekly one-on-one sessions should always begin with revisiting the written plan and discovering what progress has been made toward accomplishing its jointly agreed upon goals

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Organizing the Addiction Counseling Process – Part 1

Part 2 | Part 3 | Part 4 | Part 5

In the past thirty years of my work, I have had the opportunity to visit many facilities that help the homeless. When I see a man in a recovery program I like to ask, “How is he doing?” I usually just get a pat answer like, “Well, he’s been with us for six months.” The problem with this answer, of course is that a sober, healthy lifestyle is not automatically picked up just by hanging around the mission for a certain length of time.

The only way to really know is by keeping accurate written records that show how we are meeting the individual needs of the people in our programs. A formal needs assessment process is needed. The information that is gathered provides the foundation for a written recovery plan (or discipleship plan). The purpose of such a plan is to help program people think through their options, to identify their own needs, and to determine which specific actions they must take to get their needs met. To ensure maximum “buy in,” the plan should be developed with lots of input from counselees themselves.

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Emotions in Recovery: Anger

Beyond the emotionally tumultuous days of the first few weeks of sobriety, people in addiction recovery then move into a second phase of early recovery. As their mind and body begin to function on a more normal basis, a new crop of emotions begin to surface. Once of the first, and most important of these is anger.

A. Emotions are not moral

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When Things Look Bleak, Do You Still Trust God?

Genesis 50:10-20a NRSV
Joseph said to them, “Do not be afraid! Am I in the place of God? Even though you intended to do harm to me, God intended it for good.”

The story of Joseph is always amazing to me. I keep coming back, again and again, during different experiences in my life, to this particular verse and to the reality that was Joseph’s. You see, I’ve heard many preachers extol the honors that Joseph received, how he went from a slave to becoming Prime Minister of Egypt, second only to Pharaoh. But that’s not quite the entire story.

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Women & Substance Abuse

  • Although women drink less than men, the number of women who do drink is significant. Estimates indicate that of the 15.1 million people who abuse alcohol or are alcohol-dependent, 4.6 million are women. That means that roughly one-third of alcoholics are women.
  • The number of women who report using illicit drugs is alarming, although women are less likely to use illicit drugs than men. Five percent of women and 8 percent of men report having used illicit drugs during the last 30 days.

  • In 1989, 43 percent of drug abuse patients admitted to emergency rooms were female and 56 percent were male.
  • Cigarette use among women has decreased at the rate of about 1 percent each year since 1985. Use during the last 30 days by women was at 24.2 percent in 1990, down from a 1985 figure of 28.1 percent.
  • Women who drink heavily or are alcoholic are more likely to become victims of the alcohol-related aggression of others, such as date rape.
  • Drinking varies among women of different racial or ethnic backgrounds. African American women were more likely to abstain from drinking alcohol (66.9 percent) than White women (52.6 percent) during the month prior to their interview.

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Work Therapy in Recovery Programs

Rescue missions, Salvation Army centers and other types of recovery programs depend on labor provided by people in their facilities to do a variety of tasks that are essential to their operations. Men and women in recovery programs can be found in kitchens, performing housekeeping and maintenance tasks, providing office support, and driving trucks to pick up donations. Certainly, we value the services they provide. Equally important, though, is the need to give additional meaning to their efforts by creatively using their work assignments to invest in their lives. What follows is a list of some ways this can be accomplished:

A. Develop a purpose statement for work projects — We need to have a definite philosophical basis for every activity in which we involve program participants that is both spiritually sound and “therapeutic.” In other words, we need an official statement that establishes the fact that we are not just looking for free labor, but rather that the work they do really is intended to help them. If people in our programs feel used, they are certain to shut themselves down to the recovery process. The mission is there for the clients, they are not there for the mission!

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Am I Codependent or being a Good Christian?

On the surface, codependency messages sound like Christian teaching:

    “Codependents always put others first before taking care of themselves.”
    (Aren’t Christians to put others first?) .

    “Codependents give themselves away.”
    (Shouldn’t Christians do the same?).

    “Codependents martyr themselves.”
    (Doesn’t Christianity honor its martyrs?)

Those statements have a familiar ring, don’t they? Then how can we distinguish between codependency, which is unhealthy to codependents and their dependents, and mature faith, which is healthy.

Codependency says:.

    I have little or no value.
    Other persons and situations have all the value.

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Aftercare for Recovery Programs

For Christian programs that work to help addicts, the primary goal is to help them to become integrated into two vital communities — the Church and the recovery community. If our goal is truly to work ourselves out of a job, then we must make sure we are spending enough time and energy preparing our clients for life after our programs. If we don’t, we have done them a great disservice. No matter how success we are with newly sober clients, they will still leave or programs as struggling baby Christians. We must be sure that these new believers knows where to find help when they experiences struggles, even 2, 5, 10 years and more in the future, no matter where they live.

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Masturbation – Right or Wrong?

Women as well as men can be in bondage to masturbation. The Word of God does not offer any direct guidance on the subject of masturbation. Perhaps the subject is omitted because it is a moral issue that needs to be left up to the individual to determine right from wrong.

From a biological viewpoint, masturbation may be normal a function of sexuality. From a spiritual viewpoint, the real area of concern should be what goes on in a person’s mind. Are inappropriate sexual images running rampant in your mind? In order to successfully act out, it is necessary to get vivid and exciting thoughts or images into your mind? (This can be done by pure imagination or by pictures or movies or stories or real persons.) These images always involve people as sexual objects which is against God’s direction for us to honor and respect one another.

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Anger: A Different Response

Proverbs 17:14 NRSV
The beginning of strife is like letting out water;
so stop before the quarrel breaks out.

Ever punch a hole in a container full of water? This proverb is absolutely true. You can put all manner of things against the hole, but it’s almost impossible to stop the water from seeping (or pouring) out!

There are many things in our lives that, once begun, are difficult to stop. Anger and fighting is one of them. I grew up in the generation that said that when you’re angry, you need to “talk it out” in order to dissipate the emotions. Newer studies are showing that talking, when you’re angry, can lead to escalation, rather than de-escalation.

“I thought it was healthy to express my anger.” For the last 50 years the world has been saying:
“Express yourself.”
“Let ‘it out.”
“It’s good for you to express your feelings.”
“It’s bad for you to repress your feelings.”

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