Professionals

Moving from Client to Staff Member – Avoiding Codependency Issues

Recovery programs hire many program graduates and others who have overcome addictions or have grown up in troubled families. They can be excellent examples for mission clients and usually have special compassion and understanding for those who are still hurting. On the other hand, some are hindered in their efforts to minister to others because of their own codependency.

Here are a few common symptoms experienced by these “wounded warriors”:

A. Inability to detach.

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Self Care for Ministers & Recovery Professionals

Healthy attitudes toward our ministries and us are essential elements for success and survival in the work of RESCUE. Ways to avoid “burn-out” and find more joy and fulfillment in the work of the Lord.

SELF CARE

    1. Detach– Remember God does the work (we are vessels)
    Fixers vs. guides (not “changing them, but pointing the way) – practicing “professional distance”
    Co-dependency, enablers, messiah-complex

    2. Faithfulness not fruitfulness (focus) Performance orientation? Avoid shame and guilt-driven efforts, which are from self not the Spirit

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Principles to Remember for Chaplains & Pros

Note: Even though this was written for rescue mission chaplains, it is of value to anyone working in the recovery field.

Successful rescue mission chaplains “work themselves out of a job” – they truly succeed when the troubled people they help no longer need them. The opposite is what I call “missionizing” – the rescue mission version of institutionalization. It is possible to teach needy people to function successfully while staying in the mission, but not prepare them to live a healthy, sober life after they have left.

There are a few ways to avoid this.

A. Discover each program participants needs and help him/her to own these needs for themselves.

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Challenges for the Recovered Who Become Recovery Staff

Note: Even though this was written for rescue missions, it is of value to anyone working in the recovery field.

Rescue missions hire many program graduates and others who have overcome addictions or have grown up in troubled families. They can be excellent examples for mission clients and usually have special compassion and understanding for those who are still hurting. On the other hand, some are hindered in their efforts to minister to others because of their own codependency . Here are a few common symptoms experienced by these “wounded warriors”:

Inability to detach.

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Special Counseling Concerns for Women

1. A special strategy for people with drug and alcohol problems is essential
Addicts have special needs that the “garden variety” sinner does not have. They can be identified by using a standard alcohol screening test during the intake process. Then we can help them to get into an active program of recovery using such activities as support groups, addiction therapy, educational activities, etc. Use community resources if the shelter’s staff does not have expertise in this area. Addiction is a primary issue, so all other help giving will amount to nothing if the person cannot stay sober.

2. The Issue of Toxic Shame
By definition, “toxic shame” is an inner sense of being defective, faulty, unlovable, undeserving, unredeemable and hopeless. It is root problem for addicts, codependents and people from dysfunctional families. Most adults in family shelters fall into at least one of these categories. Toxic shame is the “glue” that holds the wall of denial together and prevents hurting people from accepting the help we offer them. They think – “If I admit I have problems, it proves that I am a worthless, useless human being.” Addiction leads to a total deterioration of a person’s moral life leading to a destructive mix of toxic shame and guilt. The Bible tells us that admitting our problems is not an admission of hopelessness or defectiveness. Instead, it is the key to forgiveness, freedom from our pasts and a new self-image.

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Preventing Relapse

Addicts relapse when it is more painful to stay sober than it is to get “high”. The immediate benefits of ceasing drug and alcohol use include:
improved health, better sleep , return of appetite, and clearer thinking. However, all addicts eventually face a challenge even more difficult than stopping drinking or using drugs — coping with life without them! Doing so involves a whole lot more than just “putting the cork in the bottle”. They must they learn a completely new way of life. We often refer to this process as “recovery” — the Bible calls it “sanctification” — a definite ongoing program of personal growth

Major Causes of Relapse

  • Denial
    inability to accept that one is indeed addicted to alcohol and/or drugs and that it is a primary cause of life problems.

  • Post Acute Withdrawal Syndrome
    inability to cope with a set of very stressful, physiologically-based symptoms that occur only after use of alcohol and drugs has stopped

  • Emotional Dysfunction
    inability to cope with feelings such as grief, depression, stress, fear, etc., without mind altering substances.

  • Relational Dysfunction
    inability to develop and maintain healthy relationships with others.

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Helping Addicts Who Are Mentally Ill

How can we help the addict who is also mentally ill?

A. Understanding “Dual Diagnosis” — Up to one-third of today’s homeless adults are mentally ill. The trend toward “deinstitutionalization” of the mentally ill has meant that our city streets are now being flooded with people who at one time would have been hospitalized for their problems. As many as half of them are also addicted to alcohol and/or drugs. Many are “self-medicating” — using addictive substances to cope with their mental problems. Social service professionals usually do not like working with these “dually diagnosed” people because they can be so demanding and time-consuming. They can be too destructive and troubled for the typical addiction recovery program. And, mental health workers shy away from them because they often do not stay sober long enough for treatments to be effective. So, they end up at the rescue mission.

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Do I Need a Sponsor if I am in a Residential Program?

Do people in residential recovery programs need “sponsors” in the support groups in which they participate?

Most support groups encourage recovering people to find a sponsor. “Mentorship” is a solid Biblical concept. The relationship between Paul, the seasoned veteran apostle, and Timothy, the young, gifted, upstart preacher is an excellent example.

Still, it is best to delay the process of finding a sponsor until the residential program participant is nearing graduation. While still in the program, the staff serves essentially as the “sponsor”. Having an outside sponsor too early in the program can actually be counterproductive, especially if the sponsor gives guidance that is at odds with what the program’s staff. It can also place the staff in a difficult situation in regard to confidentiality.

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Making Good Referrals

When people look to addiction counselors for help, they come with a wide variety of needs. These include:

  • food, clothing and shelter
  • job counseling and training
  • legal assistance
  • literacy training and other educational skills
  • parenting skills training
  • family and couples counseling
  • medical care and family planning services
  • social support services
  • child care during treatment
  • psychiatric assessment and mental health services
  • help to move into permanent housing

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