Professionals

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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The Addict’s Need to Reconnect with Him or Her Self

We have discussed the addict’s need to reconnect with God. Now, we turn to another important issue, the addict’s need to reconnect with himself. By this I mean gaining a new level of self-awareness that leads to positive change. This means knowing how he feels and why. And, importantly, it means recognizing his own needs. There are four essential areas of self-awareness that all who wish to succeed in living sober and healthy lives must have:

1. I am powerless over alcohol and/or drugs

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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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Avoid Burn-out by Practicing Good Self-care

Urban mission work and recovery outreach are certainly unique. The rewards can be tremendous, as well as the discouragements. So, here are a few of my thoughts on how to avoid burn-out by practicing good self-care:

A. Keep a life for yourself — I often struggle to find the balance between personal priorities and ministry opportunities. It’s easy to get caught up in ministry and put my own needs on the “back burner.” Because urban missions can be a very stressful place to work good self-care practices are essential. One of the most important of them is to cultivate a life that is separate from the mission and its staff and clients. We need to leave work stress behind and pursue our own interests and relationships. For people who live in the mission facilities, failing to develop meaningful outside relationships and activities is a sure path to “burn-out.”

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Tough Love in Addiction Recovery Programs

How do we properly cope with the emotional distress that some staff members experience when called upon to dismiss residents for violating recovery program rules?

A. The Principle of “Tough Love” — One of the keys to overcoming staff difficulties in this area is educating them in the important principles of “tough love.” While it can be extremely difficult to dismiss certain people from a program, we really are doing what is best for them. For those in denial about their problems, consequences can be their salvation! People continue to abuse alcohol and drugs (and persist in dysfunctional behaviors) as long as they feel the benefits outweigh the costs.

Additionally, being dismissed can often serve as an important learning experience. Such people may return to the program with a much better attitude, having had a chance to get a hard look at the pain and destruction in their old environments. Someone once said, “It’s hard to go back to digging around in the garbage after you’ve been feasting at the King’s table!”

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Avoiding Burnout in Addiction Recovery Work

Working in with needy people can be overwhelming at times. Staff members of outreach ministries are surrounded daily by those in need and they often struggle with limited time and resources to help them. So, learning the art of “self-care” is essential. The key to this is developing healthy attitudes toward our ministries and ourselves. Here are a few tips that can help you to avoid “burn-out” and find more joy and fulfillment in the work of the Lord:

    A. Learn to Detach – Whenever we’re focusing our energies on people and problems, we have little, if any time for care and nurturing of self, and meeting our own legitimate needs. We must remember that it is God who does the real work in the lives of hurting people. This helps to take a little of the load of responsibility off our own shoulders.

    B. Learn to Practice “Professional Distance” – This does not mean being callous or uncaring toward those whom we help. It does mean keeping good boundaries between ourselves and our clients. It means not becoming so wrapped up in their lives that we carry their struggles home with us at night. Over-involvement can cloud our decision-making process to the point where we end up playing “favorites.” This will jeopardize our relationships with our other clients. We cannot assume responsibility for the decisions our clients make.

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Strict Policy of No Use in Recovery Programs

I’ve spent many years working with counselors and rescue mission staff members to assist them to more effectively help homeless addicts and alcoholics. Whenever I speak on this topic, I am usually challenged for saying clients should be immediately dismissed from a program when they are discovered to have used alcohol or drugs. So, I thought it would be useful to restate my convictions – and my rationale for this encouraging this policy.

I am convinced that we must immediately dismiss anyone who uses alcohol or drugs while in a recovery program. The dismissal must be for at least one month, with the possibility for an evaluation for re-admission after that time period. If they do re-enter the program, they should start over – from day one – and not be allowed to regain whatever status they held before using.

Does this mean we should just throw them out on the street? Not necessarily; it might mean moving out of the program part of the building and back into the transient section. It could also mean a referral to another facility. Or, it could mean leaving the building and finding their own way to the next place, especially in the case of those who have violated the policy repeatedly.

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Motivating Addiction Recovery Program Participants (Part 3)

See: Part 1 | Part 2

I have mentioned in an earlier post, I am firmly convinced that we must help people in residential programs to be come integrated into two vital communities – the Church and the recovery community. There is life after the mission program and if we don’t spend enough time and energy preparing our clients for it, we have done them a great injustice. If we are truly successful, the program graduate leaves the mission as a newly sober, struggling baby Christian. We must be sure that this new believer knows where to find help when he/she experiences struggles, even 2, 5, 10 years and more in the future, no matter where they live.

There is a lot going on at rescue missions in the areas of life skills, employment, literacy and education, etc. But, an often-neglected aspect of preparation for life after the program is helping our residents to develop and maintain healthy relationships. Getting involved with the wrong people is a major contributor to relapse. Another is the tremendous stress those clients with inadequate relationship skills experience as they try to live with others.

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