Helping Families Navigate Addiction. Presented by: Kristy Roll, LCSW, Director of Family Services, Cumberland Heights

Transcription

1 Helping Families Navigate Addiction Presented by: Kristy Roll, LCSW, Director of Family Services, Cmberland Heights

2 What does addiction look like? Denial Irritability/argmentativeness Broken promises to stop Defensiveness arond se Needing more of sbstance Sleep changes/problems Withdrawal symptoms Lying Conseqences from se and contined se Missing work, school or important obligations Financial problems, difficlty paying bills Signs of impairment (slrred speech, over sedation, bloodshot eyes, enlarged or pinpoint ppils, nsal speech patterns) Mood changes Sbstance taken in larger amts/longer than intended Weight loss/ health decline/ change in eating patterns Decline in hygiene Inability to deal with stress Rationalizing/ minimizing the problem Violates vales legal problems secretive behavior/ isolation Desire to qit or ct down bt nable

3 Mom Episode Setp

4 Addiction in the family MOM EPISODE

5 Why are families so important? The Research Families are the primary spport for yong people entering treatment (Financially, emotionally, most often living with a parent) Few sbstance absers enter treatment withot pressre from their networks (Marlatt et al., 1997) Przel and Lamon, 1979, replicated data in 1996 fond that 64% of heroin addicts had daily phone contact with their parents, poly sbstance addicts 51% and non-addicts 9%. Despite the chaos that occrs with addiction, people are still connecting with their families. Engaging the natral spport system significantly improves the chances of entering treatment as well as completion. This leads to improving likelihood of long-term recovery (Simpson, 1981) Families edcated abot addiction and recovery can be the greatest asset in spporting a person s recovery. A family moving toward their own recovery can fnction and stay healthy even if a yong person decides not to take action toward their own recovery.

6 Research Texas Tech The Institte for the Stdy of Addiction, Recovery, & Families Preliminary data, appears to show family members of an addict can become addicted to their loved one in the same way the addict is addicted to a drg. Showing family members a pictre of whoever is the addict or alcoholic, the way their brain responds is similar to the way the alcoholic's brain responds when they see alcohol If a family member allows his or her well-being and identity to become so wrapped p in the addict's life and recovery, that person's brain may change in ways similar to the brain of a person with a chemical dependency.

7 Parallel Process According to Krissy Pozatek, Parallel Process is when parents engage dring the therapetic process and grow with their yong person by looking for ways they may be interfering with their yong person s matrity and/or lack their own emotional matrity (Pozatek, 2008) Two important skills: 1. Attnement - McKinnon (2011) says that Attnement - parent s ability to deeply see and nderstand their child. Attned parents see strengths and vlnerabilities and the capacity to foster matrity in the context of that recognition. They commnicate this nderstanding to their child. 2. Attned Limit Setting- knowledge of healthy bondaries establishment and appropriate conseqences for behavior. Stdy explanation of implementation of Parallel Process & findings Pine River Institte in Ontario - 36 bed residential facility with yoth Average LOS was a little over a year.

8 FINDINGS: High parental attnement (deeply see and nderstand child, nderstanding strengths and vlnerabilities) proved to be the most significant factor for improving emotional health of their yong person, less internalization of problems and higher rates of positive otcomes post treatment. Yoth who scored higher on internalizing problems, had more strict set limits by parents and had less sccess post-treatment. When parents were highly rigid, the tend to overlook needs of their child and be a catalyst for nhealthy emotional reaction for the yoth. This happened when parents scored high on limit setting withot accrate attnement. Findings sggest that with dedicated family work to increase parent skills, an individal can be treated more effectively and for shorter drations. Creighton & Mills, Family Matters: Engaging Parents in Yoth Treatment.

9 Family Addiction vs Family Recovery Family Patterns in Addiction Family Patterns in Recovery My good feelings abot who I am stem from being liked by yo Yor strggles affect my serenity. My mental attention focses on solving yor problems or relieving yor pain My mental attention is focsed on pleasing yo Althogh I care abot yo and yor strggles, I realize that they are yors and not mine. I focs my attention on my own recovery and nderstand that yor recovery has to be yors My mental attention is focsed on practicing my recovery to improve my life and my family s life Relieving yor pain helps me feel better My own hobbies and interests are pt aside to focs on yo How yo act or look reflects on me Althogh I care abot yor pain, I know that it is not mine and not mine to fix. I focs on my own recovery How other people behave is not abot me. When I forget this, I focs on my recovery I am not aware of how I feel or what I want. bt I am aware of how yo feel or what yo want The dreams I have for my ftre are linked to yo My fear of rejection determines what I say or do As I take the actions to practice my recovery, my own thoghts and feelings begin to become clearer. I practice speaking them with my sponsor, my recovering friends, and my family Althogh no one likes rejection, I say and do what feels right and tre to me My fear of yor anger determines what I say or do My social circle diminishes as I involve myself with yo more and more Althogh no one likes anger, I say and do what feels right and tre to me. If I need to take steps to keep myself safe, I do this, with the help of others, knowing that my emotional and physical safety are worth protecting I pt my vales aside to connect with yo The qality of my life is in relation to the qality of yors In recovery, I make new friends and let people into my life again In recovery, I re-connect to what s trly important to me and practice my vales in my actions Althogh I care abot yo, the qality of my life is my responsibility and I choose to make it good, regardless of yor choice

10 Addiction Dance Setp

11 The Addiction Dance

12 Addiction Dance Family Perspective

13 The Addiction Dance

14 Strategies for Engaging the Family - 1 st call family involvement - Use direct langage abot expectations of involvement - Speak to the increasing odds of sccess when families get help - Have mltiple members of the team reinforce importance of family participation - Participation in a Family Program typically increases days covered by insrance - Have families connect with recovering people or almni who can speak to the benefits of the family work - Use FMLA for treatment participation - Inclde siblings, can be very insightfl and encorage honest, athentic participation

15 Common Barriers to Family Participation - Bsy lives - Family treatment is not viewed as valable - Limited availability de to job - Divorce sitations, need separate services or disagree abot the seriosness of child s se - Family members in active addiction - Feel as if the sbstance abse is a phase (only seeking treatment to aid in legal conseqences) - Family is brnt ot, have participated in previos treatment attempts - Fear the impact on the family s reptation - Physical barriers sch as distance

16 Family First Step Al-Anon We admitted we were powerless over alcohol - that or lives had become nmanageable. Grop Exercise

17 We admitted we were powerless over

18 We admitted we were powerless over alcohol (Ryan, Wes, Sarah)- that or lives had become nmanageable What feelings come p????

19 Family First Step We admitted we were powerless. 1.Do families act as thogh they are powerless? 2. List things done to try to control, fix and resce their loved ones addiction

20 2. List things done to try to control, fix or resce their loved ones addiction pay bills cover p make excses threaten yell take keys away pt GPS tracking devices on cars/phones walk on eggshells manage responsibilities of an adlt search for drgs/alcohol

21 What do those things actally do? 1. What did it do for the addict? 2. What does it do for yor relationship? 3. What does it do to the family member? 4. Did that list look and feel like love?

22 Control vs. Inflence Grop Exercise

23 pay bills cover p make excses threaten yell take keys away pt GPS tracking devices on cars/phones walk on eggshells manage responsibilities of an adlt search for drgs/alcohol

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25 Resorces for Families 12-Step Recovery Grops/ Sponsorship Al-Anon Nar-Anon Adlt child of Alcoholics/Dysfnctional Families See a conselor Call a local addiction treatment center for conselor/ therapist recommendations Attend a Family Program Cmberland Heights will allow people to participate in a family program withot an identified patient for a fee

26 More resorces -Hire an Interventionist -Participate in an aftercare grop with a treatment center - Read recovery literatre/meditation books daily

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