Biden Addiction Recovery Funding

I don’t celebrate Biden’s “addiction funding” if it’s focused solely on your standard systemic model. Based on the typical paradigm.

And, I think this goes way beyond “harm reduction dollars”.

Could we force a fundamental shift in funding and approach. Even if it was on a small scale. From “individual focus” to “family focus”

The Family “Unit”

The “unit” to be reimbursed should be the family as a whole. Not the individual. That would get me fired up.

Let’s think about it.

The “overdose epidemic”, alcohol, suicide. What have become known as deaths of despair.

This reality confronts the theory that underlies our systemic response.

Typical Response

✅ We wait for a client to engage in a specific modality of treatment once they experience a sufficient amount of suffering to become properly motivated.

Also the default, far too often, is to tell the family to stay out of it.

✅ In any given circumstance, the typical response of rehab to meetings to long term recovery may be appropriate. And I am very grateful when that happens.

And, perhaps, there are cases where the family should stay out of it.

But the reality is ….

We can’t wait for motivation produced by suffering. We can’t wait for bottom.

The Long Haul

✅ OVER THE LONG HAUL, family members become continuing care coordinators.

Once the patient leaves rehab it’s back onto the family. They will be responsible for intervening and responding.

I guess some of us are equipped to do that. Strangely enough.

But for the most part, family members are searching in the dark without a flashlight.

Train & Educate The Family

✅ Therefore, we should train and educate the family to intervene. This is just as important as detachment.

Families must become subject matter experts and system navigators.

✅ Better yet, every single family should have a case coordinator that actively engages for at least 5 years.

Qualified Family Recovery Coach

A specially trained and qualified family coach. Regardless of the status of the patient.

Paid for by insurance, Medicaid/Medicare and the state drug and alcohol authorities.

💥💥💥THE FAMILY SHOULD BE THE IDENTIFIED PATIENT(S). NOT THE INDIVIDUAL. 💥💥💥

THAT WOULD PRODUCE CHANGE.

Age of Despair

✅ There is theory … and then there is reality. In the substance use disorder world.

The 2 things don’t match. Not anymore.

Not in the day and age of fentanyl, fake pills, tainted meth and cocaine….

🙏 Not in this age of despair.

The Truth

It’s just the truth. And everyone knows it’s the truth.

Even the people who publicly disagree with me, privately know it’s the truth.

We are plugging holes. Plugging leaks in the sailboat.

We are sinking.

Will you stick around to see us go down?

Courage

Who has the courage to flip the script? Which of the payers will step out and change this tragic predicament overnight?

A move like that…. would be exciting.

The post NOT SURE ABOUT THIS BIDEN ADDICTION FUNDING HYPE appeared first on The Recovery Cartel.

A Very Revealing Process.

I am in the process of refining family coaching / facilitator certification and it is a very revealing process.

The journey toward a true systems orientation is only beginning.

It’s really troubling how much the family has been ignored, historically, by payers and by extension providers.

The Disease Model

The disease model creates an interesting dynamic. By definition the “disease” is housed within the individual.

Naturally, this results in an over-emphasis on fixing the individual with substance use disorder.

Detachment, tough love, enabling, are all concepts that separate the person with SUD from the family.

These have been guiding principles of “family recovery” over the decades.

There are also some very practical issues that contribute to the emphasis on the individual over the family.

The “Identified Patient”

It is impossible for everyone with a SUD to have a marriage and family therapist assigned to them. In addition, many marriage and family therapists will not engage with a family if the SUD is active.

Make no mistake the family system must be addressed.

You can’t ignore that fact anymore then you can ignore gravity.

It must be addressed even if the “identified patient” is “stable”.

New Dynamics

The new dynamics of the family need to be explored.

The family will sometimes subconsciously sabotage recovery if they aren’t involved in their own process of change. The default behaviors will come back into play.

The new interpersonal patterns need to be worked out. New communication patterns need to be explored.

There is a very serious scale issue.

Engaged

In a perfect world all families would be engaged in comprehensive family work.

That’s not going to happen.

The next best thing would be engagement in family coaching and family recovery facilitation. Scaling this service so that all families can be touched is the goal.

It’s a very ambitious goal.

It a Big Hairy Audacious Goal. A BHAG….

The post Family Coaching In a Perfect World appeared first on The Recovery Cartel.

FAVOR Greenville Coaches

First We Have a Few Thing to Get Across!

FAVOR Greenville Coaches believe that:

1. You already have the answers to your problems within you.
2. It should be our job to help you uncover these answers.
3. You are a valued person.
4. You are NOT a liar, cheater and a thief.
5. Some of these things you may have done, but that is not who you are.
6. You are in recovery if you say you are in recovery and no one has to approve your membership.
7. You are a valuable human being.

If You Are Struggling

If you are struggling with a co-occurring disorder such as depression you need to find people who support recovery from mental health JUST AS MUCH as recovery from substance use disorder.

Find helpful people who understand the whole person. Helpful people can be found in a wide variety of places.

Therapist, sponsors, coaches, friends, mentors, co-workers, teachers, people at church, family.

How Much They Care

The most important quality of an effective and supportive person is NOT THEIR KNOWLEDGE or the credentials they hold. The most important quality of a supportive person is how much they care. And they must be genuine.

They need to be honest with themselves and honest with you. It is very hard to get what you need from a phony person. And there are many phony people wandering about in today’s world.

Helpful people are healthy themselves and they are constantly looking to grow.

It’s very hard to help others if you are stagnant.

When you are in the presence of a helpful person you usually feel lifted up.

You feel better about yourself after the interaction. Not worse about yourself.

They do not preach to you or lecture you or talk down to you.

Helpful People Listen

More importantly, helpful people listen.

They listen to learn they do not listen to answer. They are genuinely curious and interested in your world.

There are 2 types of people in this world.

The first type is the person who walks into a room and everyone is happy. The other type is the person who walks out of a room and everyone is happy. Find people who fall into group 2….

If you are in the helping professions and you do not fall into group 2…you may want to rethink your profession. There is no room for miserable human service workers…

Final Note From Rich

You are worthy of a life worth living and there is no one way to get there. You can figure it out but it may be easier with some guidance along the way. FAVOR Greenville Coaches, Michelle Handler and Tricia Lawdahl both stand ready to assist and help you on your journey!

FAVOR Greenville

For More Info and Details About FAVOR Coaches click the button below.

 FAVOR Greenville

The post FAVOR Greenville Coaches Are Helpful People. appeared first on The Recovery Cartel.

SUPPORT NOT JUDGEMENT by Rich Jones

Proper Support is Key

When dealing with our children’s addiction having the proper support is key.

We all want to put our best self forward. It is human nature. The sociologist Irvin Goffman referred to this as “impression management”.

We want to be viewed as competent and our children to be viewed as successful. Of course we want our marriages to be viewed as blissful as well as wanting our schools to be top notch and our community to be viewed as impeccable.

This has always been the case. Of course, Facebook has taken impression management to an entirely new level. We want the picture to look perfect, however, addiction makes the picture ugly. Unfortunately, these tendencies to hide the truth play right into the hands of addiction.

Denial exists on the individual level, the family level and the community level. Admitting that addiction has entered the scene is a very difficult thing to do. It comes with so much shame and embarrassment.

Keeping People from Getting Help

The stigma around addiction is alive and well and it keeps people from seeking help. It also contributes to the family tendency to unintentionally protect the addiction.

We don’t want others to know so we suffer in silence and we hope for the best. Many families won’t even talk to other family members for fear of being judged. We also know this can extend itself to our schools and other community institutions.

If we aren’t careful there will be a collective effort to minimize the seriousness of substance use disorders.
This is especially pronounced where parents are concerned.

What for Intrusive Thoughts

When you are dealing with a child who is struggling with addiction there will be a lot of fear based and anxiety. Intrusive thoughts can and will invade your consciousness.

Thoughts like:

• What do we do now?
• Is he going to make it out alive?
• What if he winds up in jail?
• Where do we send him for help?
• Where did we go wrong?
• How do we pay for this help?

Many uncomfortable “scenarios” will be played out in your mind.

You will spend an inordinate amount of time trying to figure out all the possible outcomes. This process is natural and hard to avoid. You will learn to manage the troublesome thoughts and ideas. Although, they do seem to come on they come naturally.

All of this contributes to a great deal of stress and can manifest itself in serious physical and mental health problems for parents.

But there are some UNNECESSARY thoughts that may pop up.

What Will They Think

This category will suck the life out of parents. These thoughts serve no purpose and will ultimately make the entire recovery process more difficult to manage.

We call this the “WHAT WILL “THEY” THINK CATEGORY.

You may ask. Who is this mysterious “they”?

“They” are all the people in your life that you believe will judge you and your kid harshly. Could be friends, could be family, could be acquaintances, could be co-workers, could be the preacher at church, could be anyone… anyone you are concerned may pass judgement.

Examples include:

• What will grandma and grandpa think about this situation?
• The preacher, what will think about my son?
• What will my co-workers think about this issue?
• What will the ladies my prayer group say about his behavior?

These are the thoughts that need to be crushed. Parents have enough on their plate.

We are Dealing with  a Healthcare Issue

Adding the emotional turmoil of societal judgment will impede their ability to solve problems, think clearly and manage the very real stress associated with the situation.

Substance use disorders are a healthcare issue and should be treated as such.

If a person is drinking too much or using substances at a dangerous level it needs to be talked about and addressed. There is nothing to be ashamed of in seeking help. There is no downside to asking questions.

Developing a Strategy and Plan

Family members need an outlet to explore their concerns and individuals need ease of access to start the recovery process. We must create environments of open sharing and positivity.

We must make recovery a welcoming process. There needs to be an uplifting and empowering “vibe” around recovery.

Parents need to look for information and support and ultimately start to develop a plan for managing the issue:
Some simple and practical advice:

1. Inform and educate yourself on the subject of addiction and recovery.
2. Look for books and resources and look to experts but be careful because many people have declared themselves instant experts. Make sure they are people with experience in this area.
3. Reach out to other parents who have dealt with addiction. This makes a great resource.
4. Make a plan for your recovery and a plan for “your response” to the CURRENT STAGE of your loved one’s disease. Again, education is paramount.
5. Find a coach or supportive person to encourage and guide you as you make these plans.
6. Work the plan. Every time you get off track get right back on the plan.
7. Maintain Contact with your coach as your work the plan.

Encouragement and supportive advice is essential throughout.

The post Support Not Judgement with Child’s Addiction appeared first on The Recovery Cartel.

Family Recovery in the 21st Century

Early in my career I was a staunch supporter of the primacy of individual recovery.  Influenced by my own recovery experience I was certain the family had little to do with recovery success.  If someone slipped up or relapsed or otherwise “failed” in their recovery effort it was simply due to a lack of willingness.  The family system held no sway. Family recovery was an issue best left to others.

I can still hear myself saying it:

“Addiction is the individual’s problem and not a family systems issue”.

Of course, as a professional I held tight to the company line and provided the family education on addiction and I would support referrals to Al-Anon support groups.  However, I firmly believed that the individual was responsible for his or her recovery and the family was essentially an after-thought.

The family could support from a distance, learn how to be less “co-dependent”, reduce enabling behaviors, start “taking care of themselves”, and otherwise stay out of the way.

Fortunately, I had professional supervision and experiences which directly challenged this view.  I found myself in the role of clinical director of drug and alcohol services working primarily with adolescents with substance use disorders.  We developed a true adolescent specialty program and the integration of family therapy was integral to our success.  In addition, we received intense consultation and supervision by a licensed martial and family therapist.  This process fundamentally changed me.  For the better.

It is going to require an intentional and intensive focus on family engagement to change the culture around the family recovery experience.  Some inpatient rehab programs hire a family specialist to run a “family program”.

Usually, a weekend experience for family members while their loved one is in rehab.  Perhaps some phone calls with a loved one occur while the person is in rehab. However, when you evaluate the entirety of the “rehab experience”, I would guess the “family component” comprises at best 20% of the focus.  With occasional exceptions, family work is an adjunct to the rehab stay and never really given its due.

On the outpatient level, we may see more integration of family therapy but the majority of family support comes thru attendance to Al-Anon family groups.

If other family recovery self-help groups are available, they may be a referral source as well.  These groups are helpful, however, they were developed to support wives of recovering alcoholics.  Specifically, wives of white middle class men.

The terminology and the advice that sprang out of this process, detach with love for example, may have worked well for these early groups.  However, things have become much more complex.  Furthermore, there should be a clear distinction between 12 step self-help groups and professional services.  The latter demands a comprehensive family orientation.  The former does not.

Duncan Stanton and Thomas Todd describe this phenomenon in the following manner in their book The Family Therapy of Drug Abuse and Addiction:  

“these (treatment) modalities met with varying degrees of success…However, nearly all of them address addiction as primary problem in the individual, that is, one that is located either in the “body” or in the “personality”.  Little attention has been given to the interpersonal process, except as it applies to peer group, or as it is dealt with in certain family oriented self-help groups such as Al-Anon or Families Anonymous”.(pg. 1)

As time has passed I have placed greater and greater emphasis on the value of “Family Recovery“.  This has culminated in a distinct set of protocols and a process we have used over the past 7 years in various settings.  We have swung the doors of our programs wide open to families regardless of the recovery status of their loved ones.

We operate with a few basic principles that have guided our family programming from the very beginning.

1) We believe that there is merit in family recovery in and of itself.

Family members experience profound health concerns when substance use disorders are present. These include chronic stress, physical problems, sleep difficulties, depression and anxiety.  Even if the person suffering with a substance use disorder never makes a change the family deserves special focus and support to deal with these issues.

2) The family has tremendous power that can be harnessed and focused in a way that increases the likelihood their loved one will seek recovery. 

Frequently, when family members start to change the person with a substance use disorder will start to change.  Family systems theory tells us that if you move one part of the family you move the entire family.  Like a mobile above a baby’s crib it is impossible to move one part without impacting the whole.

3) Family members are frequently the first point of contact in the process of recovery initiation.

Family members constitute a more willing customer base.  They will call for information and options well before their loved one darkens the doors of our center.  They are open to feedback and, in many cases, begging for information and options.  Therefore, FAVOR Greenville sees the family as a ready-made channel for engagement of those in need.

4) Family recovery coaching is a unique discipline and the shared experience of families in recovery can be capitalized on in a manner consistent with basic peer support services.  

With these principles in mind, my most recent endeavor (FAVOR Greenville) started family programs in 2013 with a simple open “Family Recovery Group”.  The group was modeled on basic group facilitation processes of universality, mutual support and mutual respect.  Our initial group attendance was 12 people.

We held these groups every Monday night at 6:30pm.  The group exploded in attendance based nearly entirely on word of mouth.  In 2016 this group averages 54 people per week with a high this past month of 103 people in attendance.  The group has become more didactic and educational in nature.  However, we start each group with questions from the week and we make sure the topic of education/discussion is generated by the group.  There are usually 10 to 15 new people at group and an equal number of “veterans” who have been in attendance since the group started.

Over time an interesting phenomenon arose.  The group was intended for any and all family members.  Spouses, children, siblings and parents together in one group.  However, the group quickly morphed to 90% parents.

In response to this we developed our second family recovery group.

Every Thursday night at 6:30pm we hold our S.O.S. (Significant Other Support) group.  This group focuses on spouses or adult children.  This group has a different tone than the parent group because the dynamics are different spouse to spouse versus parent to child.  This group has operated for 2 years and average attendance is 20 people.

We have just added an off-site Family Recovery Group in our neighboring town of Spartanburg SC.  Many people from Spartanburg had been making the trip to Greenville.  However, it became clear that the community needed a satellite group.  We launched this group in 2016 by forming a partnership with a local church.  We rent the space and facilitate essentially the same group.  Average attendance at that group has been 20 people.

Furthermore, we are scheduled to start a Family Recovery Program in nearby Laurens County in September 2017 in partnership with the Laurens County Hospital Foundation.

We also have a children’s program for children of parents in recovery and/or children of parents struggling with active substance use disorder.  This is a curriculum based program and we run it periodically based on community response/need.  We have had 103 children complete this program.  Along those same lines we have added two teen recovery groups serving teens in any stage of the process from prevention to recovery.  We have had 207 teens attend our groups.

Another distinct area of family recovery support at FAVOR Greenville is our family recovery coaching.

These are parent to parent; spouse to spouse; family to family coaching relationships put in place to supplement the various groups provided at FAVOR Greenville.  We actively recruited family members who had been “working a recovery program” and developed a specific curriculum to supplement our regular coach academy.

These family members completed a specialized training academy to become FAVOR Family Recovery Coaches.  To date we have trained 53 family coaches and currently have 29 active Family Recovery Coaches who volunteer on average 5 hours per week to coach and support other families.

We have been over-joyed with the Family Recovery Coaching programming.  We have provided over 8,000 hours of family recovery coaching since initiating the program.  The family coaches are incredibly enthusiastic and grateful and this is reflected in the way they engage our families in need.  This has been magical to watch.

Overall, it is important to note, 48% of the service hours delivered at FAVOR Greenville are delivered to family members in need. 

The distinct difference with our program is the following:  Family recovery is not an add- on or adjunct to service; family recovery is front and center and a cornerstone of the center.  We have found that family members want to be included in the process and they make great volunteers and supporters.

FAVOR Greenville will continue to place formal emphasis on family recovery and we believe our program will expand in the area of family recovery as we move forward in our mission. 

What have we learned over the years in our work with families?

1). Parental experience in dealing with addiction is 100% different than spousal experience.

This cannot be over-stated.  It is important for family programs to provide specialized services and information for parents.  We must maintain an awareness of the influence that Al-Anon has on traditional family work.  Al-Anon sprung up as a support group for spouses of those in Alcoholics Anonymous and many of those principles do not translate smoothly to parents.

It is a completely different experience for parents as they struggle with setting boundaries and reducing enabling behaviors.   It is not a simple set of instructions and the conversation must be delivered in a way that is acceptable to the parent.  For example, do not tell a parent “you are sick and just need to take care of yourself”.  The result of such a statement will be complete disengagement.  This is a reality that must be acknowledged and accounted for.  We must become more individualized and engaging in our work with families.

2).Families can become skilled in responding to addiction. 

It is possible to teach family members basic skills that can be useful in responding to their loved one’s addiction.  We can help them develop basic recovery messaging.  We can help them be strategic about when and how to bring up crucial conversations.  It is even possible to teach basic motivational interviewing principles and skills.

Families love information and they are empowered when they feel more competent.  I am not saying that a family member can serve as a loved one’s counselor.  However, he or she may be able to provide really helpful and tangible support.  The idea of complete detachment and “staying out of it” is looking less and less appropriate the more I work with families.  It has been said that 1 family member wields the power of 8 professionals.  Let’s teach families ways to capitalize on that power.

3). Professional Peer Family coaching is a real discipline.

We have been training family coaches for 3 years now and there is nothing more powerful than a family to family supportive relationship.  The practical shared experience and the exceptionally strong sense of empathy is beyond comparison.  It is one of the most therapeutic supports available for family members in need.  We need more family coaches and we need to honor family recovery professionals.

 4). In that same vein, professional family coaching and family mentor-ship is a key part of the recovery continuum. 

The workforce that fills this role can be drawn from family members who have their own experience, friends who walked the path with an addicted individual, and allies of recovery to include therapists, counselors, tech staff, and others; as long as this group is able to display sufficient empathy toward the unique struggles of the family.  We believe it is possible to develop trained and credentialed specialists

 Despite this progress we know that we have not even scratched the surface of what can be done with families.  The reality is family members have to be front and center in this fight against addiction.  It is not sufficient to merely state “addiction is a family disease”.

We have to do programming that reflects a belief in addiction as a family disease.  Furthermore, like many things in addiction treatment field our fundamental assumptions around family recovery need to be re-evaluated.  Terms like co-dependency, enabling and detachment all require a second look.  This seems self-evident given the manner in which they came to guide family services and the changing face of addiction since that time.

The post 21st Century Family Recovery appeared first on The Recovery Cartel.

4 Key Principles of Family Recovery

Early in my career I was a staunch supporter of the primacy of individual recovery.  Influenced by my own recovery experience I was certain the family had little to do with recovery success.  If someone slipped up or relapsed or otherwise “failed” in their recovery effort it was simply due to a lack of willingness.

The family system held no sway.  I can still hear myself saying it: “Addiction is the individual’s problem and not a family systems issue”.   Of course, I held tight to the company line of providing education on addiction and I would support referrals to Al-Anon support groups.

However, I firmly believed that the individual was responsible for his or her recovery and the family was essentially an after-thought.  The family could support from a distance, learn how to be less “co-dependent”, reduce enabling behaviors, start “taking care of themselves”, and otherwise stay out of the way.

Fortunately, I had professional supervision and experiences which directly challenged this view.  I found myself in the role of clinical director of drug and alcohol services working primarily with adolescents with substance use disorders.

We developed a true adolescent specialty program and the integration of family therapy was integral to our success.  In addition, we received intense consultation and supervision by a licensed martial and family therapist.  This process fundamentally changed me.  For the better.

The truth is the majority of us in the drug and alcohol treatment field were taught that the individual was primary and family secondary.  I would argue that it remains that way to this day.  Some programs hire a family specialist to run a “family program”.  Usually, a weekend experience for family members while their loved one is in rehab.

Perhaps some phone calls with a loved one.  However, when you evaluate the entirety of the “rehab experience”, I would guess the “family component” comprises at best 20% of the focus.  With occasional exceptions, family work is an adjunct to the rehab stay and never really given its due.

On the outpatient level, we are even less likely to see the integration of family therapy.  The majority of family support takes the shape of referrals to Al-Anon 12-step groups.  If other family recovery self-help groups are available, they may be a referral source as well.  True family systems interventions remain rare and sporadic.

Remember, the industry’s perspective on the family came primarily through Al-Anon.  These groups were developed to support wives of recovering alcoholics.  Specifically, wives of white middle class men.

The terminology and the advice that sprang out of this process, detach with love for example, may have worked well for these early groups.  However, things have become much more complex.  Furthermore, there should be a clear distinction between 12 step self-help groups and professional clinical services.  The latter demands a comprehensive family therapy orientation.  The former does not.

Duncan Stanton and Thomas Todd describe this phenomenon in the following manner in their book The Family Therapy of Drug Abuse and Addiction:   

“these (treatment) modalities met with varying degrees of success…However, nearly all of them address addiction as primary problem in the individual, that is, one that is located either in the “body” or in the “personality”.  Little attention has been given to the interpersonal process, except as it applies to peer group, or as it is dealt with in certain family oriented self-help groups such as Al-Anon or Families Anonymous”. (page 1)        

As time has passed I have placed even greater emphasis on the value of “Family Recovery”.  This has culminated in a distinct set of protocols. We have developed a process of engaging and supporting the family that has proven exceedingly useful over the past 7 years.  We have applied this Family Recovery approach in various settings.

We have swung the doors of our programs wide open to families regardless of the recovery status of their loved ones.

We operate with a few basic principles that have guided our family programming from the very beginning.

1) We believe that there is merit in family recovery in and of itself.  Family members experience profound health concerns when substance use disorders are present.  These include chronic stress, physical problems, sleep difficulties, depression and anxiety.  Even if the person suffering with a substance use disorder never makes a change the family deserves special focus and support to deal with these issues.

2) The family has tremendous power that can be harnessed and focused in a way that increases the likelihood their loved one will seek recovery.  Frequently, when family members start to change the person with a substance use disorder will start to change.  Family systems theory tells us that if you move one part of the family you move the entire family.  Like a mobile above a baby’s crib it is impossible to move one part without impacting the whole.

3) Family members are frequently the first point of contact in the process of recovery initiation.  Family members constitute a more willing customer base.  They will call for information and options well before their loved one darkens the doors of our center.  They are open to feedback and, in many cases, begging for information and options.  Therefore, FAVOR Greenville sees the family as a ready-made channel for engagement of those in need.

4) Family recovery coaching is a unique discipline and the shared experience of families in recovery can be capitalized on in a manner consistent with basic peer support services.

With these principles in mind, my most recent endeavor (FAVOR Greenville) started family programs in 2013 with a simple open “Family Recovery Group”.

The group was modeled on basic group facilitation processes of universality, mutual support and mutual respect.  Our initial group attendance was 12 people.  We held these groups every Monday night at 6:30pm.

The group exploded in attendance based nearly entirely on word of mouth.  In 2016 this group averages 54 people per week with a high this past month of 103 people in attendance.

The group has become more didactic and educational in nature.  However, we start each group with questions from the week and we make sure the topic of education/discussion is generated by the group.  There are usually 10 to 15 new people at group and an equal number of “veterans” who have been in attendance since the group started.

Over time an interesting phenomenon arose.  The group was intended for any and all family members.  Spouses, children, siblings and parents together in one group.  However, the group quickly morphed to 90% parents.

In response to this we developed our second family recovery group.  Every Thursday night at 6:30pm we hold our S.O.S. (Significant Other Support) group.  This group focuses on spouses or adult children.  This group has a different tone than the parent group because the dynamics are different spouse to spouse versus parent to child.  This group has operated for 2 years and average attendance is 20 people.

Finally, we have just added an off-site Family Recovery Group in our neighboring town of Spartanburg SC.

Many people from Spartanburg had been making the trip to Greenville.  However, it became clear that the community needed a satellite group.  We launched this group in 2016 by forming a partnership with a local church.  We rent the space and facilitate essentially the same group.  Average attendance at that group has been 30 people.

We also have a children’s program for children of parents in recovery and/or children of parents struggling with active substance use disorder.

This is a curriculum based program and we run it periodically based on community response/need.  We have had 103 children complete this program.  Along those same lines we have added two teen recovery groups serving teens in any stage of the process from prevention to recovery.  We have had 127 teens attend our groups.

Another distinct area of family recovery support at FAVOR Greenville is our family recovery coaching.  These are parent to parent; spouse to spouse; family to family coaching relationships put in place to supplement the various groups provided at FAVOR Greenville.  We actively recruited family members who had been “working a recovery program” and developed a specific curriculum to supplement our regular coach academy.

These family members completed a specialized training academy to become FAVOR Family Recovery Coaches.  To date we have trained 53 family coaches and currently have 29 active Family Recovery Coaches who volunteer on average 5 hours per week to coach and support other families.

We have been over-joyed with the Family Recovery Coaching programming.  We have provided over 8,000 hours of family recovery coaching since initiating the program.  The family coaches are incredibly enthusiastic and grateful and this is reflected in the way they engage our families in need.  This has been magical to watch.

Overall, it is important to note, 48% of the service hours delivered at FAVOR Greenville are delivered to family members in need.

The distinct difference with our program is the following:  Family recovery is not an add on or adjunct to service; family recovery is front and center and a cornerstone of the center.  We have found that family members want to be included in the process and they make great volunteers and supporters.

FAVOR Greenville will continue to place formal emphasis on family recovery and we believe our program will expand in the area of family recovery as we move forward in our mission.

What have we learned over the year in our work with families?

• Parental experience in dealing with addiction is 100% different than spousal experience. This cannot be over-stated.  It is important for family programs to provide specialized services and information for parents.  We must maintain an awareness of the influence Al-Anon has on traditional family work.  Al-Anon sprung up as a support group for spouses of those in Alcoholics Anonymous and many of those principles do not translate smoothly to parents.  It is a completely different experience for parents as they struggle with setting boundaries and reducing enabling behaviors.   It is not a simple set of instructions and the conversation must be delivered in a way that is acceptable to the parent.  For example, do not tell a parent “you are sick and just need to take care of yourself”.  The result of such a statement will be complete disengagement.  This is a reality that must be acknowledged and accounted for.  We must become more individualized and engaging in our work with families.

“A mother’s love for her child is like nothing else in the world.” 

“It knows no law, no pity, it dares all things and crushes down remorselessly all that stand in its path”

Agatha Christie

• Families can become skilled in responding to addiction. It is possible to teach family members basic skills that can be useful in responding to their loved one’s addiction.  We can help them develop basic recovery messaging.  We can help them be strategic about when and how to bring up crucial conversations.  It is even possible to teach basic motivational interviewing principles and skills.  Families love information and they are empowered when they feel more competent.  I am not saying that a family member can serve as a loved one’s counselor.  However, he or she may be able to provide really helpful and tangible support.  The idea of complete detachment and “staying out of it” is looking less and less appropriate the more I work with families.  It has been said that 1 family member wields the power of 8 professionals.  Let’s teach families ways to capitalize on that power.

• Family coaching is a real discipline. We have been training family coaches for 3 years now and there is nothing more powerful than a family to family supportive relationship.  The practical shared experience and the exceptionally strong sense of empathy is beyond comparison.  It is one of the most therapeutic supports available for family members in need.  We need more family coaches and we need to honor family recovery professionals.

• In that same vein, professional family coaching and family mentor-ship is a key part of the recovery continuum. The workforce that fills this role can be drawn from family members who have their own experience, friends who walked the path with an addicted individual, and allies of recovery to include therapists, counselors, tech staff, and others; as long as this group is able to display sufficient empathy toward the unique struggles of the family.  We believe it is possible to develop trained and credentialed specialists

Despite this progress we know that we have not even scratched the surface of what can be done with families. The reality is family members have to be front and center in this fight against addiction.  It is not sufficient to merely state “addiction is a family disease”.

We have to do programming that reflects a belief in addiction as a family disease.  Furthermore, like many things in addiction treatment field our fundamental assumptions around family recovery need to be re-evaluated.  Terms like co-dependency, enabling and detachment all require a second look.  This seems self-evident given the manner in which they came to guide family services and the changing face of addiction since that time.  We will talk more about that in the future.

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