Sometimes just a simple request from someone who matters can turn the tide. Simply ask the person to not drink. Believe it or not, this sometimes works.
It is extraordinary how many times this has not been done because of a belief that nothing was ever going to change. And if this has not been done, it should always be the first step before any more complicated or involved form of intervention is embarked upon.
Sometimes families get stuck repeating the same mistakes and expecting different outcomes. For example, a professional provides a process towards recovery rather than an event.
Identifying the appropriate treatment facility can be the most beneficial to the individual treatment process. We have found that merely detoxification with intensive outpatient programming brings approximately 5-10 % success rates, while residential treatment matching the patient's needs will bring over 50% success rate.
This is the polar opposite of the Simple Intervention. Crisis Interventions occur in dangerous situations involving reckless driving, weapons, hospital emergency rooms, or violence or threats of violence. It is obvious in these situations that a person is in immediate danger to himself or others. The immediate objective in these cases is to calm the crisis and to create safety for all.
Remember, a crisis often creates golden opportunities for family members to help someone accept help.
The most common form of family intervention remains the Johnson Model or some variation thereof. It has been used for over thirty years for thousands of interventions with great success. The focus is on the drinker. The immediate goal is for the drinker to enter treatment, hopefully soon.
Family involvement varies, but at the very least there is enough involvement to plan the intervention prior to the intervention day. Family involvement is often extensive after intervention day to address problems that arise either for themselves or for the drinker. Family education is primarily aimed at preparing for the intervention day. There is frequently some additional education after intervention day to help the family adjust to the changing circumstances.
Many treatment programs have excellent family components designed to educate the family in addictions and how to take care of themselves when living with a recovering person.
Family System Intervention
A family systems intervention focuses on the family. The goal is for everyone in the family to achieve systemic health, at least in regards to the self-destructive behavior, knowing that this changed behavior will have a tremendous influence on the drinker/addict.
In this view, the whole process is considered to be the intervention. Intervention day itself is not nearly as significant as in a more classical approach, since the whole family, including the drinker/addict, is considered the subject of the intervention. The drinker/addict is often invited to participate in the process from the beginning and is pleased to find out that the focal point is not directly on their using.
A high level of family involvement and motivation is necessary throughout this process and continues to be high whether or not the drinker goes to treatment. The educational process is viewed as integral and emphasizes the basics of addiction, the roles of guilt and shame in the family system, the recognition of enabling and provoking behaviors, and the development of a recovery plan for each family member. The goal is for each family member to change behavior and consequently change the situation or system in which the drinker has thrived.
The A.R.I.S.E. Intervention
The ARISE Model is an invitational/motivational approach that treats the identified patient with integrity from the initial process throughout the course of treatment. Outcomes are positive due to the integrity that the patient feels from the family and the clinician regarding treatment. This is a non-confrontational, non-abrasive approach.