The word "intervention" has taken on very ominous undertones, but addiction intervention is really nothing more than a process for changing a person's feelings and behaviors. Addiction intervention, though closely connected to drug and alcohol abuse, can be used in a variety of settings to address self-destructive behavior.
Addiction intervention can be carried out in both formal and informal settings. Informal interventions do not employ the use of a trained therapist and are generally carried out by family and friends. Formal interventions usually involve the assistance of a trained therapist in addition to family and friends.
Informal Intervention
Informal interventions are best carried out when there is little risk of physical abuse or escalation toward violence. In general, the more difficult an addict's behavior is to anticipate or the more resentful those participating in the intervention are, the more likely it is that the intervention will fail without professional assistance. For those attempting an informal intervention, it is important to assess personal feelings and determine if it is possible to be balanced and supportive during the effort.
Formal Intervention
A formal intervention may be best when behavior is particularly dangerous, an individual is likely to be resistant to rehabilitation, or when anger is apparent. Formal interventions can be therapeutic, in and of themselves, when carried out by a trained professional.
Direct Confrontation
Direct confrontation involves family and loved ones telling an addict how his/her behavior has impacted their lives. It also involves the expression of concern for the addict. It ends with a specific request for the addict to enter treatment and immediate enrollment in treatment if the addict agrees.
Systemic
A systemic intervention is a motivational modality in which an addict is systematically led to understand the consequences of his use and the need for treatment. It is a form of indirect confrontation in which family and friends don't tell the addict about the impact of his/her behavior, but use stories and anecdotes to slowly reveal how destructive the addiction has become.
ARISE
ARISE, which stands for A Relational Intervention Sequence of Engagement, is a motivational modality that is divided into three distinct phases and employs the use of a counselor. The first phases consists of a meeting between counselor and addict in which the consequences of not seeking treatment are explored. In the second phase, the family is included and a formal intervention takes place. The final phase takes place much later and focuses on relapse prevention.
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