Family Education with Substance Use

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Ivy Tech Community College, Indianapolis *

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209

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Psychology

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Feb 20, 2024

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pptx

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Family Education with Substance Use Heather Mason Ivy Tech Community College Counseling Issues in Substance Abuse HUMS 209 February 11, 2024

What information is it important for family to know about addiction? If the family is not supportive, then you should intervene with education and counseling to change the attitudes and behaviors that will make the client’s recovery possible. It should be obvious that clients will do better in recovery when supported by their families. This is motivational enhancement like you used on the clients to bring them out of denial and into the truth. At first, you need to listen to each family perspective so carefully. From there, you can understand their needs from their perspective. Once each family finally feels heard, you can move into family meetings without the client and finally into meetings with the family including the client. You will find that everyone has unmet needs and they have maladaptive ways of getting their needs met. You need to help each family member learn and practice new coping skills to get their needs met appropriately.(Perkinson,2021)

CRAFT Method. What is it? C- Community R- Reinforcement And F-Family T-training CRAFT Method is a helpful set of strategies that parents and families can learn to help and have an influence on their loved ones that are struggling with addiction choice around substance use. CRAFT is a much more humane approach to dealing with loved one's substance use. It can lead to a healthier and better family outcome. CRAFT is about Active listening. Responsibility and Accountability Self-care ( P.,2016)

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TABLE 8.1. CRAFT Guidelines for Positive Communication Skills  1.Be brief. Avoid lengthy communications with your loved one because they are a “turn-off” and often include irrelevant and emotionally charged information that diverts attention away from the main point.  2.Be positive. Avoid blaming, name calling, and overgeneralizations. Use language that indicates what is wanted rather than what is not wanted (e.g., behavior that needs to stop).  3.Refer to specific behaviors. Do not make vague requests. Rather, describe specific and observable behaviors (not thoughts or feelings) that are desired.  4.Label your feelings. Describe your own feelings in a calm, nonjudgmental, and no accusatory manner.  5.Offer an understanding statement. Verbalize understanding and empathy, even though it may be very difficult to do so.  6.Accept partial responsibility (for the non-substance-using behavior being addressed). Identify a small piece of the problem situation for which you can accept some responsibility. This reinforces your role in the relationship and conveys your willingness to consider change of your own. (It is very important to note that although CSOs are instrumental in creating positive changes with and for their loved one, they are not held accountable for their loved one’s substance use or other negative behaviors.)  7.Offer to help. Ask generally, “How can I help?” in a manner that is genuine and supportive. (Thombs & Osborn, 2019)

How has the chemically dependent behavior of their loved one impacted on them? “ Having a family member with addiction problems is a rollercoaster of emotions. Up and down. You can feel so much anxiety, fear, anger and sadness. It can be a constant struggle and can take an emotion toll on your mental health.” – Family member of an addict It is important for you to understand that it is not only the chemically dependent person who is having problems. If you have lived close to a chemically dependent person, then you are having problems, too. All of these problems have, at their source, subtle distortions of reality. Family members change reality into something that does not make them so nervous. Trying to keep the reality of addiction hidden is like hiding an elephant in your living room. The problem is there, and it is big. It takes large distortions of reality to keep it hidden. The family tries to pretend that there is not a problem. As the problem gets bigger, it takes distortions of reality to keep it secret. ( Perkinson, Appendix 55,2021)

What else are common Family issues with a loved one with substance use disorder? Codependency- Family members become so obsessed with helping and controlling the other persons that they lose the ability to think. They cannot see reality. Guilt- Family members often feel incredible guilt. They think that they are at fault. The addicted person keeps denying responsibility, and someone must be held accountable, so the family members often take the blame . Loss of Control- As more and more energy is expended in trying to control someone else, the family members lose contact with themselves. They become so involved in the addicted person that they lose who they are. Shame- The family members feel as though something is wrong with them. They believe that the reason why the family is in such a mess is that they are not good enough. They are not working hard enough or long enough. Caretaking- Family members of an addicted person learn to be caretakers. They are obsessed with taking care of the addicted person. Enabling- The family members will have a long history of making excuses for the addicted person. They have been protecting the addicted individual from facing the severity of the problem. They help the addicted individual get out of trouble (Perkinson,2021)

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Inability to Know Feelings- People in addicted homes are so separated from reality that they do not know how they feel. Their feelings have been suppressed for so long that all they feel is numb. They have let go of the pain and live lives full of false beliefs. Inability to Know Wants- The family members do not know what they want. Their lives are centered on the addicted individual. They only know what the addict wants. That is the primary focus of attention. Lack of Trust- The family members have learned to trust no one. The people whom they trusted ultimately abandoned them repeatedly. People Pleasing- The family members of the addicted person learn to be people pleasers. They will do anything to prevent someone from feeling bad. This comes from the attempt to be responsible for other people’s pain. Feelings of Worthlessness- The family members feel worthless. They feel as though no one cares for how they feel or for what they want. They feel profoundly inadequate and unlovable. They feel rejected by others. Dependency- They feel incapable of dealing with life. Something always goes wrong with their plans. The very thought of leaving the addicted individual terrifies them. They cling to that person. Poor Communication Skills- The family members have poor communication skills. They learned a long time ago the credo of the addicted family: “Do not talk, do not trust, and do not feel.” These individuals do not talk to their friends or other family members. They are cut off from everyone. ( Perkinson,2021)

Being together! Get involved and get better together! With a family member dealing with substance use disorder it is important that both the family and the addict get help. The group needs to be introduced to the Al-Anon, Gam-Anon, or Narconon program and should attend a 12-step group once a day throughout the family week. It is essential that the family members bond with their 12- step group as quickly as possible. This will happen only with regular attendance at meetings. They should be encouraged to begin daily prayer and meditation. (Perkinson,2021)

In Conclusion. It is important that the family is involved in their loved one struggling with addiction. Those families that set boundaries but show love and support can show that anything is possible. There is nothing more important than getting through a hard time is together and not alone.

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References: Perkinson, R. R. (2021). Chemical Dependency Counseling (6th ed.). SAGE Publications, Inc. (US). https://yuzu.vitalsource.com/books/9781544362373 Thombs, D. L., & Osborn, C. J. (2019). Introduction to Addictive Behaviors (5th ed.). Guilford Publications, Inc.. https://yuzu.vitalsource.com/books/9781462539260 to, P. (2016). How To Help Your Child Struggling with Substance Use l The Partnership. In YouTube. https://www.youtube.com/watch?v=M0Mvpwb4nSI

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