Recovery can mean a lot of things to a lot of people, but what it means when you are talking about recovery from addiction and mental illness is complete abstinence. You can’t dabble here and there. An alcoholic can’t smoke weed, and a pothead can’t drink; a heroin addict can’t have a drink now and again and an anorexic or bulimic can’t go on juice cleanses every so often. They just can’t. It’s not wise action or safe behavior. It’s also not indicative of abstinence.
Being sober and in recovery means:
You don’t drink or use drugs. Period.
You eat mindfully and healthfully if you are recovering from an eating disorder.
You have a recovery program that you are a part of and that you continue to participate in: 12-step, Refuge Recovery, Al-Anon, et cetera.
You are of service to others.
You are seeking mental health care if you need it.
You are getting help from someone who has been doing this longer than you have and are on a recovery path that you admire.
You learn to ask for help and accept help when it is offered.
Your relationships are stable or are becoming more and more stable as your recovery time increases.
If you are required to take medication, you do so under the care of a physician who is aware of your addiction history. You can’t go rogue here.
Recovery is one of those things where there really is no grey area. You’re either in…or you’re out. When we come across someone on the slippery slope of relapse or in the full swing of addiction, what we may find is a chorus of denial and accusations of judgment. An addict certainly doesn’t want to hear that they are slipping down the rabbit hole.
The delusion of addiction tells them that they are just fine.
What can we as family members and loved ones do?
We have to maintain strong boundaries. If we are in recovery ourselves, it’s a good time to reaffirm our own programs, and ensure we are staying grounded and that our needs our met. Remember that in order to help others, it’s important that we help ourselves first.
We may need to reach out to therapists and arrange an intervention for our loved one, or we may need to make that phone call to a treatment facility to get our son or daughter into treatment.
No matter what the next step is, we must make sure we do it with firm boundaries, compassion, and love in our hearts.
The suffering involved in untreated addiction and mental illness is great. Dysregulation is common, along with anger, resentment, and a feeling of isolation. Family systems often start to show signs of wear, if they weren’t already. Addiction doesn’t magically appear! It’s important that the family is ready and willing to begin the work of recovery as well and come to accept that it’s not just the addict in the “hot seat” of recovery.
Administration), there has been an increase in ER visits due to the recreational use of alprazolam, commonly known as Xanax. Per the report, “The number of emergency department visits involving non-medical use of the sedative alprazolam (Xanax) doubled from 57, 419 to 124, 902 from 2005 to 2010, and then remained stable at 123, 744 in 2011.”
Xanax is part of a class of medications called benxodiazapenes and is indicated for the treatment of anxiety disorders. Benzodiazepenes work on the brain and the nerves – our central nervous system – producing a calming effect. Benzodiazepenes enhance a chemical, which is naturally found in the body called GABA (gamma-Aminobutyric acid), which plays a role in regulating the nervous system.
It’s noted that Xanax is often one of the first pharmaceutical interventions given to someone struggling with anxiety or panic attacks. In fact, “Alprazolam is the 13th most commonly sold medication in 2012, and is the psychiatric medication most commonly prescribed in 2011.”
While Xanax may be effective when used appropriately for anxiety and panic disorders, it is profoundly dangerous when used recreationally. It is highly addictive and often encourages drug-seeking behavior. SAMSHA reports, “The non-medical use of alprazolam can lead to physical dependence, causing withdrawal symptoms such as tremors and seizures. If alprazolam is combined with alcohol or other drugs that depress the central nervous system — such as narcotic pain relievers — the effects of these drugs on the body can be dangerously enhanced.”
The side effects of Xanax (alprazolam) include:
Dry mouth.
Slurred speech.
Drowsiness.
Disinhibition.
Skin rash.
Constipation.
Hallucinations (very rare)
According to the SAMHSA study, “In 2011, there were over 1, 200, 000 emergency department visits” as a result of recreational prescription drug use. Often times, recreational users mix several types of prescription drugs or add alcohol, creating a chemical mash-up. How these drugs are acquired is also a problem. It’s not uncommon to procure them from the medicine cabinets of parents, or parents of friends. This fact alone is a reminder for parents to lock away medications that present a danger and get rid of unused medications they have lying around the house. Keep in mind, expiration dates are a non-factor to a teen looking to get high and the reality is, all drugs not currently being used need to be viewed as dangerous.
The SAMSHA study acts as a reminder to pay closer attention to our children, and to take responsibility for the medications we have on hand. Adolescence breeds curiosity and is fraught with risk-taking behavior. What’s normal can very quickly go rogue. A child’s curiosity coupled with a genetic propensity for addiction is dangerous; likewise, a child’s curiosity coupled with a lack of impulse control (normal) and a rapidly developing brain (normal) is also dangerous. There is no “safe” curiosity when it comes to drugs. And misusing prescription drugs is not an exception.
Willingness means: “The quality or state of being prepared to do something.”
Finding willingness to take a leap into the unknown is a feat that is often met with great resistance. Early on, one is asked how willing they are to change their behaviors, their circle of friends, or their reactions to difficulty. They are asked to find the willingness to take that first step toward healing, because the truth is, no one can make you take that step—you have to do it yourself. It takes the willingness of the person seeking change. And it’s scary. There is a perceived safety in our dysfunction but what that really is, is familiarity.
How often have we found ourselves doing the same thing over and over again even though we know we shouldn’t? Where is our resolve? For starters, that resolve is wrapped up in the dysfunction of addiction and untreated mental health. However, it is our willingness to seek out our resolve, which ultimately invites real change to occur.
Someone who shows a lack of willingness does so by perpetually making excuses, redirecting themselves to something more familiar and less uncomfortable, and fundamentally getting in their own way. Often, the message received is that one needs to be ready to recover, but readiness is not synonymous with willingness. For example, imagine your family member has just completed detox, and they are now clear headed enough to begin the healing process. Essentially, they are ready. But instead of taking action, they start making excuses: “I’m good now. I will go to a meeting tomorrow,” or “What do you mean you don’t trust me, I’m clean now!” And in cases where mental health is the issue, we hear,” I feel fine. I’m taking my meds. I can see my therapist next week.” Or, “I am good! I don’t need my meds today.” Readiness is a moot point; in these scenarios, its willingness that is absent.
What does it take?
Take contrary action – Go to a meeting, even when you don’t want to. Take a commitment. No one wants to clean up after a meeting, but we do it anyway.
Ask for help – Feeling overwhelmed, stressed, frustrated? Call someone! Reach out. And keep those therapy appointments. They are there to help you, regardless of how uncomfortable they can be at times.
It is ok not to be ok – At some point, we learn that feeling our feelings is part of the recovery process – accepting that is another story. However, when we move against our feelings in an attempt to run away from them, we suffer more.
Hope is fleeting or nonexistent for someone locked in the downward spiral of mental illness and substance abuse. In many ways, the transient quality of hope in the mind of the sufferer creates a sense of dissonance; it always seems to be out of reach. Recovery makes space for a more tangible kind of hope to develop and take root. The hope we do have when we are in our diseases is hope for an escape. However, the hope we have in recovery is revised to resemble its true meaning: a desire for something good to happen and the capability to see its fruition.
We need to integrate hope into our lives as part of our recovery, viewing it as an action rather than as a “thing” to grasp. If we are going to recover, we have to have a life worth living, and building a foundation for hope is one of the actions needed to create such a life. This provides us with something to reach for and hope becomes something actively fostered in our lives.
There are some basic things one can do to work toward bringing hope into their lives:
Connection: Connect with others and begin to develop healthy relationships with people. The fellowship in 12-step meetings is helpful in creating connection with others. Fellowship provides opportunities to build new relationships with people who are on the same path. Within that context, one can begin to heal old relationships and build new ones.
Have fun: How often does someone come into recovery and assume that because they aren’t drinking and using that “fun” is off the list? Guess what—it’s not. When you realize you can laugh, and I mean, a stomach-clutching-falling-over kind of laugh all without the use of drugs or alcohol, it is liberating.
Get an education: This is a positive step to building hope for a fuller, better future. Feeding your mind with knowledge and realizing your potential is a powerful thing. An education provides fertile soil for hope to take root and blossom. It puts our foot on the path toward building a future that we want to be a part of.
We recognize that many of our teens and their families have lost hope. We support families in developing courage to change, and we foster the desire to heal. Every week, Visions facilitates Recovery Fun outings where we encourage teens to have fun, to laugh, and to find joy in their recovery. We host yearly alumni and client events such as: the Big Bear ski trip, our staff vs. alumni softball game, our Catalina Adventure, and Halloween Fright Night. Fostering joy and laughter breeds healing and it leads to hope. Having fun reminds us that we are alive! Just because we are dealing with heavy issues doesn’t mean that joy doesn’t exist. We won’t let kids give up on themselves—we want them to start to recognize their potential. We give them skills that provide them with the knowledge that they are capable, and with that, they build an environment of hope.
Healing a family from addictive behaviors and emotional dysregulation takes work.
It takes willingness from all parties involved and a moment of clarity from the addict as well as the family in order to get the ball rolling. It takes dedication and a commitment from the entire family system. When someone says, “I’m sick and tired of being sick and tired,” it helps us to recognize that this is the brain’s way of taking a breath of fresh air. That “breath of fresh air” is the internal shift an addict or alcoholic needs to embrace and encourage them to move toward the next level. In our last blog, we noted the following 4 things a family needs for recovery. I thought it wise to break it down further:
1. A healthy home
2. Mental and physical health
3. Sense of purpose
4. To have and build a sense of community
What does a healthy home look like?
When when Visions’ Noelle Rodriguez, Psy.D. is working with families and helping them heal broken or disrupted family systems, she stresses the importance of “having an intentional culture in the home that supports open communication, boundaries that are well defined, and have mutual respect.” In this way, home can become a refuge instead of a place of commotion.
Mental and Physical Health:
If a mental health diagnosis has been made, it is imperative that there is consistency with medication, consistent medical and psychological follow-ups, and that the family as whole is on the same page. Recovery requires a broadening net of support. It often begins with the clinical support in treatment, and expands to include a network of sober, healthy peers, and often reparation of the family system.
Sense of Purpose:
Find something that inspires you: Something that is positive and supports your path on recovery. Remember, purpose is another word for motivation: take commitments at meetings, be of service, volunteer somewhere that you love, take a morning walk. Joseph Rogers, Assistant Education Director at Visions’ IOP says, “If students/clients don’t have a light at the end of the tunnel, something to look forward to, it is hard for them to see why they should continue making an effort.”
To have and build a sense of community:
One of the most amazing things about treatment and the path to recovery is fellowship (community). Knowing that you have a net of like-minded people in your corner is a powerful salve. How often do we hear the John Burroughs quote, “Leap and the net will appear”? I have to tell you from my own recovery experience, building and sustaining a healthy community of support and care has shown me truth in that very quote. I have leapt often and each time, I have been met with an incredible “net” that I call community. Your community will tell you the truth, love you when you can’t love yourself, and hold you accountable when you make a fool of yourself. Community aka fellowship is a glorious thing.
I recently heard something I found revolutionary from an addiction psychiatrist about hitting bottom, saying that it’s important that we as professionals and families “eliminate rock bottom as a condition of recovery and find the right conditions for recovery.” This moved me because it encourages taking action sooner, it encourages destigmatizing what recovery can look like, and it provides a sense of hope. Families need hope. They need to believe that recovery is possible. They need to know and understand in the fiber of their being that there is light at the end of the tunnel. UCLA’s Dr. Tim Fong said, “Addiction and mental health are not necessarily curable conditions, but they are controllable conditions.” In other words, recovery is attainable.
and many are saying there’s a Heroin epidemic, mostly because of the recent celebrity overdoses and increase in heroin deaths across the country. The latest celebrity death of Phillip Seymour Hoffman seemed to really strike a nerve. Is it because he was clean for a long period of time, openly talking about his troubles with addiction? Or is it because he’s someone we as an audience want or need to respect because of his wide range of talent? It’s a loss, a great one, but it is more a reminder of the devastation drug use can cause.
The use of heroin is prime for a death sentence and its inexpensive procurement makes it an easier and more desirable go-to than drugs like Oxycontin, particularly if you are young, desperate, and broke. At the same time, for celebrities like Hoffman or Cory Monteith, familiarity may be the calling card.
According to the National Institute of Drug Abuse (NIDA), “Prescription opioid pain medications such as Oxycontin and Vicodin can have effects similar to heroin when taken in doses or in ways other than prescribed, and they are currently among the most commonly abused drugs in the United States. Research now suggests that abuse of these drugs may open the door to heroin abuse.”
And according to a 2012 Monitoring the Future study (a NIDA funded survey of teens in grades 8, 10, and 12, only 0.05% of 8th graders, 0.6% of 10th graders and 12th graders reported using heroin at least once in the past year. The number of teens using heroin is down significantly to what it was in the 1990s. The main concern now is that teens addicted to prescription opiods like Oxycontin will eventually turn to heroin because of its low cost.
Concerned about your teen or young adult? Here are some signs to look for:
Pupils very small, like pinpoints, even in dim light
Marks on the skin (if heroin is injected vs sniffed)
Talking to someone who has a drug problem isn’t always easy, in fact, it can be down right difficult. You may encounter denial, anger, frustration, sadness, regret, and you may face a litany of excuses. Regardless, encourage your friend or loved one to talk to a counselor or a teacher, or trusted adult. Be kind and encouraging and make sure you are also getting the support you need. Reaching out to a friend or loved one lost in the throes of their addiction can be overwhelming and deeply upsetting. Make sure you also have resources you need to decompress and ground yourself: a therapist, AlAnon, CoDA, or a space or practice that you can lean into to take care of yourself.
Prescription drugs are one of the easiest drugs to obtain.
Ritalin (Photo credit: Wikipedia)
Often times, it’s as simple as going into the medicine cabinet at home, at a neighbor’s house, a friend’s house or a family member’s home. This ease of accessibility coupled with the curiosity and natural rebelliousness of teenagers is a recipe for experimentation, sneakiness, and even mimicry of parental actions.
Some kids start using prescription drugs because they are trying to inappropriately cope with their stress or anxiety; some use it to try to get an “in” with a certain crowd. There are those, too, who have been prescribed a medication for one thing, notice a “benefit” for something else (like more focus on a test), and begin misusing it or sharing it with their friends.
According to the Office of National Drug Control Policy, more than 71, 000 children ages 18 and under are seen in the ER for unintentional overdoses of prescription and over-the-counter drugs.
Two-thirds (66%) of teens who report abuse of prescription medications get them from friends, family, and acquaintances.
Among young people ages 12-17, prescription drugs are the second most abused drug (behind marijuana)
Teens ages 12-17 have the second-highest annual rates of prescription drug abuse; young adults 18-25 have the highest rate.
Every day, 2700 teens try prescription drugs for the first time with the intent of getting high.
Nearly one in four teens have taken a prescription medication that was not prescribed to them.
One in three teens report being offered a prescription drug or OTC medication for the purpose of getting high.
One in three teens report having a close friend who abuses prescription pain medications.
One in four teens report having a close friend who abuses cough medicine to get high.
One in 10 teens report abusing cough medicine to get high.
Parents need to take preventative actions with all of their medications. Do you safely dispose of unused medications? Or do they reside in the dark corners of your medicine cabinet, collecting dust on their exhausted expiration dates? Are they loosely out on a counter or tabletop which is easily accessible? Now is the time to batten down the hatches, so to speak, and take some preventative measures. Our kids watch us all the time; they learn from our actions and reactions, and they often mimic us so it behooves us to behave in a way that we would like to see our children behave. Trust me, seeing my son say something sarcastic and realizing he’s just mimicking me is mortifying, and that’s just sarcasm! Kids will try anything on, and if taking a lot of medications is part of your habitual behavior, they will try that on too.
Communicate with your kids and educate them about the risks of prescription drug abuse. Be honest and age appropriate.
Don’t take medications that aren’t prescribed to you. (A recent study by The Partnership at Drugfree.org showed that 27 percent of parents have taken a prescription medicine without having a prescription for it themselves.)
Store your medications in a secure place.
Count and monitor the amount of pills you have before you lock them up.
Prescription drugs are being hailed as the new gateway drug.
More often than not, one begins with prescription opiates and ends up using and abusing street drugs. The reality is, once the medicine cabinets are depleted and the sheer cost of Oxycontin, Vicodin, etc., becomes prohibitive, the path inevitably darkens.
can be an important part of a company, school or drug rehabilitation center’s policy. Some parents have even taken it upon themselves to initiate drug testing in their own homes in the interest of keeping their children drug free.
And while most drug testing programs use the urine drug testing method, there are other ways of testing for substance abuse. We will look at the three most common drug testing methods and the advantages and disadvantages of each.
Instant drug tests and lab drug tests
All drug testing falls into one of these two categories.
Instant tests, as the name implies, can be done on the spot and give you instant results in just a few simple steps.
For laboratory testing, you of course have to go to a laboratory where the tests are performed with sophisticated equipment. Samples can be collected either at the laboratory or collected off site and taken to the lab for testing.
Drug testing programs in business or institutional environments will usually include a two step process that includes both instant and laboratory tests. An instant test will be performed initially and if that returns a positive result, a follow up test on the sample will be performed at a laboratory. These lab tests are important because instant test results aren’t admissible in court. If the test result is to be used for a legal matter, such as termination of employment, for example, the sample must be laboratory tested for confirmation purposes.
The obvious advantage of instant drug testing is that it gives you instant results. The instant drug testing kits are also inexpensive compared to booking laboratory time for drug testing. With many kits, it’s also possible to test for multiple drugs at the same time. Some of them can even test for over a dozen drugs that include all the common street drugs, plus prescription drugs.
As for disadvantages, aside from the fact that the results are not admissible in court, another knock on instant drug tests is that they do give the occasional false positive reading. Even worse, they also give the occasional false negative reading.
On the laboratory side, the advantages are that the testing is handled by professionals and the results can be used in court, as they confirm the presence of drugs. The expense, plus the time it takes to get results, which ranges from hours to weeks, are disadvantages to laboratory testing.
By combining instant drug testing and laboratory testing, costs can be kept down by primarily using the instant tests and only sending the samples that give a positive result away for laboratory confirmation.
Different Types of drug testing
Although you may occasionally see blood and sweat referenced in terms of drug testing, and both those bodily fluids can be used, the three most common ways of drug testing are by using samples of urine, saliva or hair.
It is possible to use an instant testing kit when using urine or saliva to drug test. With these kits, you can collect a sample anywhere (you’ll need a private place for urine, obviously) and test the substances right on the spot. Or, you can collect the samples and have them sent away to a laboratory for testing.
Hair testing cannot be done instantly. Hair samples can be collected any place, but the actual testing will have to be done at a laboratory.
Urine
As far as the most common way to drug test, urine reigns supreme. It’s used in the majority of employment testing, pre-employment screening, military and sports drug testing.
Depending on the type of drug and other factors like a person’s body composition, urine tests can detect drugs in a person’s system from a few hours after they’ve ingested them until about a week afterward, maybe a bit longer.
The instant urine drug tests require a person to give a sample of a certain size and then seeing how that urine reacts with specific chemicals meant to detect drug metabolites.
Tests come in different formats like testing strips, where you dip the strip into the urine, or testing cassettes where you have to transfer some of the urine onto the cassette. A popular instant urine test for obvious reasons is the all-on-one cups where you get the sample donor to fill a cup and you put a lid on the cup and push a button to enact the test, never needing to actually interact with the liquid.
Laboratory urine tests will involve doing an instant drug test (known as immunoassay tests) and if the results are positive, running a more sophisticated (and expensive) test that usually involve gas chromatography–mass spectrometry or a similar type of test.
Obviously the advantages are that this type of testing can be done quickly and relatively inexpensively, plus, because it’s the most common type of drug testing, most people are familiar with it already.
The disadvantages of urine testing are that the sample collection can’t quite be done anywhere. The collection process is also a bit invasive. In some organizations like the military, sample collection must be watched.
And urine tests can be cheated. Some common forms of cheating include:
swapping in someone else’s clean urine,
drinking excessive amounts of water or other liquids to dilute the sample, and
adding a foreign substance (salt, vinegar, bleach etc.) to the sample.
Fortunately, these types of cheating can be easily thwarted. Temperature strips can detect when urine isn’t body temperature, which a fresh sample would be. Also, observation of the sample collection prevents swapping. Many tests can detect watered down samples and properly trained testing technicians will be able to spot a diluted sample, not to mention that most drugs aren’t water soluble so this won’t help people cheat in a lot of cases anyway. Many modern instant tests are also equipped to detect adulterated samples, as well as the aforementioned properly trained drug testing technicians. Laboratories will have safeguards in place to detect cheating.
Saliva
Often referred to as oral fluid tests, they involve taking a swab of fluid from the mouth of the sample donor. The results are available instantly and these tests can detect drug use from about an hour after usage to a few days after usage depending on the type of drug.
The relatively short period of detection is one of their disadvantages.
However, a clear advantage is that the collection process for saliva testing can be done anywhere and can be observed without privacy concerns.
As far as cheating, it has been noted that gum and cigarettes can interfere with the results of these tests, so precautions have to be taken to ensure no gum is chewed or cigarettes smoked immediately prior to the test.
Hair
Hair testing involves cutting several dozen strands of hair from a person’s head or body and sending them to a laboratory for testing (the sample collection can also be done in some labs). Short hair is perfectly fine to use and, as mentioned, body hair can also be used. And while cutting off a person’s hair is obviously somewhat invasive, the hair is cut from the back of the head from a few different spots so as to not be obvious.
In the lab, the hair will be liquified and then split into its various components to check for drug metabolites. A huge advantage for hair testing is that it can check for drug use as far back as three months prior to the date of the test. And, not only can it detect the type of drug used, but also how frequently it was used.
Another huge advantage is that it is impossible to cheat. The internet is full of “advice” for people on how to cheat a hair drug test, but no shampoo, dye or bleach can change the molecular makeup of the hair, which is what the tests look at.
However, aside from the aforementioned invasiveness, hair testing has other disadvantages. It’s more expensive than either urine or saliva testing, there is no instant option and drug metabolites won’t show up in hair until about a week after usage. So, for example, if a person used cocaine on Tuesday and a hair sample was taken from them the following Thursday, the cocaine usage from two days beforehand would not be detected.
Whether used in a professional environment or in the home, drug testing can help keep employees, students, children, athletes and others free from the harmful effects of drugs. Each has its own advantages and disadvantages and which one is best for any given situation will depend on cost and other factors.
About Our Guest Blogger: Lena Butler
Lena Butler is a health blogger and customer service representative for TestCountry, a San Diego based point of service diagnostic test service provider that offers a wide range of laboratory and instant drug and general health testing kits. You can follow Test Country on Twitter and on Facebook. Follow Lena on Twitter as well!
The news is rife with the term “Affluenza,” which was recently used as a defense for a 16-year-old Texas teen* accused of killing 4 people in a drunk driving case. Instead of jail time, he was sentenced to 10 years of probation, presenting an interesting perspective on what can happen when parents don’t set boundaries, create limits, or teach accountability. For those who don’t know, the term “Affluenza” is a term coined by John de Graaf, environmental scientist David Wann and economist Thomas H. Naylor, authors of the book Affluenza: The All-Consuming Epidemic.
When speaking to John Lieberman, Director of Operations about this case, he said:
“This is a sad and horrible situation. No amount of jail time or punishment will heal the wounds or bring back the dead. The simple fact here is this: Every parent can learn from this situation. This young man was showing signs and symptoms of drug and alcohol abuse prior to the accident. Early intervention is the most important and effective way to deal with addiction, drug abuse and “affluenza.” Parents, please take actions to stand between your children and the actions that may destroy their lives and the lives of others.
One of the most important standards of responsible treatment is accountability. Adolescents who act out may have been abused, neglected or spoiled. The issue at hand is not weather this young man should get treatment. The issue is if this recent light sentence fits the crime. I believe it is a mistake for any licensed mental health professional to make up a diagnosis; Affluenza is not a recognized diagnosis. The sad thing is that the symptoms this teen was exhibiting do relate to a defined diagnosis.”
The 16-year-old’s blood alcohol levels were three times the legal adult limit and the alcohol he’d consumed that fateful day had been purloined illegally. The public outrage stems from his lack of accountability and lack of his family’s accountability. According to Mary Greshem, an Atlanta psychologist, “The diagnosis for youths in such situations would be impulse control problems, and impulse control problems are seen across all socioeconomic levels in families where limits aren’t set.”
Soniya Luther, a professor of psychology at Arizona State University says, “There are ways in a society that we collectively shape the behavior of our kids.” For example, if parents aren’t setting boundaries for themselves and regulating their own behavior, their kids won’t either. If a parent persistently fights consequences of their negative actions, they are sending negative messages to their children about taking responsibility. The reality is, a child who never faces consequences for their actions will have increasingly larger and larger problems to deal with. A therapist once said to me, “Little people, little problems; big people, big problems,” an apropos sentiment for this situation. Ignoring negative early childhood behaviors frames the perception of a consequence-free future, where the issues will be far greater than, “No, you can’t have an extra cookie.” Soniya Luther says, “It really speaks to the importance of attending to our children’s behavior early on. In all cases, it is our duty (sic) to step in and do the right thing. It’s not just loving our kids but putting the appropriate limits on their behavior.”
*We’ve chosen to eliminate the teen’s proper name due to his age, despite its release in the media.
There is tremendous value in blending school and treatment. Many clients come to us
(Photo credit: theirhistory)
having fallen off-track in their education as a result of substance abuse and mental health issues. There may also be undiagnosed learning disabilities that need to be addressed. Falling grades and school pressure can create another layer of stress and panic for a teen. When an adolescent comes to treatment, it is our responsibility to provide them with both treatment and educational support that fosters an environment of safety and encouragement around learning and healing. At the same time, providing school and treatment simultaneously allows us to notice where an adolescent needs extra support so we can provide that client with adequate educational and clinical support.
I looked to Daniel Dewey, our Residential Director of Education, and Joseph Rogers, our Educational Coordinator at our Outpatient Day School for some insight and perspective, particularly since they each see both sides of the education/treatment pendulum. Daniel sees our clients from their initial point of treatment, while Joseph spends time with our clients during their aftercare process. Both of them promote and create foundational pieces to add to the bedrock of an adolescent’s recovery; they invite curiosity about learning, provide support during times of difficulty, and provide individualized methods of teaching to facilitate and nurture a healthy outlook on education.
Daniel gave me some wonderful insight when he said, “School is important for treatment success; when a resident can stay on track (or in many cases gets back on track) they will have a stronger foundation for their aftercare. School can be a big stressor, so if school can work with treatment, we feel residents will be better equipped to leave Visions and follow their academic path. Additionally, doing well in school tends to be a source of self-esteem for adolescents. We want our clients to feel good about learning. Many of our clients come into treatment hopeless. It is our goal to help them see the intrinsic value in education and to guide them toward a meaningful life.”
Joseph gave us similar insights, which also help identify the continuum that occurs with school and treatment. He said, “The practical piece of joining treatment and education is having the benefit of rolling enrollment – clients can enroll at any time, increasing their opportunities of getting back on track. Additionally, students may not be emotionally able or prepared to go back into a normalized educational setting. Having them in a setting that is therapeutically structured for their safety gives them the chance to practice their new behaviors before they go back to their regular school, and because we have clinicians on staff, we can react to and notice a change in behavior quickly and effectively.”
We understand the importance of creating a therapeutically alive and nourishing environment for our clients and their families. Placing school in the treatment arena allows us to support our clients at optimum levels, and it provides a multi-level aspect to the healing process. Blending school and treatment from the residential and outpatient perspective is a necessary stone in the path to wellness. It is beneficial to the adolescent, building confidence and self-esteem, and it is advantageous for parents to see their children simultaneously succeed in their education and in their substance abuse and mental health treatment.
