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 Section 12 Steps to Prepare for a Family Intervention
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 In the last section, we discussed preparing for a structured      family intervention by determining if the skills of a professional interventionist      are needed.  In this section, we will discuss the first five points of a checklist    to help families prepare for an intervention: building a team, setting up    a planning meeting, choosing a team chairperson, discussing the negative    consequences of the addiction, and listing ways family members have unwittingly    enabled the addiction. As you know, preparing for a structured family intervention      involves a lot of time and willingness to learn,   whether the family is working      with a professional interventionist or not. In my experience, there   are ten    essential steps to laying the groundwork for an intervention.   It is important      to remember that this checklist is an overview of the basics, it is   not meant    as a training course for conducting an intervention. 1-5 of 10 Steps to Prepare for an Intervention  ♦ Step # 1 - Build a Team I find the first step is to build a team. Have your client    build a list of every significant person in the addict’s life. Encourage    your client not to overlook people who they do not think will participate-    for examples, former friends who have moved or drifted away. Once your client    has created this list, help them select the individuals who will produce the    strongest intervention team.
 
 I find that the strongest team usually consists    of between three and eight people, but smaller or larger teams can be just    as effective with proper planning. There are three kinds of individuals who    I believe should be left off of the list: individuals who cannot keep confidence,    anyone the addict deeply dislikes or mistrusts, and those currently suffering    from addiction. It may be helpful to refer to section 5 for pointers on helping    communicate with potential team members.
 ♦ Step # 2 - Set Up a Planning Meeting The second step in my experience is to set up a planning      meeting. Once your client has assembled their team, schedule a meeting      to decide how the family and friends want to handle training for the intervention.      First, the team should decide if they want to hire a professional, or prepare      using other reliable resources. If the team decides on a      book, everyone in the group should read the text before processing.       If the      team decides on a professional, suggest interviewing three interventionists      before deciding on which is best for the family.
 Next, the team should set    a definite date for the intervention, when everyone is available, as well    as dates for rehearsals. If the family team is not working    with an interventionist, I recommend they appoint a detail person to    gather and distribute information about interventions, and about the planning    process. ♦ Step # 3 - Chose a Team ChairpersonThe third step I recommend is to chose a team chairperson.    I find this step is essential if the family team is not working with a professional    interventionist. The chairperson is the individual who acts    as the spokesperson during the intervention. The best person to serve as chairperson    is someone who the addict respects and will not want to disappoint.
 
 An family    member who is emotionally entangled with the addict is not    a good choice. In my experience, the ideal chairperson is usually someone from    outside of the immediate family. As you know, the chairperson must be capable    of remaining calm during the intervention, so anyone with    high anxiety or a quick temper should not be considered.  The chairperson    must be available to actively participate in all of the training    sessions, and be ready to handle the addict’s objections.
 ♦ Step # 4 - Discuss the Negative      ConsequencesI find that step four is to discuss the negative      consequences addiction has caused. I find that this is a vital step;      the team needs to understand the scope of the problem before      an intervention can take place. As a team, the family should review how the      disease is disrupting the addict’s life. Encourage your client to start      from the basics. Talk about when the problem first began, and what types      of drugs the addict has used.
 
 Usually, this open discussion is the first      time the family realizes the full extent of the problem. During an initial      meeting, my client Jerry said "Dad always told me that construction      workers worked hard and played hard. I remember once when I was 6, he was      driving me home from school once, and he went into a ditch. I told him if      he could get the truck out, I could drive it home. So I did it. I had to      turn the key on and off every time I needed to slow down to make a corner.      Then I had to wake Dad up to help me make the last turn into the driveway." This      was the first time Jerry had told the rest of his family      how his father’s drinking had affected him.
 As you are aware, if the team is poorly informed about      the problem, they will be more easily swayed by addicts who are convinced      they do not have a problem. A well informed intervention team will find it      easier to stand firm. It is also important to have a drug use history when      arranging for an admission into a treatment center.  Encourage your      client and his family to write down all of the negative consequences they      have witnessed. I find it useful to tell them to keep in mind that they are      cataloging symptoms of a disease, and how it has manifested in the addict’s    family life, work, friendships, and emotions. ♦ Step # 5 - List Ways the Team has Unwittingly Enabled the AddictionAfter building a team, setting up a planning meeting,      deciding on a chairperson, and setting up a planning meeting, the fifth step      is to list ways the team has unwittingly enabled the addiction. This exercise    is sometimes easier for members of the team to do individually.  As you    know, enablers are responsible for the longevity of addiction.
 
 They provide    addicts with the resources, opportunities, and permission to continue using.    One of the most important components of intervention, and of family healing,    is to recognize how love and fear become enabling behaviors.    Have your client write down how they have been an enabler in the past, and    what they hoped their enabling would accomplish.
 
 It may be useful to review    section 2, on the threaten, punish, and relent cycle, and section 7, on caretaking,    to help your client compile this list. I ask my clients to show their enabling    list to at least one other member of the intervention team,    and to make a vow not to help the disease in the future. Once enabling behavior stops, the addict is more willing to accept help.
  I find it is very difficult for family members who have been living    with addiction for a long time to break out of the enabling cycle.   Al-Anon,    Nar-Anon, and Families Anonymous are 12-step groups that have resources to    help families change these behaviors, and I find them to be invaluable resources    for clients dealing with a family member’s addiction. In this section, we have discussed the first five steps in preparing for a structured    family intervention. These are building a team, setting up a planning meeting,    choosing a team chairperson, discussing the negative consequences of the addiction,    and listing ways family members have unwittingly enabled the addiction. In the    next section, we will discuss the final five steps: writing an intervention letter,    brainstorming objections, determining bottom lines, rehearsing the intervention,    and the intervention itself.
  Reviewed 2023 Peer-Reviewed Journal Article References:Cordova, D., Huang, S., Pantin, H., & Prado, G. (2012). Do the effects of a family intervention on alcohol and drug use vary by nativity status? Psychology of Addictive Behaviors, 26(3), 655–660.
 
 Gorman-Smith, D., Tolan, P. H., Henry, D. B., Leventhal, A., Schoeny, M., Lutovsky, K., & Quintana, E. (2002). Predictors of participation in a family-focused preventive intervention for substance use. Psychology of Addictive Behaviors, 16(4, Suppl), S55–S64.
 
 Hogue, A., & Liddle, H. A. (1999). Family-based preventive intervention: An approach to preventing substance use and antisocial behavior. American Journal of Orthopsychiatry, 69(3), 278–293.
 
 Johnson, A. K., Fulco, C. J., & Augustyn, M. B. (2019). Intergenerational continuity in alcohol misuse: Maternal alcohol use disorder and the sequelae of maternal and family functioning. Psychology of Addictive Behaviors, 33(5), 442–456.
 Joyner, K. J., Acuff, S. F., Meshesha, L. Z., Patrick, C. J., & Murphy, J. G. (2018). Alcohol family history moderates the association between evening substance-free reinforcement and alcohol problems. Experimental and Clinical Psychopharmacology, 26(6), 560–569.
 Roy, A. L., Isaia, A., & Li-Grining, C. P. (2019). Making meaning from money: Subjective social status and young children’s behavior problems. Journal of Family Psychology, 33(2), 240–245.
 
 QUESTION 12What are the first five steps in preparing for a structured family intervention? To select and enter your answer go to .
 
 
 
 
 
 
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