Answers to Frequently Asked Intervention Questions
Addiction is a debilitating disease of brain reward and motivation. When dependence and addiction take hold, changes occur in the user’s neurobiology, and the central nervous system (CNS) alters its production of neurotransmitters like dopamine. The effects on the addict are often obsessive drug seeking and an inability to see the damage the substance abuse is causing. In many cases, friends and loved ones must intervene, and staging an intervention is one of the most effective tools to promote clonazepam addiction recovery.
Most Common Type of Intervention
Among the most frequently asked questions, people often want to know which type of intervention is used most. The most popular is still the original, the Johnson model, named after Episcopal priest and recovering alcoholic Vernon Johnson. In the 1960s Dr. Johnson developed the first professional model, which involves the following:
- Moderator – Loved one or interventionist oversees the intervention and handles responses
- Participants – Loved ones who take part to read intervention letters and show support
- Intervention Letters – Statements about the addiction that are read during the intervention
- The Request – The group specifically asks the addict to get professional treatment
As noted online by Psychology Today, the A&E series Intervention primarily used the Johnson model, and a 1996 study in the American Journal of Drug and Alcohol Abuse confirms its effectiveness. This is often the preferred model for addicts engaged in extreme substance abuse though the surprise approach can be problematic for certain people particularly those with anxiety issues and other mood disorders.
Invention and Confrontation
Another common question is whether interventions need to be confrontational. By its very nature an intervention is a confrontation, but it does not have to be a surprise or heated exchange. Newer models like ARISE (A Relational Intervention Sequence for Engagement), CRAFT (Community Reinforcement And Family Training) and motivational interviewing (MI) use an invitational approach, which includes the following:
- ARISE uses a three-stage process that involves telephone coaching, a network that engages the addict and finally a direct intervention if other efforts fail.
- CRAFT treats the family as a unit to address enabling behaviors and unhealthy coping mechanisms and to initiate a constructive discussion of the addiction.
- Motivational interviewing (MI) uses reflective listening and opened-ended questions in one-on-one counseling sessions to help addicts find their own reasons to change.
In 1998 the Journal of Substance Abuse Treatment described how the ARISE model is less confrontational, eliminates secret planning and takes into account the needs of the larger family network. The same can be said of CRAFT. The models are often more ideal for addicts with high ambivalence levels, though CRAFT and ARISE require a committed, long-term effort from loved ones.
Preparing for an Intervention
The Johnson model is still the most used, and people often ask what they need to do to prepare for it. There are several important steps including the following:
- Decide on a Moderator – Choose a professional interventionist or loved one the addict respects to moderate the intervention.
- Pick the Participants – Carefully select who will take part making sure to avoid enablers and people who have unrelated conflicts with the addict.
- Time and Place – Stage the intervention in a comfortable, nonthreatening place at a time when the addict is unlikely to be high already.
- Educate – Participants must educate themselves on addiction fundamentals and correct any misconceptions.
- Writing the Letters – Everyone should also understand the basics of intervention letter writing and craft effective appeals to the addict.
- Rehearse – Practice reading the letters aloud to others with an emphasis on using a caring, non-condescending tone.
- Brochures – Be prepared with printed materials about addiction treatment and recommended facilities.
Another important question during preparation is whether or not to utilize a professional interventionist. If none of the participants is a trained therapist or has a background in addiction counseling, interventionists are usually recommended. Their knowledge and experience can often make the difference.
People also tend to ask for intervention tips. If the model involves friends and loved ones, there are several important tips for producing a positive outcome including the following:
- Do not allow the addict to initiate an argument or stir up conflict.
- Avoid placing blame or attacking the addict for what has occurred.
- Allow the moderator or therapist to handle most of the addict’s responses.
- Be prepared with information on health insurance benefits and other assistance.
- Use the intervention as a starting point for building a recovery support network.
If the addict agrees to get help, there may be a delay before treatment starts. The intervention participants need to help facilitate a swift enrollment, which may include helping with childcare or providing transportation. They should also make sure there are no final drug or alcohol binges.
Addiction Treatment Information
Another frequently asked question is what addiction treatment involves. For most substances treatment centers provide medically supervised detox. In the case of benzodiazepine-class drugs like clonazepam (brand name Klonopin), tapered dosage reductions are needed for a safer detox. Several other potential services are also commonly provided including the following:
- Integrated screenings and treatment for co-occurring mental disorders
- Behavioral therapies that target harmful thought patterns and beliefs
- Psychotherapy for issues like unresolved trauma and anger management
- Counseling to identify and mitigate drug use triggers and temptations
- Holistic options like yoga, massage and acupuncture to promote overall health
- Group therapies to share experiences and offer mutual recovery support
When it comes to treatment, patients must choose between full-time inpatient care in a residential facility and part-time outpatient care. The Johnson model usually pushes for inpatient treatment, but rehabilitation professionals can make recommendations based on the patient’s individual needs.
If addiction is affecting you or a loved one, we can help. Our admissions coordinators are available 24 hours a day to discuss intervention models, treatment options and facility locations. We can also recommend interventionists, provide printed materials and check health insurance policies for benefits. Our helpline is toll-free, so please call now.