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ADDICTION & GRACE: COMBINING FAITH-BASED & EVIDENCE-BASED PRACTICES

ADDICTION & GRACE: COMBINING FAITH-BASED & EVIDENCE-BASED PRACTICES. Presented By: Rev. Bryant D. Miller, MAC, CCS, ICCDP-D Rev. David B. Jordan, MAC, CCS, ICCDP-D . COUNSELOR SELF-CARE STRESS – TEST LOOK AT THE FOLLOWING PICTURE THE IMAGES ARE JUST ALIKE IF YOU SEE ANYTHING ELSE YOU ARE

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ADDICTION & GRACE: COMBINING FAITH-BASED & EVIDENCE-BASED PRACTICES

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  1. ADDICTION & GRACE:COMBINING FAITH-BASED &EVIDENCE-BASED PRACTICES Presented By: Rev. Bryant D. Miller, MAC, CCS, ICCDP-D Rev. David B. Jordan, MAC, CCS, ICCDP-D

  2. COUNSELOR SELF-CARE STRESS – TEST LOOK AT THE FOLLOWING PICTURE THE IMAGES ARE JUST ALIKE IF YOU SEE ANYTHING ELSE YOU ARE TOO STRESSED AND YOU NEED A VACATION!

  3. Principles of Effective Treatment -1- Addiction is a complex but treatable disease that affects brain function and behavior.

  4. Principles of Effective Treatment -2- No single treatment is appropriate for everyone.

  5. Principles of Effective Treatment -3- Treatment needs to be readily available

  6. Principles of Effective Treatment -4- Effective treatment attends to multiple needs of the individual, not just his or her drug abuse.

  7. Principles of Effective Treatment -5- Remaining in treatment for an adequate period of time is critical.

  8. Principles of Effective Treatment -6- Counseling—individual and/or group—and other behavioral therapies are the most commonly used forms of drug abuse treatment.

  9. Principles of Effective Treatment -7- Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies.

  10. Principles of Effective Treatment -8- An individual's treatment and services plan must be assessed continually and modified as necessary to ensure that it meets his or her changing needs.

  11. Principles of Effective Treatment -9- Many drug-addicted individuals also have other mental disorders.

  12. Principles of Effective Treatment -10- Medically assisted detoxification is only the first stage of addiction treatment and by itself does little to change long-term drug abuse.

  13. Principles of Effective Treatment -11- Treatment does not need to be voluntary to be effective.

  14. Principles of Effective Treatment -12- Drug use during treatment must be monitored continuously, as lapses during treatment do occur.

  15. Principles of Effective Treatment -13- Treatment programs should assess patients for the presence of HIV/ AIDS, hepatitis B and C, tuberculosis, and other infectious diseases as well as provide targeted risk-reduction counseling to help patients modify or change behaviors that place them at risk of contracting or spreading infectious diseases.

  16. Effective Treatment at Penfield • Twelve Step Facilitation Therapy

  17. Twelve Step Facilitation Therapy – (Project Match) Twelve Step Facilitation Therapy facilitates patients' active participation in the fellowship of Alcoholics Anonymous. TSF regards such active involvement as the primary factor responsible for sustained sobriety (recovery) and therefore as the desired outcome of participation in this treatment program. This therapy is grounded in the concept of alcoholism as a spiritual and medical disease. TSF consists of a brief, structured, and manual-driven approach to facilitating early recovery from alcohol abuse/alcoholism and other drug abuse/addiction. It is intended to be implemented on an individual basis in 12 to 15 sessions and is based in behavioral, spiritual, and cognitive principles that form the core of 12-step fellowships such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). It is suitable for problem drinkers and other drug users and for those who are alcohol or other drug dependent.

  18. Effective Treatment at Penfield • Twelve Step Facilitation Therapy - is grounded in the concept of alcoholism as a spiritual and medical disease. • Cognitive Therapy

  19. Cognitive Therapy • Cognitive therapy "is a system of psychotherapy that attempts to reduce excessive emotional reactions and self-defeating behavior by modifying the faulty or erroneous thinking and maladaptive beliefs that underlie these reactions" (Beck et al. 1991, p. 10) • Belief Formulas • (Cognitive Restructuring) • SITUATIONBELIEF THOUGHT  EMOTION  BEHAVIOR • THOUGHTS FEELINGS  URGES  ACTIONS  REACTIONS

  20. Effective Treatment at Penfield • Twelve Step Facilitation Therapy • Cognitive Therapy - by modifying the faulty or erroneous thinking and maladaptive beliefs that underlie these reactions • Therapeutic Community

  21. What is a therapeutic community? The therapeutic community (TC) for the treatment of drug abuse and addiction has existed for about 40 years. In general, TCs are drug-free residential settings that use a hierarchical model with treatment stages that reflect increased levels of personal and social responsibility. Peer influence, mediated through a variety of group processes, is used to help individuals learn and assimilate social norms and develop more effective skills, attitudes, and values associated with socialized living. TCs differ from other treatment approaches principally in their use of the community, comprising treatment staff and those in recovery, as key agents of change. This approach is often referred to as "community as method." TC members interact in structured and unstructured ways to influence attitudes, perceptions, and behaviors associated with drug use. Many individuals admitted to TCs have a history of social functioning, education/vocational skills, and positive community and family ties that have been eroded by their substance abuse. For them, recovery involves rehabilitation -- relearning or re-establishing healthy functioning, skills, and values as well as regaining physical and emotional health. Other TC residents have never acquired functional life-styles. For these people, the TC is usually their first exposure to orderly living. Recovery for them involves habilitation -- learning for the first time the behavioral skills, attitudes, and values associated with socialized living.

  22. Effective Treatment at Penfield • Twelve Step Facilitation Therapy • Cognitive Therapy • Therapeutic Community - is used to help individuals learn and assimilate social norms and develop more effective skills, attitudes, and values associated with socialized living.

  23. Effective Treatment at Penfield • Twelve Step Facilitation Therapy: alcoholism is a spiritual … disease • Cognitive Therapy: erroneous thinking and maladaptive beliefs • Therapeutic Community: effective attitudes and values

  24. 12 STEPS AT PENFIELD A Spiritual … Disease • “There is an All Powerful, Guiding, Creative Intelligence, and He is God.” AA p. 49 • “In the beginning God created heaven and Earth.” Genesis 1

  25. COGNITIVE THERAPY AT PENFIELD Thinking and Beliefs • “We trust infinite God rather than our finite selves. We are in the world to play the role He assigns.” AA p. 68, • “For we are God’s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.” Ephesians 2:10

  26. Therapeutic Community At Penfield Attitudes and Values • “Faith alone is insufficient. To be vital, faith must be accompanied by self sacrifice and unselfish, constructive action.” AA p. 93 • “… faith by itself, if it is not accompanied by action, is dead.” James 2:17

  27. In the Words of Dr. Bob 1. TRUST GOD 2. CLEAN HOUSE 3. HELP OTHERS

  28. CAN YOU FIND THE BIRD IN THIS PICTURE?

  29. Science vs. Faith As long as Science deals with the natural and Faith deals with the supernatural then There is no problem

  30. Science vs Faith The Problems occur when: The Philosophy of science denies God or The Philosophy of Faith denies Fact

  31. Philosophy Definition: “The general laws that furnish the rational explanation of anything.” Funk & Wagnalls Standard Dictionary of the English Language, International Edition, Volume Two, 1962 Funk & Wagnalls Company, New York There is no God. vs. There is a God. How did or does He do it?

  32. SUCCESSION BIBLE SCIENCE Beginning Matter/Energy Big Bang Light Waves Water Needed for Life Plant life came first Seasons Life originated in the oceans Advanced life formed on land with man being the last • Beginning God • Day 1 Light & Dark • Day 2 Water/Atmosphere • Day 3 Earth/Plants • Day 4 Light Sun/Moon • Day 5 Water Fish/Birds • Day 6 Earth Creatures/Man

  33. CONFESSION OF PERSONAL WORTH I am an awesome spirit being / of magnificent worth as a person. I am deeply loved of God, (propitiation, I John 4:9,10) I am fully pleasing to God, (justification, Romans 5:1) I am totally accepted by God, (reconciliation, Colossians 1:21,22) I am absolutely perfect like God, (regeneration, Hebrews 1 As a person in God’s sight. And when my person is expressed in my performance, The reflection takes on the hue, tone, and color of my personality. Therefore, I am dynamically and individually unique…. There has never been another like me in the history of mankind, Nor will there ever be. I am original, / one of a kind, / really somebody, / and so are you!! WHEW!!!!

  34. THE GREAT DECEPTION • Man’s deepest psychological need to feel significant, positive self worth. This can only come from the unconditional love of another. • Satan’s lie is that our self worth comes from our performance and other peoples’ opinion. SW <= P + OPO

  35. FOUR FALSE BELIEFS • PERFORMANCE TRAP • APPROVAL ADDICT • BLAME GAME • SHAME

  36. JOHN 8:32 “And you shall know the truth, and the truth shall make you free.” (New King James)

  37. “I must meet certain standards in order to feel good about myself” False Belief #1: The Performance Trap

  38. Consequences of Belief FEAR OF FAILURE: Perfectionism; intensity about your own success; withdrawal from risk; manipulate others False Belief #1: The Performance Trap

  39. God’s Specific Solution Because of Justification (Romans 5:1) We are completely forgiven and fully pleasing to God! We no longer have to fear failure! False Belief #1: The Performance Trap

  40. Romans 5:1 1 Therefore, having been justified by faith, we have peace with God through our Lord Jesus Christ, (New King James Version)

  41. Results of God’s Solution FREEDOM FROM FEAR OF FAILURE: Intensity about the right things; Christ and His Kingdom; love for Christ False Belief #1: The Performance Trap

  42. “I must have the approval of certain others in order to feel good about myself” False Belief #2:The Approval Addict

  43. Consequences of Belief FEAR OF REJECTION: Please others at any cost; sensitive to criticism; withdrawal to avoid disapproval False Belief #2:The Approval Addict

  44. God’s Specific Solution Because of Reconciliation (Colossians 1:21-22) We are totally accepted by God! We no longer have to fear rejection! False Belief #2:The Approval Addict

  45. Colossians 1:21-22 21 And you, who once were alienated and enemies in your mind by wicked works, yet now He has reconciled22 in the body of His flesh through death, to present you holy, and blameless, and above reproach in His sight— (New King James Version)

  46. Results of God’s Solution FREEDOM FROM FEAR OF REJECTION: Willingness to be open and vulnerable; able to relax around others;willing to take criticism; desire to please God no matter what others think. False Belief #2:The Approval Addict

  47. “Those who fail are unworthy and deserve to be punished” False Belief #3:The Blame Game

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