The best-selling book on Intervention

1. The best-selling book on Intervention • Professional Interventionists • Books, videos, articles • Intervention checklist • Treatment resources • Much more lovefirst.net Love First, by Jeff Jay and Debra Jay, 2d edition, Hazelden, 2008

2. Intervention The brain confabulates. It associates diverse sensations, defies contradictions, and creates coherence. It even seeks explanations for its own unfathomable behavior. -Dr. Gerald M. Edelman Author, “Wider Than the Sky”

3. Intervention Normal 3-D Brain SPECT Images Top- down surface view Front-on surface view Underside surface view Side surface view Photos: Dr. Daniel Amen

4. Intervention Alcohol – 17 years ofheavy weekend use Top- down surface view Front-on surface view Side surface view Underside surface view Photos: Dr. Daniel Amen

5. Intervention Healthy Brain Photos: Dr. Daniel Amen

6. Intervention Twenty-two years of daily drinking. Photos: Dr. Daniel Amen

7. brain scans Cocaine Methamphetamine Twenty-four year old. Using two years frequently. Twenty-eight year old. Eight year heavy use. Photos: Dr. Daniel Amen

8. Intervention Marijuana Opiates Eighteen year old. Using 3 years. Four times week. Forty year old. Methadone 7 years. Previously, heroin 10 years. Photos: Dr. Daniel Amen

9. Intervention Before & After Recovery Top down surface view during substance abuse. Same view after one year alcohol and drug free. Photos: Dr. Daniel Amen

10. Intervention decreased attention span, distractibility, impaired short-term memory, mood control problems,decreased social skills,decreased control of behavior,apathy,decreased verbal expression,poor impulse control, difficulty acting in a thoughtful manner Decreased activity in the prefrontal cortex.

11. Intervention Research shows that drug addiction is associated with altered cortical activity and decision making that appears to overvalue reward, undervalue risk, and fail to learn from repeated errors. Nora D. Volkow, M.D. NIDA Director 2003

12. Intervention The Three Most Damaging Myths Action-stoppers Thinking about our words

13. Intervention You can’t help an addict • unless he wants help

14. Intervention If you can’t help an addict until he wants help, what will get him to want help? A question that changes everything.

15. Intervention Treatment won’t work • if she doesn’t want it

16. Intervention It’s not how you get into treatment that counts, it’s what happens once you’re there.

17. Intervention An Addict Must Hit Bottom • taking along even the smallest children

18. Intervention Taking Action: The Spiritual Implication Building blocks to intervention

19. Intervention: key concepts • The intervention team • Planning, training and rehearsal sessions • Intervention letters • Anticipating objections • Bottom lines • The launching pad

20. Building the Team • How do we know there’s a problem here? • Find the positives: “He likes teaching people how to...” • Don’t criticize, teach. “Money is the fuel of addiction.” • Who has leverage? How can it be used most subtly? • Who has influence? “I just want my son back.”

21. Intervention Writing Letters • tools that go beyond intervention

22. 1. Identification • Name the relationship • Introduce the power of the relationship • Remove objections before they arise

23. 2. Love • Longest part of the letter • Detailed reasons why we love and care about this person • Memorable times and experiences • Pride and gratitude • Like a eulogy...with an inside joke

24. 3. Reframing • The disease • Not a matter of willpower or character • Requires professional treatment

25. 4. Facts • Brief, specific and first hand • No judgmental language • The facts Ma’am, just the facts • Poignant

26. 5. Commitment • Personal commitment to stand by them • Any help that is appropriate • Remembering the past

27. 6. Ask • A direct and personal request • Today...now is the moment • Don’t leave room for delay

28. 7. Affirmation • End on a positive note • Show faith in the addict to follow through • A purpose for living • Inclusive -- we’re a family.

29. Intervention Brainstorming Objections • the escape routes

30. Common Objections • Work • Childcare • Practical considerations: the dog, bills, home care • Big events: graduation, wedding, vacation • Disease objections • “I can do it on my own.” • “I don’t have a problem. • “I’ll see a psychiatrist.”

31. Bottom Lines • no longer helping the addiction

32. Intervention Addiction can no longer trump the welfare of the family. These are the ways I will take care of myself. Twelve steps for families.

33. Intervention “Annie, We are all committed to you and your health. Each of us would like to share with you the decisions we’ve made. We will not do anything to help you stay sick, but we will do all we can to help you get well. The addiction hurts us, too, so until you get into recovery we must take care of ourselves, and we want to tell you how we plan to do this....” We love you too much.

34. Tips • Trust the process • Stay calm: don’t take the bait • Magician not allowed • 2 reasons for NO • Reach for the heart • Spiritual exercise

35. Intervention Using the Letters &Bottom Lines • Ongoing spiritual power • Letters to primary counselor • Break denial in group therapy • Powerful tool against AMAs (along with bottom lines) • The intervention team present in treatment • If there is a tragedy...

36. Intervention Family Recovery • it’s not a spectator sport

37. Keeping up the momentum • The team has work to do • Al-Anon, Naranon, Family Program • Relapse Plan with treatment team • Everyone is in compliance • We all recover together

38. Intervention A Personal Story of Intervention • you have a disease and it’s not your fault

39. The best-selling book on Intervention • Professional Interventionists • Books, videos, articles • Intervention checklist • Treatment resources • Much more lovefirst.net Love First, by Jeff Jay and Debra Jay, 2d edition, Hazelden, 2008