Archive for Alcohol Intervention

How to find help for drug addiction in The East Bay, Alemeda County and Contra Costa County – 1st Step Interventions

Do you have someone in your life suffering from The Disease of Addiction and Talking to them hasn’t helped – Anxious and Scared?

Woman Yelling at ManFinding help for someone you love with and addiction to Pain Killers, marijuana, Opiates. alcohol, prescription drugs, Heroin etc.. can be harder than you think. Friends will tell you stories of people who have gone to Rehab and relapsed or you will go online and be faced with so many choices and each will tell you they are the best and treat everything under the sun in 28 days.

This can be confusing and add to your anxiety. 1st Step Interventions has been in business locally in the Bay Area  for over 10 years working in places like Sacramento, Marin, The East Bay, Santa Cruz, San Joe, Sonoma County and San Francisco to name a few area’s locally. We have an excellent reputation and have performed over 400+ successful Interventions and in our 15 years in the industry (other positions as well, see “About Us” on site) we have helped over 1000+ Addicts and their Families. Our Success rate with Intervention combined with Post Treatment Addiction Care Management is the best in the Industry because we understand what it takes to stay sober and don’t just leave Addicts on their on after treatment to find their way. If that worked they would be Clean and Sober already.

We are an Ethical company and I am a certified Interventionist and Addictions Services Counseling Expert. I will spend the time with you to hear what you and your loved one’s needs are and then recommend a reputable local Rehab that can help and will focus on Sobriety and what we know works, not fancy chefs, expensive views and high thread count bed sheets. None of these things have ever gotten anyone sober and just cost you more and feed the addicts entitlement.

Our first assessment is free so giving us a call today costs you nothing and we will help you begin the process of getting your loved one help that will stick and help you free yourself and your family from this crisis you have found yourself in. Our Interventions are compassionate, Professional and Confidential.

For longer term help, as addiction is a Chronic Disease, we have founded a Service for Continuing Care called Addiction Care Management. Essentially we remove you from having to police whether your loved one is staying Sober and doing what they need to early on to build a strong foundation for long term Recovery. When you call us please ask about our Service or you may go to www.addictioncaremanagment.com for more information.

Call today and move out from being help hostage by an addiction and help your loved one reclaim their life and move on healthy and positive 707-559-5146

Here is a testimonial letter

Dear Treatment Program (Name Omitted),

I wanted to express my thoughts about Bryan Bowen. During the initial stages of my brother intervention, your current guest as of yesterday, our family was referred to your facility by an out patient program in San Fran. I personally called Duffy’s and spoke with Sarah and ask for a referral to an intervention therapist, Bryan being one of two provided.  It is important for you both to know what impact your referral of Bryan had on our family and myself.

Our family did not know what the term intervention was until my wife Heather suggested it. Our brother Tom had just been admitted to the hospital because his body was failing under his addiction. The bottom was reached. Medically, the hospital stabilized him and released him to my sister, a nurse, my mother and Tom’s family.  The watch began and Tom did not drink for a week. But without an intervention, Tom would still be drinking, as I discovered in a voice mail on Saturday.

We hired Bryan and he championed the cause to completion. I was the initial family contact person with Bryan and he was professional from the start. I did not know Bryan, other than through his website. I had no context, background or anything- just Duffy’s referral.  Now in hindsight, everything is crystal clear. Thank you for selecting Bryan for your referral list. He has the passion, the depth, the anguish, the experiences of 400+ people, the sadness, the hope, the inspiration and the tenacity to convince a person who knows not what they do and causes them to voluntarily enter rehab.  As I warned Bryan in the beginning, my brother Tom is a difficult person. He is a “former” attorney, angry, insecure, reclusive, irrational etc. Bryan methodically initiated a process, counseled our very large family through numerous conference calls and emails preparing us and Tom’s family, including his 15 year old daughter, about what was to occur. He held the intervention and did not stumble, lose focus, nor lose control to Tom and his “ways”.  The intervention was brutal in so many respects, from the utter uncaring stoic presence Tom exhibited (addiction) to the agony and despair pleaded by his young daughter Alex to Tom’s heartlessness reaction to her love. Tom did not agree to go after the intervention, even though his entire family had read their third and final statements to Tom. Tom was the 20% of those people who stubbornly refuse to go to rehab after an intervention. There was Bryan through it all, unwavering. I believe even Bryan could not help but be personally impacted by this intervention. Bryan has been given the gift of grace- to help others. He carries a special energy to move mountains.  Bryan clearly went beyond his agreement with the family, volunteering his personal time without complaint. His door was always open, which was difficult given nearly the entire family was in two other time zones.  If Bryan is the person we now know him to be and you referred him to us, then we know what your program is all about. I have never met Bryan in person, just over the telephone, text and email. That’s a powerful advocate!  Thank you!!!

Why is Addiction Care Management or Case Management Needed – 1st Step Interventions

Why is Addiction Care Management or Case Management Needed

ADDICTION CARE

Why Choose Addiction Care Managemen Outpatient Model

 

Fact: In 2002, 22 million Americans

had substance dependence or abuse

(SAMHSA, 2002).

Fact: Approximately 3,500,000 of them

received some kind of treatment

(SAMHSA, 2002).

Fact: At least 2,800 relapsed.

Most will keep relapsing !! (SAMHSA,

2002).

Fact: Of those admitted to addiction

treatment, 60% already have one or

more prior treatment admissions; 24%

have three or more prior admissions

(SAMHSA, 2001).

Fact: The majority of people completing

addiction treatment will relapse in

the year following treatment (Wilbourne

& Miller, 2003), 80% of whom relapse

within 90 days of discharge (Hubbard,

Flynn, Craddock, & Fletcher,

2001).

Fact: Between 25% and 30% of clients

who complete addiction treatment will

be re-admitted to treatment within one

year, 50% within 2 – 5 years (Hubbard,

Marsden, Rachal, Harwood, Flynn,

Craddock, & Fletcher, 2001).

 

PROBLEM: Treatment is not enough

and a reliance solely on 12 Step

programs is not enough. All Treatment

Programs refer their patients only

to 12 Step Programs when completed.

The Disease of Addiction is a difficult

Chronic Illness to treat and requires

more over a long-term.

 

SOLUTION: Addiction Care Managements outpatient

Model of providing long-term Management of

Care. Outcomes and success are better, stronger

and more meaningful.

 

 

The Disease of Addiction is Chronic and just like Diabetes it never goes away. In 2003 SAMSHA – (The Substance Abuse and Mental Health Services Administration) published that 80% of Addicts who complete a Treatment Program go back to active Addiction within their first year. The majority relapse within the first 6 months. Alcoholics Anonymous has even worse numbers of only 5% staying in Recovery. Our current Model of Treatment Services focuses too much just on Treatment and is an Acute system instead of a Chronic system of care. Bryan Bowen has seen this up-close too many times and developed the missing key – Addiction Care Management’s Outpatient Model of Continuing Care – A system where newly Recovering Alcoholics or Addicts can be followed for a longer term, have access to more services than just AA or NA (though they remain important) and have an Addiction Care Management Specialist to work with them and remove the Family as “The Recovery Cops”. Addiction Care Management Outpatient’s Program also provides help and education for the Family and helps them step out of trying to control the Addiction and get better help with issues that arise with living with a newly sober person.

Why The Current Recovery Process Fails

 

How Addiction Care Management Works

 

  • Intervention – Interventionist never seen again after intervention.
  • Intervention – Addiction care Specialist stays with and follows your Case for up to 1 year.
  • Treatment – Family rarely gets update from a Counselor or Therapist – gets information from Patient and is unsure of what is happening or needs to change. Once Treatment ends Patient never sees Counselor again, nor has any real interaction with Treatment Program
  • Treatment – Weekly Conference Calls with the Family and Addiction Care Specialist. The Treatment Program gives weekly updates  to your Addiction Care Management Specialist. Honest referrals to Programs with Ethics that work.
  • Family Program – 1-4 days with no post follow up. You cannot create real change or educate a Family System in such a short period. Nor, can a Family see, let alone understand their role in codependency and enabling. That they are not to blame but can change to better support the patient in recovery.
  • Family Program – Even though you might attend the Treatment Programs Family Program, you will continue to be educated through the use of our proprietary Workbook, conference calls and continued family education and information for up to 1 year. You will process issues that come up when your patient leaves Treatment and comes home or to another place of residence. Your Addiction Care Management Specialist is available any time during the Addiction Care Management Outpatient Period, to any one including the Patient.
  • Continuing Care – Treatment Center usually only recommends the Patient back to AA or NA. This is only part of the picture and more is needed for success.
  • Continuing Care – Your Addiction Care Management Specialist will be intimately involved with the Treatment Program helping to build the most successful Continuing Care Plan for your loved one. Since they have been involved since day one they are aware of all issues and potential pitfalls.
  • 80% of Patients Relapse – fall back into Shame and the Family feels defeated again. There has been no consistency in the Addicts Recovery nor in the Families Recovery
  • Addiction Care Management - Your Addiction Care Management Specialist will stay involved with your loved one’s Sobriety, Mental Health and Well-Being for the Period of time agreed on. At this point no one knows your loved one and their Recovery better than your Addiction Care Management Specialist. Your Addiction Care Management Specialist will manage your loved ones progress on a daily/weekly/monthly basis as needed, provide accountability on adherence to their Continuing Care Plan, help problem solve issues created in their addiction and recovery, provide Life Skills where necessary, intervene in any Crisis, make suggestions where appropriate and provide accountability. Your loved one will have someone who has been with them and you since the beginning. We provide an increased percentage of successful Long-Term Recovery. This is how you treat a chronic illness.

 

Addiction Care Management Details:

Addiction Care Management Outpatient’s Program assesses the Patient’s Life Skills, Recovery, Family and Mental Health needs Pre and Post Treatment. First contact is made when Family or loved one calls 1st Step Interventions for an Assessment. An Addiction Care Specialist from 1st Step Interventions will follow the Patient from their Intervention, thru Treatment and for up to 1 year Post Treatment. During this time the Addictions Care Specialist will have intimate knowledge of the Addicts issues, pitfalls and areas where they are doing well. They will also work with you – The Family – providing needed Support, Education and Answers.

  • While the Patient is in Treatment, follow up for the Client and “Family” for questions and support. One month is included in the Intervention Service.
  • Weekly post-Intervention follow up Conference calls for the Family. Once the Patient is out of Treatment your Addiction Care Specialist will have regular interaction with the Patient thru conference calls, face-to-face meetings. Your Addiction Care Specialist will help assess where the Patient is at, their needs and help manage that they get met.
  • Weekly consultations with the Patient Therapist/Case Manager/Counselor if Patient is in treatment during the time of Addiction Care Management. This includes but is not limited to, following Patient during treatment, recommendations for continuing residential treatment, outpatient treatment, continuing care and appropriate therapist/psychologist referrals. Advising the clinical team on the recommendations for Continuing Care Planning, once the Patient has completed the primary treatment program. This is dependent on IP sighing a Consent Form
  • Signing off on and helping construct the Patient’s Continuing Care Plan. Providing resources as needed.
  • Addiction Care Management Outpatient Program will put together the pieces of the Patient’s “Roadmap for Recovery” and the boundaries for each piece. Working with other Professionals in the Community where necessary to provide the best service
  • Addiction Care Management Outpatient Program and the “Roadmap for Recovery”.
  • Addiction Care Management Outpatient Program will manage all of the recovery activities. outlined for the Patient in the Continuing Care Plan.
  • 1st Step removes the family from the role of policing the patient’s recovery. The chief codependent to the Addict within the Family will be identified and the relationship will be worked on.
  • Addiction Care Management Outpatient Program will implement a “Stress identification and reduction Plan” for Patient’s stress and in each case a plan will be put into place with appropriate education and training were necessary. This may include Life Skills.
  • Addiction Care Management Outpatient Program will manage Patient’s recovery in stages that build on each other and individual responsibility and provide an exit stage.
  • Providing support for Client and Family and providing a concrete plan for Client and Families growth and recovery.
  • Addiction Care Specialist led assessments of Patient’s progress and well-being. Patient must have a signed consent, if in Treatment, for communication to take place. Addiction Care Specialist will follow Addiction Care Management Outpatient Program’s assessment criteria for Addiction issues and provide Patient and family with qualified updates and any additional tools if needed.
  • Managing random alcohol and drug screening of Patient after treatment if required. 92% of Pilots recover because they have to participate in a drug and alcohol testing program for 5 years post Treatment. This does work and the minimal cost is worth it. Addiction Care Management Outpatient Program can supply all necessary testing material and has a lab for additional testing.
  • Managing and helping provide accountability on Patient’s adherence to Continuing Care plan.
  • Providing a Relapse Plan. Should a Patient have a relapse your Addiction Care Specialist will manage that plan if event happens during the time of Addiction Care Management. Your Addiction Care Specialist will get everyone back on track with no drama or shame.
  • Weekly Face-to-Face meeting with Patient if possible and TBD. Expenses are responsibility of Client.

Average amount of time per month Addiction Care Management outpatient Program provides up to 16  hours per month (unused hours cannot be used from one month to another.) This includes time spent with Family during weekly conference calls and helping the Family move into its own recovery, Working with The Family Workbook, Weekly Contacts with Patients either by phone or face to face, Addressing issues as they come up for Patients or Families, Managing referrals to other Doctors, Psychiatrist’s, Therapists etc. Being Accessible to Family or Patient at any time to help process issues or problem solve issues as they arise as. Making sure the Patient participates in a 12 step program and actually works the steps with a Sponsor. This also includes on going education for the Family and Patient and helping each move forward in their own Recovery. Addiction Care Management will also handle ALL issues as they do or will arise with the recovering patient, or a Family member. Should a case require more time than 16 hours per month than additional fees may apply, but will always be discussed first.

Dr. Jekyll and Mr. Hyde It’s a widely accepted belief that we alcoholics and addicts have two personas that may be extremely divergent or just slightly different. We may even have more than two that add to our deep experience of internal conflict. For example, we may recognize the loving husband and father who coaches Little League and enjoys his family when he’s not lying to them, getting drunk and beating his wife and kids. Subtler is the addicted doctor who practices quality medicine and plays by the rules until he decides to lie to his staff and family as he begins to self-administer narcotics or other controlled substances. You probably know the cliché phrase Dr. Jekyll and Mr. Hyde from the story by Robert Louis Stevenson. Dr. Jekyll is a fine individual who turns into the monster, Mr. Hyde, once he ingests the “poison.” This seems like alcoholism, except the alcoholic starts becoming Mr. Hyde before he ingests the alcohol or other drug. The transformation into Mr. Hyde, the using addict, precedes his actual use. You have heard it before -  “Relapse happens before the usage”. In essence, people get ready to relapse. They begin to behave, think, and feel in ways they used to behave, think and feel when they were actively addicted. This has always been called a “dry drunk.”

Relapse is active use. Relapse behavior, thinking and feeling come first. But remember, a person doesn’t relapse until he or she takes the drink, the pill, the needle or the sniff. Addiction Care Management will teach you to intervene on yourself before you take the relapse action. We will focus on the Dr. Jekyll part of you becoming Mr. Hyde. One of our major goals is to heighten self-awareness without increasing self-obsession. When you are able to notice the earliest signs of your addict emerging and you take the appropriate steps to avoid using, you have averted a relapse. You are beginning to take the actions needed for “living sober.” We Professionals who are alcoholics and addicts know what it’s like to be at war with ourselves. We know what it’s like to be at war with others too, but the big war is an inside battle. Until we are solid in recovery, and even then, we maintain strong defenses against seeing ourselves clearly. We work to mute the opposing players within us. Dry…using. Dry…using. Back and forth we go, we undermined steady, forward growth in recovery by forces within. Is this experience unique to alcoholics and addicts? NO! It is part of being human. But does it cause trouble for addicts and alcoholics? Yes, and so we must look inside to see who’s there. What blocks us from maintaining a healthy recovery?

Trauma Why are you afraid? This is a big question, one you will tackle repeatedly in Treatment and Addiction Care Management. Sometimes you’ll be able to look back on your life and remember old behaviors, beliefs, feelings and relationships that were distressing to you. Now, you may be able to see that you felt afraid. You felt alone. You felt inadequate to take care of yourself. But you had nowhere to turn for help. Many addicts and alcoholics have grown up with trauma. Trauma means being in a state of utter helplessness and hopelessness. It may be the experience of living through an earthquake, flood or war when you thought you might die. It may be the experience of living with out-of-control, alcoholic parents. You couldn’t stop them and you couldn’t protect yourself. Another, a trusted family member, friend or a stranger, may have abused you. In these examples you have been the victim of trauma — a natural disaster or someone else’s out-of-control behavior. As you work through the exercises of uncovering the past, you will remember these traumas. You may see that your relapses have been directly connected to these past experiences and your fear of the power of these memories in recovery. Many people drink or use to try to control memories. We will help you remember and we will help you learn to cope with all of your past. This work is hard and painful, but it is often necessary to maintain sobriety. There is another kind of trauma that is also related to relapse. That’s the trauma you inflicted on yourself and others by being addicted. We will work with you to uncover how you lost control, how you were helpless, what you did to yourself and others and how hard it is to remember and to take responsibility for your behavior, beliefs, feelings, and patterns of relationship. You traumatized yourself. You became your own victim.  You were out-of-control and helpless, though you may have believed it was just the opposite.

 

 

New “Gunpowder Heroin” On San Francisco Streets has higher potency and is more Dangerous – 1st Step Interventions

In the last year and a half a new form of Heroin called “Gunpowder” because of its gunpowder consistency and look is flooding the streets of San Francisco and the Bay Area Suburbs putting our Children and Young Adults at a very high risk. Most Heroin addicts unfortunately will go where the stronger Heroin is being sold and will buy the Heroin that is the strongest, figuring it will go farther for them between fixes and last longer. If you were an addict on the surface it makes sense – the terrible downside is exactly that – it is stronger and this Overdoses are on the rise as a result. That’s right more and more of our Children, could be yours, your Niece or Nephew or the next door neighbor kid who used to drop off your newspaper on his or her route.Gunpowder HeroinGunpowder Heroin

At 1st Step Interventions and Addiction Care Management Services, Inc. we saw back in 2009 when Purdue Pharmaceuticals changed the formulation of Oxycontin (which on face value was good) that the resulting problem was going to be a resurgence in Heroin use and addiction. Since Oxycontin became harder to get and the new formula made it harder to abuse, the tens of thousands of young adults addicted were going to switch to Heroin. Of course then they were going to gravitate to the strongest Heroin they could find. Here in San Francisco and the surrounding areas like, Marin, Sonoma, Santa Clara, Walnut Creek, Danville, Orinda. Mill Valley, Corte Madera, Tiburon, Palo Alto Woodside. Santa Cruz, Monterey and Carmel to name a few – the new drug of choice became quite rapidly and almost overnight – HEROIN!!!

Heroin has been around for years, accidentally invented while searching for a cure to the common cold if you can believe it, has extremely addictive properties and very profound euphoria for the user – making it the perfect drug for those suffering from the Disease of Addiction who gravitate to Pain Killers. In the Bay Are unlike east coast cities we have Black Tar Heroin or its newer big brother Gunpowder Heroin. East Cost Heroin mostly comes from Columbia or maybe Southeast Asia. Our Heroin here comes from Mexico and is less refined that other more white or beige powder heroin found out east. As a result it is quicker from Poppy (it grows as a sap in the Poppy seed) to market requiring less chemical stages. Additively it is just as addictive in any of its forms.

Users usually start out here in the Bay Area and San Francisco smoking the Black Tar or Gunpowder (as you cannot snort it very well) and eventually move on to using needles when their habit gets larger and it takes less of the drug when you inject it to get high. Users will need to fix at least 2x daily with heroin lasting about 12 hours before withdrawals set in and the addict goes through extremely “flu” like symptoms with diarrhea and throwing up until they get another fix.

Heroin addicts do not usually get honest with those around them about what is going on and friends and family usually find money and other things going missing. This is usually how Families discover that their loved one is using. This or they find bits of Paraphernalia around or the Addict may be behaving oddly – falling asleep at odd times (nodding out), scratching themselves, disappearing at times when family events are going on and usually having a short fuse.

Heroin and different types of Heroin like “Gunpowder” are here to stay and given the billions of dollars the Mexican and other Drug Cartels have to continue their operations coupled with the huge demand in this country and other countries, we as family, friends and loved ones have to be able to help those that we can and that are in our inner circle.

Most Family Members feel helpless and don’t know what to do because a they either do not know what resources are available to them for help or are too afraid to ask their loved one to get help because they lash out and push the help away with anger and acting out. This is particularly prevalent amongst Young Adults 18-27 who have failed to launch and are either living at home or living in an apartment subsidized by their Parents. AS a result the Addiction goes around and around and everyone gets caught up in it until some major catastrophe happens and even this can sometimes not be enough to bring about change.

1st Step Interventions and Addiction Care Management has been providing Drug and Alcohol Interventions in the San Francisco Bay Area for over a decade and has helped well over 350 addicts find their way into Recovery and at the same time helped1000+ addicts and their families manage the early stages of Recovery through its Addiction Care Management Program.

1st Step Interventions and Addiction Care Management is committed to the Men and Women, Young and old and their families in the Greater Bay Area, from Sacramento down to Carmel and over to Stockton and Fresno , live Clean and Sober Lives and not be all caught up in Illicit Drugs, destroying their lives and the lives of their family members. 1st Step Interventions and Addiction Care Management offers Intervention Services and post treatment Care Services that continue to help the Addict settle into a Sober Life with the help of a Professional and continue to educate the Family on how they can better support a newly sober family member. Our Services are affordable and on a sliding scale for those who are in need but are going through tough times.

“Gunpowder” Heroin is just one new drug on our streets, others such as Bath Salts are just as bad. It seems almost several times a year some chemist somewhere comes up with a new substance that falls between the cracks of Federal Guidlines and until the Guidelines catch up the drug continues the reek havoc amongst our Children.    Take a change today and call 1st Step Interventions and Addiction Care Management and see if we can help you. The initial assessment call is free so you have nothing to lose and it costs you nothing unless you decide to move forward, Hundreds and thousands have gotten help through 1st Step Interventions and Addiction Care Management, why don’t you be another one and help your loved one or yourself find Recovery and a new way to live happy and Sober.

take first step nowFor the FamilyAbout 1st Step Interventions

We Are Honored To Help A San Francisco Rehab, Duffy’s, Teach Families About Intervention – 1st Step Interventions

Duffy’s Rehab - Located in Beautiful Calistoga and Managed by the same Family, The Duffy’s – Ever since Gene Duffy, The Families Patriarch (since passed away), Founded the Drug and Alcohol Treatment Center almost 40 years ago – Kepping in the tradition of giving back, Duffy’s will be posting a video series about Intervention and how a Professional Intervention is the best way to go for Families stuck motivating a loved one to get help for their Drug or Alcohol problems.

Duffys EntranceBryan Duffys profile

1st Step Interventions and Addiction Care Management™ is Honored to be a part of this excellent and professionally produced series.

Duffy’s is doing a great Community Service by putting this series out there for Families struggling with an Addiction who:

  • Cannot get their loved one to see the problem.
  • Cannot get their loved one to get help
  • Are caught up in their own fear and codependency
  • Are making the issue worse while trying to help, by enabling the Addict hoping if they help them pay their bills or have a place to live will get their act together eventually.

These are the Families who need to have this type of information available to them so that they can move foward and into action by calling Duffy’s or an Intervention Co. like 1st Step Interventions and Addiction Care Management™ and finding more information about how to get their own Intervention process started for a loved one. Call today, your initial Assessment is free.

 Link To Duffy’s Website to access Intervention information and help: