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Archive for Addiction Disease Care

How to find help for drug addiction in San Francisco – 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?

Intervention ExpertFinding 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 here locally 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 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.

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 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!!!


Addiction is a Chronic Disease and we need to overhaul The Treatment Industry to Finally Address it

**Like other chronic medical illnesses, substance use disorders have biological, social and behavioral components; and effective management of the disease requires attention to each of these pieces (similar to Type-II Diabetes).

**A recent call from a family member of a patient illustrates just how bad the situation is. This call was from a very senior level executive at a prestigious medical school, asking for advice on how to help his 26 year old son who has a serious heroin addiction. The son had been through five residential treatment programs over the past several years, at a cost to the family of over $150,000. In this case, he was literally too ashamed to contact one of his own organization’s physicians.  This extraordinary degree of stigma and sense of isolation that families still experience is unjustified and incapacitating. The second thing that troubles me about this interaction is that although his son had been to five residential treatment programs, he was unaware that there were any FDA-approved medications for the treatment of opioid dependence. No treatment program had informed him or his son about these treatments, even in the face of repeated, potentially deadly relapses. This is not simply inappropriate – it is unethical.

**It is time and it is possible for individuals with emerging substance use disorders to have all available medical facts associated with the progression of addictive disease; to receive full disclosure and information about all evidence-based treatment options for their condition; and to have full access to all evidence-based therapies, medications and services. I am hopeful that the Affordable Care Act and the Parity Legislation together will create basic fairness for individuals and families affected by the disease of addiction. But if those landmark pieces of legislation are not enough, it will be time to stand together to demand the already available health benefits for the prevention and treatment of substance use.

Treatment has boxed itself into a corner. Centers have created a myth that if you send your loved one to us they will be fixed. Therefore, they charge astronomical fees essentially zapping a Families resources and then give us recovery rates as bad as only 15% getting well (number vary, but the “real” norm amongst honest Industry Therapists and Executives is between 10% & 20% don’t relapse after Treatment). If we made tires and 8 out of 10 failed new we would be out of business. It is also time to stop blaming the diseased individual and say “they were not ready” or “They didn’t do the work”. Programs need to step up to the plate and start realizing that what Treatment does is 4 things.

  • Detox
  • Stabilization
  • Hopefully open the Patient to the notion and ability to speak about themselves in an honest fashion without wearing a mask.
  • Provide a long-term Continuing Care Plan that includes Addiction Care Management.

Treatment Centers needs to lower their costs so that Families have the funds to afford other resources that are necessary for long-term recovery. Things like a Addiction Care Specialist that can assist in keeping all the pieces moving forward, provide accountability that the Addict is following through, bring in other resources such as Therapists, financial planners, Marriage Counselors etc.. as needed over the long haul.

Addiction is a Chronic Illness and like other Chronic Illnesses, like my 11 year old niece – diagnosed with Type I Diabetes since 4, there are multiple interactions with Professionals over time (it has been 7 years for her) to make sure she is accountable, the course of Treatment is working, her Parents are getting support and as she gets older she is educated more and more on what she needs to know. This is no different than the Model that needs to be developed for the Treatment of Addiction. It is already there for Diabetes and other Chronic Illnesses, all we have to do is take what works and leave the rest.

Addiction Care Management   www.addictioncaremanagement.comis a step in the right direction but more needs to be done by Centers who need to take their heads out of the sand and see what is traditionally the way of doing things is not working. A Continuing Care Plan where you hands a Patient an AA Schedule, tell them to do 90 meetings in 90 days, get a Sponsor, work the steps, Help others, Trust god and maybe get a Therapist with no other help is archaic and a broken model.

**Treating addiction as a chronic disease – how do we get from here to there? July 2, 2013 by A. Thomas McLellan – Addiction Professional Magazine