Families are frustrated and upset at the point they’re considering an intervention. They’ve tried everything to get a loved one to change. The days before making a call for an intervention are always hectic. It’s never an easy call to make and it always comes after being pushed over the proverbial edge.
It’s natural that the first call feels a bit awkward. The person might be worried about privacy and trust. After all, they’ve contacted a stranger to share very personal and painful information about a loved one. However, the background story is integral to planning an intervention, so if you’re the one who places the call, you can expect questions like the following:
- How long has this behavior gone on for?
- Tell me about the last two weeks.
- Why do you feel that now is the time for an intervention?
- What substances do they use?
- Is there a mental health issue that you know about?
- Does the person have health insurance?
The assessment goes both ways. We encourage the caller to learn about interventions and the interventionist. Considering treatment and/or an intervention are major decisions that get made under pressure. During our assessment call, I teach callers about the process and what to expect.
Creating a Plan
Over the next few interactions, a plan will start to come together for the intervention. As I learn more about the person of concern, the right options for a treatment program become clear. We will consider the costs of the programs, location, insurance coverage, and find the right fit for the person. Inpatient treatment is not always the best course of action. We consider all options and what suits this individual and their family best.
Once a plan solidifies, the rest of the intervention process starts to fall into place.
Round up the Network
Prior to an intervention, families are worn out, angry, and in pieces. Ultimatums are being thrown around. Some people are at a loss; they just don’t know what to do anymore.
Rounding up the network and getting everyone on the same page is the most powerful part of an intervention. Finally, the family learns what to do, is in on the plan, and can constructively help the person of concern.
Long-term healing begins at this point. The family comes together in a unified way, maybe for the first time. We leave yelling and ultimatums behind as we shift into loving support.
Most interventions don’t look like what you’d expect from seeing them on TV. Dropping in on someone and surprising him or her never goes well. People don’t react well to being cornered.
An intervention can be a very positive experience and it can happen many different ways.
Some interventions look easy. They might consist of a couple of phone calls to the person of concern. Some look more like family therapy, where a group comes together to begin a process of healing. The most influential people in an intervention are the family members, but it’s also paramount to have a moderator there. The moderator keeps the process positive as to avoid falling back into old patterns that don’t work.
I am finding now that people respond very well to Zoom interventions. Pre-pandemic, we wouldn’t have done a virtual intervention, but through experience we’ve found they are less confrontational to the person of concern. Another benefit is that family members who otherwise would not be able to join due to geographical limits are now able to be present. Even grandparents are well adapted to Zoom these days.
There are many ways to get sober and not everyone should or needs to “go to rehab.” While going to a treatment center might be right for many people, there are other options, such as outpatient treatment, private therapy and psychiatry, medication routes, and 12-Step Meetings.
I tell families that an intervention will always spark change. Once the family is on board, the people that are healthy will shift how they interact with the person of concern; family healing commences one way or another.
The path for the person of concern might not be going directly to rehab. They’ll often say no or want to try other options before going to inpatient treatment. No matter where they start their recovery, the most important thing is that there’s been a start.
Successfully entering a 28 day program is a great way to begin recovery, but it is just that: a beginning. Successful long-term recovery takes much more than 28 days. About three weeks into their inpatient program, plans need to be put in place for what happens next.
Consideration needs to be give to:
- An “after care program” that will continue treatment
- The living situation, ie: can the person of concern live where they were before treatment?
- Evaluation of their home environment. Is it threatening to their recovery? Are there people who will negatively impact their success?
- Drug testing
- Sober coaching and 12-step meetings
This stage is fraught with emotion. Family members remember how the person was before the addiction took hold and the person of concern is now healthier and ready to make their own decisions. A safe reentry plan will take time to craft and the person of concern often takes some time to agree to it. Commonly, they feel they want to get home and “get on” with life, but putting a safe plan in place could be the difference between successful recovery and slipping back into old habits of using.
As the person of concern settles into their aftercare plan, they begin to stabilize. The individual might be remorseful or embarrassed as they begin to see the damage they left in their path. There is also a tension between the newly recovered person and their family. It was only 30 days ago that the family was taking care of an adult child. It’s natural the family isn’t convinced just yet that this time will be different.
Continuing therapy after rehab is very important. In the first 30 days after treatment, we want people to be busy doing recovery work, such as AA or IOP (intensive outpatient treatment).
I work closely with families during re-integration. The relapse rate is high the first few weeks out of treatment. By continuing family meetings, the family sees how this time is different and the person of concern can share their success and progress in a supportive atmosphere.
An intervention is not a one-off event; it is a recovery process. I commit to working with families for 90 days to ensure that the person suffering begins treatment successfully and has a plan that will ensure long term recovery. Committing the first time can lock in lasting recovery, making the intervention a process that only has to be done once.
Adam Banks is a certified interventionist and recovery coach at Suntra Modern Recovery. He received an MBA from the University of Chicago and built a company, which United Health Care acquired. He learned his rigor and attention to detail from his career as an airline pilot, holding an ATP, the FAA’s highest license.
Today Adam is dedicated to working with individuals that want to change their relationship to drinking. Adam Banks is often called by families to help untangle crisis situations through a loving and inclusive approach to interventions. Adam often engages in coaching executives, pilots, and physicians in recovery.
Suntra Modern Recovery provides medical treatment for alcohol and opiate addictions via video visit with medical doctors. Suntra’s alcohol and drug intervention services are available locally in New York, Long Island, the Hamptons as well as nationally and internationally. Treatment for alcohol, opiate and heroin addiction, including Suboxone treatment, can start today.