Showing posts with label tough love. Show all posts
Showing posts with label tough love. Show all posts

Monday, March 7, 2016

Why I Would Buy My Daughters Heroin

Why I Would Buy My Daughters Heroin

The views expressed here are my own and are not necessarily shared by any employer or educational institution I may be affiliated with...but who could blame them. This one goes too far.

I have two daughters ten years apart who are similar and different as night and day. I consider myself a pacifist, but I know I would use violence to save them if they were in danger. I might use violence to save them even if there were another non violent way. They are my daughters, and I would not bet that my ideals could withstand a threat to them. But what to do if they were ever a threat to themselves?

I work in a medication assisted recovery center, that's a nice way to say methadone clinic. I work as a chemical dependency counselor, I'm good at it, and though I don't count myself as a believer, this feels like a calling. In the relatively short time I've worked in this field I've worked with several individuals who were unfortunate enough to be born to parents who kicked them out on the street at a young age to fend for themselves. Usually they did this because the child way gay, lesbian, or transgender. I was and still am disgusted by this sort of thing. To abandon a child to what mercy they can find in the world is not only a violation of parenthood, but of our very humanity. While I understand the forces that drive a person to such a barbaric act I have no sympathy for it. I don't care what your parents did to you, what they taught you in school, or what your holy book tells you, you simply need to be better than that. To fall short is unacceptable. But until recently I had some sympathy for the parents of drug addicts who did the same thing. What do you do with a child who continues to use drugs, even after you have sent them to treatment? What do you do when they lie and steal from you to support their habit? What choice do you have if they refuse to go back to treatment after a relapse? Aren't I hurting them more in the long run if continue to enable their behavior?

I don't know the answer to the above questions, but I know one thing for certain. No person I have ever worked with has ever been better off for having been kicked out of their home. Drugs may be bad for your child, but the street is worse. Any child is vulnerable on the street, a child addicted to drugs is even more so. There is no shortage of people waiting to take advantage of such children. 

The reason parents abandon their children for drug use is they have been told that continuing to support their child will keep them stuck in addiction or make their addiction worse. The only alternative is to cut ties with the child, cut off all support, and hope the child gets desperate enough to change.

In reality what happens is that parents trade one option that might hurt the child for one that will almost definitely hurt them. A child has precious little to barter for the things they need. If the child is already tortured by shame for being unable stop using drugs, imagine how much worse it is for I child who has had to sell their body, not just for drugs, but for food and shelter, and sometimes they will offer themselves and get nothing in return. Drugs can hurt your child but that kind of trauma can leave scars that from which they may never fully recover. The other option is to prey on others, any child who has to survive on the streets will probably have to do both. I won't do that to my daughters. 

I would sooner buy my daughters heroin and help them inject it before I would kick them out of my home. It wouldn't be my first choice, but if it came down to it that's what I would do. Being a drug addict is not a fate worse than death. I may not be able to protect my children from everything. But I will protect them from everything I can.



Friday, February 26, 2016

Stop Relapse... Prevention

Stop Relapse... Prevention 

The views expressed here are my own and are not necessarily shared by any employer or educational institution I may be affiliated with...but they definitely should be.



I'm going to go out on a limb here and say every treatment facility in the United States has a class, group, or workshop called "Relapse Prevention." It may be the biggest lie in the the recovery industry. A quick google search of relapse rates after rehab will tell you that something around 60% of graduates from a given treatment facilities will relapse between in the first 1 to 3 years. Of the remaining 40% about half will relapse by the 5 year mark and about half of those survivors will relapse by 10. Though results may very a bit from program to program the numbers hold fairly steady.  I think it's fair to ask just what relapses are being prevented? The answer it seems is none at all. Yet that's what we say we are doing. That's what we tell the fresh faced first timer who looks at us determined he will never set foot in treatment again, that's what we tell the frequent flyer who is determined to do it differently this time and they fill out the work sheets we give them with triggers, coping skills and numbers to call, they write prevention plans and role play scenarios and most of them use again before the year is through. So what are we teaching them if it's not how to prevent a relapse? When we say things like "relapse is part of some people's stories but it doesn't have to be part of yours" what is it we are trying to say? The one overriding lesson of every relapse prevention class, the very purpose of the topic itself is to teach the clients one thing, when you eventually relapse, it's not our fault, it's yours. It's a lesson they learn well. It's a lesson we teach them over and over again.

Not everything taught in a relapse prevention class is useless. How to access sober support, coping skills for triggers, tips to survive the holidays, these are all things a person in recovery may put to good use, they just don't seem to prevent relapse. So what do we do with these people who are desperate for our help? Do you hear a list coming? I hear a list coming.

1) stop pretending relapse is abnormal. Most people enter a treatment facilitiy long before their last use so don't treat the clients as if they are the only one to ever slip up. 

2) Instead of pretending to prevent a relapse teach them how to survive one. In the case of an opiate dependent person make sure they have Narcon and train them how to use it.

3) put aside the idea that recovery begins that day after one's last use. The truth is recovery begins when one decides it's time to change.

4) instead of talking about Relapse Prevention, talk about Abstinence Goals. Abstinence is an important goal of recovery but it is not the goal of recovery. A client who has gone from daily drinking to drinking 3 times a month has made significant progress towards their abstinence goal of no alcohol, but has failed three times to prevent relapse. Which is more likely to motivate them to continue trying? They might be excited to tell you about the proges they have made towards their abstinence goal, and they may be open to your help in continuing the progress.  On the other side, they may be ashamed if they think they have failed and may be more likely to hide it from you and continue using in secret.

Each relapse can be a learning or a shaming experience for the client, which one may depend on how you the professional decides to handle it.