1. 1 Gale Saler, LCPC, CRC-MAC, CAI David Levin, LCSW-C Marci Malnik, LCSW-C A practical Guide to Intervention: The who, What, When, Where, Why, And How of interventions

2. 2 Why an invitational, family system oriented intervention? It can, in fact, motivate him/her to enter and maintain treatment and long-term recovery. Despite prevailing beliefs, a well-guided intervention with no secrecy or ambush will not chase a resistant individual away.

3. 3 Invitational/Family Systems Philosophy Families intrinsically seek to be healthy and competent. Individuals, families, and communities will find and utilize their competence. Access to this competence is unavailable when individuals and families are cut-off from their extended families and natural support systems. To access competence, mobilize, and extend the natural support system. Eliminate the we/they dichotomy and maintain connection to family and culture or origin. Goal is individual and family/peer community recovery/health.

4. 4 Model based on the creation of an Intervention/Recovery Network comprised of family and peers engaged for the long-term recovery and health of the individual and the network.

5. 5 Families, friends, and concerned others care the most, have the greatest leverage, stand to gain the most, and have the most regular contact. Mobilizing the natural support system significantly improves the chances of engaging individuals of all ages in treatment, persuading them to complete it, and encouraging them to strive for long-term recovery.

6. 6 Coaching the concerned members to invite the individual. Intervening with love and respect. Focusing the individual on their positive connectedness to the intervention/recovery network. Focusing the individual on treatment and recovery rather than the intervention process. The invitation: How and Why?

7. 7 Interventions that enhance positive connectedness can draw on the inherent resilience of the family. This will guide the family toward survival and healthy functioning in the face of serious threat, and toward healing when that threat is removed. The blameless intervention. Breaking the inter-generational cycle. Preventing further loss. The power of wanting to get a loved one back. Use of genograms and family history.

8. 8 Engaging family and community linkages allows the traditions, strengths, pride and privacy of the group to remain intact and draws on group resilience, while respecting the group’s capacity for healthy change and survival. The capacity to access resilience and healing depends on the ability to balance stressors and resources, as well as the level of connectedness to the family, natural support system, culture, community, and spirituality.

9. 9 Facilitate social and psychological change, acting as a safety net for individuals to try out new behaviors/beliefs. Augments work of the peer community, creating natural recovery supports and enhancing opportunities for long-term recovery. Establish a clear, consistent set of expectations, standards and goals, and the supports to achieve them. The Recovery Network becomes self- sustaining. The Intervention Network becomes the Recovery Network

10. 10 Greater the number of network members involved predicted greater success of engagement and less time and effort by clinician. Less time spent by clinician on phone, or fewer calls, predicted better outcomes. Parental involvement significantly enhanced rate of success, regardless of age of parent or substance abuser. Preferred substance of abuse did not predict success, neither did severity of abuse nor psychiatric problems. ARISE Outcome Data National Institute of Drug Abuse Study Judith Landau, et.al.

11. 11 Data included all consecutive cases with no exclusion criteria (i.e. all calls from concerned others to agencies) Of 110 cases, 82.7% (n=91) became engaged in treatment (n=86) or self-help (n=5). Over half (55%) became engaged during Level I (First call or First Meeting). Mean amount of time required (telephone and face-to- face) per case was 88 minutes (median=75 minutes). 50% were engaged within one week; 76% within two weeks; 83% within three weeks. Outcome Data cont.

12. 12 Gale Saler, LCPC, CRC-MAC, CAI gsaler@gaudenzia.org gale@recoverycareoptions.com David Levin. LCSW-C david@recoverycareoptions.com Marci Malnik, LCSW-C mmalnik@comcast.net ARISE Intervention Training: info@linkinghumansystems.com Contact and Resource Information