Recovery Programs for Smaller Rescue Missions

When homeless addicts are unable to find lasting sobriety, they are doomed to a life on the streets. Thankfully, AGRM’s member rescue missions have responded by developing long-term recovery programs for indigent men and women with drug and alcohol problems. Sophisticated programs can be found at some larger rescue missions. Many have professional staff members who are social workers, case managers and certified addiction counselors.

Providing recovery services at the smaller rescue mission can be more challenging. In some ministries, a single chaplain is the only staff member who works with long-term residents. However, it is possible to bring recovery principles to those who need it. Here are a few suggestions:

  1. Educate YourselfTake advantage of opportunities in your community to learn more about addiction and recovery. Learn about what is being offered at local colleges. Training events are also sponsored by groups like the National Council on Alcohol and Drug Dependence and the National Association for Alcohol and Drug Addiction Counselors. City Vision University  offers courses through it’s online Addiction Studies degree program. Throughout the year, AGRM-sponsored training events are offered at several different locations. Information these and other training events appear monthly in the member newsletter, HAPPENINGS. Every mission, large or small, needs to set aside funds each year for such staff training.
  1. Use Community Resources — Most communities have a local NCADD office. Along with training activities, they usually provide free literature on addiction and maintain lending libraries with books and videos that can be used in rescue mission recovery programs. Both NAADAC and local colleges may also be used to find counselors-in-training to work with addicts at the mission.
  1. Use Christian Support Groups —The first requirement for anyone with an alcohol or drug problem who stays long-term at a mission should be frequent attendance at addiction-specific support groups. My first choice is always a group that is Christ-centered. Alcoholics Victorious is the AGRM- sponsored support group network. There are other Christian groups such as Alcoholics for Christ, Overcomers Outreach, and Celebrate Recovery, etc. Locate these and other Christian support groups meeting around the world at the Christians in Recovery web site. Where such groups do not exist, one option is to begin one. Ask stable believers with a few years of successful recovery in a non-Christian group, like Alcoholics Anonymous, to help get your group started.
  1. Using Other Support Groups AA, Ala-non, NA and other support groups can also be valuable resources. Some may even help by bringing a meeting to the mission. Some Christian workers have had bad experiences and assume that these groups are anti-Christian. This depends mostly on who is in leadership. It is best to have staff members visit meetings to get acquainted with local leaders before requiring residents to attend meetings or inviting them to conduct one at the mission.
  1. Resources for Recovery Classes A large assortment of materials related to addiction recovery is available through AGRM’s Resource Center. It can be found online at www.agrm.org. The Life Recovery Bible is a great reference tool for developing recovery-oriented Bible studies, chapel services, and devotionals. For structured classes, Power to Choose is a very useful workbook that is written in very simple language by Mike O’Neal, who was himself formerly homeless.
  1. Maintain a “Zero Tolerance” Policy — To maintain an environment that promotes positive change, the rescue mission must be a “drug free zone.” Therefore, all residents must know that, if they use alcohol or drugs, they will be dismissed immediately from the long-term program. This should be for at least one month, with the possibility for an evaluation for re-admission after that time period. They can be put back on the streets, demoted to the shelter, or referred to another program. Whatever option is used, residents need to know that the addiction is taken seriously.
  1. Reach Out for Help If you have additional thoughts or questions, please use the contact form.

 

Michael Liimatta is the author of two book and tape sets published by the Association of Gospel Rescue Missions; A Guide to Effective Rescue Mission Recovery Programs and First Things First.

 

When Helping is Really Hurting

How can our attempts to help a hurting person actually hurt them?

Lately, I have been thinking quite a bit about the Apostle Paul’s admonition to the Galatians and how it relates to those of us who are reaching out to addicts and other troubled people. “Brothers, if someone is caught in a sin, you who are spiritual should restore him gently. But watch yourself, or you also may be tempted.”   (Gal. 6:1 NIV)

This passage and the verses that follow have some important principles to keep in mind as we seek to be people helpers and not “enablers”.

A. “Fixing?” vs. “Empowering” — When we work with troubled people, from the very beginning of our efforts we should be “working ourselves out of a job” with them. Paul says, “Each person must bear his own load.”   In other words, we must be discerning so that we focus on our own part and not do their part for them.   Real helpers impart “tools” that assist those we help to make good decisions about their lives.   Taking up those tools and learning to live sober and godly by applying them to “real life” situations is totally their part.   People recover from addiction when they learn to take responsibility (with God’s help) for their own actions and lives. We cannot do this for them.

B.  The Principle of “Sowing & Reaping” —People persist in destructive behaviors as long as they feel the benefits outweigh the costs.   For most of us, pain is a powerful motivation to change unhealthy and unwise behaviors.   Abuse of alcohol or drugs always leads to painful consequences.   One thing we know, drugs and alcohol dull the uncomfortable emotions that signal the need to change.   This contributes to the denial of alcoholics and drug addicts. They have real difficulty in connecting their actions and decisions with the negative consequences they experience.   Instead, they intellectualize and rationalize behavior and shift blame to other people and circumstances.   That’s why Paul’s exhortation to the Galatians is a message they need too — “Do not be deceived: God cannot be mocked. A man reaps what he sows.” (Gal.6:7)

For addicts and alcoholics, sometimes experiencing consequences and understanding where they came from is the key to their salvation! When it comes to these sorts of consequences, I have a mental picture of God sending along a gigantic spiritual fist designed to knock them over. It’s one way He can make them stop and take a real look at their lives.   The problem is that I see people stepping in front of that fist and taking the blow themselves.   In other words, they experience the pain and grief intended for the addict.   Meanwhile, the person it was intended for experiences nothing and keeps on going down their destructive path.   Sometimes, our main job may be to get the other people in the addict’s life to stop bailing him or her out so that real change might have a chance to occur.

C.  “Give heed to yourself” —For urban mission workers, there are a few temptations embodied in Paul’s words.   On one hand there is the temptation to be sucked into taking up the responsibility that belongs to the client.   It is all too easy to over identify with him or her resulting in a failure to be objective and to confront what needs to be confronted, when it needs to be confronted.   We can easily become angry and frustrated when people we try to help keep rejecting our advice.   We too often take this personally and become hurt and offended; closing our hearts to the people God has called us to help.

Restoring gently, I think, implies approaching all counseling and confrontation in a prayerful manner.   It’s important to see beyond that individual and his or her behavior.   We need to remember that we have another adversary who is at work to keep those we seek to help bound and confused.   Here is where the notion of being “spiritual” comes in; we need to recognize that rescue mission counseling is actually spiritual warfare.

We need to be continually asking God to help us to be aware of our own attitudes and to give us the special wisdom needed to really meet the need in the other person’s life.

 

The Disease Concept of Alcoholism

What about the “disease concept” of alcoholism and drug addiction?

A. Rationale for using the term “disease”   – A simple definition of “disease” is any “unhealthy condition.”   Addiction has a well-established and recognizable set of “symptoms” with characteristic behaviors and similar effects upon every person who suffers from it.   Also, reliable scientific studies have established that many individuals have an inherited predisposition to alcoholism and other drug dependencies.   For secular researchers, who do not acknowledge the spiritual roots of addiction, using the terms “disease,” or “illness” is a logical approach to defining and understanding this condition.

The American Medical Association defines alcoholism as …

.. a primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences,  and distortions in thinking, most notably denial. Each of these symptoms may be  continuous or periodic. *

B. What the Bible says While this all may be true, we must reject an extreme application of the “medical model.”   Through it, some would imply that the individual didn’t have a choice in the matter and was somehow not responsible for the choices that led to his condition of addiction.   Because real repentance is essential to re-establishing a relationship with God, it is dangerous to accept any approach that removes from an individual personal responsibility for his own actions.

The process leading to full-blown addiction starts with the sin of drunkenness — which is a moral choice even for those with a family history of alcoholism.   As Christians we must be careful not to use an extreme definition of the term “genetically predisposed.”   This concept simply refers to the condition of some individuals who, because of an inherited bio-physical make-up, have bodies that process addictive substances in a manner that causes them to progress more rapidly toward compulsive use and chronic addiction.   While there are many physical, emotional, and social contributors that lead to addiction, the Bible is quite clear about the fact that choosing habitual sin eventually results in slavery or bondage for those with a genetic predisposition.

Being “genetically predisposed” to alcoholism refers, basically, to those individuals whose biological make-up causes them to progress more rapidly in the physiological aspects of the addictive process.   The Bible is quite clear about the fact that choosing habitual sin eventually results in slavery or bondage.   Actually, the Bible says the sin of “drunkenness” prohibits those who practice it from entrance into the Kingdom of God (Galatians 5:19-21)

C. Scriptural terminology The Greek word “bondage” (douleia) is a very appropriate Biblical term that sums up the condition of addiction to alcohol and drugs.   It is used extensively in scripture portions like Romans 6, and translated “servants to” and “slaves of.”   This term carries with it the connotation of a condition that, while it may have begun through personal choices, results in a state that supersedes the free will.   Just as the slave in Bible times could not break free of his state of bondage, which may have resulted from indebtedness due to his own choices, so is the addict bound in a condition that he will not escape on his own power.

D. Don’t minimize the problem! This bondage has dramatic and lasting effects on people who suffer from it.   Life-consuming sin has an impact on the total person.   As Christian counselors, we know that God’s power is able to deliver individuals from the compulsion to drink, and to set them free from the emotional, psychological, social, spiritual, and physical consequences of an alcoholic lifestyle.   Yet, we must never forget that enslavement to drugs or alcohol goes far beyond a simple habit.

After an addict is saved and stops using mood-altering chemicals, he must work through a special set of problems that are the “fall-out” or on-going consequences of the addicted lifestyle upon the individual and his primary relationships.   Usually, without the proper help, the addict will either fall back into use of alcohol and drugs or will transfer his addiction to some other compulsive behavior.   Thoughtfully combining insights from the secular research into these dynamics with scriptural principles can equip us to effectively help addicts and their families.

*   Journal of the American Medical Association, 1992

 

Originally published in RESCUE Magazine, the journal of the AGRM, Fall 1995

Updated   July 17, 2012