Aftercare Strategies for Addiction Recovery Programs

deskFor Christian programs that work to help addicts, the primary goal is to help them to become integrated into two vital communities – the Church and the recovery community.   If our goal is truly to work ourselves out of a job, then we must make sure we are spending enough time and energy preparing our clients for life after our programs.   If we don’t, we have done them a great injustice.   No matter how success we are with newly sober clients, they will still leave or programs as struggling baby Christians. We must be sure that these new believers knows where to find help when they experiences struggles, even 2, 5, 10 years and more in the future, no matter where they live.

A. Focus on building healthy relationship skills – At rescue missions and Salvation Army centers there’s a lot going on in the areas of life skills, employment, literacy and education. However, an often-neglected aspect of preparation for life after the program is helping the residents to develop and maintain healthy relationships. Getting involved with the wrong people is a major contributor to relapse.   On the other hand, getting in with the right people — those who will lend support and encouragement —is a major factor in successful recovery.

An important cause of relapse for many newly sober addicts is the tremendous stress they experience because of inadequate relationship skills which hinder their efforts at forming healthy relationships. The truth is, most addicts grew up in dysfunctional families. They already struggle with codependency long before their first use of drugs or alcohol. Getting high for many, provides a temporary release from their lack of self-confidence and toxic shame issues that handicap them in their relationships with others.   Guess what? Just because they stop using alcohol and drugs, all of this doesn’t automatically go away. Sobriety gives them a chance to finally begin to work on these issues. If they don’t, their chances of success are greatly diminished.
B. Take advantage of resources offered by theChurch – The Church certainly offers a lot to recovering people by pro ­viding both spiritual and social support. SRI Gallup’s 1992 survey of recovery from homelessness concluded that spirituality (a growing relationship with Christ) was the number one factor that contributed to the success of those they studied. They noted, “This spirituality seems to not only strengthen a person individually, it also seems to be the basis for commonality in building relationships with other people.” So, we must be intentional about connecting mission program participants to a solid, healthy relationship with the Body of Christ, which is often one of the most difficult challenges we face in mission programs.

The solution lies in identifying those fellowships in our community that are most “recovery-friendly” and to cultivate relationships with them. This could involve personal visits with their leaders, luncheon meetings and tours at the mission, and training programs specifically geared toward helping both pastors and lay people to understand and support our people as they become involved in their congregations.
C. Connect with the Christian Recovery community – There is still another extremely valuable resource out there that has yet to be fully understood and utilized – the Christian who are themselves in recovery! There is a wonderful phenomenon afoot that has been loosely called the “Christian Recovery Movement”. It has been manifested by literally thousands of support groups springing up in churches around the globe where Christ is the “Higher Power.” These groups are to be found in practically every major city of North America, and in some overseas — Celebrate Recovery, Overcomers Outreach, Alcoholics for Christ, Alcoholics Victorious, etc.

There are no better people to serve as a “bridge” between the mission and the Church than believers who are themselves over ­coming addiction. They can relate in a very special way to the struggles of mission clients, because they’ve been through many of them. We must find these people by visiting support groups our ­selves, contacting large churches in our cities to see if they have such programs, and in some cases sponsoring such groups ourselves. Find such groups in your area using the Christians in Recovery Resource Database.

Like churches, support groups vary significantly, one from an ­other. So, I encourage mission program personnel to never send people to groups we have not personally visited. And, it’s impor ­tant to meet with the leaders of these groups to get to know them personally and help them to become familiar with the mission and its recovery program.

 

Excerpted from Rescue Magazine June 1997

 

Work Therapy in Residential Recovery Programs

work2Rescue missions depend on labor provided by people in their programs to do a variety of tasks that are essential to their operations.   Men and women in recovery programs can be found in kitchens, performing housekeeping and maintenance tasks, providing office support, and driving trucks to pick up donations. Certainly, we value the services they provide.  

Equally important, though, is the need to give additional meaning to their efforts by creatively using their work assignments to invest in their lives.   What follows is a list of some ways this can be accomplished:

A.  Develop a purpose statement for rescue mission work projects – We need to have a definite philosophical basis for every activity in which we involve program participants that is both spiritually sound and “therapeutic.”   In other words, we need an official statement that establishes the fact that we are not just looking for free labor, but rather that the work they do really is intended to help them.   If   people in our programs feel used, they are certain to shut themselves down to the recovery process. The mission is there for the clients, they are not there for the mission!

B.  Develop a written, individualized plan that makes their work projects an important part of the rehabilitation program. The most effective means of clarifying and monitoring the goals and objectives we set for program participants is to use a written recovery plan.   This written plan identifies the various issues they will work on while with in the program. It should also ties all of the significant activities in which they participant be involved and states exactly what is to be accomplished through each of them.   The work performed by the resident, if is truly rehabilitative in nature, will help them to work on such goals as developing new, healthy attitudes toward work and responsibility, becoming more employable by acquiring new job skills, etc..

C.  Use work assignments to teach essential Biblical concepts of work and stewardship  In 1995, Roper Starch surveyed employers about hiring the homeless and those on Welfare.   They discovered that employers believe the right attitude is 10 times more important than work skills in entry-level employees. They cited interpersonal skills such as dependability (90%), honesty (89%) and the ability to follow instructions (86%) as far more essential than technical skills like typing (11%), prior work experience (15%) and knowledge of office systems (14%).

A well-conceived work program is a very effective vehicle for helping program participants develop a health attitude toward work.   A part of the formal curriculum of our programs, we need to instruct residents in the scriptural principles that show them God’s perspective on their labors.  They need to understand that our work, our talents, and our time all belong to God, since they were given by Him.   Stewardship involves our accountability before God and others who have blessed us — for instance donors whose generosity enables the mission to continue its work.   Both staff and residents are   responsible to them and to God for taking care of the facilities and equipment that have been entrusted to them.

D.  Use work assignments as career training opportunities To assist them with future employment, we must do all we can to help residents to learn real job skills through their work projects.   One example of this is the rescue mission who send all of the program men working long-term in their kitchen to the food safety course sponsored by the National Restaurant Association. While this may involve some investment in staff time and possibly the expense of outside training opportunities, it will have definite payoffs.   The same can be done for office and maintenance work.   We need to be creative about using work done at the rescue mission to help them prepare for gainful employment after they complete our programs.

E.  Develop a system of rewards for work well done To avoid the appearance of an employment situation with wages being paid, we cannot use monetary rewards.   Legally, stipend amounts should be kept exactly the same for all program participants at a same level or phase of your program – regardless of the actual hours they work or the quality of their labor.   However, there are certain privileges that can be granted, a private room, for instance, or extra free time, or even certificates or awards given out each month to good workers.   The goal is to make sure that we provide them with a pay-off for putting their hearts into doing a good job.   This is a lesson many have never learned.

Some Words of Caution

  A.  Avoid anything that would imply an employee/employer relationship between the resident and the rescue mission. — This starts in the initial intake session, where residents are asked to sign an agreement indicating that they understand that some hours of work will be a part of their recovery program. And, that this is a part of their rehabilitation and does not constitute an employee/employer relationship for which they will receive wages.       This also means avoiding the use of terms like “staff” and “wages” when referring to the work residents do.   It is more appropriate to   call money they receive a “stipend”, “sustenance allowance” or simply a “gift.”

B.  Remember that it takes a full 30 days to completely detoxify from alcohol and drugs – During the first few weeks we need to be careful about what types of work assignments we give them.   They will have problems with logical thinking, short-term memory, and motor coordination.   Avoid jobs that could be potentially dangerous to people who are in their early days of sobriety such as work on ladders, handling of potentially hazardous materials, etc.

C.  Don’t let program participants “hide” in their work — We often use the term “dry drunk” to refer to people who put down the bottle but never begin a life of recovery.     Without drugs or alcohol, addicts will often become compulsive about other activities as a way to manage their emotions.   This could include things like work. TV, exercise, etc.   So, we need to be watchful about program participants who seek overly eager to work, which may indicate a desire to stay busy in order to avoid working on themselves.

D.  Don’t give them authority over other program participants — The Apostle Paul warns Timothy to avoid giving new converts too much authority too quickly, lest they fall into pride and other snares of the devil. ( I Tim 3:7).   For recovering addicts, grandiosity is a major problem. It is very easy for them to take the focus off of themselves and onto controlling others.   This can result in an abuse of the authority we give them, which can create all sorts of problems among people in your program. My recommendation: only paid staff members should be given authority over program participants.

  E.  Don’t give them assignments that subject them to unnecessary temptation.   For instance, too much exposure to people still living on the streets and using alcohol and drugs or too much contact with unstable people of the opposite sex.

F.  Hire those who have proven their worth. –   It is very tempting to “missionize” talented people by keeping them “in the program” indefinitely.   A better arrangement is to fill important positions (cooks, drivers, etc.) with individuals in a latter phase of a program who become actual temporary employees of the mission.   These individuals will naturally be more stable and dependable.   Minimum wage requirements may be met by combining cash payments with the established “fair market” value of the housing and meals that are provided.   In most cases, the mission is then only responsible for the FICA withholding and matching payments, since non-cash compensation is usually not subject to state and federal employment taxes.   Not only will this arrangement reward those who are doing well in their recovery, it also assists them to begin re-establishing an employment record.

 

What Keeps People in Recovery?

1-hannaAs I have mentioned in an earlier article, I am firmly convinced that we must help people in residential programs to be come integrated into two vital communities – the Church  and the recovery community. There  is life after the residential recovery pro ­gram and if we don’t spend enough time and energy preparing our clients for it, we have done them a great injustice.

If we are truly successful, the program graduate leaves the mission as a newly so ­ber, struggling baby Christian. We must be sure that this new be ­liever knows where to find help when he/she experiences struggles, even 2, 5, 10 years and more in the future, no matter where they live.

A. Building Healthy Relationships Outside of the Program – There is a lot going on at rescue missions in the areas of life skills, employment, literacy and education, etc. But, an often-neglected aspect of preparation for life after the program is helping our residents to develop and maintain healthy relationships. Get ­ting involved with the wrong people is a major contributor to re ­lapse.   Inadequate relationship skills are  a tremendous source of stress for newly recovering people with they try to live with others. The truth is, most addicts come from dysfunctional fami ­lies. They already struggle with codependency long before their first use of drugs or alcohol. Getting high. for many, provides a temporary release from their lack of self-confidence and toxic shame issues that handicap them in their relationships with others. Guess what? Just because they stop using alcohol and drugs, all of this doesn’t automatically go away. Sobriety gives them a chance to finally begin to work on these issues. If they don’t, their chances of success are greatly diminished.

B. Role of the Church – The Church certainly offers a lot to recovering people by pro ­viding both spiritual and social support. SRI Gallup’s 1992 survey of   recovery from homelessness concluded that spirituality (a growing relationship with Christ) was the number one factor that con ­tributed to the success of those they studied. They noted, “This spirituality seems to not only strengthen a person individually, it also seems to be the basis for commonality in building relationships with other people.” So, we must be intentional about connecting mission program participants to a solid, healthy relationship with the Body of Christ, which is often one of the most difficult challenges we face in mission programs.

The solution lies in identifying those fellowships in our com ­munity that are most “recovery friendly” and to cultivate relationships with them. This could involve personal visits with their leaders, luncheon meetings and tours at the mission, and training programs specifically geared toward helping both pastors and lay people to understand and support our people as they become in ­volved in their congregations.

C. Getting Connected with Other Christians in Recovery – There is still another extremely valuable resource out there that has yet to be fully understood and utilized – the Christian who is himself in recovery! There is a wonderful phenomenon afoot that has been loosely called the “Christian Recovery Movement”. It has been manifested by literally thousands of support groups springing up in churches around the globe where Christ is the “Higher Power.” These groups are to be found in practically any major city of North America, and in some overseas – Overcomers Outreach, Alcoholics for Christ, Alcoholics Victorious, etc. There are no better people to serve as a “bridge” between the mission and the Church than believers who are themselves over ­coming addiction. They can relate in a very special way to the struggles of mission clients, because they’ve been through many of them.

We must find these people by visiting support groups our ­selves, contacting large churches in our cities to see if they have such programs, and in some cases sponsoring such groups our ­selves.   Like churches, support groups vary significantly, one from an ­other. So, I encourage program personnel to never send people to groups we have not personally visited. And, it’s impor ­tant to meet with the leaders of these groups to get to know them personally and help them to become familiar with the mission and its recovery program.

 

From RESCUE Magazine, June 1997, journal of the Association of Gospel Rescue Misisons