Family Involvement in Addiction Treatment – The Development of the Family Consequence System

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The family is a vital component in drug rehab.  The success of the client is often directly related to the family’s willingness to do whatever it takes to help their loved one get sober.  Unfortunately, the parents are often just as sick as their children are, but they are often in serious denial about their contribution to their loved one’s addiction. Sick families who refuse to get help can prolong their children’s drug and alcohol addiction for years and sometimes “love them into the grave” so to speak.   I have seen it many times before.  A family continues to financially support their child and not set healthy boundaries with their loved one and this allows their loved one to continue in his or her drug addiction and alcoholism.  It is one of the saddest things I see working in this field.  Family programs in addiction treatment facilities can help, but often families are more unwilling to get help and listen to the direction of professionals than their children are.   These parents also happen to be incredibly high maintenance. They create an almost impossible situation in treatment.  These types of parents often consume a case manager’s time and constantly thwart and sabotage their own child’s treatment.   

Treatment facilities have struggled in dealing with these “types” of parents as long as there has been addiction treatment.  The development of Family Programs emerged partly as a result of the “difficult family” dilemma.  So the other day, during clinical staffing, we were all talking about how we could deal with/help the families who sabotage their child’s treatment and directly effect the treatment efforts of NTS to help their children.  I came up with the idea, which we have had before, of developing an accountability group for local parents and “write-ups” for parents who are not local.  Using the Consequence System developed at NTS we will be developing a similar system for parents.  I’ve seen similar things done at other treatment facilities, but never as elaborate and clinically helpful as I hope this system will be.  The Family/Parent Consequence System is still being developed, but hopefully we will implement it soon and see how it works.   Remember, our primary purpose is to help the client in any and all ways possible and this will have to include the family.  

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