This short video describes part of the Twelve Step Facilitation process for clinicians.

The Brief Twelve Step Facilitation manual can be used by any healthcare worker, trained volunteer or any one who has interviewing skills.

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Go to Twelve Step Facilitation Demo Video

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alcohol_pic1 WARNING

Alcoholics can be frustrating.

While drinking or trying to get sober

alcoholics may be baffling in their

response to normal help.

.

Do you want to discover how to effectively help alcoholics

  • improve their life,
  • recover their health,
  • retain or regain their loved ones love,
  • restore earning ability, and
  • avoid conflict with the police

by helping them get sober?

————————-o————————

Alcoholics do not generally respond to normal help.

————————-o————————

However, success is possible with a strategy that has proven results.

This strategy is known as ‘Brief Twelve Step Facilitation’.

Brief-TSF Cover2 Brief Twelve Step Facilitation; –

  • is a culmination of scientific research and experience gained over the last 70 years.
  • incorporates elements of cognitive behavioural therapy, motivational interviewing, twelve step facilitation and Alcoholics Anonymous.
  • intervention can be brief (just one hour) with support sessions as needed.
  • can be conducted by anyone who has interviewing or counselling skills
  • is an early intervention to prevent further degeneration
  • is an ultimate harm minimisation strategy 

-

————————o————————

You can start helping alcoholics for just USD$9.95.

ORDER DOWNLOAD NOW – With Secure PayPal, Mastercard, American Express or Visa.

This e-book manual of 56 pages is in an easy to read language and format.

————————-o————————

Alcoholics can get sober with your help or, They may continue drinking, be in denial, become angry, engage in domestic violence, break the law, become estranged, lose a job, get injured or become ill.

Helpers may be happy to be of help or become disillusioned. What did I do wrong? Why won’t they stop drinking? How can I really help?

Alcoholics themselves are usually in pain and frustrated. Why can’t I stop drinking? I have tried to get sober! Am I doomed by my drinking?

————————-o————————

j0385417 Brief Twelve Step Facilitation is suitable for use by;

  • Doctors / Physicians
  • Psychologists
  • Psychiatrists
  • Social Workers
  • Nurses
  • Counsellors
  • Faith Based Therapists (e.g. Pastors, Ministers, Rabbis, Monks, brothers) and 
  • Trained volunteers
  • Students of all the above,
  • In fact anyone with interviewing skills and a little detachment

Professionally Written Strategy

Brief Twelve Step Facilitation is professionally written by Mr Robin Foote who has over 26 years experience working with alcoholics, drug addicts, compulsive gamblers and their families. Mr Foote’s qualifications include Bachelor of Arts (welfare), National Certified Addictions Counsellor and trained Twelve Step Facilitator.

What is alcoholism?

An alcoholic loses the will to consistently stop drinking when needed or wanted. They will also crave alcohol when not drinking and crave more alcohol even when drinking. They may also be in denial about their drinking and its effects on them.

Regardless of the moral, medical, psychological or political issues about alcoholism, alcoholics are in dire straights and need appropriate and effective help.

Effective help includes showing them how to;

  • develop a deep desire to stop drinking
  • accept responsibility for their health,
  • be a good spouse and/or parent,
  • partake in extended family life,
  • be a good employee or boss,
  • become a good citizen and community minded,
  • Obey and promote the law,

————————-o————————

Obviously you are not responsible for other peoples actions.

All you can do is point the way to sobriety.

The Brief Twelve Step Facilitation presenter can do so without becoming frustrated.

ORDER DOWNLOAD NOW – With Secure PayPal, Mastercard, American Express or Visa.

————————-o————————

alcoholicDestination without early help.

One can look at drug addiction as a moral issue, a social ill, or a criminal problem. But Lynn Oswald’s experience studying the neuroscience of addiction tells her that it is something else entirely: a disease of the brain.

“Addiction is a brain disease because differences in the way our brains function make some people more likely to become addicted to drugs than others-just as differences in our bodies make some people more likely to develop cancer or heart disease,” says Oswald, PhD, RN, an assistant professor at the School of Nursing.

See more at – Addiction As A Brain Disease.

Thinking businessman uid 1271528 The following is a list of statements made by an Alcoholics Anonymous member who is in recovery from alcoholism.

1. I had tried before, and didn’t succeed. This time I really tried using AA as part of my Recovery Program. Although I was court-mandated; I listened; I learned; and I call it a blessing.

2. …the biggest thing with me is my Spirituality in the Program. I believe strongly that my Higher Power, whom I call God, is the One who has given me sobriety…the reprieve…

3. When I finally sat down and listened to others’ stories, it really was an awakening… I might actually be able to stay sober…

4. I got a Sponsor… he didn’t take any flack… he didn’t feel sorry for me… he was actually very hard on me…

5. …finally surrendering and doing what I was told to do (by my Sponsor) was a big help…

6. The main thing for me is, waking up every morning sober, and thanking God… and working the Steps everyday of my life…

7. I have a great support system, my Sponsor, a core of people in Recovery… I’m getting to know people… and trusting them has helped…

8. My girl friend is in Recovery, and that helps… we call each other up on our Steps…

9. Relationship with my Mom has gotten stronger…

10. …my faith has become more and more believing… that God actually wants to see me do well.

11. I had trouble all the time when I drank… getting beat up… trouble with the law, and wrecking cars…

12. I had blackouts… where I didn’t even know what I did…

13. …the biggest help for me from others is realizing I wasn’t alone… there was actually help… and I might actually be able to stay clean and sober…

14. The main thing for me is, wakening up every morning sober, and thanking God for another day of sobriety…

15. I get to know people… and learning to trust people…

16. Developing my Spirituality gave me a reprieve from the compulsion to drink…

17. My Mom has always been there for me… and now I relationship is stronger…

18. I realize I didn’t have to do this Recovery alone… there is help…

19. I learned to forgive myself and to stop beating up on myself… and now I know I have to be responsible for my own actions…

20. To me, it’s not drinking one day at a time, and looking to get well… my problems came from the way I looked at myself… to find out what kept me there… hold on everyday and believe it can be done… staying sober and getting well.

Understanding Alcoholics Anonymous : Results from a Survey in England and Wales

A national survey indicates what is involved in “being a member” of Alcoholics Anonymous (A.A.) and provides data which should help medical practitioners to make better-informed judgments about whether to recommend A.A. to particular alcoholic patients.

The survey shows that to be successful in A.A. entails;

  • attending meetings,
  • reading the literature,
  • office-holding,
  • twelfth-stepping (helping others with sobriety),
  • sponsorship, and
  • attending formal functions

is routine for the great majority of current members.

Members also make new friends in A.A. who replace rather than augment the circle of old ones and who form the basis for a new set of relationships outside the fellowship. These enable the A.A. programme to be carried beyond the meeting into the member’s everyday life and facilitate a continuity of concern which the caring professions cannot provide.

The Lancet, Volume 311, Issue 8060, Pages 372-375, Stuart Henry and David Robinson

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This article presents findings from a study that examined the assistance aspirations of clients attending an outpatient alcohol and other drug (AOD) treatment service.

Key research questions were as follows:

  • What type(s) of assistance do clients want?
  • Do assistance aspirations vary by age, gender or ethnicity? and
  • Are assistance aspirations predictive of subsequent attendance duration?

The study was set in an outpatient AOD treatment service located in Auckland, New Zealand. Data were collected from two client groups via a questionnaire (n = 109) and a semi-structured interview (n = 12). Questionnaire data were collected following the completion of the first attended appointment. Interview data were completed, on average, after participants had attended two treatment appointments (range 1–3).

When asked to indicate the services they would most like to receive, from a list of 10 possible options, questionnaire participants most frequently selected the options

  • ‘talk to a professional about an AOD-related problem’ (71%),
  • ‘practical strategies for making/maintaining changes to AOD use’ (66%) and
  • ‘ongoing support while making/maintaining changes to AOD use’ (61%).

These options were also the three most likely to be endorsed as the number one service type wanted. Binary regression analysis identified few between-group differences concerning the frequency with which each option was endorsed.

The interview data were consistent with the questionnaire findings suggesting that, irrespective of age, gender, ethnicity and subsequent attendance duration, outpatient AOD treatment clients may share a common set of assistance aspirations at the point of service entry.

What do clients want from alcohol and other drug treatment services? A mixed methods examination. 2011, Vol. 19, No. 3 , Pages 224-234 (doi:10.3109/16066359.2010.507893) Justin Pulford, Peter Adams, Janie Sheridan. Addiction Research & Theory

stages of liver damage New study finds continued abstinence is the key to increased survival from alcohol-related liver disease

However, the downside is that up to a quarter of people with alcohol-related cirrhosis die before they get the chance to stop drinking. Alcohol-related cirrhosis develops silently but usually presents with an episode of internal bleeding or jaundice – which is often fatal.

The study, led by Dr Nick Sheron, consultant hepatologist at Southampton General Hospital, found that abstinence from alcohol is the key factor in long-term prognosis, even with relatively severe alcohol-related cirrhosis of the liver.

The study appears in this month’s Addiction journal. The aim was to determine the effect of pathological severity of cirrhosis on survival in patients with alcohol-related cirrhosis.

Liver biopsies from 100 patients were scored for the Laennec score of severity of cirrhosis between 1 January 1995 and 31 December 2000, and medical notes were reviewed to determine various clinical factors including drinking status.

Using up-to-date mortality data from the National Health Service Strategic Tracing Service, Dr Sheron found that drinking status was the most important factor determining long-term survival in alcohol-related cirrhosis of the liver.

He found that the degree of cirrhosis on biopsy had less impact on survival. Abstinence from alcohol at one month after diagnosis of cirrhosis was the more important factor determining survival with a seven year survival of 72 per cent for the abstinent patients against 44 per cent for the patients continuing to drink.

Dr Sheron, who has just been appointed as one of two internal advisors to the new Commons Health Select Committee on Alcohol, comments: "These findings illustrate the critical significance of stopping alcohol intake, in alcohol-related cirrhosis but unfortunately the services needed to help an alcoholic stay alcohol free simply do not exist in many parts of the UK.

"This study clearly confirms the common sense knowledge amongst hepatologists that the single most important determinant of long-term prognosis in alcohol-induced cirrhosis is for the patient to stop drinking.

"At the most simplistic level the successful management of alcohol-induced liver disease comprises two components; firstly to keep the patient alive long enough for them to stop drinking and secondly to maximise their chances of continued abstinence. A third and vital objective at a public health level is to prevent people developing alcohol-related cirrhosis in the first place. If we are to reduce liver mortality it would seem important to encourage and support patients to stop drinking, and to address the public health aspects of alcohol-related liver disease."

Help an Alcoholic

Denial George is an alcoholic, but he won’t admit it, and doesn’t think he needs to change.

The thought has occurred to him more than once that he might be an alcoholic. His first marriage ended in divorce because his wife finally got to the point where she refused to put up with his drunkenness every weekend.

She told George that she thought he needed help and suggested he find out about AA. Her suggestion just made George angry. “I’m no alcoholic,” he blustered. “I can take booze or leave it.”

“Then why don’t you leave it?”

George didn’t stay for an answer. He stalked out of the house and spent the rest of the evening in a bar.

I can take it or leave it. True, to a point. George seldom drinks during the week — maybe a beer or two after work, but that’s all.

He saves his real drinking for the weekends. Even then, he controls his drinking so that he can make it to work Monday morning-most of the time.

He often feels tired and shaky, but so does everyone else after a wild weekend. That doesn’t mean he’s an alcoholic.

In George’s mind, an alcoholic is someone who has to drink, a person really hooked on booze, who hides bottles and sees pink elephants and snakes, a bum who can’t hold a job. George isn’t like that at all.

He admits he does get pretty drunk at times. Nothing unusual about that — all of his friends are heavy drinkers. He’s blacked out a few times, driven home and not been able to recall how he got there. Twice, George has landed in jail on drunk driving charges.

One of the charges was reduced to reckless driving and he’d had to pay a large fine on his second DWI.

Still, he insists he always drives carefully, even after drinking. “I’ve never had an accident,” he boasts.

After his second conviction George told the judge, “I sure won’t let this happen again.”

But that’s what he said after his first arrest.

Denial Styles

What’s with George? A couple of things, both related to his most successful and most self-defeating defense: denial.

Denial takes two major forms; First, the alcoholic insists that he or she can drink like other people. Socially. Normally.

This means that there are always ready excuses for the exceptional times-for the fights, the arrests, the blackouts, the hangovers. It’s someone else’s fault. It’s harassment, bad luck, or just too much pressure.

Secondly, the alcoholic insists that he or she is different from “real” alcoholics. Drinking alcoholics are usually experts at picturing “real” alcoholics. They’re different somehow: jobless, homeless, friendless, and usually feeble-minded. Not like themselves at all.

That’s why you’ll find, if you look far enough, that the scotch and water alcoholic looks down on the beer alcoholic, who, in turn, is disgusted by the wino.

Each is convinced that he or she isn’t the “real” alcoholic.

George’s drinking pattern displays only one kind of alcoholic pattern. There are many others, and they overlap and shade into each other.

  • The five o’clock alcoholic doesn’t take a drink until after work-never touches the stuff before five — then drinks continuously until passing out.
  • The periodic (or binge) alcoholic can go for long stretches of time without touching a drop. Then comes a binge that can last days or weeks or months.
  • The maintenance alcoholic finds ways to sip all day long, to keep just enough alcohol in the blood.

In short, there is no “typical” alcoholic that serves as a standard by which other alcoholics are measured.

The only thing they have in common is that, sooner or later, they all have serious life problems related to their drinking.

Most significant possible long-term effects of...

Image via Wikipedia

 

The definition of alcoholism as defined by the American Society of Addiction Medicine and the National Council on Alcoholism and Drug Dependence:

“Alcoholism is 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.”

 

WARNING

.

Alcoholics can be frustrating.

While drinking or trying to get sober

alcoholics may be baffling in their

response to normal help.

.

.

woman_holding_glass_of_wine

 

Do you want to discover how to effectively help alcoholics

  • improve their life,
  • recover their health,
  • retain or regain their loved ones love,
  • restore earning ability, and
  • avoid conflict with the police

by helping them get sober?

. ..

 

————————-o————————

Alcoholics do not generally

respond to normal help.

 

—————————o————————-

 

-

.

However, success is possible

with a strategy that has

proven results.

.

-

This strategy is known as ‘Brief Twelve Step Facilitation’.

Brief Twelve Step Facilitation Cover2Brief Twelve Step Facilitation; –

  • is a culmination of scientific research and experience gained over the last 70 years.
  • incorporates elements of cognitive behavioural therapy, motivational interviewing, twelve step facilitation and Alcoholics Anonymous.
  • intervention can be brief (just one hour) with support sessions as needed.
  • can be conducted by anyone who has interviewing or counselling skills
  • is an early intervention to prevent further degeneration
  • is an ultimate harm minimisation strategy

-

-.

————————o————————

You can start helping alcoholics for just USD$9.95.

 

ORDER DOWNLOAD NOW – With Secure Paypal, Mastercard, American Express or Visa.

This e-book manual of 56 pages is in an easy to read language and format.

————————-o————————man drinking beer

 

Alcoholics can get sober with your help or; They may continue drinking, be in denial, become angry, engage in domestic violence, break the law, become estranged, lose a job, get injured or become ill.

Helpers may be happy to be of help or become disillusioned. What did I do wrong? Why won’t they stop drinking? How can I really help?

Alcoholics themselves are usually in pain and frustrated. Why can’t I stop drinking? I have tried to get sober! Am I doomed by my drinking?

.

Brief Twelve Step Facilitation is suitable for use by;

  • Doctors / Physicians
  • Psychologists
  • Psychiatrists
  • Social Workers
  • Nurses
  • Counsellors
  • Faith Based Therapists (e.g. Pastors, Ministers, Rabbis, Monks, brothers) and
  • Trained volunteers
  • In fact anyone with interviewing skills and a little detachment

Professionally Written Strategy

Brief Twelve Step Facilitation is professionally written by Mr Robin Foote who has over 26 years experience working with alcoholics, drug addicts, compulsive gamblers and their families. Mr Foote’s qualifications include Bachelor of Arts (welfare), National Certified Addictions Counsellor and trained Twelve Step Facilitator.

 

What is alcoholism?

An alcoholic loses the will to consistently stop drinking when needed or wanted. They will also crave alcohol when not drinking and crave more alcohol even when drinking. They may also be in denial about their drinking and its effects on them.

Regardless of the moral, medical, psychological or political issues about alcoholism, alcoholics are in dire straights and need appropriate and effective help.

 

Effective help includes showing them how to;

  • sm_Handshake3develop a deep desire to stop drinking
  • accept responsibility for their health,
  • be a good spouse and/or parent,
  • partake in extended family life,
  • be a good employee or boss,
  • become a good citizen and community minded,
  • Obey and promote the law,

.

Obviously you are not responsible for other peoples actions.

All you can do is point the way to sobriety.

The Brief Twelve Step Facilitation presenter can do so without becoming frustrated.

 

.