Bruun's Titting UP
Al is not my friend either so I sure get everything on that line of thinking!
Evidence based treatment is the direction. Interventions that are backed by evidence that they work. Treatment protocols that are well defined and delivered consistently. Integrated treatment for those with dual disorders. Medications integrated into a comprehensive treatment plan along with other therapies to address the "whole person." In a couple more years, treatment programs will no longer get any government money (state, federal, medicare, medicaid, grants, etc.) and most likely not recieve insurance payments if they are not following some of the newer rules of engagement. Strong motivation to adopt something other than "go to AA" which people can do for free if they want to. (and AA participation has actually been studies and in general, has shown to improve treatment outcomes. But the days of a treatment program doing nothing but offer AA are on the way out, I think) Also, individualized treatment plans rather than "cookie cutter" plans are required.
Lots of adjustments and 'everything' will not change overnight. But it's exciting to be getting into the field at this particular point in time - so many changes to improve treatment and so many discoveries in the area of neuroscience.
Those are some of the things being talked about in my classes. LOL - there is a guy in my new Saturday class who is taking the course for CEU credit rather than college credit. He's been in the field a long time and has some interesting things to say...... Once he said to the teacher "that's not practical! We don't have time for that!" and the teacher said "your agency better figure out how to make time or you will be paying a lot of money back to the state." (this teacher is the Quality Director at one of the big treatment facilities in our area)
Many of the "down sides" of treatment that I have seen discussed here on MWO are being talked about in classes as "the old way."
But to put that in perspective, prior to AA there really was no treatment for alcoholism and people were either left to die or locked up an asylums. So I can understand why the medical community wanted to incorporate AA into treatment programs as it was working better "in the day" than anything else. I think what has been demonstrated is there is a lot of value in recovery to peer support. This of course being a very broad and general statement, and nothing works for everyone. (yet
)
OK - enough typing! I forgot to say "pack a sandwich" at the beginning of the post. You are probably dehydrated and starving by now!
I want you to heal Bruun. Physically and emotionally from this horrible addiction. :l I know this road is hard but it is so worth it to keep trying until you get it figured out.
DG
Al is not my friend either so I sure get everything on that line of thinking!
Evidence based treatment is the direction. Interventions that are backed by evidence that they work. Treatment protocols that are well defined and delivered consistently. Integrated treatment for those with dual disorders. Medications integrated into a comprehensive treatment plan along with other therapies to address the "whole person." In a couple more years, treatment programs will no longer get any government money (state, federal, medicare, medicaid, grants, etc.) and most likely not recieve insurance payments if they are not following some of the newer rules of engagement. Strong motivation to adopt something other than "go to AA" which people can do for free if they want to. (and AA participation has actually been studies and in general, has shown to improve treatment outcomes. But the days of a treatment program doing nothing but offer AA are on the way out, I think) Also, individualized treatment plans rather than "cookie cutter" plans are required.
Lots of adjustments and 'everything' will not change overnight. But it's exciting to be getting into the field at this particular point in time - so many changes to improve treatment and so many discoveries in the area of neuroscience.
Those are some of the things being talked about in my classes. LOL - there is a guy in my new Saturday class who is taking the course for CEU credit rather than college credit. He's been in the field a long time and has some interesting things to say...... Once he said to the teacher "that's not practical! We don't have time for that!" and the teacher said "your agency better figure out how to make time or you will be paying a lot of money back to the state." (this teacher is the Quality Director at one of the big treatment facilities in our area)
Many of the "down sides" of treatment that I have seen discussed here on MWO are being talked about in classes as "the old way."
But to put that in perspective, prior to AA there really was no treatment for alcoholism and people were either left to die or locked up an asylums. So I can understand why the medical community wanted to incorporate AA into treatment programs as it was working better "in the day" than anything else. I think what has been demonstrated is there is a lot of value in recovery to peer support. This of course being a very broad and general statement, and nothing works for everyone. (yet
)OK - enough typing! I forgot to say "pack a sandwich" at the beginning of the post. You are probably dehydrated and starving by now!
I want you to heal Bruun. Physically and emotionally from this horrible addiction. :l I know this road is hard but it is so worth it to keep trying until you get it figured out.
DG
but a weird version.
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