A time to recover...
The Family Program
The family program is available to all families and friends of active clients at Harbor House and to the public. It focuses on information and education about the disease of addiction and is held on Thursday evening from 7:00 p.m. to 8:30p.m. (for a total of 4 sessions) with up to 30 minutes of visitation after the program. The major goal of the Family Program is to provide families and friends with information and education that allows them to understand the disease of addiction and what they can do to begin the process of recovery. Families are affected by addiction in many ways and they suffer many consequences; their own recovery is essential for their welfare and for that of the client.
Family Program Curriculum
Community Reinforcement and Family Training (CRAFT) is an intervention designed to help a concerned significant other/family member (CSO) facilitate treatment entry/engagement for a treatment-refusing individual who is abusing drugs or alcohol (the family member). CRAFT was developed with the belief that CSOs, who often have substantial information about their family member’s substance abuse behavior patterns, can play a powerful role in helping him/her to enter treatment.
Delivered one-on-one or in groups of CSOs, CRAFT aims to influence the substance-abusing family member’s behavior by changing the way the CSO interacts with him or her. The intervention incorporates the clinical style of motivational interviewing and emphasizes learning new skills to cope with a substance-abusing family member (e.g., using positive reinforcement, letting the loved one face the natural consequences of his or her behavior). CRAFT is also designed to help the CSO become more independent and feel more empowered in his or her relationship with the substance-abusing family member.
The four one and one half-hour CRAFT counseling sessions are typically delivered once weekly for 4 weeks. However, the CRAFT program moves as fast or as slow as the CSO is able, and the CRAFT therapist may use any procedure at any time. CRAFT therapists are typically counselors with master’s degrees who are trained in the intervention. The sessions cover the following topics:
- Handling dangerous situations with the substance-abusing family member
- Remembering the family member’s positive attributes that were evident before he or she was abusing substances
- Communicating with the family member using nonjudgmental feedback and reflective listening, and discontinuing communication that is not effective in positively influencing substance abuse
- Using positive reinforcement to support abstinence and increase positive interactions (i.e., scheduling activities the family member enjoys that do not involve substances, participating only when no substances are used that day)
- Practicing nonreinforcement of substance abuse (extinction) by ignoring or avoiding the family member when he or she is abusing substances
- Suggesting and initiating counseling during opportunity times
- Developing interests and social supports independent of the family member
Also during sessions, CSOs discuss problems they have encountered with the substance-abusing family member since the last session. Optional counseling sessions with the substance abusing family member or additional family members can be scheduled as needed.