Description
Ideally, the tri-fold treatment approach will include a personalized treatment plan. As clients might have different needs, a personalized treatment plan is significant. For example, a client who has a substance abuse addiction may require a different treatment plan then a client who needs to be hospitalized for physical complications due to their addiction.
While all three components of the tri-fold approach play an equally important part in the treatment plan, it is important that clients seeking sobriety and addiction treatment address their physical ailments before moving into the process of recovery where their emotional and spiritual struggles may be addressed effectively. Furthermore, a personal treatment plan should take into account the client’s family history, culture, age, gender, and access to resources. All of these elements influence the final treatment plan.
For this Assignment, review the media entitled “Tri-Fold Model” and the week’s resources. Then, review the scenarios provided in the “Assignment Scenarios: Treatment Approach” document, and select two scenarios as the focus of your Assignment. Explore the differences in the scenarios provided and consider how the tri-fold treatment approach may be applied differently for each individual. Support your response with references to the resources and current literature.
Submit a 2- to 3-page paperthat addresses the following: (Be detailed in response, use sub-headings in responses, use course readings and supplements, use APA references)
- Briefly describe the two individuals whom you selected from the scenarios.
- Explain how you would apply the tri-fold treatment approach to each individual.
- Explain how addiction impacts the physical, emotional, and spiritual well being of each individual differently.
- Explain how these differences might influence treatment approaches.
References
Galanter, M. (2006). Spirituality and addiction: A research and clinical perspective. The American Journal on Addictions, 15(4), 286–292.
Robert Wood Johnson Foundation. (2007) Spirituality has a role in substance abuseabuse treatment programs, Marylandresearchers say. Retrieved from: http:/www.rwjf.org/en/library/research/2007/12/spirituality-has-a-role-in-substance-abuse-treatment-programs–m.html
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Spiritual
Emotional
Physical
Spiritual
Emotional
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© 2014 Laureate Education, Inc
Physical
Assignment Scenarios: Treatment Approach
Scenario #1
Amy is a 53‐year‐old married Caucasian female with two children, ages 15 and 17. Amy is being assessed
for her alcoholism. She reports drinking socially since college where she met her husband. She has a
solid career as a top agent in her field, and she and her husband have provided a financially secure home
for their family. She has not had quality time with her husband due to their rotating work schedules and
numerous kids’ activities.
Amy reports drinking with co‐workers several times a week. She says that it is “part of the job.” She is
finding it increasingly difficult to keep up her schedule at work, parenting, domestic chores, and having
time for life outside of work and parenting.
Amy continues to drink each evening after work and often wakes up on the couch in the middle of the
night after passing out. She finds herself frequently bickering with her husband and believes her children
do not want to spend time with her anymore. Each morning it is more difficult to get up and get ready
for work.
Amy also reports struggling with friendships, especially with women. She reports not having anyone to
confide in or feel supported by. Her mother frequently tells her to “pray” and it makes her angry and
more resentful. Her childhood was challenging and has left her angry at the concept of a “God.” Wine
has become her best friend and way to cope with the struggles at work, home, and within. She reports
feeling trapped and believes it will not get better.
Scenario #2
Bill is a 25‐year‐old single African American male presenting for an assessment for driving under the
influence and possession of cocaine. He was pulled over while speeding and the police officer smelled
alcohol on his breath. The client was defensive and was subsequently arrested for attempting to flee
from the scene. Cocaine was later found in his car. He was booked in the county jail for driving under the
influence, possession of cocaine, and fleeing the scene of a crime.
Bill’s father left when he was a child. Bill was the oldest of four children and was given much of the
responsibility to care for his siblings while his mother worked. He was also a witness to domestic abuse
by his father. He was often scared for his life when his parents fought. Bill reports being unable to trust
adult men since his father left.
Bill began to drink and smoke marijuana in high school. Consequently, he was arrested as a minor for
possession of marijuana during high school. Bill had been enrolled in firefighter school until he tested
positive for cocaine and was kicked out of the program. He reports having over ten jobs in the last seven
months, always having a story for why his boss “did not like him.” He was offered a chance to sell
cocaine and make “quick and easy” money. Because he hadn’t been successful finding a job, he agreed
to do it, but only for a month to make some money and then he would quit. That was two years ago.
© 2014 Laureate Education, Inc.
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Bill feels obligated to support his mother and siblings and gives his mother most of his money from
dealing drugs. He is angry he has to support his family and he partially blames his mother for feeling
forced to sell drugs and now being addicted to cocaine. “I did not expect to also get addicted to cocaine.
I was just gonna sell it for money. I usually only drink and smoke marijuana. So now I have no bail
money, nowhere to stay since my mother kicked me out, no career, and now no car. I had a promising
life at one point….”
Scenario #3
Anna is a 17‐year‐old Latina female who is the middle child of three siblings, 13, 17, and 19. Anna lives
in a very patriarchal religious family system where her father makes all the decisions for the house, her
mother, and her two brothers. At an early age, the client experienced sexual trauma by the abuse of her
uncle. The sexual abuse occurred from the age of six until she was nine years old. She tried to tell her
father and he slapped her, called her a “slut,” and told her to never speak of such topics again. Her
mother said she supported her but would not stand up to her father and get her the help she needed.
Anna’s father has stated that “no one in this family goes to counseling!” Anna watched her mother
being physically and emotionally abused by her father. Her mother refused to get a divorce because it
was against their religious beliefs.
Anna learned a distorted view of how women should be treated by watching her mother suffer as a
victim of her father. She reports being alienated from her family and snuck out of the house frequently
and also stayed after school as long as she could every day. At the age of 12, Anna began having sex with
her 16‐year‐old boyfriend and she started drinking every weekend.
Anna started bringing vodka to school in water bottles. She found if she drank at school and shared with
friends she was in the “cool crowd.” She did not get any healthy attention from the adults in her life and
was looking for connection in any way she could find it.
Anna reported that she didn’t always want to drink or do drugs, but didn’t want to be viewed as a
“baby.” She is now in 12th grade, and was caught drinking and smoking marijuana at her high school by
the school resource officer for the fourth time this school year. She was arrested and brought to juvenile
detention. She is terrified of her father’s reaction and response.
Scenario #4
Joe is a 62‐year‐old homosexual white male being assessed for alcohol dependence after being admitted
for detox at the local treatment center. He reports a long history of drinking, which began when he was
16 years old. He has a career as a professor of biology at the college in his town, can support a nice
lifestyle, and has a few close friends. He did not “announce” he was homosexual officially until both of
his parents passed away when he was 50 years old. Joe was an only child from a religious small town—
growing up in an era that had no tolerance and compassion for different types of families. His family
system also condemned lifestyles different than theirs and his parents never understood why he was
“single.”
© 2014 Laureate Education, Inc.
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Joe had a secret life partner from the age of 25 to 45. His life partner died from AIDS in the mid‐80s
before there were successful anti‐viral medications and other resources. He had to lead a private,
secluded life and had to grieve the death of his life partner in silence because no one knew he was gay
due to his fear of prejudice from his upbringing. Joe led a very lonely life, not being able to be himself at
work or with his family due to fear of ridicule and bias.
Joe’s alcohol abuse increased significantly after the death of his life partner and his parents a few years
later. He reports drinking alone every evening until he passes out watching television. He no longer
participates in activities in his department at the college or with the few friends he has. He reports going
to work, drinking all night, passing out, and doing it all over again the next day. Joe does not believe he
has much left to live for. He reports being lonely and has lived through everything he wants to
experience. He is seeking treatment because he states “if I have to live, I don’t want to feel this bad.”
© 2014 Laureate Education, Inc.
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Published: December 28, 2007
Program Results Report
Grant ID: 55830
Spirituality Has a Role in Substance Abuse
Treatment Programs, Maryland Researchers
Say
Investigating the role of spirituality in recovery from addiction
SUMMARY
Investigators with 9th Sign Communications conducted interviews with recovering
addicts, treatment providers, researchers and government officials to examine the role of
spirituality in treating alcohol and drug addiction.
Key Findings
●
Addiction is rooted in a physical, mental and spiritual imbalance. There is a necessity
for a substance abuse treatment model that gives credence to the mind-body-spirit
connection.
●
Although some believe that religion is spirituality, many others believe there is a clear
delineation between the two. Words such as connection, meaning and purpose
commonly have been used to describe spirituality across the board.
●
There is a widespread desire to delve more deeply into nontraditional healing
techniques and to test their anecdotal effectiveness. For there to be any real
movement in the field, the science has to meet the stories being told.
Key Recommendations
●
Convene a conference of researchers, government health officials, holistic
practitioners and recovering addicts to discuss the variety of effective approaches and
highlight the best practices.
●
Examine the affordability of holistic and alternative treatment recommendations.
●
Create an international clearinghouse of holistic resources.
Funding
The Robert Wood Johnson Foundation (RWJF) provided $22,800 from November 2005
to January 2006 to support this study.
THE PROBLEM
Some 9.2 percent of the U.S. population age 12 and older (22.6 million people) abused or
were dependent on alcohol or illicit drugs in the previous year, according to 2006 data
from the federal Substance Abuse and Mental Health Services Administration.
Interest has grown in recent years in alternative approaches to augment current alcohol
and substance abuse treatment. Alcoholics Anonymous (AA) and other 12-step programs
have long integrated a strong spiritual component into their programs of group self-help.
But the potential role of spirituality, as expressed in organized religion or in other ways,
has not been adequately studied.
THE PROJECT
Investigators with 9th Sign Communications conducted a series of interviews with three
recovering addicts, five treatment workers, six researchers and three government officials
to examine the role of spirituality in treating alcohol and drug addiction.
They also visited two sites that have integrated alternative and spiritual approaches into
their addiction treatment protocols:
●
●
Native American Connections, a substance abuse and mental health treatment
organization in Phoenix, Ariz., incorporates traditional Native American healing
tools. These include:
—
The “talking circle,” in which each individual expresses his or her deepest
concerns.
—
The “sweat lodge,” an enclosed heated space in which people can talk, sing, pray
and meditate.
Passages, a private treatment facility in Malibu, Calif., provides a wide array of
conventional and alternative services, including:
—
Hypnotherapy
—
Spiritual counseling
—
Eastern medicine (such as acupuncture, herbal remedies and meditation)
—
Massage therapy
Among the questions that 9th Sign researchers asked study participants were the
following:
●
How do you define spirituality?
RWJF Program Results Report – Spirituality Has a Role in Substance Abuse Treatment Programs, Maryland Researchers Say
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●
How should a comprehensive treatment program incorporate spiritual concepts as an
equal contributor to its counterparts—the traditional and conventional therapies?
●
How might the use of spirituality in addiction treatment be measured?
See the Appendix for a complete list of questions.
FINDINGS
In a report to RWJF, The Role of Spirituality in Addiction Treatment and Recovery: A
Qualitative Research Study, 9th Sign researchers reported the following trends in
substance-abuse treatment, as gleaned from their interviews with key informants:
●
Addiction is rooted in a physical, mental and spiritual imbalance. There is a
necessity for a substance-abuse treatment model that gives credence to the mindbody-spirit connection.
●
Although some believe that religion is spirituality, many others believe there is a
clear delineation between the two. Words such as connection, meaning and purpose
commonly have been used to describe spirituality across the board.
●
The traditional treatment model falls short and does not go far enough to
address and treat the whole individual.
●
There is a widespread desire to delve more deeply into nontraditional healing
techniques and to test their anecdotal effectiveness. For there to be any real
movement in the field, the science has to meet the stories being told.
Here are illustrative comments from several of the 17 interviews:
“My personal opinion is that [spirituality] works and it’s
where people live. You can’t intervene into the care of a
person’s life without paying attention to all of that
person.”
“Religion is a definite belief in God and dogma.
Spirituality is a belief in the connection with oneself and
others or the community. It doesn’t have to be a specific
belief in a ‘God,’ but in a higher self, which can be an
individual’s higher self.”
“The problem with addiction treatment today is that
[providers] look at the psychological part and they don’t
RWJF Program Results Report – Spirituality Has a Role in Substance Abuse Treatment Programs, Maryland Researchers Say
3
talk about the spiritual part. They’re not looking at a
person as a complete human being—such as disabilities,
spiritual needs and if [addicts have] lost contact with a
God of their understanding.”
Recommendations
●
Convene a conference of researchers, government health officials, holistic
practitioners and recovering addicts to discuss the variety of effective
approaches and highlight the best practices.
●
Examine the affordability of holistic and alternative treatment
recommendations.
●
Create an international clearinghouse of holistic resources.
Prepared by: Robert Rosenblatt
Reviewed by: Richard Camer and Molly McKaughan
Program Officer: Kristin Schubert
Grant ID# 55830
RWJF Program Results Report – Spirituality Has a Role in Substance Abuse Treatment Programs, Maryland Researchers Say
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APPENDIX
Survey Instrument
(Current as of the end date of the program; provided by the program’s management; not verified by
RWJF.)
The addiction and spirituality questionnaire used these questions:
●
How do you define spirituality?
●
In your opinion, how and where does spirituality fit in the healing process of
addiction treatment and recovery?
●
Have you used spirituality to help treat addiction or shared information about its
effectiveness in addiction treatment? or How was spirituality incorporated into the
way you treat addiction?
●
How should a comprehensive treatment program incorporate spiritual concepts as an
equal contributor to its counterparts—the traditional and conventional therapies?
●
What role should the government have in promoting the use of spirituality in
addiction treatment?
●
How can existing research help support the use of spirituality in addiction research?
●
How have you gotten patients and/or key stakeholders to “buy into” this concept?
●
How might the use of spirituality in addiction treatment be measured? How might
you measure “success” in implementing spirituality in addiction treatment?
●
What do you consider to be “best practices” in addiction treatment? Why do you
consider those to be best practices?
●
Which areas need to be further explored in order to improve addiction treatment?
Where do we go from here?
RWJF Program Results Report – Spirituality Has a Role in Substance Abuse Treatment Programs, Maryland Researchers Say
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BIBLIOGRAPHY
(Current as of date of the report; as provided by the grantee organization; not verified by RWJF; items not
available from RWJF.)
Reports
The Role of Spirituality in Addiction Treatment and Recovery: A Qualitative Research
Study. Burtonsville, MD: 9th Sign Communications, October 2006.
RWJF Program Results Report – Spirituality Has a Role in Substance Abuse Treatment Programs, Maryland Researchers Say
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Document: Laureate Education (Producer). (2012f). Tri-fold model [Graphic].
Retrieved from https://class.waldenu.edu
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