Alcohol Addiction

Alcohol dependence is characterized by an obsessive behavior of compulsive search for alcoholic drinks (typically the need to drink in the morning, upon waking up) and by habituation and tolerance (to achieve a specific desired effect by the individual, he is forced to consume ever more significant quantities of alcoholic beverages). Also, for alcohol addiction, as for any habit of illegal drugs, the abrupt interruption of alcohol consumption causes the withdrawal syndrome characterized by tachycardia, tremors, nausea and vomiting, agitation, hallucinations, convulsions.

alcoholic problems

Alcoholis the cause of pathologies and related problems even when its consumption has not reached the point of being able to define an individual as an “alcoholic.”

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harmful consumption

For example, we speak of risky or harmful consumption of alcoholic beverages when the quantities of Alcohol consumed can expose the person or third parties to a danger or risk to health or safety, even interfering with the regular conduct of social, work, or school life, to negatively affect the integrity of individual skills, such as those necessary to deal with potentially dangerous situations (for example, before driving) to cause problems with the law in those who use it.

There is no “safe” amount to consume Alcohol and the higher the consumption, the greater the risk to health and safety.

Alcoholdepresses the central nervous system, reduces inhibitions, and affects thoughts, emotions, and judgment.

It can therefore cause problems of varying degrees of seriousness which involve not only the subject but also his family and society (for example, in the case of road accidents or acts of violence).

The objective of the Alcoholic Intervention is to accompany and, if necessary, to offer treatment.

The objective of the Alcoholic Intervention is to accompany and, if necessary, to offer treatment.

Above all, it aims to make people think about the dangers they are running and to limit them.

As a practical aid to the brief intervention to help patients with alcohol problems, we refer to the manuals indicated below in the bibliography.

Alcohol
Addiction
Intervention

Thereare several proven and standardized procedures for providing counseling and therapy to a person with a drinking problem. 

One of the most promising methods is the so-called Alcoholintervention, which can be used in all age groups in combination with motivational interviewing and the the transtheoretical model proposed by Prochaska and DiClemente. 

In the Anglo-American linguistic area, treatment models (e.g., SBIRT or BRITE) have been developed based on the AlcoholAddiction Intervention.

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Controlled Consumption

This type of approach is especially suitable in cases of problematic consumption.

Thecontrolled consumption programs are carried out according to a precise standard and in the context of self-help groups or under the watchful eye of experts in accompanying addictions.

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Provided that they are motivated to change, the person autonomously establishes when and how he gives up Alcohol and when not, specifying in advance the quantities and types of drinks.

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Trying, if possible, not to exceed the daily ethanol limits set by the WHO, i.e., 205 g for women and 30 g for men (see the tab Amountof Alcohol), the program establishes three weekly objectives, namely: the number of alcohol-free days;

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The the maximum amount of Alcohol on the designated days; and the complete weekly quantity.

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 In Switzerland, many regional specialized centers offer individual or group controlled consumption programs (on this subject, we refer to the documents and links below).

Several

studies have looked at the results of controlled drinking in various age groups (summarized, e.g., in Saladin / Santa Ana 2004; Walters 2000; Apodaca / Miller 2003). It isn’t possible to define an age in which this method works less well or doesn’t work. Controlled consumption, therefore, can give good results at any stage of life and regardless of gender. In the case of older adults, however, it must be considered that the limit quantities must be lower than those provided for younger people.

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Non-Drug Intervention INM

Levanteactions and non-pharmacological strategies based on science, also called non-drug interventions (NMI), have become essential. These methods delay the appearance of many diseases, limit their aggravation and attenuate their socioeconomic and family consequences. They also help to age better. These solutions are not alternatives to conventional biological treatments but complements. They are increasingly recommended by national and supranational health authorities, prescribed by doctors, integrated into care pathways, and reimbursed by insurance and mutual insurance companies. Nearly two out of three French people use it, and more than 100 million Europeans. Examples include nutritional therapy, fasting,NPIs are located in a sector that is still poorly regulated, between everyday consumer goods and validated biomedical treatments (medicine, surgery, radiotherapy, implantable medical device, transplant, gene therapy, etc.). They can take different names: preventive actions, technical and technological aids, non-implantable medical devices, complex interventions,

behavioral interventions, non-pharmacological interventions, alternative and complementary medicine, Chinese medicine, complementary medicine, behavioral medicine, alternative medicine, integrated medicine, natural medicines, connected health objects, unconventional care practices, natural health products, health services, adjuvant care, supportive care, irregular care, integrated care, e-health systems, non-pharmacological therapies, unconventional therapies, complementary therapies, complementary treatments, non-pharmacological treatments. The CEPS University Platform defines NPIs: “An NPI is a non-invasive and non-pharmacologicalintervention on human health based on science. It aims to prevent, treat orcure a health problem. It materializes in the form of a product, a method, a

program, or a service whose content must be known to the user. “An NMI is a science-based, non-invasive, non-pharmacological human health intervention. It aims to prevent, treat or cure a health problem. It materializes in the form of a product, a method, a program, or a service whose content must be known to the user. “An NMI is a science-based, non-invasive, non-pharmacological human health intervention. It aims to prevent, treat or cure a health problem. It materializes in the form of a product, a method, a program, or a service whose content must be known to the user.

It is linked to identified biological mechanisms and psychological processes. It is the subject of efficacy studies. It has an observable impact on health, quality of life, and behavioral and socioeconomic indicators. Its implementation requires relational, communicational, and ethical skills”. NMIs are divided into four categories.

  • improve the economic and organizational framework;
  • improve information for healthcare professionals and patients on non-drug
  • therapies;
  • improve healthcare professionals’ adherence to recommendations on non-drug
  • therapy
  • improve access to non-medicinal therapies” (p.52).

This issue of Hegel offers disciplinary andprofessional perspectives on this growing sector, encouraging researchers andpractitioners to evaluate them for effective and safe practices.

Drug Use And Harm Reduction

Druguse is increasingly considered through the prism of public health and human rights. This 3-week course helps you understand why this is such an adequateresponse. Find Out How Human Rights And Public Health Are Linked Torisk Reduction.

Public

wellness measures focus on improving the overall health of a population, changing laws and increasing political support. You will learn how to harm reduction is an essential part of this approach, using an effective intervention model that saves lives while protecting individual dignity and autonomy.

Understand The Importance Of Supporting Rather Thanpunishing

Harmreduction is fundamentally about empowering people to protect themselves better from the risks associated with drug use. Itrecognizes the role of people who use drugs as an essential component of the public health response and promotes the idea that supports from public authorities and the community reduces potential risk factors.

Youwill see concrete examples of good practices and advocacy actions for a real impact on individual and public health issues, as well as to protect people’s human rights. 

Intervention Services

Whatdistinguishes an intervention plan from a service plan? Of a transition plan? In what settings are they used and how? This book presents these plans from the professional practice perspective as they are used, particularly in schools, rehabilitation centers, and youth centers. Numerous diversified examples, as well as two workshops, will allow the notions studied to be applied.

Interventionmethods 

Althoughmy approach is flexible, warm, and participatory; it is based on a system and tools with scientific and empirical foundations.

Thispsychologist Conrad Lecomte, Ph.D. from the University of Montreal, and career counselor Réginald Savard, Ph.D. from the University of Sherbrooke, developed an approach to career counseling. Thisapproach is based on the importance of establishing a relationship of collaboration and trust to support the client in validating and articulating the different facets of his personality and skills. Theapproach has three non-linear phases.

Selfexploration.

The first phase consists of exploring and recognizing the client’s dynamic as he perceives it. This dynamic includes elements that belong to the past, which refers to the present and also the future in the form of wishes and aspirations; to create a working alliance by setting objectives and tasks that will contribute to the establishment of an emotional bond favorable to decision-making and action.

Clarifyand Integrate Self-Understanding.

The second phase is to clarify the customer’s multidimensional experience; to understand how this experience organizes all aspects of his behavior and his ability to act; clarify and recognize personal and environmental resources and limitations by identifying interests, skills, values, needs, beliefs, and the dynamics of their tensions; to identify a tolerable change goal for the client.

Tolerableand Integrable Options.

The third phase consists of identifying the issues and risks relating to the change objective; to validate and compare choices in order to retain tolerable and integrable options; to establish a realistic, achievable, middling project that relies on the client’s resources while considering his limits.

Psychometrictests

 “Psychometrictools play a significant role in the orientation assessment process. More specifically, they promote a deeper understanding of the person’s situation by obtaining information that is not otherwise accessible. In addition, using reliable and valid psychometric tools increases the objective perspective of assessing the person’s situation” (OCCOQ, 2010). Psychometrics is a tool in the guidance counselor’s trunk to enrich professional exploration and self-knowledge. It does not replace the reflection that the client must make but enhances it. In my practice, I only use tests that are based onknown theoretical and empirical bases and that are subject to regularvalidation studies.…

Family Intervention

The family meeting is an opportunityto allow everyone to express themselves among themselves. This discussion makesit possible to clarify specific problems and to elucidate things left unsaid between relatives. Family members can put their cards on the table, and everyone has the right to speak. These get-togethers can also promote personal growth and ease tensions in the family.

The family interview helps to understand the family’s become aware of the existingflexibility at home. It can also be an opportunity to explore each family member’s difficulties. This exploration can have a preventivefunctioning and effect on possible conflicts.

Inintervention, the presence of all family members avoids blaming a single person and promotes collaboration when there are conflicts to be resolved. In short, the worker is first an intermediary who encourages communication between family members, which then supports mutual assistance.

This mutual aid encourages the family to take responsibility. By finding the means to reduce the symptoms of the problem themselves, the family will mobilize to find the necessary resources that suit them to accompany them in their efforts.

The Procedure Of The Family Interview 

Home The interview process begins with the welcome. As mentioned above, creating a bond of trust is essential before starting the intervention with the family. The welcome consists of explaining to the family the course of the meetings and the worker’s goal. It’s normal at first to have some fears and apprehensions about what will happen during these encounters, so it can be reassuring to know these details in advance. Indeed, the intervention does not necessarily begin during the first visit of the intervener because the latter must adapt to the family and wait for the stress to decrease before starting an intervention. A positive way to start is to ask everyone what they like about the family. Afterward, the practitioner can observe how family members interact with each other. He can attend if there are tensions between specific people and try to attenuate them.

Identify Tensions

Of course, if a conflict exists within the family, it may be difficult for the worker to resolve it. To facilitate his observation, the speaker can propose a collective activity and thus attend the exchanges between them. It is essential for the practitioner to take advantage of all the members of the family and to observe them in their living environment. Subsequently, the speaker can gather everyone’s perceptions during their exchanges.

Exploring Emotions

Finally,the worker can begin to explore the emotions experienced by each family member. This step should not be overlooked, as it gives a good idea of ​​everyone’s perception of how the family works. Exploring emotions allows us to know if each person has a feeling of well-being in their relationships with other family members.…

Role Of The Intervener In The Family Intervention

Supervision Of Meetings

The worker also has the chance to identify the complexity of the family system, for example, the rules, the role of each, and the existing constraints that prevent harmony. The worker analyzes the symptoms of the problem or problems in the family environment and guides the family in solving the issues. For example, if the entourage of a person with a mental health problem is experiencing a lot of conflict, and this leads to a lot of tension; the worker works on the tension between the members and not the person affected.

Create A Bond Of Trust.

Infamily intervention, there is no search for the culprit. So the worker is  looking for something other than a family member who is the cause of all the problems at home. Instead, he perceives the problem as a family problem where everyone must participate in solving the problem(s). This means everyone must communicate their perceptions and emotions and listen to others. This is not to question the competence of the family. The worker is aware that these meetings can cause guilt in some family members, so it is crucial to create a bond of trust to allow the continuity of the intervention.

Stay Available

The worker must be available and flexible because family follow-up is complex and requires a lot of energy. He must also take care to underline the efforts of the family to improve their reciprocal relations. The absence of the speaker. It may be helpful to find out how old conflicts were settled. This can help the family find ways to prevent potential sources of trouble.

Rester Impartial

Itcan also be interesting to discuss everyone’s expectations and needs. The worker must be empathetic with each member of the family and must not be biased. At the beginning, a family is divided by coalitions between its members. The worker must be impartial and remind the family members that their common goal must be to have a better relationship. Finally, the worker has a mobilizing role; he reminds everyone of their strengths and gives them hope to ensure the continuity of their efforts.

Family Maintenance In A Crisis Context

Familycounseling can be particularly beneficial in a crisis context. However, it is optional for the family to be experiencing problems to call upon an intervenor. Even if the family members do not perceive any relational difficulties between them, the presence of an intervener can have a preventive effect and encourage discussion on the procedure to be followed in the event of a conflict. It is not too late to act if the family is already in crisis. A crisis is a psychological imbalance that can be experienced quickly.

This was preceded by a “pre-crisis” and a “post-crisis.” Although the problem itself is short-lived, the pre-crisis can last much longer.

Psychologicalfatigue prevents the crisis from extending over a long period. The human body must rest, and the person will find ways to rearrange his life. The situation is often caused by a feeling of loss of control in the face of a problem that causes stress. A person experiencing an isolated turmoil can be very vulnerable, and the involvement of those around them can make a big difference in their recovery. The situation is a synonym for danger but also an opportunity for self-actualization. Overcoming the problem can reward the person affected, and they can then develop mechanisms to prevent the situation from recurring.

Family intervention in a crisis often begins with an individual meeting with the person concerned. Of course, this person must agree for the family to participate in solving the problem. If the patient agrees, a conference is organized with the whole family. Over time, some sessions may involve only a few family members interacting more with the person in crisis. These people will impact the person’s recovery more without excluding other family members who wish to get involved. During family interventions, the worker helps family members explain buried feelings that can cause conflict.

. This interaction is beneficial to clarify past problems that could have an impact on the current crisis. The worker can then, if necessary, question the family about their mechanisms for resolving previous concerns.

Thereare several advantages to integrating the family in times of crisis. This opportunity can also unite the family and the person affected and create new bonds. The family’s involvement can reassure all parties since it becomes more apt to intervene if the situation reoccurs. The support of the worker can then promote the consolidation of the support network around the family. Crisis intervention can be the perfect time to share everyone’s feelings and open up to others. The sense of urgency felt during a crisis increases family motivation. This motivation translates into solid family cohesion and a desire to change. This is when the worker invites the family to take action to help the person in crisis regain their balance.…

Intervention In The Context Of Authority

Aworker may accompany the family in a context of authority. To begin with, there are three types of authority context.

Social Authority

Thefirst is social authority, where the worker tries to persuade the family to change a behavior, belief, or situation. This form of power varies from person to person. Specific characteristics such as age, social status, religion, etc will be considered. For example, the intervention must be done with discernment regarding an immigrant family who does not know the subject of mental health. The worker presents the resources available to support loved ones and those affected. On the contrary, the intervention can be carried out more quickly with people who have experience as special educators or in another social field. Although authority is exercised by taking into account the particularities of each person,

Authority Under Mandate

Thesecond type of authority is that which is exercised under the mandate. The worker then has decision-making power according to the appointment of his affiliated organization. He assesses the affected person and his environment. For example, the CS social workers who offer home follow-ups are mandated workers. They have a particular mandate to accomplish: to see to the smooth running of the family’s steps with the person affected.

Authority Under Mandate And Power Of Constraint

The third and last type of authority is exercised under mandate with the power of constraint. In addition to the two previous types of charge, these people act within the framework of law. For example, suppose you have to resort to intervening parties under the cover of the law to protect persons in danger to themselves or others (P-38). In that case, the police officer who intervenes is mandated and has the power to compel no one to follow him to the hospital.

This authority is not exercised to harm the family but rather to obtain collaboration between the worker, the family, and the person affected.

Authorityis exercised through four methods: persuasion, confrontation, the obedience-oriented method, and coercion. There are many ways to persuade a person, but what matters is not giving the person a choice between action and inaction to prevent them from retracting. To persuade the person, it may be beneficial to explain the problem to them and highlight the common goal of the family and the worker.

InAdditionally, the practitioner must adjust their expectations and aim for gradual change to be sustainable. Highlighting the successes of the family helps maintain a satisfactory climate. Some people perceive confrontation as a lack of respect. However, there are several forms of confrontation, and this one can be beneficial and lead to a change in behavior or perception. Confrontation involves pointing out a contradiction between values, beliefs, desires, behaviors, etc. It is essential for the worker to clearly explain his observation using examples so that the person does not perceive this confrontation as a judgment.

Thefamily may find it difficult to accept the speaker’s words, but this may fuel the family’s motivation. Then, the obedience-oriented method precedes coercion. The worker is more authoritarian and tries to direct the family towards a precise framework. Oppression is synonymous with pressure; at this point, the worker is no more than an authority figure.

Therefore, the person concerned in the intervention will have fewer possibilities of action, and he will be imposed on a way of acting. It is, however, preferable to communicate with the family and the person affected before coming to the constraint to preserve as much as possible a bond of trust.

Inaddition to wanting to maintain harmony between the affected person and those around him, the worker also tries to raise community awareness of this problem.

He attaches great importance to the therapeutic alliance; that is to say, he tries to reactivate the links between the person affected, his family, and himself. Indeed, the intervention considers the affected person’s and his family’s needs.

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