The ARISE Intervention (original) (raw)
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The ARISE Intervention Using Family and Network Links to Engage Addicted Persons in Treatment
An alternative method to the Johnson Institute's " Intervention " is presented which, while incorporating many of Johnson's innovations, is, additionally: (a) less confrontative, thereby avoiding the reactivity in clients and family members that such confrontational approaches have tended to evoke; (b) takes into account both the needs of the chemically dependent person as well as the needs of the larger family and network system; and (c) aimed toward enrolling substance abusers in outpatient (as well as inpatient) treatment, thus placing it more in line with managed care priorities. Principles for treatment engagement are presented, accompanied by case examples. The approach is part of a more comprehensive model designed to maximize successful engagement with a minimum amount of professional time and effort.
ARISE: A method for engaging reluctant alcohol-and drug-dependent individuals in treatment* 1
Journal of Substance …, 1997
A method, the Albany-Rochester lnterventional Sequence for Engagement (ARISE), is described for engaging highly ambivalent alcohol-and~or drug-dependent individuals in treatment. A three stage interventional sequence is presented, which begins when a family member or concerned other contacts a treatment program regarding a substance abuser who needs help. At that point a process is set in motion for collaboration with significant others toward client enrollment. Staff move to the next stage in a graduated operating procedure if initial, less demanding efforts do not succeed. The final stage, if needed, is a modified Johnson Institute Intervention. The overall procedure is designed to maximize the probability of patient recruitment, while minimizing the amount of time and energy required of staff. The method compares favorably with results obtained with other approaches, such as coercion (legal, employer) and client self-referral.
ARISE: A method for engaging reluctant alcohol- and drug-dependent individuals in treatment
Journal of Substance Abuse Treatment, 1997
A method, the Albany-Rochester Interventional Sequence for Engagement (ARISE), is described for engaging highly ambivalent alcohol-and/or drugdependent individuals in treatment. A three stage interventional sequence is presented, which begins when a family member or concerned other contacts a treatment program regarding a substance abuser who needs help. At that point a process is set in motion for collaboration with concerned others toward client enrollment. Staff move to the next stage in a graduated operating procedure if initial, less demanding efforts do not succeed. The final stage, if needed, is a modified Johnson Institute Intervention. The overall procedure is designed to maximize the probability of patient recruitment, while minimizing the amount of time and energy required of staff. The method compares favorably with results obtained with other approaches, such as coercion (legal, employer) and client self-referral. ARISE
The ARISE Intervention: Using family and network links to overcome resistance to addiction treatment
2000
An alternative method to the Johnson Instirure's "Intervention" is presented which, while incorporating many of Johnson's innovations, is, additionally: (a) less confrontative, thereby avoiding the reactivity in clients and family members that such confrontaiional approaches have tended to evoke; (b) takes into account both the needs of the chemically dependent person as well as the needs of the larger family and network system; and (c) aimed toward enrolling substance abusers in outpatient (as well as inpatient) treatment, thus placing it more in line with managed care priorities. Principles for treatment engagement are presented accompanied by case examples. The approach is par, of a more comprehensive model designed to maximize successful engagemenr with a minimum amount of professional time and effort.
Families are an untapped resource in motivating resistant alcohol dependent and drug addicted individuals to enter and complete treatment. This paper outlines A Relational Intervention Sequence for Engagement (the ARISE Intervention), an Evidence-Based, Best-Practice method of Intervention that harnesses the power of the family to achieve individual and family long-term recovery. Contrary to popular belief, families maintain a disproportionately close connectedness with their addicted loved ones. In this article, the author presents the underlying theoretical and functional components of this connectedness, and describes the process called Family Motivation to Change for mobilizing family and friends to motivate a resistant addicted loved one into treatment. Results of several studies show that this ensures not only treatment entry, but also treatment completion, enhancing the likelihood of long-term recovery. The goal of the ARISE Intervention and Continuum of Care is individual and family recovery and healing. ARISE employs Invitational Intervention with the addicted individual being invited by the family to participate. Because the method empowers the family to do a great deal of the work, it has been shown to be time and cost-effective.
The American Journal of Drug and Alcohol Abuse, 2000
The model described in this paper takes into consideration two key findings: (a) In a given year, the vast majority (90-95%) of active substance abusers do not enter treatment or selfhelp groups. and (b) substance abusers have frequent contact with their families (60-80% either live with a parent or are in daily contact). This paper presents a method for mobilizing and collaborating with families and extended the support system toward working with resistance and getting the substance abuser into treatment. Principles and techniques are provided for convening and structuring intervention network meetings toward that end. This intervention network approach can be used either alone or as part of an overall model, ARISE (A Relational Intervention Sequence for Engagement). The ARISE model addresses both clinical and programmatic issues in treatment engagement for substance abusers.