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Help A Loved One Overcome Addiction

An intervention can motivate someone to seek help for alcohol or drug misuse, compulsive eating, or other addictive behaviors. Discover when to hold one and how to make it successful.


It's challenging to help a loved one struggling with any type of addiction. Sometimes a direct, heart-to-heart conversation can start the road to recovery. But when it comes to addiction, the person with the problem often struggles to see it and acknowledge it. A more focused approach is often needed. You may need to join forces with others and take action through a formal intervention.

Examples of addictions that may warrant an intervention include:

  • Alcoholism

  • Prescription drug abuse

  • Street drug abuse

  • Compulsive eating

  • Compulsive gambling

People who struggle with addiction are often in denial about their situation and unwilling to seek treatment. They may not recognize the negative effects their behavior has on themselves and others.

An intervention presents your loved one with a structured opportunity to make changes before things get even worse, and it can motivate him or her to seek or accept help.


What is an intervention?

An intervention is a carefully planned process that may be done by family and friends, in consultation with a doctor or professional such as a licensed alcohol and drug counselor or directed by an intervention professional (interventionist). It sometimes involves a member of your loved one's faith or others who care about the person struggling with addiction.

During the intervention, these people gather together to confront your loved one about the consequences of addiction and ask him or her to accept treatment. The intervention:

  • Provides specific examples of destructive behaviors and their impact on your loved one with the addiction and family and friends

  • Offers a prearranged treatment plan with clear steps, goals, and guidelines

  • Spells out what each person will do if your loved one refuses to accept treatment


Intervention Strategies and Techniques

There are varying schools of thought on how an intervention should work, what methodology should be followed, who should be included, etc. The right approach will be determined by what’s right for your loved one and your family. Your personal family dynamic should dictate the right approach. If you work with an interventionist or professional counselor, they can help you decide.

There are seven types of drug interventions. They include:

  1. Crisis Intervention

    Emergent crisis intervention is where the clinician jumps into high gear to: assess the criticality of the situation, reduce the energy of the environment, and stabilize those involved such that everyone is talking at a comfortably, calmly and sharing information clearly.

  2. Tough Love

    Often called on when a flat out "no" just doesn't fly.   It can be confrontational or engaging with cooperation, but it's used when you've got to "let the cards fall where they will" and allow the loved one to have to deal with the reality of their condition. 

  3. Confrontational Model of Intervention

    The traditional confrontational model of intervention is as direct as it gets and involves firmly challenging the addictive behaviors by pointing out undesirable behavior and consequences caused by the addicted person, as well as laying expectations of recovery on the addicted person’s shoulders.

  4. Johnson Model of Intervention

    Stemming from the confrontational intervention model, the Johnson Model of intervention focuses on educating a caregiver, such as a spouse or a parent, on how to confront the addicted person and encourage her to seek help for her substance abuse problem.

  5. Love First Approach

    The preferred method of Kevin Morse, the Love First approach encourages family members to provide love and compassion to the addicted person and continue with such sympathy throughout and after treatment.

  6. Systematic Family Model

    This method brings to light how damaging the addicted person’s choices and behaviors have been to the family unit. It incorporates the dynamics of the entire family unit.

  7. Arise Intervention

    The ARISE intervention brings the best of both worlds to the table — both indirect and direct models of intervention. It focuses on the whole family group and how they work together to solve the addiction problem rather than just the addicted person and what her behavior is doing to everyone else.

  8. The Invitational Model of Intervention, also known as the Systemic Family Intervention Model, was developed by Ed Speare and Wayne Raiter. Rather than focusing solely on the person with a substance abuse problem, the Invitational Model addresses the entire family together, with the addicted individual invited to attend as well. This model is based on the idea that if the system changes, every individual within the system will also change, including the addict (systems theory). It is designed to be a non-confrontational and nonjudgmental form of intervention. 


My preferred method: The Invitational Model of Intervention calls for the entire family to participate in an interventionist-led workshop, which generally takes place over two days. In the workshop, the family is educated on addiction, covering such topics as addiction’s underlying neurobiology and intergenerational nature, how addiction affects the family, and the process known as enabling (among many others). The interventionist helps each member of the family understand the role they play in the system of addiction, with the goal of having every family member commit to a plan of recovery. The hope is that a commitment by every family member will encourage the addicted individual to accept help.


To proceed with the Invitational Model of Intervention, a concerned family member must contact an interventionist about the person with substance abuse problems. Several family members meet or talk with the interventionist, and plans for the workshop are made. One family member is coached on how to invite the addicted individual to the workshop, although it will take place regardless of whether the individual decides to attend. Family members who will be attending the workshop are often asked to do some preparation, which may include attending Alcoholics Anonymous/Al-Anon meetings and completing some assigned reading.


The workshop is conducted, and each family member learns about their different treatment options. These may include addiction or co-dependency treatment, among others. The interventionist usually maintains contact with the family for up to a year, following up either in person or via telephone.


How does a typical intervention work?

An intervention usually includes the following steps:

  1. Make a plan. A family member or friend proposes an intervention and forms a planning group. It's best if you consult with a qualified professional counselor, an addiction professional, a psychologist, a mental health counselor, a social worker or an interventionist to help you organize an effective intervention. An intervention is a highly charged situation with the potential to cause anger, resentment or a sense of betrayal.

  2. Gather information. The group members find out about the extent of your loved one's problem and research the condition and treatment programs. The group may initiate arrangements to enroll your loved one in a specific treatment program.

  3. Form the intervention team. The planning group forms a team that will personally participate in the intervention. Team members set a date and location and work together to present a consistent, rehearsed message and a structured plan. Often, nonfamily members of the team help keep the discussion focused on the facts of the problem and shared solutions rather than strong emotional responses. Don't let your loved one know what you're doing until the day of the intervention.

  4. Decide on specific consequences. If your loved one doesn't accept treatment, each person on the team needs to decide what action he or she will take. For example, you may decide to ask your loved one to move out.

  5. Make notes on what to say. Each team member describes specific incidents where the addiction caused problems, such as emotional or financial issues. Discuss the toll of your loved one's behavior while still expressing care and the expectation that he or she can change. Your loved one can't argue with facts or with your emotional response to the problem. For example, begin by saying "I was upset and hurt when you drank …"

  6. Hold the intervention meeting. Without revealing the reason, your loved one with the addiction is asked to the intervention site. Members of the team then take turns expressing their concerns and feelings. Your loved one is presented with a treatment option and asked to accept that option on the spot. Each team member will say what specific changes he or she will make if your loved one doesn't accept the plan. Don't threaten a consequence unless you're ready to follow through with it.

  7. Follow up. Involving a spouse, family members or others is critical to help someone with an addiction stay in treatment and avoid relapsing. This can include changing patterns of everyday living to make it easier to avoid destructive behavior, offering to participate in counseling with your loved one, seeking your own therapist and recovery support, and knowing what to do if relapse occurs.

A successful intervention must be planned carefully to work as intended. A poorly planned intervention can worsen the situation — your loved one may feel attacked and become isolated or more resistant to treatment.


Consult an addiction professional

Consulting an addiction professional, such as a licensed alcohol and drug counselor, a social worker, a psychologist, a psychiatrist, or an interventionist, can help you organize an effective intervention. An addiction professional will take into account your loved one's particular circumstances, suggest the best approach, and help guide you in what type of treatment and follow-up plan is likely to work best.

Often interventions are conducted without an intervention professional, but having expert help may be preferable. Sometimes the intervention occurs at the professional's office. It may be especially important to have the professional attend the actual intervention to help you stay on track if your loved one:

  • Has a history of serious mental illness

  • Has a history of violence

  • Has shown suicidal behavior or recently talked about suicide

  • May be taking several mood-altering substances

It's very important to consult an intervention professional if you suspect your loved one may react violently or self-destructively.


Who should be on the intervention team?

An intervention team usually includes four to six people who are important in the life of your loved one — people he or she loves, likes, respects or depends on. This may include, for example, a best friend, adult relatives or a member of your loved one's faith. Your intervention professional can help you determine appropriate members of your team.

Don't include anyone who:

  • Your loved one dislikes

  • Has an unmanaged mental health issue or substance abuse problem

  • May not be able to limit what he or she says to what you agreed on during the planning meeting

  • Might sabotage the intervention

If you think it's important to have someone involved but worry that it may create a problem during the intervention, consider having that person write a short letter that someone else can read at the intervention.


How do you find a treatment program to offer at the intervention?

An evaluation by an addiction professional helps determine the extent of the problem and identifies appropriate treatment options.

Treatment options can vary in intensity and scope and occur in a variety of settings. Options can include brief early intervention, outpatient treatment or day treatment programs. More severe problems may require admittance into a structured program, treatment facility or hospital.

Treatment may include counseling, education, vocational services, family services, and life skills training. For example, Mayo Clinic offers a variety of addiction services and has a comprehensive team approach to treating addiction.

If a treatment program is necessary, it may help to initiate arrangements in advance. Do some research, keeping these points in mind:

  • Ask a trusted addiction professional, doctor or mental health professional about the best treatment approach for your loved one and recommendations about programs.

  • Contact national organizations, trusted online support groups or local clinics for treatment programs or advice.

  • Find out if your insurance plan will cover the treatment you're considering.

  • Find out what steps are required for admission, such as an evaluation appointment, insurance pre-certification and whether there's a waiting list.

  • Be wary of treatment centers promising quick fixes, and avoid programs that use uncommon methods or treatments that seem potentially harmful.

  • If the program requires travel, make arrangements ahead of time — consider having a packed suitcase ready for your loved one.

It also may be appropriate to ask your loved one to seek support from a group such as Alcoholics Anonymous.


How can you help ensure a successful intervention?

Keep in mind, your loved one's addiction involves intense emotions. The process of organizing the intervention and the intervention itself can cause conflict, anger, and resentment even among family and friends who know your loved one needs their help. To help run a successful intervention:

  • Don't hold an intervention on the spur of the moment. It can take several weeks to plan an effective intervention. However, don't make it too elaborate, either, or it may be difficult to get everyone to follow through.

  • Plan the time of the intervention. Make sure you choose a date and time when your loved one is least likely to be under the influence of alcohol or drugs.

  • Do your homework. Research your loved one's addiction or substance abuse issue so that you have a good understanding of it.

  • Appoint a single person to act as a liaison. Having one point of contact for all team members will help you communicate and stay on track.

  • Share information. Make sure each team member has the same information about your loved one's addiction and the intervention so that everyone is on the same page. Hold meetings or conference calls to share updates and agree to present a united team.

  • Stage a rehearsal intervention. Here, you can decide who will speak when, sitting arrangements and other details, so there's no fumbling during the real intervention with your loved one.

  • Anticipate your loved one's objections. Have calm, rational responses prepared for each reason your loved one may give to avoid treatment or responsibility for behavior. Offer support that makes it easier to engage in treatment, such as arranging child care or attending counseling sessions with your loved one.

  • Avoid confrontation. Deal with your loved one with love, respect, support and concern — not anger. Be honest, but don't use the intervention as a forum for hostile attacks. Avoid name-calling and angry or accusing statements.

  • Stay on track during the intervention. Veering from the plan can quickly derail an intervention, prevent a helpful outcome for your loved one and worsen family tensions. Be prepared to remain calm in the face of your loved one's accusations, hurt or anger, which is often meant to deflect or derail the conversation.

  • Ask for an immediate decision. Don't give your loved one time to think about whether to accept the treatment offer, even if he or she asks for a few days to think it over. Doing so allows your loved one to continue denying a problem, go into hiding or go on a dangerous binge. Be prepared to get your loved one into an evaluation to start treatment immediately if he or she agrees to the plan.


If Your Loved One Still Refuses Help

Unfortunately, not all interventions are successful. In some cases, your loved one with an addiction may refuse the treatment plan. He or she may erupt in anger or insist that help is not needed or may be resentful and accuse you of betrayal or being a hypocrite.  Emotionally prepare yourself for these situations, while remaining hopeful for positive change. If your loved one doesn't accept treatment, be prepared to follow through with the changes you presented.  Often, children, partners, siblings, and parents are subjected to abuse, violence, threats and emotional upheaval because of alcohol and drug problems. You don't have control over the behavior of your loved one with the addiction. However, you do have the ability to remove yourself — and any children — from a destructive situation.  Even if an intervention doesn't work, you and others involved in your loved one's life can make changes that may help. Ask other people involved to avoid enabling the destructive cycle of behavior and take active steps to encourage positive change.


Mitigate Opportunities for Refusal

Structured Clinical Family Intervention is the strongest and most successful at helping the loved one realize just how much of a gift this event is.  Hiring a professional interventionist just may initiate the action needed to set the wheels of recovery in motion. Let me know how I can help: Send your information- see the bottom of this page: CLICK HERE