Putting the Resilience into Recovery.

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Putting the Resilience into Recovery.

21 August, 2020Articles, News

Resilience is the remarkable human capacity for bouncing back. The hallmark of resilience is the ability to adapt in the face of adversity, be it trauma, tragedy, threats, adversity, or any other source of stress, from relationship troubles, workplace and money stressors, to serious health issues.

This isn’t to say that a resilient person never experiences any degree of difficulty or distress, or that if they do- it doesn’t affect them emotionally. It merely means that they have the strength and coping skills to bounce back after these traumas. Resilience is not a personality trait that people are born with, either. It’s a set of skills which can be learnt and built upon.

Some of the so called unfortunates referred to in The Big Book: alcoholics , addicts, “failures”, people who’ve attempted suicide, those lost in depression — the kind of people you’d never think would make it through — and yet, their resilience has been both remarkable and transformative.

Traditional trauma and crisis theory suggest that people generally adapt well over time to life-changing situations and stressful conditions. After a six to eight-week period, normal coping skills kick in and life returns to a kind of normality.

Most people we encounter in the rehab environment do not have the coping skills to manage the trauma that has resulted in a life of abuse of substances. They turn to an addictive set of behaviours to stop the emotional pain that they are facing. This often results in a life of complete unmanageability and destruction both to themselves and those close to them – family, partners friends and work colleagues.

There are some of these individuals who have been through hell and emerge on the other side. They embody all that the research into this field outlines. There are several factors that can enhance resilience, and it can be cultivated to serve you in overcoming life’s hurdles. Some of these are outlined below:

● Supportive relationships characterised by love and trust;

● Role models who offer encouragement and reassurance;

● The capacity to make realistic plans and take steps to carry them out;

● Develop positive self-esteem and confidence in your strengths and abilities;

● Skills in communication and problem-solving;

● The ability to control and deal with strong feelings and impulses.

One of the most relevant theories to understand the capacity for resilience is the theory of locus of control. It initially comes from social psychologist Julian Rotter in the 1950s and has been expanded on in many areas of behavioural science, most notably by Bernard Weiner, who was on the psychology faculty at the University of California at Los Angeles (UCLA) from 1965 into the early 2000s.

Your locus of control is the extent to which you believe you have control over the outcomes of events in your life, as opposed to external forces that are beyond your control. People with a strong internal locus of control believe outcomes result primarily from their own actions and abilities: for example, they feel the capacity to stay clean and sober comes down mostly their own efforts. They view their success or failure as being dependent on their ability to beat the disease.

A person with a strong external locus of control will assign using triggers and behaviour to external factors and circumstances over which they have no control.

Research has also shown that there are 5 key factors that contribute significantly to the chances of post discharge recovery.

● Support from others:

Does the person have a supportive and understanding environment of people in their lives that will aid the recovery process in a mature, stable manner? This could be family, a partner, a group of positive friends, a supportive employment environment and of course the AA and NA fellowship with meetings sponsors and all that goes with the recovery environment.

● Flexibility and adaptability

Has the person developed a set of flexible behavioural skills and tools to deal with adversity when it arises?

● Action planning

Do they have a plan of action in place to manage their daily monthly and yearly activities and have they built in contingency plans to adjust these plans when things do not work out according to their plan? Covid-19. Do we need to say anything more?

● Self-awareness

Have they developed a strong sense of self-awareness so that they can manage their behaviour in the most appropriate way in different situations?

● Hopefulness

Do they have a sense of hope for the future or are they consumed by despair and depression?

Resilience can be learned or taught. It involves developing thoughts, behaviors, and actions that allow you to recover from traumatic or stressful events in life. “When we learn how to become resilient, we learn how to embrace the beautifully broad spectrum of the human experience.” – ― Jaeda Dewalt.

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Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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Foetal Alcohol Syndrome – The Dangers

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Home / Posts tagged "rehab" (Page 6)

Foetal Alcohol Syndrome – The Dangers

12 August, 2020Articles, News

The consumption of alcohol, though legal, is not without its risks. Prolonged and frequent drinking can have serious consequences for the heart, liver and brain. During pregnancy a whole new set of possible consequences arise for the child. They can take the form of spontaneous abortion, premature labour, stillbirth and a range of disorders known as foetal alcohol spectrum disorders. Foetal alcohol spectrum disorders cover a wide range of birth defects related to alcohol consumption during pregnancy, this article will explore the one of the most common ones, Foetal Alcohol Syndrome (FAS).

What causes it

Foetal Alcohol Syndrome is caused directly by drinking during pregnancy. When alcohol is consumed it passes through the placenta and is processed by the internal organs of the foetus as well as the internal organs of the mother. The organs of the baby, the liver especially, are still busy developing, therefore the foetus cannot process alcohol the same way an adult can. This is particularly damaging to the rapidly developing cells of the brain, though other organs can also be affected.

There is no “safe” time to drink during pregnancy. It is even recommended that people attempting to get pregnant, avoid alcohol because it can even be damaging to the foetus before a pregnancy is detected. There is also no safe amount to drink. Even as little as one unit of alcohol can be enough to have a severe impact on the neurological development of a child.

During pregnancy, mother and child share a circulatory system. All the chemicals processed in the mother’s body pass to the child through the placenta, thus when drinking, the alcohol ends up in the child’s blood stream. There is no was to ensure that the alcohol is only processed by one and not the other. Due to the brain developing so rapidly during pregnancy, it is the organ most susceptible, though other organs are also affected.

Implications

FAS is a lifelong developmental disability. There is no cure or way to reverse the damaging effects that alcohol has on the brain. A person with Foetal Alcohol Syndrome will have it until the day they die.

Children with FAS have distinct facial features, other signs and symptoms are grouped into 2 categories, developmental and behavioural.

Developmental symptoms are a result of the brain structure not developing as it should. Therefore, a host of symptoms can occur. These include but are not limited to:

  • Intellectual disability
  • Learning Disorders
  • Delayed development
  • Poor coordination and balance
  • Poor memory
  • Difficulty problem-solving and reasoning
  • Difficulty paying attention, general jitteriness and anxiety – which may include a diagnosis of ADHD
  • Poor judgement and difficulty making connections between choices and consequences
  • Rapidly changing moods

The second category for symptoms are social and behavioural issues. These are a result of development symptoms in the first category. These are the only symptoms that can be worked with and adjusted for throughout life. They may be lessened or addressed through adjusted schooling, therapy, life skills and coping skills training. It is however important to note that the success of these strategies is dependent on how severe the brain development issues are, not just the quality of the therapy received. Signs include, but are not limited to:

  • Struggling in school and in traditional working environments
  • Poor impulse control
  • Poor social skills and difficulty making friends and forming social connections
  • Hyper focus, and difficulty adjusting to a different task or a different way of doing a familiar task.
  • Difficulty in planning and working towards a non-immediate goal
  • Poor concept of time and poor time management
  • General behavioural issues, such as destructiveness, aggression and hostility
  • Trouble communicating effectively, (may even present as mute)

South African Stats

Foetal Alcohol Syndrome is the third highest cause of congenital mental retardation and the most common form of preventable mental disability. South Africa has the highest incidence of Foetal Alcohol Syndrome in the world. This varies from area to area with certain parts of the Western Cape having an incidence of 12.9%. This number is alarmingly high when compared with The European Union where incidences of the full range of alcohol spectrum disorders are between 1% and 5% depending on region.

Foetal Alcohol Syndrome is an entirely preventable form of mental disability. Should you or a loved be pregnant, or trying to get pregnant, and are struggling saying no to alcohol despite the possible negative consequences, this may be indicative of alcoholism. Contact Crossroads for a free assessment to determine if intervention is needed.

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Johannesburg Admissions: +27 74 895 1043
Pretoria Admissions: +27 82 653 3311
Close

Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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Addressing Addiction in the Workplace

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Home / Posts tagged "rehab" (Page 6)

Addressing Addiction in the Workplace

13 March, 2020Articles, News

In South Africa it is often very difficult to find reliable statistics and data regarding addiction in the work place, but there has been a definite increase in substance abuse amongst the employed. The South African Medical Research Council (SAMRC) has collected data, which shows that employers are referring more and more employees to treatment centres for substance abuse.

Addiction in the workplace has a significant effect on a business. Above average absenteeism, accidents and injuries, below standard work quality, poor performance, theft and other criminal activity are all a result of substance abuse and this has a direct effect on the cost to company.

The reality is that an individuals suffering with substance use disorder cost their employer financially. There is usually denial around the severity of the problem or guilt and shame that the individual is faced with as a result of the addiction. This makes it very difficult for the individual to ask for help.

In most cases an employee will not ask for help until it is too late. They resign from their position before they get into any serious trouble (avoiding consequences), or they are fired from their position as a direct result of their behaviour – which is linked to their addiction.

It is normal for people to worry about the stigma associated with addiction; potentially being overlooked for advancement, lack of knowledge and time off needed for inpatient treatment care, are often blocks to asking for help for those who are willing to address the problem. They are unsure as to where they stand with their company and what help is available to them.

The South African National Drug Master Plan (NDMP) and certain labour legislation have been put in place to allow employers to better manage those who are looking for help in the workplace.

The NDMP outlines:

  • Intense campaigns highlighting education and information regarding substance abuse and the dangers
  • Implementation of prevention programmes
  • Implementing a public health care approach to substance use
  • Increasing rehabilitation services

There is labour legislation in place in the form of several Acts, which outline the responsibility of the employer and the employee when dealing with substance abuse.

Due to the prevalence of addiction in the workplace, many employers have had to introduce policies and procedures to manage the issue. Part of these policies and procedures should include;

  • Education and prevention programmes
  • Prevention programmes
  • Programmes to promote openness and acceptance of those effected
  • Treatment programmes

Many of the larger companies in South Africa have implemented drug policies, they have Employee Assistance Programmes that offer support and guidance, but the effectiveness of these practices is unknown, due to lack of data.

It is important to understand what the drug policies and procedures are and what assistance your employer is able to provide. The effects of substance abuse are destructive, many people only ask for help when it’s too late. Today addiction is treated as a medical problem, its effects are widespread and there is more help available than people are aware of, employers are more empathetic towards substance use disorder.

References :

http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0037-80542014000100005

https://www.workforcehealthcare.co.za/substance-abuse-workplace/

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Johannesburg Admissions: +27 74 895 1043
Pretoria Admissions: +27 82 653 3311
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Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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Burn-out and our responsibility to ourselves and our clients.

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Home / Posts tagged "rehab" (Page 6)

Burn-out and our responsibility to ourselves and our clients.

28 February, 2020Articles, News

Every time I share my working situation with friends or family, I get the same set of questions:
“How do you manage with those people? Don’t you take your work home with you? You must hear some really hairy stories, how do you detach from them?” and so on and so on. Its all relevant and worth taking note of.
Counsellor burn-out is a huge dilemma in this field and we need to be acutely aware of our own “mental and emotional health care” so that we can provide the best, most focused and most productive experience for our clients. Substance abuse is one of the most difficult problems to treat, and addiction counsellors are not immune to the negative attitudes and feelings that come from working with difficult clients. Reducing counsellors’ entanglement with their own negative thoughts may be particularly important because there is evidence that these processes contribute to provider burn-out, staff turn-over, and to decreased effectiveness in working with people in need.

Burn-out is a term commonly referred to by those in many fields of the so-called caring professions or human service fields and is often broken-up into three core areas:
(1) emotional exhaustion (the sudden or “creeping” inability to feel compassion for clients),
(2) depersonalization (detachment from the emotional needs of their client),
(3) lack of perceived outcome accomplishment leading to over critical evaluation of our capabilities.
-( Shoptaw, Stein & Rawson 2000 ).

Do some counsellors burn out more frequently than others?
There is no reliable research to suggest that some personality types or even behavioural aspects of counsellors will predetermine whether they are more prone or susceptible to burn-out than others, however certain situational factors may be relevant.
Some are personal : age, educational level, recovery status – while others are organizational characteristics: the number of clients per counsellor, the availability of supervision, the level of team support from colleagues, the level of decisionmaking , the working hours and time off allocated to staff members and the role expectations that the counsellor carries.

How can we manage possible burn-out effectively?
The National Institute of Health (NIH) in the USA published a study that reviewed the scientific literature on preventing and dealing with burn-out in the mental health and substance abuse field. The study highlighted some critical areas:

  • Heading off the psychological factors that lead to burn-out is a crucial intervention strategy.
    This requires mindfulness on the part of the individual addiction counsellor.
  • Organizational aspects to “protect” addiction counsellors are crucial.
    These included:
    • Managing workloads
    • Providing support activities to improve worker morale,
    • Involving staff in decision and policy-making in order to create an environment that values their input.

While not often addressed in classic 12 rehabilitation centres with regard to staff burn out the aspects of transference and counter transference are fundamental.

Regardless of the structure that step work provides and the minimisation of the transference possibilities, we are in relationship with our clients and the transference cannot be avoided.  As much so, neither can the counter transference and hence the need for case discussions, team meeting and supervision if possible.

  • Take time for physical activity every day.
  • Do not be afraid to express your limits and say, “No.”
  • Stay organized and on top of paperwork.
  • Ask for help when you need it.
  • Celebrate even the smallest victory.
  • Get creative and more interesting with group sessions.
  • Get out of the office whenever possible.
  • Take up a hobby you love.
  • Schedule a weekend trips away on your off weekends
  • Take breaks between clients.
  • Set boundaries.

How do we care for each other at Crossroads Recovery Centre? At Crossroads we (the staff) are continually looking out for each other. Working together in such an emotionally charged environment results in continual feed-back to each in respect of our moods, attitudes and behaviours towards our clients. Daily staff meetings and regular staff support discussions ensures that if one of us is experiencing the effects of burn-out or if we are “out of sorts” due to work stress or even personal issues the professional team is there for us to share discuss talk about what may be concerning us.

No Obligation Addiction Assessment

Book a No Obligation Confidential Assessment at your nearest Treatment Centre Today.

Johannesburg Admissions: +27 74 895 1043
Pretoria Admissions: +27 82 653 3311
Close

Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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