An intervention can motivate someone to seek help for alcohol or drug abuse, compulsive eating, or other addictive behaviors. Discover when to hold one and how to make it successful.
By Mayo Clinic Staff
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:
- 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 can motivate someone to seek or accept help.
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 co-workers, clergy members or others who care about the person struggling with addiction.
During the intervention, these people gather together to confront the person 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 the addicted person and loved ones
- Offers a prearranged treatment plan with clear steps, goals and guidelines
- Spells out what each person will do if a loved one refuses to accept treatment
An intervention usually includes the following steps:
- 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, addiction specialist, psychologist, mental health counselor, 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.
- Gather information. The group members find out about the extent of the loved one's problem and research the condition and treatment programs. The group may initiate arrangements to enroll the loved one in a specific treatment program.
- 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. Do not let your loved one know what you are doing until the day of the intervention.
- 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. Examples include asking your loved one to move out or taking away contact with children.
- Make notes on what to say. Each member of the intervention team 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 your loved one 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…"
- Hold the intervention meeting. Without revealing the reason, the loved one is asked to the intervention site. Members of the core team then take turns expressing their concerns and feelings. The 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 the addicted person doesn't accept the plan. Do not threaten a consequence unless you are ready to follow through with it.
- 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.
Consulting an addiction professional, such as an alcohol and drug abuse counselor, social worker, psychologist, psychiatrist, or interventionist, can help you organize an effective intervention. A substance use or 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 specialist, 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 especially important to consult an intervention professional if you suspect your loved one may react violently or self-destructively.
An intervention team usually includes four to six people who are important in the life of your loved one. Your intervention specialist can help you determine the appropriate members of your team. They could be people your family member or friend loves, respects, admires, depends on and likes, and may include adult relatives, co-workers, or community leaders such as clergy members or teachers.
Don't include anyone who:
- Your loved one dislikes
- Has an unmanaged mental health issue or substance abuse problem
- Might sabotage the intervention
- May not be able to limit what he or she says to what you agreed on during the planning meeting
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.
Depending on the severity of your loved one's behavior or condition, it may be appropriate to ask him or her to seek support from a group such as Alcoholics Anonymous. Often an evaluation by an addiction professional helps determine the extent of the problem and identifies appropriate treatment options.
More severe problems may require admittance into a structured program, treatment facility or hospital. 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 for admittance. Do some research, keeping these points in mind:
- Ask a trusted addiction specialist, doctor or mental health provider about the best treatment approach for your loved one and recommendations about programs.
- Contact national organizations, online support groups or local clinics for treatment programs or advice.
- Find out if your insurance plan will cover the treatment program 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.
Keep in mind, your loved one's problem 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 a 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 the addicted person 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 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 the addicted person may give to avoid treatment or responsibility for behavior. Offer support to your loved one that makes it easier to engage in treatment, such as arranging child care or attending counseling sessions with him or her.
- 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 and prevent a helpful outcome for your loved one, perhaps worsening 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 just 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.
Unfortunately, not all interventions are successful. In some cases, a loved one may refuse the treatment plan. The addicted person may erupt in anger or insist that he or she doesn't need help 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 an addicted person's behavior. 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.
Sept. 26, 2014
- Intervention — Tips and guidelines. National Council on Alcoholism and Drug Dependence. http://www.ncadd.org/index.php/for-friends-and-family/intervention. Accessed May 19, 2014.
- Webb TL, et al. Using theories of behaviour change to inform interventions for addictive behaviors. Addiction. 2010;105:1879.
- How to prepare for a drug intervention with your teenager. The Partnership for Drug-Free Kids. http://www.drugfree.org/how-to-prepare-for-a-drug-intervention-with-your-teenager/. Accessed May 21, 2014.
- Alcohol and drug addiction happens in the best of families. Substance Abuse and Mental Health Services Administration. http://store.samhsa.gov/product/Alcohol-and-Drug-Addiction-Happens-in-the-Best-of-Families/SMA12-4159. Accessed July 3, 2014.
- Schneekloth TD (expert opinion). Mayo Clinic, Rochester, Minn. June 28, 2014.