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Does This Level of Violence Rule Out CRAFT?

Nohp’s husband of 48 years is struggling with heavy alcohol use. Recently his behavior has become more alarming, and even violent. Now she’s staying outside their home, and wondering if that violence means the CRAFT approach isn’t right for their circumstances. Allies CEO Dominique Simon-Levine thinks it probably is. While underscoring that no one can decide for her, she advises Nohp to explore the skills training and support resources offered through Allies in Recovery. Quite simply, they work, and have a track record to prove it.

I have a question related to the issue of violence. The introductory message indicated that this program wasn’t for people living with violence from their loved one. I am wondering what qualifies as violence.

My husband of 48 years has a serious alcohol problem that got exacerbated during the pandemic. He has never hit me or physically harmed me in some other fashion. However, he has done some scary things recently — which he didn’t do in the past. We were having an argument which was getting more and more heated, and I decided that I needed to get out of the house and drive somewhere else. He tried to prevent me from leaving by grabbing onto the door handle of the car. I was scared that either he or I would get hurt. He did let go and I left. This kind of event has happened twice. I have recently moved out to another place to live because of these events and other things he did that could have caused harm — like trying to test how an air fryer worked in the living room because the maid was cleaning in the kitchen.

If this program isn’t for me, do you have any recommendations on what to do? I’ve been insisting that he go into treatment before I will come home, but that is met with a flat rejection. The therapist I have been working with has argued that I should cut off all contact with him until he does get treatment.

I am very sorry to hear about the troubles surrounding your husband’s use of alcohol. The question you are asking is one of great importance — Does the level of violence my Loved One has recently shown mean that CRAFT isn’t the right approach for my situation? Every family member should ask this question before implementing CRAFT techniques.

You’ve been married almost 50 years, yet COVID times have worsened his drinking. The discord caused by his exacerbated use has brought you to this juncture — living outside of the home you’ve built together, trying to decide what to do next. While I’m sure this must be terribly difficult, I applaud you for taking the initiative to do this — and to seek the care of a therapist.

Your question’s a great one. This community’s faced it many times.

Your husband has been behaving in ways that frighten you. Most recently, he grabbed onto the handle of your car door in hopes of keeping you from driving away. You’ve been working with a therapist who is urging you to stay away, to have no contact with him until he agrees to go into a treatment facility and/or program. Enduring this situation must be incredibly upsetting and absolutely destabilizing for you.

Allies in Recovery created eLearning CRAFT Module 2 (How Do I Stay Safe?) precisely for the reasons you’ve described. Alcohol and other substances make people unpredictable, and there is always potential for irrational and sometimes even violent behavior. Since you are receiving this training from a website, it is ultimately for you and your therapist to determine whether CRAFT is the safest approach to learn and apply to your situation. I encourage you to take my reflections to your therapist and, together, decide the right course of action.

Community Reinforcement and Family Training (CRAFT) is designed to improve communication, reduce conflict, and emphasize the connection between you and your Loved One. Our virtual program can teach you ways to influence your husband to engage with treatment.

Any changes in your behavior — even positive, quiet changes — can inspire someone who has demonstrated physically violent tendencies to act on them. Given what you’ve experienced, you may find it helpful to visit our Resource Supplement and connect with a domestic violence support organization to help guide you through your situation.

Violent behaviors are not all alike

Having said this, what you describe your husband doing — grabbing the car door to keep you from leaving the house and using the air fryer in the living room — doesn’t necessarily demonstrate physical violence towards you. You have been with your husband for almost five decades, which implies that you know him well. It sounds as though his drinking and irrational behaviors reached new heights over the course of the pandemic. Module 2 can teach you ways to reduce and excuse yourself from these altercations.

Module 2 also distinguishes physical violence directed at you (or another person) from verbal violence, as well as from actions like picking something up and throwing it away from you, or punching a wall. With CRAFT, we don’t consider non-physical abuse a reason not to practice CRAFT, although we absolutely recognize that verbal abuse and other irrational behavior can be just as harmful.

Discord, anger, and being mean in general can be part of the landscape when a Loved One struggles with active addiction. Ugly arguments, name calling, and other kinds of verbal abuse (kicking a door, punching a wall, throwing an object across the room) are commonplace for some when they are under the influence of drugs and/or alcohol. Thankfully, you’ve joined a community who understands what you’re going through quite well.

So I believe you’ve come to the right place. I also believe that your husband can come to terms with his drinking and engage with treatment. I’ve seen it happen countless times — no matter the age, the substance, or the depth of one’s addiction. How you can safely engage with these non-physically violent yet harmful and abusive behaviors is part of the training you’ll receive on this site. I’d suggest that it’s a great place to start.

It’s all about being prepared

Along with helping you develop a safety plan, Module 2 teaches you how to withdraw and disengage from escalating conflict. We encourage everyone on the site to work through Module 2, even if your Loved One has never been violent or abusive in any form. We walk through the steps of creating a plan for domestic violence, including when to avoid engaging in conversations with your Loved One when they’ve been actively using substances or drinking, and how to get out of the house safely if the circumstances call for it.

Everyone on this site needs to assess their situation and plan for the kind of situation you’re asking about. If you need to stay away from home, where do you go, and who do you call? Your husband’s judgment is altered when he’s drunk. He might take offense if you don’t stay, engage, or care for him when he’s intoxicated or hungover, as perhaps you’ve done in the past. Sometimes a Loved One might try a new drug that makes him act in a way you haven’t experienced.  It’s so important to be prepared.

Key Observation #2 walks you through the steps and components of a domestic violence safety plan — again, including how to get out of your home safely when a heated situation arises. I certainly don’t know what led to the scene at your car, but we do know that your husband was intoxicated, that you were arguing, and that you wanted to safely leave your home. A domestic violence safety plan trains you to have your car keys and other necessities, as well as a plausible excuse for leaving, prepared if you were to find yourself in such a situation again. It might be as simple as this:

“Look, I want to continue to talk, but I just need five minutes to settle down. I’m just going for a quick ride to the corner market to get milk. I’ll be back.”

You can build stronger communication skills. You’ll be glad you did.

When you’re ready to move on from safety, your next stop might be Module 4 (How Do I Talk to My Loved One?). This module focuses on communication, teaching you ways to soften what you say so as to further avoid conflict and make positive headway with your Loved One. Module 4 also gives you the tools to approach your husband with compassion and gentleness, thus improving on your connection and making you more effective in your efforts to shepherd him into treatment and/or recovery activities. The latter could include mutual aid groups like Alcoholics Anonymous (AA) or Smart Recovery, a moderation management group, or an inpatient treatment facility. Please visit our Resource Supplement for a complete listing of mutual aid groups and other recovery activities.

Your therapist suggests you not have contact with your husband until he goes to treatment, yet your husband has not yet agreed to do so. It’s a standoff, one that many of our members are familiar with. Quite frankly, this is the reason why the CRAFT method was created. Fifty percent of those who know they have an issue with addiction are unwilling to get help. Allies in Recovery provides detailed guidance for developing a plan conducive to changing your husband’s mind. That’s the main goal of  CRAFT: to teach you how to influence your Loved One to engage in treatment, embrace recovery, and improve the quality of your lives.

Connecting with your Loved One: when, how, and if

Withdrawing when a Loved One is actively using is a key CRAFT principle. By not contacting and living apart from your husband, you are out of the way, and he is left to feel both accountable and alone with his decision to continue drinking. You’re allowing the natural consequences of his choices to become clearer to him. Another way to put this is that you’re removing the huge reward that is you. Even if he is antagonistic, unhappy, and hurtful, your presence in his life is something he desires. You are his reward.

How you step in, step away, and even what you say during the day — not some undefined future point but in the specific moment — is what counts. Again, you must decide for yourself, and in consultation with your therapist. But I wonder if the condition you’ve set — zero contact until he agrees to treatment — is really your best option now.

With CRAFT, decisions about engagement and contact are made daily, or even within a given day. Having no contact with your husband is the right stance when he is drinking or hungover. But the times when he’s not drinking are at least as important. Those are the moments when CRAFT advises us to step in with a positive reward — a happy word, a touch, a suggestion to do something simple and pleasant together. Incremental, calm, consistent forward progress is how CRAFT works.

You can’t really practice that with zero contact. One half of your influence — the half that rewards good choices and behavior — is removed. Also gone is your ability to point him toward the most relevant and viable treatment options. By cutting him off until or unless he seeks treatment, you may actually be reducing the chance that he get there.

Whatever you decide, Allies in Recovery can teach you the skills you’ll need now and later. Those skills aren’t just about engaging with your husband. Crucially, they also include how to take care of yourself.

To be calm and recover some peace, you are going to want to claim a little place of safety for yourself. You’ve left home, and I’m so glad you have a place to go. If you return home, for visits or for good, it will be important to hold onto the idea of this safe space if you can. The safe space inside the walls of your home is for you. It’s a place to calm and center yourself. It might be a room you take over, where you put a pad and some colored pencils, or a yoga mat in the corner.

Also remember that there is a kind of safe space that’s in your head. The space in your head is where you practice returning to yourself, turning off the anguish of this situation. You might do this through more participation with a club, organization, or place of worship, or by talking with a good friend. At first, you might only succeed in distracting yourself for a little while, but ultimately this recovered peace is the goal. Module 7 (How Do I Care for Myself When Negative Feelings Get in the Way?) describes how to handle difficult thoughts and the negative emotions that follow. This skill is just as vital as more effective communication with your Loved One. 

Shaking it up in a loving way

When you change how you respond to your husband’s drinking and behavior, you really shake up the “norm” at home. Suddenly, you are not so predictable. You are no longer in your husband’s pocket. Yikes! There is a subtle shift in power as you set protective boundaries for and around yourself. Ultimately, you’re learning how to actively listen, communicate, and respond to him without engaging in conflict. You’ll show compassion, remind him that he is loved, build on your connection, and increase your influence on his thinking and decisions.

All of this creates a circle of positive feedback. Active listening and more carefully chosen words reduce conflict. You may notice him making small efforts to reduce his drinking, even for half a day, and you’ll find opportunities to reward him. You’ll have a detailed list of treatment options and mutual aid groups, as well as activities he finds rewarding, ready to share when he’s ready to receive. You’ll have rebuilt your trust. You’ll have taken all the right steps to influence, in a loving way, his choices about treatment and recovery.

It won’t happen overnight, or without some setbacks. But stick with it. CRAFT has been demonstrated to outperform other approaches for getting a Loved One into treatment (including hiring an interventionist) by 3-to-1 odds. Furthermore, for family members, CRAFT outperforms Al-Anon and other mutual aid options 4-to-1. CRAFT interventions are not dramatic, surprise showdowns. They’re calm, sustained, affirming events around the table, along with a few practiced words.

The bottom line? CRAFT works. Various studies of the CRAFT method have followed families over the course of twelve weeks and consistently found positive outcomes. Given these findings, we suggest that you also give the Allies in Recovery virtual program a solid twelve-week try. As you settle into the self-paced training and apply the skills you learn to your situation, I’m betting that you’ll soon know you’re on the right course. You’ll find confidence returning with each passing day.

Please keep in mind that our virtual program also offers additional supports:

Leaving your home behind and witnessing your husband’s health deteriorate before your eyes must feel devastating. Thank you for writing in, and welcome to our community. Please keep us posted about your situation. We are always here for you.

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Did the Boundary I Set Make Him Drink Even More?

Jbernard116’s made an impressive start in applying CRAFT to this challenging situation. Unfortunately, the boundary she set didn’t immediately yield the behavior change she hopes for—and she even worries that it could have prompted her fiancé to drink even more heavily. Allies’ writer Laurie MacDougall responds with a careful review of CRAFT-informed options and strategies. Boundaries, she reminds us crucially, determine our behavior—not our Loved One’s.

Allies in Recovery Holiday Schedule & Virtual Recovery Support Resource Directory

In observance of the holidays, Allies in Recovery will not be holding our CRAFT Skills, CRAFT Educational, or CRAFT Family Support Groups for the week of December 26th thru December 30th, 2022. We will return to our regular Live Support Schedule on Monday, January 2nd, 2023. If you’re in need of support, click above to read our member blog for details about supports offered by Allies in Recovery and a host of other organizations during the holidays and beyond. The Allies in Recovery Team wishes you and your loved one’s a safe and peaceful holiday.

We’ve Set Our Boundaries. He’s Breaking Them.

When it comes to their son’s involvement with drugs, Lovingmom11 and her husband are clear about where their boundaries are. Their son, regrettably, is crossing that line. Although he has taken some positive steps—including seven months of drug treatment—he is still using pot, and has returned to selling it. Now his parents are considering an ultimatum: stop selling or move out. Allies writer Laurie MacDougall makes a case for pressing the pause button. Taking the time to apply CRAFT skills with a Loved One can build the relationship and make positive change far more likely.

We Keep Paying. He Keeps Returning to Use. How Much Longer?

Kim has watched her son’s struggle with stimulants for years, and has paid for his treatment and housing along the way. Although he’s had repeated success with short-term Partial Hospitalization Programs (PHPs), he starts using again when he moves to a lower level of care. And the bills have added up. Kim wants to continue her support, but worries that she can’t sustain it. Fortunately, there are approaches that could break this cycle. Allies CEO Dominique Simon-Levine has some informed and encouraging suggestions.

A CRAFT Approach To Verbal Abuse

Provided the abuse isn’t physical, CRAFT can be your guide to a constructive response to negative interactions. Physical safety should come first in all relationships. But even in the absence of physical violence, a Loved One’s verbal abuse can be painful and damaging. As with other complications surrounding substance use disorder, CRAFT offers a clear, straightforward, and proven approach to dealing with harmful talk from a Loved One. Allies’ Laurie MacDougall outlines the fundamentals.

He Won’t Agree to the Care We Know He Needs

Cwfranklin’s adult son smokes fentanyl. With his parents’ active support, he’s gone through various rounds of treatment. His recoveries have been substantial, but so far they haven’t lasted. Now his parents are considering “lines in the sand” to convince him to undertake a longer, multi-stage treatment plan. Allies CEO Dominique Simon-Levine suggests an alternative: CRAFT-informed engagement that returns responsibility to their Loved One, where it belongs. 

After So Much Hard Work, He’s Slipping. How Can I Help?

Your Loved One’s journey is in their hands. But CRAFT skills can make your vital support most effective. Renee’s son has been struggling with substance use for 15 years. He’s fighting hard for his own recovery, and that includes rebuilding his career. But lately, he appears to be slipping. For his parents, and for Allies writer Laurie MacDougall, this is something of an alarm bell. The good news is that Renee’s there to support him—and reaching out to Allies for the skills and support to do so.

“We Are Absolutely the Worst People” in Her Life: When Mental Illness, SUD, and Blame Collide 

Your CRAFT skills may be put to the test, but they’re still indispensable. Perhaps more than ever. At Allies in Recovery, we’re always impressed by the mutual support our members give each other—and wherever possible, we try to build on it. At the heart of this post is a conversation about how to take care of your emotions while staying connected with your Loved One (LO). It leads to a stark question many of us coping with SUD grapple with: how do you support a Loved One who blames, rages, and is verbally out of control? Laurie MacDougall tackles this vital, thorny issue. 

Please Help Me Improve What I Say to Her

Words matter so much — both the ones we speak or write, and the one we choose not to. Fletcher921’s daughter uses meth and opioids, and was recently suspended from her job. She showed her mother the suspension letter from her employer — an act of real trust. Her mother put effort and heart into her reply, but wants to do even better next time. Allies’ Laurie MacDougall reflects on how CRAFT could help in this effort, and the possible benefits for daughter and mother alike.

Don’t Give Up Too Soon On Medication-Assisted Treatment

Elaine’s son is struggling to quit opioids, but the path is hard. He’s had many rounds of detox, and is now trying to self-medicate. An initial attempt at Suboxone treatment made him feel emotionless and flat. But did it have to be that way? Allies’ CEO Dominique Simon-Levine reviews the challenges and great promise of Medication-Assisted Treatment (MAT). MAT therapies often come with a period of adjustment for our Loved One’s.

It Feels Like Nothing Works With Him

If we focus on what’s ours to control, change is possible all the same. CRAFT skills can help you get there. Elaine’s son is back in the hospital, in a routine that’s become all too familiar to his parents. They’ve tried to help in many ways, but the health crises and the drug use that leads to them don’t seem to be changing, and Elaine’s begun to doubt they ever will. Laurie MacDougall gently challenges this idea. While a Loved One’s life isn’t ours to change, our own words, feelings, and behavior are. Allies in Recovery is committed to helping us learn to take control of these, and thereby give our Loved Ones the most effective support we can.

Do I Want to Have Children With Him?

There’s nothing simple about such a question. But here are some pointers in the search for answers. Whits wants children and loves her partner. But is she prepared to raise children with someone who’s progress with his SUD is uncertain? No one, of course, can answer that for her. But if there is a way forward together, it will require compassionate communication, as well as boundaries and self-care. That’s where the CRAFT approach can be so powerfully helpful.

The Discussion Blog on the Allies Website: Excerpts From One Member’s Journey

An important component of any member’s successful journey on the Allies website is participation in the expertly-moderated Discussion Blog. There, CRAFT/AIR trained staff interact with members by answering questions in both regular replies and in full, expert blog response posts offering guidance that any member can access. Members see other members sharing questions, frustrations, and successes similar to theirs, and also they often see how the Learning Modules are effectively used as referenced by our team experts and by members. We also offer dozens of supplementary podcasts by members of our Allied Team, discussing real situations with Loved Ones and using the CRAFT approach.

A Message from Founder, Dominique Simon-Levine

Founder & CEO, Dominique Simon-Levine, offers an update about the Allies in Recovery program, including new offerings and activities. Thank you all for being so patient as we navigated through the many hassles and challenges associated with developing and building our new website. We are so very grateful for YOU! (Pictured Left to Right: Nicole Castillo, Andrew Maxwell, Deborah Rodriguez, Sandra Munier)

You Don’t Have to Live in Manhattan to Access Recovery Services

And if AA isn’t what your Loved One’s after, there are usually alternatives
Kspring has been supporting her son on his recovery journey for years.
He’s come a long way, but the challenges still feel immense, and Kspring
is actively seeking new recovery resources that could offer a hand. Allies’
Laurie MacDougall did some digging. What she found underscores just
how much is out there—much of it independent of Zip code.

Learning Our Way Out of the Cycle of Recurrence

Even when a lot’s going right in our lives, the recovery process can be tough and painful. Outwardly, Bimba’s son’s life seems wonderful: good job, good relationship, education, financial security. Still, he only manages to remain abstinent for about 90 days at a time. While this stage of the recovery process is often brutal, there are resources and people ready to help. Sustained reinforcement —“getting the message about recovery”— is a vital piece of the puzzle.

LEAVE A COMMENT / ASK A QUESTION

In your comments, please show respect for each other and do not give advice. Please consider that your choice of words has the power to reduce stigma and change opinions (ie, "person struggling with substance use" vs. "addict", "use" vs. "abuse"...)