Become a member of Allies in Recovery and we’ll teach you how to intervene, communicate and guide your loved one toward treatment.Become a member of Allies in Recovery today.

She Can’t Come Back Home

Girl leaning on wall face hidden

iagirlsmom is despairing about her daughter’s endless cycle of use. At this point, she may not be able to let her back into their home again. But it’s almost winter in Iowa and wrapping her mind around this decision is not easy.

© Eric Ward via Unsplash

We keep ending up in this same spot and I think the only way to break the cycle is to make her homeless. She will not stop using in our house. Our 23 yo daughter is a non-functioning alcoholic. She hasn’t ever really held a job. She has no money, no income and no savings. She has no friends to stay with (seriously), she has systematically demolished every relationship she’s ever had including in the recovery community. Her addiction came to light her senior year of college. She didn’t graduate despite our tuition assistance for the following 5 semesters. We’ve brought her home 10-12 times in this 2 year period with the agreement she wouldn’t drink in our home but she she ends up in the ER every single time due to drinking. She has invited men over to party to get alcohol, she’s peed her bed and our bed and our carpets passed out, she’s tried to get our car keys, she gets impulsive and belligerent and argumentative. She’s up all night and sleeps all day and won’t cooperate with clean up or getting job or helping out despite any written agreement when we accept her back. Read iagirlsmom’s full comment here.

Your poor family. I understand the dilemma of having your daughter home – and all that entails – or closing the door to her so that she winds up homeless in the winter in Iowa. What are the answers for your daughter?

At this moment, she is in a sober house and starting to agitate. It looks like she may not last long. She’ll get kicked out, and then what….

Sober housing provides minimal treatment. There’s a lot of unstructured time, which is probably not good at all for her. She has demonstrated time and again that she needs a higher level of care.

The cycle you are in feels interminable (treatment, home or sober living, relapse). I applaud your many efforts to get her into care. How exhausting. Home is not the answer right now. Your daughter is ill, probably also struggling with mental illness. You are not professionals equipped to handle the depth and complexity of her situation. Having her home is very disruptive and it sounds like she uses your house to go into hiding. She’ll sleep all day, go through the cabinets looking for any approximation of alcohol at night. This doesn’t help either or you.

Your state passed a law in 2018 that allows a civil commitment for people who in the past have become dangerously ill because they failed to comply with doctors’ recommendations. The law opens the door a little wider for civil commitments. The court doesn’t have to find your daughter in danger to herself or others – a high bar which can be difficult to prove. Your comment here should be sufficient to show how your daughter is failing out of treatment.

Your daughter can absolutely find a better way to live. She has agreed to go to treatment in the past, she has had friends in the recovery community, so there is motivation in her somewhere. On some level, at some point in the cycle, she is trying. She goes into care (this is huge) but falters when discharged to low structured living, whether it is a sober home or your home.

The inpatient stays you talk about were probably short-term. The key in all this is to find a long-term, structured residential program that provides quality care for the substances and possible mental illness.

Easier said than done, I know. The residential program should have a length of stay in a continuum that lasts at least 6 months: better yet, one year. Look for a true Dialectical Behavior Therapy program (DBT). DBT teaches valuable skills for managing hard emotions. It was developed for people with personality disorders and has been applied to addiction with good success. See this link for info on DBT in our Resource Supplement.

Is she still on your insurance? Here’s one place that “looks” like what I am talking about. https://www.edgewoodhealthnetwork.com

It is in Canada. This isn’t a referral; we have no first-hand experience with this location. But it fits the portrait of the type of facility that we’d recommend looking into. Check it out to see how they are structured.

The cycle continues for now. Your daughter is looking to get kicked out of the current sober house. If and when she does, have a civil commitment ready to go. Use this as often as you need to keep her safe while avoid having her coming home. As we often say, civil commitments aren’t a panacea, but they buy a little time and help ensure that your Loved One is safe.

You absolutely never know when the time will come that your daughter sees the sad pattern her life has devolved into, when there is that fundamental shift in thinking that provides her some light onto a different future. It doesn’t happen until it happens. Before this, it looks like what you are going through: an endless cycle.

Can you locate and pay for a long-term treatment like Edgewood, a place with solid treatment approaches that are skilled in treating the level of illness you describe in your daughter?

“Darling, what’s going on with you is very serious. I am worried for your life. I also need to think of what I can do and what my limits are. The stress and fear of you being in danger is strangling me. I love your dearly but having you come home doesn’t work for either of us. For now, it is not an option. Here is what I propose. I found XYZ programs. When you’re ready, will you have a look at the programs with me? If you lose this sober house, I will be forced to have you committed again. It breaks my heart that this is where we are right now. I’ve been looking into DBT, and I believe the programs I have found will be fundamentally different than what you have experienced. [Don’t talk about length of time in these programs….she can discover that once admitted and be convinced to stay in treatment by the staff]. When you’re ready, I am prepared to do everything you need to get in.”

Again, make it clear she isn’t coming home. Can you do that knowing you will use commitments as needed? She really is too ill to be home, given all that you have described.

What we suggest here is a slight step back from her, making it clear to her – with love and compassion – that home isn’t an option. Her choices are to stay put in the sober house, be civilly committed, or choose to go into XYZ long-term residential program.

This is what you can do. You can’t protect her from herself. You have to keep using the system. This includes ERs, police, wellness checks, and civil commitments… Your daughter is a young adult. It’s hard to imagine that she will make decisions to protect herself, but her civil rights as an adult leave it up to her, not you.

Again, I know this isn’t easy. I realize you are going to have to keep doing what you are doing, even though it feels you can’t go on like this any more. For now, you’ll continue cycling along with her, just not with her at home. You must be so tired, so scared. But you are here. We hear you and feel your pain.

As you struggle with how to frame your thinking about not letting her back in the house, I’d suggest repeating to yourself: she needs more help than I am able to provide. You can provide a home, and you have. But what she needs is not that. For her that provides more room to go out of control and cause herself more harm. Settling into your own sense of what you can and can’t do will help you when it comes time to discuss this with clarity and compassion – with her or with anyone else for that matter. I can do this: help get her into XYZ program. Communicate with love and empathy. Practice reflective listening. Meet her where she is at. Hold space for her until she learns to hold it for herself. I can’t do this: open up our home to her while she is unstable, self-destructive and belligerent. Expect different results than those we’ve seen in the past, until she has gained real traction in treatment. Until then, our home just becomes another place for her to use and go out of control.

Using CRAFT to pull out all the stops so that she is ushered towards a long-term, structured residential program is the best option you have – it’s the best option she has. There are many pieces lying on the floor of her life right now – friends, work, college, etc. Don’t give those any space right now. These pieces will be there waiting when she has addressed her drinking in treatment, but until then, they aren’t worth your energy. You don’t have any to spare.

Use the energy you do have to focus on the line you are drawing, lining up another commitment and looking into the long term places. Be prepared to hold your line without argument or debate. Keep telling yourself that you cannot provide what she needs now. One day, down the road, when she is more stable, you can consider having her in your home again. But now is not that time.

The communication skills of CRAFT still hold whenever you are able to interact with her. They can help you convey that this decision is not a punishment. There is no ill-will in this line you are drawing. You know the extent of what you have tried in the past and what has repeatedly not worked. With this line and the distance you are creating with it, the message rings clear that the reward of your home is not available given her continuous use.

Your love for her is unconditional. Your responses to her actions are your own choice, and with CRAFT, the responses are tailored to the Loved One’s use or non-use. Just as you love her but may not love her actions, your responses to her actions do not signify that you love her any more or less. You are responding the best you can with the information you have – within a painful awareness that you cannot force her to change. So you make the best choices you can within this framework.

We feel how excruciating the pain is of facing such a decision – of facing the ups and downs of these past several years. You have been doing such a commendable job. And all of this has taken its toll. Even for a few minutes a day, please make a space for yourself to be as you are as a whole, living person. A person who is above all responsible for their own well-being. It won’t serve you or your daughter to put this off. Showing up for yourself is something you can do, something over which you absolutely have control. This may look different from one day to the next. We encourage you to embrace this commitment. And as you draw that line and keep your house on one side of it for the time being, make some changes in your home to reflect the way you want to enjoy your own space. Clear out that which is old and stagnant. This can help serve as a physical reflection of your conviction that the help she needs is not within your home. It is a healing of sorts for the space and for yourself as you work through this.

We are here for you and we hold you and your family in our hearts. Please keep us posted as things continue to unfold. Sending your love and strength.

Loading

Related Posts from "Discussion Blog"

What Do We Have to Look Forward To?

Supporting a Loved one with SUD means different things to different people. Meggie, for example, comes from a family that’s confronted the disorder through “tough love”—leaving the Loved One to deal with their addiction entirely alone. This never felt right to Meggie, who wanted to fight alongside her husband for his recovery. When she discovered CRAFT, she soon realized it was designed to help her do just that. Nonetheless, thoughts of the future still leave her anxious. What if he’s in and out of jail for a long time to come? Isabel Cooney reminds us that so much depends on what we tell ourselves about both the present and the possible future.

Straight to Treatment After Jail? Do I Stick to My Guns?

Sometimes we can see the likely future: our Loved One returns to the shelter of home, hides away in their room, and simply doesn’t get the treatment they need to make progress with their SUD. Allies’ member HelenBo doesn’t want to see that happen with her son, who is struggling with heroin and other substances. What other housing options will he have upon release? As Laurie MacDougall writes, there are often more than we realize. At the same time, such transitions are critical moments for our Loved Ones. Having a list of specific housing and treatment options at hand—along with the CRAFT skills to communicate about them effectively—can make all the difference.

Cutting Him Off Entirely Isn’t the Answer—Is It?

We’ve all heard the argument: cut the cord. Let them sink to rock bottom. They’ve made their bed; now they have to lie in it. Recently, Allies member erinlewis was offered this sort of advice concerning her teenage son. Data and experience have shown that such an approach is usually the wrong one for our Loved Ones—but maintaining a connection doesn’t mean that anything goes. Laurie MacDougall walks us through a CRAFT-informed approach to self-care, boundaries, and the balancing act of connection and accountability.

When Stepping Back Is the Best Help You Can Give

No one wants a Loved One to suffer. No one wants a Loved One to relapse. But in our worry about such possibilities, we can stumble into behaviors that stand in the way of change—behaviors that make problematic substance use easier for our Loved Ones than it otherwise would be. Fortunately, CRAFT can help us learn to offer support within our chosen boundaries: the kind of support that truly encourages progress.

About This Whole “Engage When They’re Not Using” Business…

If you’ve worked your way through Allies’ eLearning Modules, you’re already familiar with the concept: when our Loved One (LO) is using, we remove rewards and allow for natural consequences. When they’re not using, we reward them right away. But as member BRIGHTSIDE has been finding, the real-life timing can be a challenge. Laurie MacDougall reviews the fundamentals of this process, and shares ideas for getting creative when the lines seem blurred.

What Is Our Role? Underlying Feelings and Beliefs We Have About Our Loved Ones

Like many of us who have Loved Ones struggling with SUD, Allies member Binnie knows that trust is a delicate matter. Can we trust our Loved Ones to take care of themselves? Do we believe they have the capacity? Or do we think they’re so damaged that they can’t function without our stepping in? Isabel Cooney reflects on how trust is explored in a recent Allies podcast, and offers her own insightful take on this vital subject.

Evidence From Oregon: Decriminalizing Drugs Can’t Solve Every Problem, but It’s an Important Step All the Same

Oregon has just rescinded Measure 110, the historic law that decriminalized possession of small amounts of hard drugs. But the reasoning behind the rollback is muddled. As guest author Christina Dent reveals, M110 took the blame for spikes in lethal overdoses, homelessness, and public drug use, none of which it likely caused. Rather, she argues that the law represented a small but important step forward. In the effort to end the drug crisis, its repeal is a loss.

Getting the Most Out of This Site

Personal trainers and the like are terrific—when they’re accessible. Unfortunately, individual counseling is still a rarity with CRAFT, despite its proven effectiveness. Allies in Recovery was created to bridge that gap. In this post, founder and CEO Dominique Simon-Levine outlines the many forms of training, education, and guidance that we offer on this website. We hope it helps you find the support you need.

What We Can and Can’t Control: It’s Good to Know the Difference

Erica2727 has a husband who’s working hard on his recovery, but his place of work concerns her. She would like him to consider various options, but isn’t sure about how to talk over such matters with him. Allies’ writer Laurie MacDougall offers a guide to a vital distinction: on the one hand, what we can and should seek to control; and on the other, what we cannot, and don’t need to burden ourselves with attempting.

How I Boiled Down CRAFT for My Teenage Kids

What can our children make of CRAFT? Allies’ writer Isabel Cooney has a powerful story to share—and some great thoughts for our community about opening a little window on the practice. As her experience suggests, CRAFT may have more to offer than a child or teen can truly take on. But young people may still benefit from an introduction to what the adults in their lives are trying to do.

Progress and Appreciation: A Letter From Holland

Danielle and her son have gone through a lot, individually and together. At Allies, we remember their years of struggle relating to his SUD. What joy, then, to receive this letter updating us on their situation. It’s the best news imaginable: Danielle’s son is clean and stable, and Danielle herself has widened the circle of support to others in need. Have a look at Danielle’s letter for yourself:

She Wants Another Round of Rehab. Should I Open My Wallet Yet Again?

Member Klmaiuri’s daughter struggles with alcohol and cocaine use. She’s also been through rehab seven times. The cycle—use, treatment, partial recovery, return to use—can feel like a cycle that never ends. Is there a way to be supportive while put a (loving) wrench in the gears? Allies’ writer Laurie MacDougall says absolutely yes. But it takes a commitment to learning new skills, trying a new approach, and lots of practice.

“Get Me Out of Here!” Navigating Your Loved One’s Desire to Quit Treatment

This Discussion Blog post is a little different: a response to member Nohp’s question by way of a recent episode on our Coming Up For Air podcast. Nohp’s husband has struggled with alcohol for over a decade. Recently, when faced with the possibility of divorce, he entered a 30-day residential treatment program—and he doesn’t care for it much. After two weeks, he wants out. Nohp understands some of his concerns, but worries that he will start drinking again if he leaves. Our Allies podcast team has a message for her: Discomfort does not mean treatment is a mistake. Allies writer Isabel Cooney elaborates.

Welcome Home! Everyone Here Has Some Beef With You

Tradition is (at least partly) about honoring the past, and holiday traditions are no exception. But some aspects of the past we’d rather just leave there. Others, even years later, can still make us long for resolution. Last year, Allies writer Isabel Cooney received a request from her ex-husband, who struggles with alcohol use, to be with her, their daughters, and Isabel’s parents over Christmas. Her reply, and the experiences that followed, gave Isabel a chance to reflect on all that she’s learned and tried to apply concerning CRAFT.

How Much Should I Ask of Him Right Now?

Challenging emotions are natural, but that doesn’t make them easy to deal with. Our heavy feelings and ruminating thoughts can vastly complicate our efforts to support our Loved Ones. Allies’ member Nohp is trying to balance her husband’s treatment needs with feelings of guilt about past agreements between them. Laurie MacDougall offers some CRAFT-informed signposts through this forest of thought and feeling.

Tragedy Struck His Recovery House, And He Wants Out. What’s My Response?

It’s an all-too-familiar refrain: our Loved One doesn’t like the treatment program and wants out. Sometimes the reasons may seem valid, perhaps even overwhelming. In the recovery house where Cowgirl’s son is living, the house manager recently overdosed and died. The situation is utterly heartbreaking, but does it mean that Cowgirl’s son should leave? Allies Director Dominique Simon-Levine cautions that no choice about changing treatment is free of risk.

Handling the Holidays, Embracing Change

We’ve all felt the push-and-pull of the holidays. One impulse is to hold so tightly to “the way we do things” that we try to stop time in its tracks. Another, when the holidays produce stress or challenges for a Loved One, is to turn away completely. Laurie MacDougall reflects that there’s often a loving path between these extremes—but that path requires reflective listening, validating our Loved One’s feelings, and acceptance that some things will change.

I Want Him in Treatment. I’m Dreading That the Cycle Hasn’t Ended.

It’s a situation that occurs all too often: a Loved One enters detox when things get rough, but resists moving on from there to sustained treatment for substance use disorder. Often, they just want to come home—where continuing to use is easier than having to face the mountainous struggle of ending that use. It’s little wonder that such moments cause worry and anxiety. The good news is that we can take positive actions all the same. As Laurie MacDougall writes, these actions begin with calming and centering ourselves.

He’s Lost His License. And He’s Still Behind the Wheel.

Kathy4422 is facing some tough choices. Her son has just lost his license but is continuing to drive—on her insurance, in a car she owns. Does she step back and let him face the consequences of his choices? Does she intervene right away, and if so, how? Allies’ writer Laurie MacDougall points out that no one can make such decisions for us. But through seven thoughtful questions, she offers a guide to making them ourselves.

My Loved One’s Breaking Our Agreement About Use at Home. What Should I Do About It?

After time in a recovery house—and agreeing in writing not to use while living at home—Carolyn P.’s Loved One has moved in with her. Much has been going well, but now the accumulating signs leave little doubt: they’re using again. Carolyn P. has been working hard to apply CRAFT to her situation. She worries, though, that her “watchful silence” might be counterproductive. Laurie MacDougall brings her back to a key, if difficult, CRAFT fundamental: boundary setting.

Rehab Was Great, but He Came Home and Stumbled. Now He’s Stopped Answering His Phone.

Residential rehab was a huge success for Highlander1’s grown son, but shortly after returning home the drinking started again. Now he’s taken off without a word and is refusing to be in touch. Naturally his parents are beside themselves. Allies’ writer Laurie MacDougall counsels them to start simply as they try to restore communications, to hone their own CRAFT skills—and to remind their son to focus on the success and not the setback.

What Am I Supposed To Do With This Anxiety?

Allies member Allisonc77 has some reasons for optimism: her husband, who struggles with alcohol, has recently stopped drinking, and let his old drinking buddies know he doesn’t plan to drink anymore. What he does plan to do is continue to see his friends. Naturally enough, Allison’s concerned that social pressure could lead him back to alcohol. But her question for Allies concerns her own behavior: she wants to know how best to manage her anxiety. Laurie MacDougall walks her (and us) through the fundamentals of a CRAFT approach to this question.

There’s A World of Options for Your Loved One

Jimw’s wife has contended with alcohol use disorder for many years and has engaged with numerous treatment programs along the way. She’s unemployed, and family debts are piling up. In his letter to Allies, Jimw describes what she’s already tried, and asks what other resources might be out there. Laurie MacDougall responds with a detailed discussion of the many options and where CRAFT comes into the picture.

Our Loved Ones Need Us to Listen. Even (Or Especially) When Their Behavior Is at Its Worst.

When Sweets1997 and his family allowed their adult son access to their home while they were away, it was a simple act of love. They returned to a trashed home and missing belongings. It’s just the latest difficult chapter in an 11-year journey with their son’s addiction. But not all the signs are discouraging. Laurie MacDougall remarks on the points in this family’s favor, and explores in detail how focused listening and other communication skills can build a relationship of trust with our Loved Ones.

My Son Needs Care For More Than Just Addiction. Where on Earth Can I Find It?

Substance use disorder often occurs alongside other physical and mental health challenges, making a tough situation much harder and more complex. As frends2end knows all too well, finding care that takes our Loved One’s whole condition into account is one of the hardest aspects of such situations. That makes it doubly important to know the best strategies and options out there. Allies’ Dominique Simon-Levine shares some of her discoveries.

When Setting a Boundary Is the Message We Need to Send

Introduction CRAFT teaches us to be thoughtful, caring, and deliberate in the messages we send to our Loved Ones. But sometimes the message is best conveyed without words. When we set boundaries, we also have to help our Loved Ones understand that they’re for real. As Allies writer Laurie MacDougall discusses with Adrexpert, managing our own thoughts and feelings is a necessary precursor to this sort of work, and so much else.

If My Loved One Commits To Treatment, Should I Ease Up on CRAFT?

Disengaging from a Loved One isn’t anyone’s idea of a good time. But doing so when they’re using is a basic (and proven) part of CRAFT—as is the opposite action, rewarding non-use. When a Loved One takes on the challenges that often attend the start of treatment, sticking to CRAFT techniques and principles is as vital as at any other moment. As Laurie MacDougall explains, the effort will likely be difficult, but it’s a key part of supporting them.

She Wants Me to Watch the Baby While She Gets High. Should I Refuse?

Hopewood03 worries about both her daughter and her infant grandson. Her daughter smokes marijuana and believes it’s part of her identity. Her grandson needs care—even when the daughter feels like going out to get high. The dilemma for Megan arises when her daughter asks Megan to babysit on those occasions. She wants to keep her grandson safe, but doesn’t want to encourage her daughter to use. Allies’ writer Laurie MacDougall assures her she’s doing nothing of the kind—and reviews some CRAFT strategies to influence her daughter to move away from pot.

Too Much Advice! How Did Everyone I Know Become An Expert in Substance Use Disorder?

Often, it’s given with the best intentions. Sometimes it comes with judgment or moralizing. Either way, unsolicited advice can drain our energy and complicate our efforts to support our Loved Ones. That’s how it’s been for Jaki, who has felt as if she were “on trial” for her husband’s alcohol use disorder. Allies’ writer Laurie MacDougall can sympathize, and shares some time-tested approaches for responding and self-care.

How Do I Practice CRAFT When I Feel We’re Worlds Apart?

Hopeseeker and her husband are in a tough spot. Their adult daughter struggles with substance use and has moved back in—with a friend who also uses. Daughter and friend disappear for days. When they are home, they show no interest in interacting at all, and leave the bedroom only to eat. Can CRAFT even be applied in such circumstances? Laurie MacDougall says yes—but cautions that it’s not likely to be easy. Change, she says, probably requires setting CRAFT-conscious boundaries. Read on for some specifics.

He Keeps Going To Treatment—And Sabotaging Himself Once He’s There

When a Loved One is motivated to seek treatment, it’s a cause for celebration. But for many that’s just one of many challenges. Remaining and thriving in treatment can be as hard as reaching the decision to begin. Malamia90’s son has her full support as he seeks help with SUD but struggles to get along with his providers. In such cases, the missing piece of the puzzle is often support for the mental and behavioral health challenges occurring alongside the substance use.

“What We All Require Is To Be Heard”: Kayla Solomon On Effective Communication and Connection

In March 2023, Allies in Recovery’s very own Kayla Solomon led a 90-minute ZOOM conversation with leaders of the East Bay chapter of the National Alliance on Mental Illness (NAMI) based in Sacramento, California. The result was a dynamic primer on the use of CRAFT, the Allies approach to building trust and connection with Loved Ones, and the vital role of listening and affirming when supporting a Loved One with mental health and/or substance use challenges. Click above to watch the recording.

Will His Vaping Lead Him Right Back To Use?

It can be hard—perhaps even impossible—not to worry when a Loved One who struggles with SUD exhibits changes in behavior. Even when many of those changes are positive, the very fact that things are shifting can generate anxiety. When MRPR’s husband started vaping, she worried that it might lead him back to other substance use. Laurie MacDougall advises her to focus on what’s in her power to control—and to support the good changes that are happening with positive responses of her own.

Landmark Legislation To Support Families of Persons With SUD Introduced in House and Senate

After decades of advocacy by nonprofits and experts in the field, organizations supporting families of SUD sufferers may at last be set to receive federal funding. The new, bipartisan legislation would provide $25 million in grants to such organizations over the next five years. It should allow them to improve and expand their efforts to help families navigate the complex landscape of support and recovery options for their Loved Ones.

Embracing the Uncomfortable: A Life Hack from Annie

Learn how facing uncomfortable and challenging situations can lead to personal growth and improve relationships in Annie Highwater’s blog post. Discover the importance of regularly challenging oneself, even in small ways, to develop discipline and determination. From showering in cold water to apologizing to someone you’ve wronged, find out how embracing discomfort can build inner strength and grit. Start your journey towards personal growth and confidence today.

My Son’s in Jail, And I Think It Saved His Life

No one wants to see their Loved One incarcerated. Surprisingly enough, however, it’s not always the worst of outcomes. Eliza’s son has struggled with substance use for years, and recently experienced a dangerous overdose. Dominique Simon-Levine helps her assess this moment of incarceration—which could bring hazards or opportunities—and shares experiences from her own family and the Allies in Recovery community.

He’s Drinking and Trying To Hide It. What Should I Be Doing?

Rengal’s son is struggling with alcohol use, and this has led to some difficult encounters. She naturally wants to act in hopes of making things better. But as Allies writer Laurie MacDougall explains, sometimes the first challenge we face with our Loved Ones is not to make things worse. Not reacting, not confronting: these can be positive, powerful early steps. CRAFT skills can help us take them.

InnovatorMD Global Summit 2023: Dominique Simon-Levine Profiles CRAFT and the Work of Allies In Recovery

Its online platform launched just eight years ago, but the impact Allies in Recovery has made in that time is extraordinary. In mid January, Allies’s Founder and CEO Dominique Simon-Levine gave the attendees at the 2023 InnovatorMD Global Summit a concise, powerful introduction to CRAFT and AiR. In words and numbers, she reveals just why the Allies approach is so effective.

I Meant Well. Did My Words Make Him Start Drinking Again?

A recurrence never occurs for one reason alone. It’s rare that words of love are to blame. Yet as linsachacko31 recently discovered, even words meant to celebrate a Loved One’s accomplishments can be taken in a way we don’t intend. Laurie MacDougall reflects how easily this can happen, and some simple ways we can change our approach to those vital, if challenging, moments of connection.

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. 

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.

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.

She Really Is Making Progress. But There Are Days I Can’t Feel It.

We can’t resolve everything for our Loved Ones. That’s where reflective listening comes in.
Mgmcrosby’s daughter has multiple challenges, from substance use and problematic
relationships to depression and possible bipolar disorder. It’s no wonder that standing
beside her can sometimes be an overwhelming challenge. Reflective listening, one of
many CRAFT skills taught by Allies, can ease the burden.

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"...)

  1. I am new to CRAFT. This article is such a reflection (plus drug use) of what my 35 year old daughter and I have lived together. I have a revolving door to my home and when she binges she is like a tornado. In her sober mind, she and I agree we can not live together.
    She has been in and out of programs and talks about living sober. When she comes out of treatment she talks about having a glass of wine or a drink socially. We are a family of social drinkers so alcohol is always in our home. I don’t know how to handle that with her around.
    She is now living in a shelter that offers a program to help her get on her feet not treatment.
    What I am learning is to step back, prepare a list of resources to offer when she is ready to talk, Stay positive about what I am seeing her do right. I pick her up to visit in the home when we have family functions then return her to the center. When she asks for help such as employment or house hunting I have been assisting in the search. Am I still over involved?
    The modules, podcast, and blogs have been very helpful, and I will keep growing and learning. Thank you for the support.

    1. Welcome to the site. We’re so glad you found us and that you’re finding the eLearning, podcast and blog posts to be of help.

      The situation with your daughter sounds quite challenging! I agree that preparing the list of treatment options and looking out for change talk from her is a great goal. In the meantime, yes — staying positive about what she’s doing right, Yes! And stepping back, yes, as long as it’s during moments of use, or use-related drama.

      As for the question of being over-involved or not: I’d say that overall, if she’s the one asking for help with job-hunting or house-hunting, it’s great for you to be there to assist her. Beware, however, of requests for money, which often go hand in hand with house-hunting!

      It’s wonderful that she is reaching out to you, and happy to come home on various occasions. As you get the hang of CRAFT (we recommend that all our members watch all the modules, several times!), we’d suggest you come in closer as often as possible, creating all sorts of opportunities for her to feel the warmth and lovingness of her family. Think about what she likes, who she likes, and how you can invent new rewards for moments of non-use. This will increase the contrast in her mind and body, between the warmth of family and the less-wonderful feelings associated with times she’s using and not welcome. Write in if you need guidance on rewarding/removing rewards. We’ve recently published a two-part series on this:

      #1 — https://alliesinrecovery.net/discussion_blog-a-refresher-on-removing-rewards
      #2 — https://alliesinrecovery.net/discussion_blog-a-cheat-sheet-on-boundaries

      Finally, regarding the alcohol in your home, we strongly recommend that you and your family make the effort of not drinking when she is present. Anyone who has a serious history of Substance Use Disorder (SUD) and is still relapsing frequently (or is simply in early recovery), cannot be expected to have their substance of choice being consumed under their nose and stay on track. While locking the alcohol up is probably unrealistic (and she’d get to it if she were motivated), it would be a huge help to her to have it out of sight, and for the family members present to agree to abstain while she’s there.

  2. I can’t seem to let it all go. My daughter is finally in a treatment center for dual diagnosis/mental health track right now. Which is great. Over the last five months or so, she was going in and out of quite a few rehabs doing IOP and living in their housing, which I was suspicious of being pretty shady. They use medical marijuana in their treatment program and would provide the clients there with it even if they did not have their medical card (we are in FL and medical marijuana is legal here). I was not in agreement with any of this, but my daughter is 25 and I had been trying to stay out of her way and let her make her own decisions with her attempts at recovery. These attempts were not going well at all. She would be able to go about 3-5 weeks and then would either leave the place or get kicked out of the place. She would be missing/on streets for a couple of days and then end up in another one of these places. This went on for about 6 months. There was a couple of weeks where she seemed to be doing pretty well and I would go pick her up, take her to church and to eat and she seemed to be ok. About a week week ago she left the last place she was at and it turns out that she was raped and wound up in the hospital. She called me from the hospital and they were releasing her. So I did go and pick her up and brought her home and she stayed at our home for a couple of days. She was very agreeable to going into this latest treatment facility saying that she needs some “real help”. To add a little background to this, back in August she was in PA doing well for a time but then left where she was and was caught up in a human trafficking situation (that is what she told me anyway). So, I flew up to PA and brought her back down to FL (home). Within one week she left our home and relapsed, relying on prostitution to fund the drugs. This is when all of the ins and outs of the programs started. So, I am trying very hard to let go of all of the terrible behavior with the prostitution and leave it in the past. However, this is what I cannot seem to be able to deal with . . . . I recently found out that while she was in sober living, with a roof over her head, food stamps for food and me putting some money on her books each week, she was still prostituting! Instead of looking for a real job and working a program, she was prostituting while in sober living. She also got a job as a “dancer” (stripper). I don’t think she ever began that job, but I did see that she told some people that she got that job. She does not know that I know this information. Here I was taking her to church and taking her to eat and trying to be supportive of her “recovery” and she is prostituting the whole time! I am furious with this information. I have not mentioned it to her (I saw her the other night as there is a family night at the facility). I know I need to put all judgment aside and be empathetic, etc. I am trying I really am. And I can do that when it comes to prostitution in active addiction. I can separate the addict from my daughter. However, this information of her prostitution while supposedly “in recovery” is very hard for me to deal with. I guess my question is do I say anything to her about knowing she was doing this while in the sober living places? We were discussing the possibility of her coming home to live after treatment (as none of the sober living places seemed to be helpful at all). But I am going to have a problem with any attempt on her part to do this while living in my home. I really am at a loss as to how to handle all of this. I am wondering to myself does she like it? Is that why she does it? Is it part of the disease even though she wasn’t actively using while doing it? Is this more on the mental health side of things (She has bipolar, BPD, ADHD, anxiety, depression, trauma PTSD). Was she really “trafficked” while in PA? Was she really raped? I just don’t know what to believe. And I certainly don’t know how to address my concerns with her. I am furious and it is keeping me up at night. I feel awful for being so angry. But I can’t seem to put any of this in perspective.

    1. Your daughter is in early recovery. She gets into programs, lasts for a while, and then leaves. You know that she has prostituted herself while on the street, and just recently learned that she was continuing to do so even while in a sober house.

      You are understandably very upset. You are questioning what she has told you about having been raped and trafficked. Is returning to prostitution a separate problem, one possibly related to her mental health condition?

      There is no way for either of us to know. Your daughter has been supporting herself with prostitution. She is looking to be a dancer in a strip club. The lure of these pursuits is strong. She is young, attractive, and there are few alternatives in the street that can earn you that kind of money. It is also a milieu where drugs are plentiful. Prostituting and using drugs is likely a longstanding “pattern,” it is part of her street high.

      Read Dominique Simon-Levine’s full response to tinasananes here: https://alliesinrecovery.net/discussion_blog-she-continues-to-prostitute-herself

  3. I keep messing up. I understand what you and everyone are saying. I really do. But I’m apparently not capable of following through with anything. She was kicked out of the last sober house for not providing the required UAs after only 7 days. We can’t afford to keep her in other housing so she came home. Quite literally it was that or homeless. Today I found a vodka bottle in her room almost empty. She started working a few days last week and somehow brought it in. Snuck it in. No idea how she paid for it.

    We have no idea what to do anymore. We say she can’t stay here if she drinks in the house, but then she does, over and over, and she has no where else to go.

    Her sister is here for holiday break until Monday. I have to avoid a scene. I spoke with the attorney when she was kicked out of the sober house and he said we couldn’t file to recommit unless she was a danger to herself or others. He said there weren’t new grounds unless she was driving while drunk or suicidal or physically threatening us. Especially since she was going to work. (We have to drive her) Or unless a medical professional intervened.

    She isn’t seeking treatment so that won’t happen unless she ends up in the ER. Why should she stop drinking when we don’t do anything when she breaks the house rules? We have been storing the car she drives (that we own) and continued to pay the DUI insurance, even after she cut the breathalyzer out.

    We keep preserving this life for her despite what she does. Why do we do it? Why can’t we stop?

    When I type out all the things she’s done and list all we tolerate and permit I can see how stupid we look. And yet we continue. We don’t have money to private pay additional long term treatment. We barely have enough to keep paying her bills as it is. I can’t logistically see how to make her homeless. The attorney said since she gets her mail here and only lived temporarily in residential treatment or sober living the last year that this is considered her permanent residence and we would have to formally evict her. Everything we do ups the ante.

    My decisions make everything more complicated; the committal, if we kick her out/evict her she won’t qualify for housing on her own, if we get rid of the car (she gets her license back next month) she’ll have more excuses to not go to work or treatment, etc… I don’t think we’re capable of forcing her out onto the street and we’re obviously not capable of preventing her drinking in the house. She can do whatever she wants and we’re left reacting to it. I haven’t the strength to make this stop and so it continues I guess. I feel like I’m the one that’s broken.

    1. I am so sorry about the trials you and your family are going through. You love your daughter above all else and don’t want to see her suffer. I get that. You say you cannot kick her out but you also sound like you are working your way up to that. It is a process for us as well as them.
      Have you checked out the “day bed and locker” option? You can read up on that through the link on the right side of the page. https://alliesinrecovery.net/all_blogs?topic=390
      I’m not saying that you should do this, just offering another avenue for consideration.

    2. Your 23-year-old daughter continues to drink despite multiple treatment episodes. She was recently thrown out of her sober house for being unwilling to submit to drug/alcohol testing.

      You are fed up, really fed up. She has been home but a short time and has already begun to drink. You are keeping her life together for her. She is back home, you are paying her car insurance, driving her to work. When you look at where you are, you are almost ashamed of it all, preserving the things she needs to live while she continues to drink.

      Read Dominique SImon-Levine’s full response to iagirlsmom here: https://alliesinrecovery.net/discussion_blog-how-could-we-let-it-come-this-far

  4. I have as well decided that having my daughter in our home does not benefit any of us. She has choices, but that is not one of them. I have been trying to enforce a civil commitment (Marchman Act in Florida) since September (as well as having filed previously several times). My daughter keeps leaving treatment, AMA, regardless of the order that is supposed to be in effect. The court has difficulty enforcing the order due to having to protect their civil rights (giving enough time for hearings, being properly served, etc.). These civil rights are a roadblock in the system. As it leaves a lot of gaps and time where they are out on the street using. My daughter will be out for a bit and then get herself back into detox and treatment only to leave again when the urge hits or the slightest inconvenience or issue. However, I am going to keep trying to enforce it and keep on going strong. I do not know how long it will take, but I am standing my ground as to not coming home and just have to hope and pray this all sinks in for her to want to change. I believe my daughter would, in the past, get herself into so much trouble she knew she could call me and pull on my heart strings to have me pick her up and just bring her home – because nothing else was working. That has always been her strategy. Has not worked for her or for us. So now, with this firm line of not being able to come home, it may be what she needs to start taking her treatment seriously. Not being able to have coming home as an option is the only thing I have not done in the past. It is hard. So hard. I hope you stay strong in your convictions, as you need to know that coming home will not help any of you.

    1. Tinasananes: thank you for this declaration and for your continued willingness to do what is best for all of you. It may help to rid some ill feelings about not having her home, by looking for safe landing places she may not already know of where she can go for help. I am thinking of a list that gives her the details of shelters in the area (doors open times, getting admitted requirements etc.), some respite care places for mental health?, any other low threshold places, like recovery centers.

      We want a few options for your daughter for a temporary place to stay if they exist in your area. Again, what is available to someone who is homeless? Research housing and homelessness options — funding for homeless programs can be separate from treatment

      1. Believe me. She knows very well all of her options of where to go. She could be running her own treatment center at this point. Helpless she is not. We have walked this road so many times she is extremely well educated on treatment and recovery options. It’s whether or not she chooses to walk the walk of recovery or stay in her life of chaos. All I have to offer her at this point is insurance. And that will expire in less than a year. So I am hoping and praying she takes this time to choose life and wellness