Join Dr. John Fitzgerald, a clinician with 25 years of experience, for a FREE Webinar on "Understanding and Addressing the Challenges of Addiction."

Wed April 24th 6-7pm ET

Register Here
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.

Rewards For Today or Consequences For Yesterday

Charles Street Biker B&W

Our Allies member just emerged from a rough spell when their loved one relapsed after leaving his inpatient program. Now he’s not using but short on rent for his job as a barber. Should they support today ‘s non-use by helping him financially or allow him to lose the job as a natural consequence for his past use?

This post originally appeared on our Member Site blog, where experts respond to members’ questions and concerns. To learn more about membership, see our Membership Benefits page.

Dominique Simon-Levine reassures this parent that they are following the right approach

First off, I am sorry you had to endure the stress and anxiety of your son living out of his vehicle in such a state. That is not easy. I’m not a fan of family members being told hard and fast conditions to follow without some time being spent understanding the larger context. I will assume the inpatient center knew your son well. You did bar him from home, and it worked. Good.

There is a long-standing debate about inpatient vs. community treatment. For those snatched out of a community into a residential program, the fear is that a loved one won’t learn how to manage recovery in their own home community, and thus will more easily relapse. For those in outpatient programs, the fear is that the loved one can more easily drop out, and/ or that the home situation is unstable and will not support the treatment goals.

I like to let the home situation guide the decision, at least in part. If the living situation is not good, residential care is needed. If the home situation is good, build that community care circle around the loved one.

Your question deals with consequences from the recent past in the face of positive and encouraging recovery behavior in the present.

CRAFT says respond in the day to that day

For your son’s situation this means rewarding today’s efforts at recovery and low/no use. The problems that collect with someone’s active addiction are too long to list, and often too painful to hear.

Your son lost money while using and is now in trouble financially. For today, reward, as long as he isn’t using. The past is the past. I’m not suggesting you instantly transfer all the money needed to get your son out of hot water. Rather, work on creating and maintaining a gentle loving stance to his non-use. Ask him what he is going to do about the money that is owed. This helps you both engage as partners in supporting his recovery.

So support today ‘s non-use

The context today for your son is non-use, and doing what is needed not to relapse. So I would help him a little to save his job. The job is helping the non-use in this context, if I understand correctly. Having him sitting at home jobless is not going to make either of you happy. But the job also puts money in his pocket which may be a trigger for him. So part of the solution could be finding a way to support getting his upcoming earnings directed at what is owed. But let your son lead with the solutions. Talk with your partner if needed to clarify, behind-the-scenes, what you are willing to do.

It’s great to hear your son is doing well. Thank you for sharing your situation, and for this excellent question. This is helpful for many other families too. Keep in touch as things unfold. We are all here for you.

A membership at Allies in Recovery brings you into contact with experts in the fields of recovery and treatment for drug and alcohol issues. Our learning platform introduces you to CRAFT and guides you through the best techniques for unblocking the situation. Together we will move your loved one towards recovery. Learn more here.

 Some of Our Collaborators

SUPPLEMENT- HBO film
RICARES
RICARES
REST
REST
Rushford Health Care
Palm Beach county logo
Seal-of-Rhode-Island
Loading

Related Posts from "Rewards"

What Do “Using” and “Not Using” Really Mean?

In this closer look at Module 5, you’ll learn a tenet of CRAFT – rewarding positive behavior and removing rewards for negative behavior. When it comes to “using,” the moment-by-moment details become important. Your job is increasing your awareness by witnessing and noticing your loved one’s behavior. “Using” is really a larger term including before, during, and after interacting with a substance. Everything else is “not using.” When there are periods, maybe tiny ones, of not using, move in with gentle, quiet rewards of connection. It’s important, too, to learn how to calm your system enough to do this process. It’s all trial and error, so don’t judge yourself for not doing it right. But do notice how what you’re doing makes an impact. Check out Module 5 for more.

What Are Natural Consequences? More on Modules 5 & 6

CRAFT is like a menu. The better your awareness of patterns from watching yourself and your loved one – over time – and experimenting to see what works, the better you understand what to choose. Laurie talks about her learning process with her son, and how it led her to understand what she could and couldn’t live with. You can learn to open your eyes, to check with yourself in a very deep way, and notice what you may not have before. The more you know about what you’re looking for, the more effective CRAFT becomes, the better your decisions in the the moment. Eventually you can say, “This isn’t working, so here are your options,” and your loved one can choose.

What Do “Using” and “Not Using” Really Mean?

In this closer look at Module 5, you’ll learn a tenet of CRAFT – rewarding positive behavior and removing rewards for negative behavior. When it comes to “using,” the moment-by-moment details become important. Your job is increasing your awareness by witnessing and noticing your loved one’s behavior. “Using” is really a larger term including before, during, and after interacting with a substance. Everything else is “not using.” When there are periods, maybe tiny ones, of not using, move in with gentle, quiet rewards of connection. It’s important, too, to learn how to calm your system enough to do this process. It’s all trial and error, so don’t judge yourself for not doing it right. But do notice how what you’re doing makes an impact. Check out Module 5 for more.

Real Allies in Recovery Success Stories: Families Share How CRAFT Helped Their Loved Ones with SUD

Read real success stories from families who used the CRAFT approach to help their loved ones with Substance Use Disorder (SUD). Learn how CRAFT helped them engage their loved ones into treatment, and how it improved their relationships and reduced stress levels. Discover how you can use the CRAFT method to help your loved ones find recovery, and visit AlliesinRecovery.net for more stories and resources.

How Do I Prepare for My Daughter with SUD to Come Home? And What About Her Boyfriend?

Her daughter is involved with a man who may be sabotaging her efforts to stop using substances. But she’s expressed some readiness to get help, and mom wants to support her in any way that she can. Mom’s working on ignoring the bad-news boyfriend while setting up guidelines for her return home. She needs guidance on the details…Allies in Recovery weighs in with some CRAFT-based tips.

The Important Difference Between Bribes, Incentives, and Positive Reinforcement

A mom wrote in asking for guidance on whether she should offer to reward her son for attending addiction recovery group meetings. However, she is unsure if she’s implementing the CRAFT concept of “rewards” correctly. Laurie MacDougall, an Allies in Recovery virtual program trainer – who herself has a loved one with SUD – explains the important differences between bribes, incentives, and positive reinforcement. Laurie advises steering away from the first two and sticking with positive reinforcement instead.

Did I Do CRAFT Wrong and Trigger Him to Drink?

She thought her husband was drinking, so she left. He called and said he wasn’t drinking, so she came home, but by then he’d gone out and he did drink. This wife feels she inadvertently triggered her husband to go drink. Did she? She also feels like she messed everything up with one episode of removing rewards. Did she really? The CRAFT approach has us “remove rewards,” including removing ourselves, when our loved one is using substances. CRAFT also asks you to make numerous split-second decisions every day. You’re going to get it wrong sometimes.  In the post below, we walk through this scenario with some CRAFT ABC’s.

He May Be Spending the Holidays in Jail. Should I Bail Him Out?

Anger and resentment towards her loved one has transformed – with one event – into love and fear. He was arrested out of state for dealing drugs and driving under the influence. The family has confirmation that he has indeed been using meth again. Now, the holiday together is in question, and she wonders how much to share with the family. The CRAFT approach suggests “removing rewards” and “allowing natural consequences.” Read on to see our view that the arrest might end up helping the situation and getting him to treatment.

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.