Rehabilitation Centres – what to expect.

Addiction is a complex phenomenon characterized by a loss of control and compulsive, habitual behaviour. Since there is no single, specific cause for addiction, there is no single, standard treatment at rehabilitation centres for it. A variety of approaches are used, including counseling, psychotherapy, medications, and mutual help groups. The best known and most widely available approach to addiction is the 12-step programmes of recovery which is what we use at Crossroads Recovery Centre.

People with severe substance use disorders require long-term care at rehabilitation centres, even after the initial treatment. There is, however, a deficit in the availability of such care. This may be due both to inadequate medical coverage and insufficient use of community-based twelve-step programmes in rehabilitation centres.

Although there are many rehabilitation centres in Gauteng that use different modalities of treatment. One of the most successful forms of treatment for addiction disorders are twelve-step orientated ones such as that found at Crossroads Recovery Centre.

Twelve-step programmes are mutual aid organizations for the purpose of recovery from substance addictions, behavioral addictions and compulsions. Dozens of other organizations have been derived
from AA’s approach to address problems as varied as drug addiction, compulsive gambling and overeating.

The 12-step recovery programme is a cornerstone in the treatment of drug and alcohol addiction. Started in the 1930s, it was the first popularized treatment methodology to acknowledge addiction as something other than a choice.

A 12-step programme like AA or NA provides a framework of steps in acknowledging the addiction, accepting the consequences of the addiction, ways to mend at least some of the damage done while using, and encourages the building of a network of support through a service-oriented 12th step. 12-step programmes can offer a life-line of much-needed support.

Evidence supports the effectiveness of AA and NA. One study, sponsored by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), examined the effectiveness of three different treatment types in reducing overall drinking, including the 12-step, cognitive behavioral therapy (CBT), and motivational therapy. While all three treatment types showed promise, the 12-step programme resulted in the most significant long-term impact.

12 Step recovery is unique in that it gives people the opportunity to find a long-term solution to their problem, not just for the duration of their professional treatment. At Crossroads Recovery Centre we make the 12 steps a cornerstone of the professional work done so that when our clients leave treatment they know where they can find help. This approach equips each person with the needed skills and resources to address their problem in a meaningful way without the need for lifelong therapy and professional intervention.

The 12 steps of Alcoholics Anonymous and Narcotics Anonymous is used as the ground work for treatment at Crossroads Recovery Centre. These are used in conjunction with group and individual therapy, as well as fellowship meetings, to educate and guide a person into their new life in sobriety and recovery.

Other group work includes : process groups, exposure groups (to counter denial as a defence), gender groups, spiritual groups amongst many others along with individual, one-on-one therapy.

Process group
Process group is the most common type of therapeutic group given at Crossroads Recovery Centres. An addictions counsellor is present and facilitates the running of the group while each client is asked to participate. Group therapy is an intensive process, clients are asked to be vulnerable and give feedback to one another. This process is incredibly beneficial as it is the best way for clients to bring the issues they may have to light and start to deal with them in a supporting environment.

Gender group
In gender groups men and women are separated. This gives each client space to address any gender-specific problems they may have. A counsellor facilitates the group and prepares topics for discussion and reflection. We find that separating the genders gives our clients an opportunity to talk about issues and concerns that they may feel uncomfortable addressing in front of members of the opposite sex. It is a format which encourages a deeper discussion about issues that may be gender-specific and gender-sensitive, for example; sexual abuse, love and sex addiction, marriage problems, sexual dysfunction and expectations set by gender roles.

Spiritual group
Spirituality is a cornerstone of 12 step recovery programmes. In these groups counsellors address a number of issues related to spirituality. These include topics such as meditation, practicing spiritual principles and finding new ways to connect with a higher power of your own understanding. Though topics and thoughts from certain religions may be brought up, at Crossroads Recovery Centre we pride ourselves on being inclusive of all religions and faiths, or lack thereof. These topics encourage discussion and exploration of new ideas related to each individuals spiritual practice so that they may gain a better understating of the 12 steps as a whole.

Planning and objectives
Many people come into recovery lacking direction and discipline. Weekly planning and objective groups are structured in a way that encourages our clients to set meaningful and attainable, short-term goals in order to work up to achieving long-term objectives. Each week the clients give a report on whether they achieved their goals or not. They are then held accountable by their peers. This continuous process of goal setting and reporting back, helps our clients learn how to go forward with planning and structure once they leave our facility.

Exposure group
From time-to-time it becomes apparent that a person may not be doing as well as expected in treatment. This may be for several reasons. It could be holding on to old ideas, refusing to participate fully, being dishonest or breaking rules in the facility. For whatever reason, the person may be confronted in a group therapy session. In this type of group several counsellors may participate, and the clients peers are given an opportunity to address them directly. We have found that this type of confrontation can be very powerful and can be a good wake-up call for problematic behaviour. Of course, subjects of a sensitive or confidential matter are not handled in this type of confrontation.

Life story group
As part of the therapeutic process at Crossroads Recovery Centre, all clients are asked to write a life story. This is presented to the group and the counsellors. The life story combined with behaviour that has occurred in their time at Crossroads Recovery Centre is processed and feedback is given. The client has an opportunity to hear what their peers and counsellors think will help them in their recovery going forward, and what attitudes and behaviours may prove problematic in the long run. From this point our client can move forward with a better understanding of how they can better help themselves.

Crossroads rehabilitation centres offer many options for recovery, including an outpatient programme. Contact us for advice on how to best proceed with your recovery. If you or anyone close to you needs help with an addiction to sex, gambling, substances, alcohol or food, please contact us for a free assessment. The road to recovery is not always an easy one but getting yourself or your loved one the best possible care from the team at Crossroads Recovery Centre, provides you with a map to sober, healthy living. No matter how bad things seem, there is hope and it’s only a phone call away.

www.crossroadsrecovery.co.za

074 89 51043 JHB

012 450 5033 PTA

Resources :

https://vertavahealth.com/blog/pros-cons-12-step-programs/

https://en.wikipedia.org/wiki/Twelve-step_program

https://journalofethics.ama-assn.org/article/addiction-12-step-programs-and-evidentiary-standards-ethically-and-clinically-sound-treatment/2016-06

https://www.tandfonline.com/doi/full/10.1080/00952990.2017.1306747

Stories of Recovery

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