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THE TUFF SERVICES MINISTRIES™    
                                        

Certified Interfaith Pastoral Counseling, Coaching and Trauma Relief Service

 
 

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TUFF Addiction Social Services ™

 

TUFF Addiction Social Services ™ provides comprehensive assistance to persons in early recovery. We provide tools and resources for successful re-entry into the world with renewed independence and freedom. TUFF Services is committed to help clients break the cycle of addictive use by providing traditional and non-traditional aftercare tailored to each person's unique needs, strengths and goals.


“Aftercare” is a general term used to describe any ongoing or follow-up treatment for substance abuse that occurs after an initial rehab program. No matter the setting, treatment provider, or methods used, the goals of addiction aftercare programs are the same and some include:


  • To maintain recovery from substance abuse.
  • To find ways to prevent relapse.
  • To achieve a life filled with rewarding relationships and a sense of purpose.


The physical impact of addiction is often accompanied by several psychological changes—affecting thoughts, feelings, and behaviors that may persist even after the substance is removed from the body. Many complete their recovery programs, only to find themselves back on the streets where they originated, due to lack of motivation, direction or guidance.TUFF Addiction Social Services ™ will assist by offering many "fresh start" opportunities and some include:


  • Vital Documents (Birth Certificate, Social Security Card and State I.D. and/or Driver's License) 
  • Resume Creation (Create or update any current or old documents on hand)
  • Interview Education (Teaching techniques for different interview types and employment environments) 
  • Felony Removal Assistance (Through many local organizations such as: Hope For Prisoners, etc.)
  • Employment Opportunities (Assist with resume submissions and job searches)
  • Education Opportunities (Through Job Connect, FIT and many other local organizations)

  • Sober Living Opportunities (Assist with placement to safe and productive sober living locations)
  • Second Chance Housing (Properties willing to provide housing to those with: bad credit, evictions, felonies, etc.)
  • Utility Assistance (Working with many local agencies within our community)
  • Transportation Assistance (Through donations with local transportation agencies)
  • Spiritual Care (Interfaith *non-denominational* tools, resources, comfort and support) 
  • Out-Patient Counseling (Provided by many local Certified and Licensed agencies)
  • Self-Care Fulfillment (Yoga, Trauma Yoga, Meditations, Essential Oils, Reiki, etc.)
 

Is 30-day Rehab Enough?


Though it’s what most treatment centers have based their therapy on, the 30-day drug and alcohol treatment model is just that – a model. There’s no proof that 30-days is a magic number for rehabilitation. Considering the number of people who relapse after these programs, there may be more evidence of their failings than their successes. The truth is, 30-days should be the beginning of a process that incorporates personalized recovery methods.


Treatment programs are most effective when they are part of a continuum of care. This is especially true of alcohol dependence, which is a chronic problem. Chronic issues need solutions that take time. Acute problems are treated more successfully with acute solutions, but all addictions are unique to the individual. Unless you get to the root cause of what’s fueling the addiction, relapse is almost guaranteed – and the root cause likely needs time for proper diagnosis.




How Individuals Can Stall Recovery


Most new research regarding treatment plans suggest that the 30-day treatment model is clinically inappropriate and perhaps even destructive for long-term recovery. One reason for this is that people who suffer from addiction need time to understand their illness. Most programs suggest that the first step toward recovery is admitting there’s a problem. For many, that alone takes time. Addicts abuse drugs and alcohol to protect themselves from certain painful truths; it is the nature of an individual suffering from addiction to conceal the reality of the problem and deny its existence.


Hopefully, those entering treatment programs understand that they need help – but even then, the vast majority of people have a shallow understanding of their problems and what led them to substance abuse. If an addict does become a patient in a treatment program, he or she will often construct barriers to control, inhibit, and eventually stop the treatment plan. For example, patients may amend treatment plans with conditional clauses that define the duration, nature, and setting of treatment.




How 30-Day Programs Can Set People Up For Failure


Common patient objections to longer programs include needing to return to their lives, families, and jobs as soon as possible – only to return to rehab after relapsing. Patients choose the path of least resistance and leave the 30-day recovery program feeling strong, but the failure rate in these situations is startling. Many come away with negative feelings about their treatment.


Patients are not entirely responsible for adopting this attitude toward recovery programs. Many underestimate the hold that addiction has on them, so they assume that the fastest treatment is the best. The 30-days to recovery is often viewed as just that – endure treatment for 30-days and you will achieve long-lasting recovery.


Because the 30-day treatment model is by definition limited, patients tend to limit their sobriety efforts during this one-month period. This compartmentalized drug and alcohol addiction treatment model does not give patients the tools that they need for long-term recovery – instead, it increases their likelihood of relapse and may tank their drive to become healthy again. Each seemingly failed attempt at a new life hurts future chances of change. ***NOTE – 30-day treatment programs CAN be very helpful and some individuals can achieve long-lasting recovery in the shorter rehab problems, though the chances of success are greatly increased at the 90-day level.




Why 90-Day Drug And Alcohol Treatment Programs Are A Better Choice


Like any chronic disease, time is crucial to healing. Addiction is no different, especially as more research suggests that addiction itself is a disease. The standard must shift from short-term addiction treatment to longer-term addiction treatment. New standards for treatment programs should have a minimum duration of 90 days and a desired course lasting a full year, beginning with a patient’s first day of recovery.


When you consider what is involved in addiction care, the 30-day model is simply too short to be truly effective. A full-year treatment plan composed of transitional levels may make the most sense and be the strongest defense against relapse. Treatment in this manner would consist of:


  • Inpatient Detox
  • Stabilization
  • 30 days of Residential Rehabilitation
  • 90 days to Nine Months of Extended Treatment
  • Outpatient Care
  • Post Care Groups
  • Individual Therapy


Those participating in a 30-day treatment model may feel pressured to accomplish too much in too little time, leaving the highest intensity of treatment as the only option. A transitional model, on the other hand, offers a refreshing, multi-intensity level plan, resulting in a successful long-term outcome.




Longer Treatment Plans Increase Recovery Chances


A 30-day model ushers the patient through the rehabilitation process, but it neglects the recovery phase. The transitional level, long-term recovery model offers a continuum of care spanning over all phases of addiction, from rehab to recovery. Moreover, the transitional plan would help guide the patient through issues faced in early recovery in a safe clinical setting, as opposed to the 30-day treatment model that ends before the recovery phase ever begins. Unlike the 30-day treatment model, the transitional treatment model places a patient on track to be self-supportive, family involved, and career equipped.



Objections To A Long-Term Treatment Model


Some patients criticize a longer treatment model for being, well, too long. But addiction takes time to develop. Considering how long it takes to become dependent should give some people insight into what it will take for them to get clean. If patients are serious about long-term recovery, they must invest time for it.


Patients may object to treatment by claiming that it will impede their lives, careers, and families. But it will be much worse if they go for treatment and then fail. The best response to any of these objections is to tell the truth: that long-term addiction treatment is the best option for long-term addiction recovery. The more time people spend working toward an addiction-free life, the higher their chances of recovery are.




How 90-Day Models Are Different


The more we understand about addiction, the more it becomes apparent that time is crucial. In fact, The National Institute of Drug Abuse (NIDA) explained that recovering addicts show the most improvement at about three months of treatment. More treatment is better, but those first three months are crucial to healing.


Additionally, NIDA claimed 90-day addiction treatment programs should be the new standard for successfully treating substance abuse disorders. A 90-day addiction treatment model is necessary to experience substantial improvement. More time is better, but 90 days can mean real improvement – which isn’t really possible in 30-days.


If there are still skeptics of the 90-day model, consider the plethora of deeply rooted issues that lie under the surface of an alcohol addicts treated condition: traumatic life events, family breakdown issues, bi-polar, depression, anxiety, ADHD, OCD, personality disorders, and suicidal ideation. As we’ve mentioned, addiction doesn’t exist in a vacuum. What has lead a person down the path of substance abuse must be dealt with before treatment can truly begin. Uncovering such painful factors takes time.



What Is Treated During a 90-Day Addiction Rehab Program?


Addiction treatment in a 90-day rehab program can be provided for substance use disorders as well as behavioral addictions and, in some cases, eating disorders. These can include but are not limited to:


  • Heroin addiction.
  • Alcohol addiction.
  • Marijuana addiction.
  • Cocaine addiction.
  • Prescription drug addiction.
  • Bulimia.
  • Anorexia.
  • Gambling addiction.
  • Sex addiction.
  • Love addiction.


Treatment is available for other types of addictions as well. However, not every treatment program will be able to accommodate the full range of addictive disorders, so will be important to seek assistance from one that can tailor a program to specifically address your issues.

 
 
 
 


After you go through detox and rehab and prepare to reenter the world, it can be difficult to know what's next


For so long, your life has centered around drugs or alcohol, but when you have the opportunity to redo everything from scratch, it can be difficult to know how or where to begin. To help you stay sober, we’ve taken some common concerns about life after recovery and responded with advice from experts and people who have been in your shoes.




How can I repair the damage I’ve done at work?


When a substance use disorder has taken up your energy for a long period of time, it’s possible that your job performance suffered. Spending your time focusing on work can give you a renewed sense of worth and a way to fill your time. Remember, though, that being a workaholic can be unhelpful, too. You can easily burn yourself out or become so stressed that you to back to substances to cope.  




Where can I find a sense of community?


Groups like Alcoholics Anonymous (AA), Narcotics Anonymous (NA), SMART Recovery, Celebrate Recovery, or other meetings can provide solace and a feeling of community on a regular basis. Also, T.R.Y Recovery Yoga, Reiki, and other meditations can also be an extra motivator. This way, you don’t feel as if you’re alone in your struggles or experiences. AA and NA will also help you find a sponsor, someone to turn to when you’re fighting cravings. Once you feel competent enough, you can also sponsor someone else, which many people find to be helpful with their own sobriety. 




What kinds of activities can take the place of drugs in my life?


However, your whole life can’t revolve around work and recovery. You also have to have fun, which is still possible without substances. A recovering individual known as Meredith, says, “My idea of fun continues to change as I try different things and have new life experiences. I usually have the most fun with other people, doing things like playing volleyball, listening to live music, going on bike rides, playing board games, going to improv shows or the movies, bonfires, swimming, and taking day trips out of town.  I am able to have fun when I am alone too, doing things such as yoga, baking, and do-it-yourself crafts. Ultimately, though, fun is about your attitude. I could probably have fun doing anything if I was with the right people and had a positive mindset or attitude.”


The rapper Eminem also battled with a substance use disorder that centered around painkillers. After he went through detox and entered recovery, he had trouble sleeping without using drugs. He began to run 17 miles per day and using exercise DVDs, too. This approach could work for you as exercise creates the endorphins that substances once supplied, and, if you join a class of some sort, you have access to a new social circle.




Do I need to drop my friends who use?


Ultimately, this is your decision. You’re the only one who can choose whether or not it’s in your best interest to spend time with people who continue to use. But bear in mind that a third of people in recovery relapse due to pressure from others. 


Also, remember that people who still use might not like that you’re in recovery. They might feel rejected or guilty, and dealers won’t want to lose your business. If you do decide to keep seeing people who use, there are certain facts to keep in mind and certain skills you’ll have to practice:

  • People who know you’re in recovery and continue to offer you substances do not have your best interest at heart.
  • Learn how to say “no” immediately and convincingly.
  • Practice saying “no” with a loved one in a way that doesn’t invite follow-up questioning 
  • Change the subject so the conversation doesn’t remain on drugs.


The rapper Eminem also battled with a substance use disorder that centered around painkillers. After he went through detox and entered recovery, he had trouble sleeping without using drugs. He began to run 17 miles per day and using exercise DVDs, too. This approach could work for you as exercise creates the endorphins that substances once supplied, and, if you join a class of some sort, you have access to a new social circle.




How do you find a job after entering recovery?


If you’re intimidated by the idea of trying to find a job after rehab, there’s less you have to worry about than you think. Know that the Americans with Disabilities Act and the Rehabilitation Act keep most employers from refusing to hire anyone because they’re in treatment for or in recovery from a substance use disorder unless the disorder would prevent the applicant from performing their job safely and competently.


Furthermore, employers are not permitted to ask whether or not a job applicant has ever abused substances, has had a substance use disorder, or is or has been in through rehab. However, an employer can rescind an offer of employment based on a positive drug screening, so be sure that you’re going into a job interview with a clean record, or paperwork noting the reason for any potentially positive results.


You also have the right to take medical leave for substance abuse treatment if you need it under the Family Medical Leave Act (FMLA), but you must have been worked for a covered employer for at least 12 months and worked at least 1,250 hours in that time. Your employer also has to provide reasonable accommodations to help you with recovery alongside your job, including making a schedule that allows you to attend treatment.These laws only apply if you’re not currently using substances, so staying sober is key.




How do you repair your relationships?


When you have a substance use disorder, your relationships (romantic and otherwise) will suffer. To mend them in your time of recovery, consider involving your loved ones in your treatment. Research has shown that when you do, the treatment itself can be more successful. It’s also important to remember that substance abuse disorders result in a loss of trust. To repair the relationship, you have to repair the trust. It will take time, and the amount of time varies from person to person.



“Honesty and open communication help to pave the way for a better relationship in the future, and one day, if both parties work at building a new foundation of trust, the wall between you will disappear. ”




Which living environment is best?


When you enter recovery, it may be to your benefit to try moving into a sober living environment. Studies have shown that people living in such a house for a long period of time (between 15-17 months) saw higher attendance in educational settings, more days spent working, and more days spent taking necessary medications. Other studies have shown that the better your life in recovery is, the less likely you are to relapse.


Now that you know what has worked for others, you can apply it to your own life, taking what best fits you or what you’d like to try. Although life past addiction can be intimidating, hopefully now you can move forward with improved confidence, ready to fill your blank slate with new meaning.

 

If you would like to register to take advantage of the social services provided, please complete the e-mail form below. You can also contact us at: (702) 569-9901. We are here to provide comfort, guidance and support!

 
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Additional Self-Care Resources:

 
 
 
 
 
 
                                                     “Pastoral Counseling, Coaching & Trauma Relief Services”
 
 
 
 
 
 
 

© The Tuff Addiction Social Services Program was created and developed by: Rev. Bryan Ostaszewski and TUFF Services Ministries. ALL RIGHTS RESERVED

(All Content Protected From Any Unauthorized Use)