Transcript PowerPoint for Pre-Conference Workshop – The ABC`s of Addiction

• For if you remain silent at this time, relief and
deliverance for the Jews will arise from
another place, but you and your father’s family
will perish. And who knows but that you have
come to your royal position for such a time as
this?
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Integrating Science and
Faith to Renew Your Mind
What God taught me through my
psychiatric training and my own addiction
Karl Benzio, MD
Disease?
Sin?
ADDICTION
Personality Defect?
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HELP!
I prayed, took
meds, and love
my mother!
I’m DYING
Sin- Have
more Faith!
Disease- Take
your MEDS!
Psychological DefectTell me about your
mother!
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Science and Faith
• Darwin and Freud
• Faith: the assurance of things hoped
for, the conviction of things not seen.
• Science: Hard Data, Measurables
• Definitions Collide
• Do they work together?
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Science and Faith
Science is:
• The study of what God made
• Understanding how He designed it to work
• Learning how to maximally steward it for
God’s glory and our abundant living
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God’s Great Gifts
Mind
Free Will: Decision Making
Science is a tool.
So let’s not ignore the science.
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What is Addiction?
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DSM 4 TR…
Substance Abuse
One or more of the following:
• Failure to fulfill major obligations at work, school or
home
• Use when physically hazardous
• Recurrent legal problems
• Recurrent social or interpersonal problems
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DSM 4 TR…
Substance Dependence (Addiction)
Three or more of the following:
• High or increased Tolerance
• Withdrawal
• Consumption of larger amounts over longer
period of time than intended
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DSM 4 TR…
Substance Dependence (Addiction)
Three or more of the following (cont):
• Unsuccessful efforts in cutting down
• Significant time spent obtaining, using, thinking about
or recovering from the substance
• Substance time replaces social, occupational, or
recreational activities
• Continued use despite adverse consequences physical,
psychological (spiritual)
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DSM 5: Substance Use Disorders
•
•
•
•
Not using the word ‘addiction’
Behavioral Category – gambling(was Impulse DO)
Considered Sex, Eating, Caffeine, Internet
Internet Gaming and Caffeine Use DO will be in
the appendix
• Use same 11 Criteria but:
• Craving will be added, Legal issues dropped
• 0-1, 2-3, 4-5, 6+
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American Society of Addiction Medicine
 Addiction is a primary, chronic disease of brain
reward, motivation, memory and related
circuitry.
 Dysfunction in these circuits leads to
characteristic biological, psychological, social,
and spiritual manifestations.
 This circuitry and resultant manifestations lead to
the individual pursuing reward and/or relief by
substance use and other behaviors.
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American Society of Addiction Medicine
•Inability to consistently Abstain;
•Impairment in Behavioral control;
•Craving
•Diminished recognition of problems with one’s
behaviors and interpersonal relationships; and
•A dysfunctional Emotional response.
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5 Levels of SA/Addiction
• EXPERIMENTAL USE: trying substance once or twice.
• RECREATIONAL USE: using a substance socially, only with friends or
at a party
• CIRCUMSTANTIAL USE: using a substance to escape or avoid
personal problems or life circumstances OR using a substance to get
through a challenging situation (e.g.: taking caffeine-laced pills to
stay awake to study for exams).
• INTENSIFIED USE: increasing over a long period of time. This
describes the regular user who experiences on-going symptoms
because of their drug use (physical, psychological, emotional,
spiritual).
• COMPULSIVE USE: True addicts who can’t “voluntarily” give up their
substance abuse. They can no longer choose not to use, and suffer
significant life and heath disruption because of their addiction.
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Bible Definition
• Exodus 20:3 You shall have no other gods
before Me.
• Exodus 20:4,5 You shall not make for
yourself an idol, or any likeness of what is in
heaven above or on the earth beneath or in
the water under the earth. You shall not
worship them or serve them; for I, the Lord
your God, am a jealous God,
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Bible Definition
• Mark 12:30 – Greatest Commandment
• Ezekiel 14 Idols of the heart lead to
destruction. God condemns
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Real Addiction
• Rom 7:15 For what I am doing, I do not understand;
for I am not practicing what I would like to do, but I
am doing the very thing I hate
• 17So now, no longer am I the one doing it, but sin
which dwells in me. 18For I know that nothing good
dwells in me, that is, in my flesh; for the willing is
present in me, but the doing of the good is not. 19For
the good that I want, I do not do, but I practice the
very evil that I do not want. 20But if I am doing the
very thing I do not want, I am no longer the one
doing it, but sin which dwells in me.
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Real Addiction
• 21I find then the principle that evil is present in me, the
one who wants to do good. 22For I joyfully concur with
the law of God in the inner man, 23but I see a different
law in the members of my body, waging war against the
law of my mind and making me a prisoner of the law of
sin which is in my members. 24Wretched man that I
am! Who will set me free from the body of this death?
25Thanks be to God through Jesus Christ our Lord! So
then, on the one hand I myself with my mind am
serving the law of God, but on the other, with my flesh
the law of sin.
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Real Addiction
• Goes deeper than behavior or brain chemistry.
• Worship is: Perceiving God accurately and responding
appropriately
• Addiction: Misplaced Worship, Worshipping the wrong
thing
• Addiction: Promoting something other than Jesus to the
center of your life/heart
• Solomon: all is vanity, under the sun
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Real Addiction
• Why Addiction: coping skill to ‘help’ deal with life/stress
– Circumstantial Use
• We all have behaviors to help us cope with life/stress that
qualify as addictions that grow out of the idols in our heart
• Benzio Definition of Addiction:
– Choosing or pursuing something other than God (or Him +
the healthy solution He provides) in a habitual, patterned,
or repetitive way to get a particular need/needs met
– A Coping mechanism not focused on God
• We’re ALL addicted to ………..
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Comfort
Real Addiction
• Addiction Role = Coping skill for stressor management
• Addiction Goal = COMFORT
• Addiction Object = the element we turn to thinking it
delivers the comfort we desire
– Usually a process rather than a concrete object
• Trading addictions
• Treatment: Needs to get at the root issues that cause
discomfort
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HELP!
I prayed, took
meds, and love
my mother!
I’m DYING
Sin- Have
more Faith!
Disease- Take
your MEDS!
Psychological DefectTell me about your
mother!
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Karl’s
Story
Why did I become a
psychiatrist?
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Karl’s First Beer
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SPEARS WORKSHEET
STIMULI:
Deconstruction
PERCEPTION:
Reconstruction
OLD WAY=
Me-centered
NEW WAY=
God-centered and God-directed
Rubik’s Cube
Greatest
Perceived Need
Greatest
Perceived Threat
Life
Depends On
Confidence
Motivation
EMOTIONS:
Volume
ASSESSMENT:
Decon
Recon
E=
T=
Volume
E=
T=
Use GPN, GPT, LDO, C, M to assess options and pros/cons; also effects on Spirit, Mind, Body
Options
Pros
Cons
1.
1.
1.
2.
2.
2.
3._____________________ 3._____________________
3._____________________
1.
1.
1.
2.
2.
2.
3.
3.
3.
RESPONSE:
SUMMARY THOUGHT:
Deconstruction
Deconstruction
Reconstruction
Reconstruction
PAIN:
Old Beliefs
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New Beliefs
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HARDWARE!
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S.P.E.C.T. Scans
• Single Photon Emission Computerized
Tomography
• A sophisticated nuclear medicine study that
looks directly at cerebral blood flow and
indirectly at the brain activity (or metabolism)
All of the following slides are used with permission from
“Images Into Human Behavior - A Brain SPECT Atlas” by
Daniel Amen, M.D.
© Copyright 2000
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Normal Brain-Top
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Normal Brain-Bottom
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Normal Brain-Active Views
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Motorcycle Accident
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Alzheimer’s Disease
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25 year Heroin Addiction - 39 yo
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10 yr Heroin then 7 yr Methadone - 40 yo
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16 Years of Daily THC (Tetrahydrocannibinol) Use 32 yo
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2 Years of Daily Marijuana Abuse - 16 yo
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10 Years of Mostly Weekend Marijuana Use 28 yo
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2 Years of Frequent Cocaine Use - 24 yo
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8 Years of Heavy Methamphetamine Use 28 yo
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17 Years of Heavy Weekend Alcohol Use 38 yo
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17 Years of Heavy Weekend Alcohol Use 38 yo
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17 Years of Heavy Weekend Alcohol Use 38 yo
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27 Year Daily Heavy Cigarette and Coffee Use 45 yo
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PolySubstance Abuse and then 1 yr Clean
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Depression
Before Treatment
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After Treatment
Anger and ADD
Before/After Treatment with Depakote and Adderall
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Paranoid Schizophrenia
Before and After Medication/Therapy
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After Treatment
PTSD, Depression, and Anxiety
Before and After St. John’s Wort and EMDR
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Images of PMS
Day 2 of Cycle
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Network
(Worst Time)
Day 10 of Cycle
(Best Time)
Hardware Summary
Hardware
Summary
Disease Aspect
Our brains are dynamic organs
• Our brains can be injured or diseased easily
• Our brains can be strengthened or renewed
• Not just born this way
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How does the brain malfunction?
We need a system that addresses all three
spheres:
Spirit
Mind
Body
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Body, Mind, & Spirit
• Body – mechanical, physical, and
biochemical functions
– Above and below the neck
• Mind - mental processes and behavior,
the mind, heart, will, personality,
cognitions, emotions, executive functions
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Body, Mind, & Spirit
• Spirit – Inner
– immaterial
– our eternal part
– allows relationship with God
– encodes our uniqueness
– differentiates us from other animals
– allows unique relationships with others
• Spirit – Outer
– Trinity, angels, Satan, Heaven, Hell
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Spirit, Mind, & Body Integration
• Spirit – inner/outer; Owner/Designer
• Mind – Operating System
• Body – Physical Hardware
• External Events – Software, Viruses
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Romans 12:1-2
I therefore urge you, brothers, in view of
God's mercies, to offer your bodies as
living sacrifices that are holy and pleasing
to God, for this is the your spiritual act of
worship.
Do not be conformed to this world, but
continually be transformed by the
renewing of your minds so that you may
be able to determine what God's will iswhat is proper, pleasing, and perfect.
Mind of Christ!
Jesus’ Brain = Perfection!
1.Perceived everything from a Godly
perspective
2.Responded with Biblical skills
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BrainWorks – My Brain
Based on new scientific research, my brain
does 2 things
1. Perceives
2. Responds
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BrainWorks Research
Skin
GI / Cardiac
Panic Disorder Study
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Heart of Transformation:
Decision-Making
• No biological Intervention
• But Brain Chemistry Improved/Renewed
Decision-making is exercise for brain
• Good decisions = stronger brain
• Bad decisions = injured brain
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Integration and DM are Key!
What determines accurate Perception and Response?
Holy Bible – God’s Instruction Manual
Decision-Making =
Mind
Spirit, Mind, & Body
Integration
Body
Spirit
DM: Science and Faith Meet
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The Most Important
Spiritual Discipline:
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SPEARS WORKSHEET
STIMULI:
Deconstruction
PERCEPTION:
Reconstruction
OLD WAY=
Me-centered
NEW WAY=
God-centered and God-directed
Rubik’s Cube
Greatest
Perceived Need
Greatest
Perceived Threat
Life
Depends On
Confidence
Motivation
EMOTIONS:
Volume
ASSESSMENT:
Decon
Recon
E=
T=
Volume
E=
T=
Use GPN, GPT, LDO, C, M to assess options and pros/cons; also effects on Spirit, Mind, Body
Options
Pros
Cons
1.
1.
1.
2.
2.
2.
3._____________________ 3._____________________
3._____________________
1.
1.
1.
2.
2.
2.
3.
3.
3.
RESPONSE:
SUMMARY THOUGHT:
Deconstruction
Deconstruction
Reconstruction
Reconstruction
PAIN:
Old Beliefs
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New Beliefs
68
Addiction
• Everyone struggles – Addicted to comfort
• Everyone has a Go-To coping skill
• Everyone has an object, or 2-10, they go to instead
of going to God first and often
• Spiritual issue
– Processing stress poorly, not using Creator’s Manual
• Psychological Issue
– Poor decision: Looking in the wrong place
• Biological circuit damage
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Summary
•
•
•
•
•
•
•
•
BH Revolution
Society, Life Mngmt Revolution
You are a catalyst
Science and Faith need to be combined
Addiction is a deep issue, not just a behavior
Everyone has an addiction or 2
SMB Integration is key to understanding
DM is the intersection of Science and Faith, as
well as SMB
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Any Questions?
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Treatment History
• 1784 Benjamin Rush, MD – disease, temperance movement
• 1810 – Rush: Sober House
• 1825 Rev Lyman Beecher Six Sermons on Intemperance –
Addicted to sin
• 1864 – 1st Inebriate Asylum treating alcohol, opium,
morphine, cocaine, chloral, ether, and chloroform
• 1867 Martha Washington Home – women only
• 1872 – Jerry McAuley opens Water Street Mission in NYC.
Start of urban mission movement spread by Salvation Army.
• 1879 – Dr Leslie Keeley opens 120 Keeley Institutes. For
profit treatment facilities
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Treatment History
• 1880’s cocaine and other addicting drugs used to help
rehab goals.
• 1900 – inebriate asylums close and more legal placement
than treatment
• 1906 – Emmanuel Clinic – lay therapists
• 1907 – sterilization of alcoholics and addicts
• 1910 – 1930 Most recovery homes and treatment facilities
close
• 1914 – Harrison Act – opiates and cocaine under federal
control. MD only
• 1919: Webb vs US. Supreme Court declares MD must be
lowering dose or it is a crime.
– Morphine maintenance clinics close
• 1919-1933 Prohibition
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Treatment History
•
•
•
•
•
•
•
•
•
•
1935 Shadel Sanatorium – aversive conditioning
1935 Bill W and Dr Bob meet AA birthed
1939 AA published
1940 EAP started
1940’s research and definitions emerge
1940’s Carl Rogers – client centered approach
1948 Alcoholics Victorious – Christian AA
1948-50 Minnesota Model born
1950 Antabuse
Hollywood depicting alcoholism
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Treatment History
• 1952 AMA defines alcoholism
• 1954 ASAM forms
• 1958 – Synanon: 1st ex-addict directed therapeutic
community. Many thru 70’s
• 1960 Jellinek Disease Concept of Alcoholism
• 1960’s: many legal and healthcare organizations adopt
disease model
• 1965 – insurances start to fund
• 1970’s explosion of treatment facilities, JCAHO regs
• 1974 – licensing criteria for D/A counselors
• 1985 specialty tracks for age, GLBT, women, chronics, Dual
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Treatment History
• 1991: ASAM placement criteria
• 1992: Managed care dramatically reduces
length of stay and step down IOP/PHP options
formed
• 1993 – Beck cognitive model
• 1995 – Naltrexone marks new meds for harm
reduction treatment
• 2000 – Holistic, Non 12-Step models
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Treatment History Summary
• Adopting disease model and increased research
• Many agencies adopting view of helping and not
just punishing the addict
• Minimal clinical treatment advances over last 50
years – most still 12 step/Minnesota Model
• Some Medical options last 15 years
• Christian/Medical split still significant but
movement in last 15 years is exciting
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12 Steps of AA
1. We admitted we were powerless over alcohol—that
our lives had become unmanageable.
2. Came to believe that a power greater than ourselves
could restore us to sanity.
3. Made a decision to turn our will and our lives over to
the care of God (as we understand Him)
4. Made a searching and fearless moral inventory of
ourselves.
5. Admitted to God, to ourselves, and to another human
being the exact nature of our wrongs.
6. Were entirely ready to have God remove all these
defects of character.
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12 Steps of AA
7. Humbly asked Him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing to
make amends to them all.
9. Made direct amends to such people wherever possible, except
when to do so would injure them or others.
10. Continued to take personal inventory, and when we were wrong,
promptly admitted it.
11. Sought through prayer and meditation to improve our conscious
contact with God (as we understand Him) praying only for
knowledge of His will for us and the power to carry it out.
12. Having had a spiritual awakening as the result of these steps, we
tried to carry this message to alcoholics, and to practice these
principles in all our affairs.
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Treatment
System
Karl Benzio, MD
Co-Occurring/Dual Diagnosis
• AOS – Addiction only Services
– No Psych meds, coordination, groups, personnel
• DDC - Dual Diagnosis Capable
– Can accept but relatively stable psych
– Address in groups, policies, D/C planning,
coordination of care, policies, and staff
– Can give meds, and have psych visiting or
arrangements off site
• DDE - Dual Diagnosis Enhanced
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Co-Occurring/Dual Diagnosis
• DDE - Dual Diagnosis Enhanced
– Can take very unstable psych
– Specific psych staff in house on treatment team
– All staff cross trained
– High staff : patient ratios
– Close monitoring
– Policies, Procedures, Assessment, Treatment,
D/C planning all accommodate Dual Dx
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ASAM Levels of Care
0.5. Early interventions, Opioid Maintenance
1. Outpatient Treatment
•
1-D Ambulatory Detox
2. Intensive Outpatient(IOP) and Partial Hospital
Treatment (PHP)
• 2-D Ambulatory Detox
3. Residential/Inpatient Treatment
4. Medically-Managed Intensive Inpatient
Treatment
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ASAM Assessment Dimensions
1.
2.
3.
4.
5.
6.
Acute Intoxication/Withdrawal Potential
Biomedical conditions/complications
Emotional/Behavioral/Cognitive Issues
Readiness to Change
Relapse/Continued Use/Continued Problem
Recovery Environment
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Dimension 1:
Intoxication/Withdrawal
• Past history of serious, life-threatening
withdrawal
• Currently having similar withdrawal symptoms
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Dimension 2:
Biomedical conditions and complications
• Any current severe health problems
• Any chronic ones exacerbated by addiction
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Dimension 3:
Emotional/Behavioral/Cognitive
• Imminent danger of harm to self/others
• Unable to function ADL’s - imminent danger
• Dangerousness driving or with erratic and
impulsive actions at home, work, school.
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Dimension 4:
Readiness to Change
• Ambivalent or feels treatment unnecessary
• Coerced, mandated, required assessment/Tx
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Dimension 5:
Relapse/Continued Use/Continued
Problem potential
• Currently under the influence
• Continued use/problems imminently
dangerous
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Dimension 6:
Recovery Environment
• Immediate threats to safety, well-being,
sobriety
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ASAM Assessment Dimensions
1.
2.
3.
4.
5.
6.
Acute Intoxication/Withdrawal Potential
Biomedical conditions/complications
Emotional/Behavioral/Cognitive Issues
Readiness to Change
Relapse/Continued Use/Continued Problem
Recovery Environment
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Treatment
Principles
Karl Benzio, MD
Necessary Treatment Ingredients
• Medical aspects – Detox/Psych/Medical/Meds
• Psychological Depth
• Spiritual Depth
– Application, not just memorization
• Time
• Supervision/Accountability
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Secular Treatment Goals:
Life Management Strategies
• Living Basics Strategy:
– Shelter, Food, Income, work/structure
• Treatment Logistics Strategy
– Outpt Tx, ind, couples, fam, med mngmt
– Meetings, Sponsor
• Physical
– No subst, med regimen clear
– Sleep, nutrition, exercise
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Secular Treatment Goals:
Life Management Strategies
• Psychological Strategy
– Relaxation
– 12 Steps
– Community
– Behavior modification
– No deeper equipping or reproducible strategy
– Not Divinely empowered
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Christian Treatment Goals:
Life Management Strategies
• Living Basics Strategy:
– Shelter, Food, Income, work/structure
• Logistical Treatment Strategy
– Outpt Tx, Ind, Couples, Fam, med mngmt
– Christian Meetings, Sponsor, Church
• Physical
– No subst, med regimen clear
– Sleep, nutrition, exercise
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Christian Treatment Goals:
Life Management Strategies
• Psychological Strategy
– Get at core issues – not just sobriety
– Practiced regularly,
– Have it as ‘muscle memory’ default system
– Use the same strategy no matter the situation
• Don’t have to sort through different tools or strategies
– Slows life down
– Every thought captive to obedience of Christ
– Emotion management
– Reflection and Self-Assessment
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SPEARS WORKSHEET
STIMULI:
Deconstruction
PERCEPTION:
Reconstruction
OLD WAY=
Me-centered
NEW WAY=
God-centered and God-directed
Rubik’s Cube
Greatest
Perceived Need
Greatest
Perceived Threat
Life
Depends On
Confidence
Motivation
EMOTIONS:
Volume
ASSESSMENT:
Decon
Recon
E=
T=
Volume
E=
T=
Use GPN, GPT, LDO, C, M to assess options and pros/cons; also effects on Spirit, Mind, Body
Options
Pros
Cons
1.
1.
1.
2.
2.
2.
3._____________________ 3._____________________
3._____________________
1.
1.
1.
2.
2.
2.
3.
3.
3.
RESPONSE:
SUMMARY THOUGHT:
Deconstruction
Deconstruction
Reconstruction
Reconstruction
PAIN:
Old Beliefs
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New Beliefs
100
Considerations/Obstacles
• Complicated Clinical Issue – most difficult
patient
• Poor Research
• Minnesota Model simplistic but entrenched
• CAC, CADC
• MH vs D/A – problem with specialization
• Christian vs. spiritual/holistic vs. traditional
• Complicated Healthcare system
– Insurance – UR, Level of Care (LOC)
• Programming Issues
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Consideration/Obstacles
• Complicated Clinical Issue
– Most difficult patient
– Excuses/Lying/Manipulation
– Underlying Core issues pt really wants cover
– Trauma
– Brain damage, so cognitively challenged
– Compromised resources
•
•
•
•
Family
Money/insurance
Relationships
Job/Legal
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Considerations/Obstacles
• Poor Research
– Patients are hard to find and get followup
info
– Followup needs to be over significant time
– Disorder is multivariate in etiology
– Treatment’s have many subtleties that are
hard to quantify
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Considerations/Obstacles
• Minnesota Model(Hazeldon) of alcoholism
– Simplistic and outdated
– Entrenched as the Gold Standard
– Alcoholism is involuntary
– Primary Disease
– Not Curable, but arrestable
– Tx – Spirit, psychological, social, medical
– AA is essential component
– Sometimes not approving of psychotropic
medications for psychiatric issues
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Considerations/Obstacles
• CAC, CADC
– Front line treatment personnel
– Often run groups
– HS diploma or above
– Equivalent of 5-6 college courses
• Often only 3-5 hour modules in superficial
format not building depth of understanding
– some supervised work in the field that is often
unspecified and supervised by another CAC/CADC
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Considerations/Obstacles
• MH vs D/A
– Which is primary
– Not many therapists well versed in an integrated
and practical addiction/psychological paradigm
– Patient has to coordinate the 2 different
treatment areas - Problem with specialization
– Some rehabs won’t even accept psych meds
– Trouble getting to the core issues underlying the
addictive coping skill
– Problem with CAC being the primary therapist as
no classes in MH issues.
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Considerations/Obstacles
• Christian vs. spiritual/holistic vs. traditional
– Traditional – usually medical with Minnesota
• Higher Power of AA
• No Divine power
– Spiritual / Holistic – yoga, equine, reiki,
• Medical model with Minnesota 12 step model
– Christian Work farm/Discipleship(10w – 14mos)
• No psych/medical
• Minimal psychological
• Bible memorization, limited application
– Christian Medical – out of network usually
• Minimal psychological integration
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Considerations/Obstacles
• Complicated Healthcare System
–
–
–
–
–
–
–
Voluntary vs. Legal Commitment
Third party managers
Insurance – PPO, HMO, UR
Level of Care (LOC)
Addictions treatment nebulous
Outcomes often poor
Stigma
• Lack of full disclosure by patient
• Wait to long to access treatment
– Lack of clinicians understanding of illness and system
– Lack of lay person understanding of illness and system
– Lack of SMB Integration from either side – medical or
church
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Considerations/Obstacles
• Programming Issues
– Heterogeneous Population
– Admitted on different days
– Patchwork program – pt has to integrate and organize
– Not enough programming each day
– Not enough Homework or practicing skills
– Not enough experiential implementation
– Skill set of staff limited
– Not addressing core issues because of above limits
• Most is behavioral mod and not insight oriented
– Minimal practical equipping
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Holistic, Not Primary Disease, Approach
•
•
•
•
•
•
•
Like an ED model
WHY do you use – faulty coping skill
Not 12 Step
More psychological
Getting at core issues
Customized
Less behavioral mod and more transformational in
goal and communicated approach
• Lots of room for Christian integration
• Curable
Recovery Homes
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Halfway House
¾ House
Structure
Supervision
Tough to find in secure locations
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Recovery Groups
• Many offshoots of AA
– NA, CA, GA, Sexaholics A, Overeaters A
• Christian alternatives
– Celebrate Recovery
– Addictions Victorious
– Overcomers in Christ
– Reformers Unanimous
– Christian Recovery Online
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Perfect Treatment Option
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Doesn’t exist
Have to triage needs
Understand the $ resources available
Piece together the realistic treatment options
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What You Need To Know
• What you can do – outsourcing is OK and
necessary
• Who your patient is
• What your patient needs
• The system - as best as possible
• Who to call to help you with options
• Who is going to be the quarterback of the
complicated and long treatment process
Copyright 2013 - Lighthouse Network
Client Intake Form
The Basics to Help
Determine Next Step
Lighthouse Network Helpline
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Finds addiction and MH treatment options.
Expertise about all elements of the system
Free to client
Saves the clinician incredible amounts of time
We find great options for struggling people
877-562-2565 x:101
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Lighthouse NETWORK Resources
• Within Reach: Disciplines for Real Life Change
– 10+ Hours of DVD
– 140 Page Workbook
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Edging Forward: Godly Decision Making
Parenting: Early Childhood and Teens (DVD)
Can Psych Meds Help Christians? (DVD)
Addiction: Sin vs. Disease DVD
[email protected]
www.LighthouseNetwork.org
Stepping Stones Daily Devotional - Free
Any Questions?
Copyright 2013 - Lighthouse Network