STEP 1 - GETTING STARTED

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Caregivers be aware of the following:

___1.) ESTIMATE THE SEVERITY. Everyone who uses alcohol, illicit drugs or misuses prescription drugs is not necessarily an addict. Typically, those with a more serious addiction will require professional help, including at times detoxification. Addiction occurs in the more serious cases when a substance abuser's alcohol or drug use becomes uncontrollable and use persists even in the face of extremely negative consequences.  In situations where the alcohol or drug use appears to be experimental or recreational, than professional resources may not be necessary.

___2.) EXPECT DENIAL. A caregiver can look forward to the substance abuser and his/her family members to deny and to minimize the seriousness of the substance abuse problem. The caregiver should use personal judgment and rely on impressions to discern the true severity of the problem. Caregivers should be cautious in believing everything they hear.

___3.) IDENTIFY RESOURCES. Look for friends or family members of the substance abuser that could serve as support. Explore the substance abuser's willingness to have friends, family members and others involved in his/her recovery process. Caregivers should facilitate as much as possible a healthy support system for the substance abuser. If the substance abuser is underage or his/her use is still a secret from other responsible family members (e.g. parent or a spouse) facilitate him/her in disclosing his/her use to them.

___4.) STAY CALM AND COMPOSED. Caregivers should not appear shocked or surprised by the information they might hear. Strange and immoral behavior are often associated with serious alcohol or other drug problems.

___5.) DO NOT MAKE THREATS. Caregivers should say and encourage others to say, only those consequences to the substance abuser which they plan to follow through with. Idle threats made in anger or distress usually make the problem worse.

___6.) DO NOT LABEL. Caregivers should not call the substance abuser "an alcoholic,"  "a drug addict," or any other name. Typically, the substance abuser is best referred to as "an individual with an alcohol or drug problem."

___7.) REFER AS NEEDED. Remember most caregivers are not trained mental health professionals. Consult with and refer to mental health professionals and other support services as needed.

___8.)  CONTACT FAMILY MEMBERS. Plan to talk to significant family members of the substance abuser. Make the first interview with whoever is interested in attending. Usually it is best to briefly share your concerns and then listen. Encourage them to talk. Proceed to Step #2.