Do you know about - The Minnesota Model of Addiction treatment - What is It, What Works, and What's Next?
Recovery Resources Inc! Again, for I know. Ready to share new things that are useful. You and your friends.The Minnesota Model is described by McElrath in 1997 as being "inextricably interwoven with the program, convention and philosophy of Alcoholics Anonymous (Aa)". The Aa movement conferred the reliance that alcoholism is a physical, reasoning and spiritual illness and developed the Twelve Steps, which frame a spiritual solution, and the concept of a fellowship where recovery can take place.
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The Hazelden Foundation was established in 1949 as an environment in which respect, insight and acceptance of the dignity of each sick person was promoted. The reliance developed that time spent in relationship with other alcoholics, talking with one an additional one and sharing life experiences, was central to recovery. Alcoholism was conceptualized within the disease model as a complex, existential health of "dis-ease", which could be relieved by sharing experiences. Furthermore, there was a basic reliance that addicts have an inherent capability to turn their beliefs, attitudes and behaviors to restore health.
Two long-term rehabilitation goals of the Minnesota Model are total abstinence from all mood-altering substances and an improved capability of life. Consistent with the philosophy of Aa, the objectives for the private are to grow in transcendental, spiritual awareness, to identify personal selection and responsibility, and to organize peer relationships. The resources for recovery, then, lie primarily within the addict with rehabilitation providing the opening to recognize and use those resources and the therapeutic climate conducive to change. This approach is by nature client-centered.
Much of the work done by clients toward achieving those goals is done within the context of group therapy. Appealing with counselors and members of the peer group, the alcoholic / addict is encouraged to organize meaningful relationship experiences and account for feelings and definitions of reality. Success of the process is characterized by relief, peace, increased sense of self worth, acceptance by self and the group, and the existential recovery of meaning to life.
The success of the Minnesota Model stems from it addressing the basic existential issues of addiction. Base to Aa, it is rooted in existential philosophy and incorporates a rehabilitation philosophy and rehabilitation approach that addresses the core issues of addiction. This existential philosophy allows for a caring, nurturing, client-centered environment where the Twelve Steps provide direction and patients suffering from addiction can find healing.
Patients with co-morbid reasoning health conditions receive concomitant rehabilitation for both conditions within a co-therapy concept. A Base reasoning health diagnosis among chemically dependent patients is borderline personality disorder (Bpd), a pervasive pattern of instability of interpersonal relationships, self-image, and affect along with impulsivity. About 40% of chemically dependent subjects are also diagnosed with Bpd. Those with Bpd seem especially prone to the use of substances in order to cope with unwanted affective states.
The frequent co-occurrence of addiction with other reasoning health problems is of relevance and significance to chemical dependency (Cd) counseling. For example, patients with Bpd are likely to evoke strong and often negative responses among Cd professionals. There is a risk that patients presenting with symptoms of Bpd may be negatively stereotyped and treated inappropriately. There may be the tendency for staff to characterize the sick person in vivid and dramatic terms that can set negative expectations even before the sick person arrives on the rehabilitation unit. There may be a tendency to react to self-harming or suicidal acts with horror and/or anger. The Cd counselor needs to understand this behavior in the context of the patient's basic pain and distress and their inability to express or process those feelings. Counselors need to be educated to understand the etiology and manifestations of disorders such as Bpd in order to appreciate the worldview of patients with dual disorders and improve empathy and respect shown all patients.
Thus, while the Minnesota model has come to be recognized as the gold appropriate of chemical dependency residential care across North America, it has some inherent limitations. The disease concept, while introducing scientific rigor and a conceptual framework for conducting investigate and assigning treatment, is itsybitsy by the tendency to label clients as 'sick', risking breeding stereotypical views and rehabilitation approaches by clinical staff. Viewing the problem as being the 'disease' tends to shift the focus from the individual, manifested within the model by the tendency to escort group therapy to the relative exclusion of private concentration and therapy.
The next generation of addiction rehabilitation must be more holistic in nature, addressing the whole man as an private with a problem, rather vice versa. The inherent for sterile, text book approaches to diagnosis and rehabilitation must be tempered with compassion, spoton empathy, behavioral modification, increase of interpersonal relationships, and spiritual development. It is time to accept the advances and studying of the Minnesota model with gratitude, and move forward with a more humanistic and loving approach in a less clinical setting, such as a home setting that is warmer, safer, and more client focused and outcome oriented.
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