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There is a familiar saying that "every addict impacts six other people in their addiction." However, if this saying is true, it would also be true that every recovering addict would affect six other people in their sobriety. This would mean that recovery is possible through connection to others in the community, including the services provided by the larger whole.
Access to treatment services, however, has historically not been a community funding priority. People, still, continue to resist entering treatment and recovery even when services are made available. This resistance often lies in stigma and beliefs about addiction, which removes the focus from the community and places it solely on the individual.
Here are some common beliefs about addiction that keep it confined to an individual problem:
Most treatment professionals agree that addiction is a "Bio-Psycho-Socio-Spiritual Disease," recognizing that ALL of these possible explanations for addiction can play a role in various ways. Addressing all of these areas increases the chance for successful, long-term sobriety.
Many of these factors involve community and family changes, so community ownership of addiction and treatment are vital in making long-term recovery appear to be a viable reality. Because we are social creatures and live within the layers of a connected society, it is difficult to heal in the confined space of individuality; treatment embedded within a community has a greater chance at addressing the Bio-Psycho-Socio-Spiritual nature of addiction.
Traditional approaches were founded in scare tactics. These programs, such as DARE and Scared Straight, have been demonstrated to have little to no long term impact on a young person's decision to use alcohol and drugs. Utilizing social marketing with images of "your brain on drugs" and people in hand-cuffs will not change the long term recovery rates. My students and I often joke that people in early recovery don't makes good "posters" for non-profit sympathy the way big-eyed children and pregnant mothers do. Nonetheless, the effects of these radical marketing images are still not well supported.
I have watched thousands of people enter the recovery process through interventions, criminal charges, medical crisis, job threats, custody battles, and divorce ultimatums over the years. Fear is a powerful motivator to temporarily interrupt someone's using, and research shows that mandated treatment clients have a better treatment completion rate than "self-referred" clients. This flies in the face of the commonly held belief that you have to "want" to get clean. Almost no-one "wants" to get clean; they are avoiding the consequences of using most of the time! Crisis-based entry into recovery is an invaluable tool of the recovery process, but crisis will not keep someone clean and sober over the long-term.
In the 1970's, the field of Social Marketing began to shift the traditional consumer-focused marketing strategies from selling products to selling ideas and services that enhance the health of the general community.
Social Marketing could be the key to moving the recovery dialogue from an acute, "get this person through treatment quickly" emphasis to social awareness that addiction is a chronic condition requiring longer-term support from a variety of sources. Social marketing could be a powerful ally in offering up images of successful long term sobriety. Social marketing can challenge the stigma - dramatic pictures of low-bottomed addicts and alcoholics - and turn instead to the benefits of sobriety.
We need people with long term sobriety to "come out" and demonstrate that recovery is not just possible, but probable, with the right individualized self-care plan and support from the community. I'll go first:
My name is Mary, and I am a person in long-term sobriety for 26 years. Because of sobriety I have long-term relationships, have assisted thousands of individuals and families in recovery, have trained thousands of alcohol and drug counselors through San Jose City College, and have avoided the physical consequences of addiction that haunt my family. I didn't get sober alone, and haven't stayed sober without professional and community support. Recovery is not just possible, but probable with the right self-care plan.
