Alcoholism is a disease characterised by continuous heavy drinking. Until people with alcohol use disorder admit to problems with alcohol and stop drinking, the risk of alcohol use disorder continues which affects both physical and mental health.
Alcohol starts to injure the brain once it reaches the bloodstream.
Excessive consumption can lead to Alcohol-Related Brain Damage, or ARBD, which is a type of brain disorder caused by alcohol consumption. Brain shrinkage caused by alcohol abuse is permanent, as alcohol kills brain cells and grey matter.
For more information and effects click ‘Learn More’.
Family Recovery Compass is a newsletter for friends and family members who feel trapped between supporting a loved one in addiction, and protecting their own wellbeing.
Every week, we tackle one specific situation in addiction family dynamics, and deliver practical decision-making frameworks and exact dialogue scripts – that help you respond with confidence instead of reaction.
Every month, we bring you an unfiltered recovery conversation with someone who’s either experienced addiction firsthand, or works closely with those in recovery.
No sanitised success stories – just practical insights on what actually works in recovery, that you can apply, in your life too.
Recovery capital is the internal and external resource used to begin the recovery process and maintain sobriety. This combines personal, social, and community support to provide a joined-up approach that supports the addict through recovery.
Do you or a loved one need addiction treatment for alcohol or drugs? Thousands blindly walk into addiction treatment in expensive rehab centres and find that the reality doesn’t meet expectations.
If you’re considering rehab treatment, first check our ultimate guide for complete instructions on how to find the right rehab centre for you.
Take-home Naloxone kits help families and loved ones respond quickly in an opioid overdose emergency, until emergency services arrive. Kits contain nasal or injectable forms of Naloxone.
Changes in legislation mean Naloxone kits are now more widely available from pharmacies and drug services, including Abbeycare.
For additional information, click ‘Learn More’ below.
Overcoming alcohol addiction means first ceasing alcohol intake, and taking care of physical and chemical withdrawal symptoms.
Detoxing from alcohol means undergoing withdrawal from alcohol, but with the assistance of prescribed medication and detox phase, to substitute in place of the alcohol itself.
Alcohol rehab focuses on tackling the problems underneath alcoholism, such as grief, trauma, depression, and emotional difficulties, in order to reduce continuing drinking after treatment.
Inpatient services at an alcohol rehab programme provides 24 hour access to specialist care.
Alcohol home detox provides a means of semi-supervised addiction treatment in the comfort of your home. It’s often suitable for those with inescapable practical commitments, or where a reduced budget for treatment is available.
An at-home detox is the most basic detox option available from Abbeycare, and assumes you have support available, post-detox, for the other important elements of long-term addiction recovery.
The term alcoholism refers to the consumption of alcohol to the extent that the person is unable to manage their own drinking habits or patterns, resulting in side-effects that are detrimental to the quality of life and health of the alcoholic, or those around them.
An alcoholic is someone who continues to compulsively abuse alcohol in this way, despite the negative consequences to their lives and health.
Immediately following treatment, the early stages of recovery and abstinence are most vulnerable to lapses.
At Abbeycare, a structured and peer-reviewed aftercare plan is usually prepared whilst still in treatment. This comprises social, peer, and therapeutic resources individuals draw upon, following a residential treatment programme for drug or alcohol misuse.
Clinically managed residential detoxification is:
– A structured detox that uses medication-assisted treatment and regular physical health observations
– Takes place in an inpatient rehabilitation unit or hospital
– Typically lasts from 7-10 days, but in Abbeycare, it is incorporated into a 28-day rehab programme
Cognitive Behavioural Therapy is a well-known therapy option used by doctors at drug and alcohol treatment facilities for the treatment of substance use disorders.
It is a form of talking therapy that helps one mange their problems by changing how they think and behave. This form of therapy is used to treat depression and anxiety and is useful for physical health problems as well as one’s mental health.
Family Therapy at Abbeycare Scotland or Gloucester is realistic, compassionate, and appropriate for families and loved ones of addicts.
Family therapeutic interventions in residential rehabilitation have been designed to support those living with or caring for participants entering the Abbeycare Programme.
Support for families in a group setting allows for a safe, constructive, and confidential place to listen and share common experiences.
Inpatient rehab is drug and/ or alcohol treatment in a rehab centre, where patients remain on-site for the duration of inpatient rehabilitation.
It includes detoxification from drugs, therapy (group work and 1-2-1 sessions), and aftercare planning. Inpatient rehabs typically last 28 days, but this varies on an individual basis.
Long-term treatment at Abbeycare has been developed for those suffering from alcohol or drug addiction. Completing a long-term drug and alcohol inpatient programme may be the solution to problematic substance use.
Motivational Enhancement Therapy can be used by trained addiction recovery therapists to elicit internal changes within and promote long-term recovery from substance use disorder.
All the answers to addiction can be found within with this comprehensive and successful therapy concept leads to behavioural changes, reflective listening, self-motivational statements, and a comprehensive recovery process.
Outpatient drug or alcohol rehab is daytime treatment as opposed to living in a treatment facility.
Outpatient treatment is similar to inpatient in terms of the methods used to treat substance abuse. Where they differ is in their approach to recovery.
Abbeycare’s prison to rehab is a 12-week structured rehab programme which involves direct transfer from prison. The suitability of the candidate is decided by prison staff.
Short-term residential treatment programmes are the chance to press the reset button and access a therapeutic programme designed to create recovery from the use of alcohol and drugs.
Feeling stuck in a rut. Want to stop but can’t seem to achieve sobriety?
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The 12-step programme was created by alcoholics anonymous (AA), and is specifically designed to aid addicts in achieving and maintaining abstinence.
The central ethos behind the programme is that participants must admit and surrender to a divine power to live happy lives. Ideas and experiences are shared in meetings, and help is sought in an attempt to achieve abstinence.
Abbeycare’s policy to respect your privacy and comply with any applicable law and regulation regarding any personal information we may collect about you, including across our website and other sites we own and operate.
Alternative coping mechanisms - heroin users experience an 8% reduction in cravings after learning appropriate coping mechanisms [3]
Self-efficacy - positive associations with alcohol use are 20% higher in those with low self-efficacy compared to high self-efficacy after rehab treatment [4]
Financial management - addiction severity scores are 4.86% lower after money management interventions [5]
Working with a sponsor - increases the frequency of abstinence by 25% [7]
Reconnecting with positive influences (e.g. friends and family members who are supportive of recovery) and removing negative influences (e.g. peers in active addiction)
Community
Accessing local recovery community organisations (RCO's) such as Faces and Voices of Recovery UK (FAVOR) [8]
Family members living nearby - family members' encouragement causes a 40% increased probability of an addict seeking treatment [9]
Culturally/ ethnically appropriate support groups - such as BAC-IN for Black, South Asian, and other minority ethnic groups, Muslim Women's Network, and Sikh Helpline [10]
Family groups - families understanding the process of treatment to provide encouragement and support for addict whilst deciding to pursue treatment
AA sponsors - alcoholics are able to understand treatment options from a trusted source whilst contemplating rehab
During Treatment
Recovery capital options provided during treatment, help us understand how to apply those same resource later, as part of the long-term recovery journey. [11].
After Treatment
Recovery capital works following treatment by:
The addict having experienced a range of both traditional and alternative therapies in treatment, adding to pre-existing capital options
Using capital to inform aftercare plans, e.g. if a client has high social resources or a variety of coping mechanisms, this is incorporated into aftercare plan
Improving treatment outcomes - 66.1% of those scoring on all forms of recovery capital had maintained abstinence after 1 year of treatment [12]
How To Measure Recovery Capital
Multi-Dimensional Inventory Of Recovery Capital (MIRC)
MIRC scores 4 subscales (social, physical, human, and cultural) from 7-28 to create a composite scale of 28-112.
A score of 70 or over indicates a functional level of recovery capital [13].
The Multi-Dimensional Scale Of Perceived Social Support
The Multi-Dimensional Scale Of Perceived Social Support has the individual answer 12 questions on a scale from 1 (strongly disagree) to 7 (strongly agree).
The total score is added up from 1 to 16, with scores over 8 indicating a functional level of social recovery capital [14].
Assessment Of Recovery Capital (ARC)
The ARC Questionnaire has 50 statements, with participants gaining 1 point when they agree with the statement.
A total score of 25 or over indicates a functional depth of recovery capital [15].
The Recovery Capital Assessment Plan And Scale (ReCAPS)
ReCAPS has 35 questions, rated from 1-5 (strongly disagree to strongly agree).
Scores of 35 or lower indicate very low available resources, whereas scores from 120-175 indicate more recovery resources available [16].
Create a recovery circle from connections in the recovery community, involve family members/social circle in treatment,
attend sobriety support meetings in person/online as appropriate,
use a sponsor
Find appropriate community resources such as church groups, recovery cafes, aftercare groups, relevant specialist recovery groups, use signposting services as needed [17]
Groups With Less Recovery Capital
Homeless Individuals
Homelessness is a loss of all forms of an individual's physical and human capital, as well as a vicious cycle of stigma due to homelessness reducing opportunities to gain resources related to recovery (i.e, employment, housing).
Stable housing, water, shelter, food, and clothing need to be prioritised for homeless individuals before attempting to increase other forms of recovery capital [18].
LGBT+ Individuals
LGBT+ individuals may have reduced social/community capital due to:
Having not yet come out to family and friends - being unable to fully utilise friends and family's depth of support due to lack of open communication
Fractured relationships due to coming out meaning friends and family are less likely to support individuals in recovery
Those with co-occurring addiction and mental health disorders have reduced personal and social resources that can be drawn upon as a result of:
Self-isolation due to perceived stigma around mental health disorders and addiction
Treatment for co-occurring issues lacking (i) person-centred planning (ii) co-ordinated integration into care planning for addiction recovery
Prioritising mental health treatment in those with co-occurring mental health disorders ensures the patient is able to regain missing recovery support for subsequent addiction treatment [20].
Those Living In Rural Areas
Those living in rural areas have reduced community recovery support due to:
Lack of community recovery resources in local area
Unable to access transport to recovery groups elsewhere
Planning community capital through alternative means (online recovery groups, telephone support, recovery books/ pamphlets, etc) needs to be prioritised for those living in rural areas [21].
Recovery Capital Is Not
Financial security - recovery capital focuses on personal, social, and community aspects that are not connected to financial security
A guarantee of recovery - having all aspects of recovery support available does not guarantee that the individual will recover
Mental health stability - although mental health disorders reduce resources available, mental health stability itself is not automatically indicative of recovery capital
About the author
Harriet Garfoot
Harriet Garfoot BA, MA has an Undergraduate degree in Education Studies and English, and a Master's degree in English Literature, from Bishop Grosseteste University. Harriet writes on stress & mental health, and is a member of the Burney Society. Content reviewed by Laura Morris (Clinical Lead).