AN INSIGHTFUL, EFFECTIVE, AND CONTEMPORARY APPROACH TO ADDICTION TREATMENT FOR THOSE WHO ARE IMPACTED BY THE JUSTICE SYSTEM

In the newly revised second edition ofHelping Men Recover: A Program for Treating Addiction, Special Edition for Use in the Justice System, a team of experts delivers a practical and straightforward framework to assist men struggling with substance use disorders. Targeting the four areas most consistently identified by men as triggering relapsethe self, sexuality, spirituality, and relationshipsthis therapeutic program has twenty-one sessions and explores topics like self-awareness and identity, the impact of family, abuse and trauma, communication, male socialization, and many more.

Readers will also find:Three additional sessions with new exercisesComprehensive strategies for the creation of safe spaces in which men will feel comfortable expressing themselves, reflecting, and learningInformation about how men experience and recover from addictions and traumaWays to develop and learn teach the skills men need to maintain and sustain recovery from substance use disorders and live the life they want to live

An indispensable collection of exercises and other resources for men in the criminal justice system who are struggling with substance misuse.Helping Men Recover belongs on the bookshelves of social workers, clinicians, and other correctional system professionals.

STEPHANIE S. COVINGTON, PhD, LCSW, is an internationally recognized clinician, author, and organizational consultant known for her pioneering work on the gender-informed treatment of addiction and trauma. She has over 30 years of experience in the design and implementation of treatment services in public, private, and institutional settings. She has published extensively, includingExploring Trauma+: A Brief Intervention for Men and Gender-Diverse People, Helping Women Recover: A Program for Treating Addiction, andA Young Mans Guide to Self-Mastery. She has worked in many US jurisdictions as well as other countries to help criminal justice institutions and programs develop gender-responsive and trauma-informed services.

DAN GRIFFIN, MA, has worked in the addictions and mental health fields for more than 25 years, with a particular focus on masculinity. He is the author ofA Mans Way Through the Twelve Steps, A Mans Way through Relationships, Amazing Dads, andHealing Mens Pain. Dans graduate work focused on the transformation of masculinity in the Twelve Step culture. He is an international speaker and consultant who lives in LA with his wife and daughter. He has been in recovery since 1994.

RICK DAUER, LADC, is a behavioral health consultant and trainer. He has been a professional in the field of addiction since 1984 and has experience in residential, outpatient, and corrections-based treatment programs, including over 25 years as a clinical director. He has served on numerous state and national boards, panels, and task forces dedicated to improving access to high-quality substance use disorder services. He has long been an advocate for and practitioner of gender-responsive and trauma-informed care and he supervised the first pilot programs for both theHelping Women Recover andHelping Men Recover curricula. Rick lives in Saint Paul, Minnesota, and has been in recovery for over 40 years.

Preface

Acknowledgments

CHAPTER 1. What the Facilitator Needs To Know About Providing Gender-Responsive Services

New Approaches to Mens Treatment [A head]

What We Have Learned [B head]

Men, Addiction, and Crime

Implementing This Program in a Custodial Setting

Safety

Trauma-Informed Responses and Criminal Justice Interventions

Fundamentals of Gender-Responsive Services

Gender Differences

Theoretical Framework

Addiction Theory: How Addiction and Recovery Work

A New Focus on Mens Psychological Development

Relational-Cultural Theory

Trauma Theory

Trauma-Informed and Trauma-Responsive Services

Triggers

A Mans Reluctance to Acknowledge Trauma

The Value of Twelve Step Programs and Other Mutual-Help Groups

CHAPTER 2. Facilitating the Program

This Revised Edition [A]

Structure and Content of the Program

Four Issues: Self, Relationships, Sexuality, and Spirituality [B]

A Mans Workbook

The Sessions

Principles of an Effective Treatment Program

A Supportive Environment

Open Groups

Admitting a New Group Member

Session Three: The Man Rules

Scheduling New Group Members

Modifying Sessions

Graduating Group Members

Building Trust and Loss of Leadership

Using a Psychoeducational Model: Three Levels of Intervention

A Strength-Based Model

Readiness for Change

Cultural Context and Gender

Cultural Humility and Responsiveness

Dealing with Current Trauma

Treatment Program Design

Therapeutic Communities and Step Programs

Facilitation

Facilitators and Therapeutic Style

Qualities of an Effective Facilitator

Preparation for Conducting the Program

Special Considerations for Criminal Justice Settings

The Role of the Facilitator

Self-Care

Training Facilitators

The Facilitators Journey

Materials Needed for the Sessions

Opening Session: Introduction to theProgram

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue [Components of each session (see below) must be included.]

Welcome and Quiet Time/Settling In

Facilitator Introduction

Group Introductions

Overview of the Program and Session Format

Group Agreements

Lecture: What Is Addiction?

Lecture: What Is Trauma?

Lecture: The Spiral of Addiction and Recovery

Activity: Breathing and Exhaling

Activity: Focusing on the Here and Now

Lecture: Feeling Chart

Discussion: Reactions

Between-Sessions Activities

Grounding Activity

Closing

Module A. Self

Goals of Module A

Background and Rationale

Complementary with Twelve Step Programs

The Sessions

Session Content

Session 2: Defining Self

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activities

Selected Meditation

Overview of Module A

Session Goals

Feeling Okay: Grounding and Relaxation Activities

Feelings and Body Check-in

Discussion: What Do You Want To Get out of This Group?

Lecture: Self-Identity and the Role of Feelings

Activity: Who Am I?

Debrief Activity

Lecture: The Water

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Session 3: Men in Recovery

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Lecture: The Water, Part 2

Activity: The Man Rules

Lecture: The Man Rules

Activity: The Man Rules and the Principles of Recovery

Subgroup Discussions

Activity: Breathing

RRecovery Check-out

Between-Sessions Activity and Closing

Session 4: A Sense of Self

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitators Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Lecture: Looking at Our Lives as Journeys

Activity: Looking Back: Our Journeys

Activity: Returning to the Present

Activity: Sharing Our Stories

Activity: What Is a Life Journey?

Activity: Breathing

RRecovery Check-out

Between-Sessions Activities and Closing

Session 5: Men, Inside and Out

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activities

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Lecture: Inside and Out

Activity: My House, Outside and Inside

Lecture: The Challenge of Vulnerability

Activity: The Emotions Game

Activity: Breathing

RRecovery Check-out

Between-Sessions Activity and Closing

Session 6: Men and Feelings

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Lecture and Discussion: Relationships and Feelings

Lecture: The Anger Funnel

Activity: Communication and Feelings

Activity: Breathing

Lecture: What We Have Covered So Far

RRecovery Check-out

Between-Sessions Activity and Closing

Module B. Relationships

Goals of Module B

Background and Rationale

Complementary with Twelve Step Programs

The Sessions

Session Content

Facilitating the Sessions

Additional Resources

Session 7: Family of Origin

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Overview of Module B

Session Goals

Activity: Family Sculpture

Discussion: Family Sculpture

Discussions: Family Roles

Activity: Breathing

Recovery Check-out

Between-Sessions Activities and Closing

Session 8: Barriers to Healthy Relationships

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activities

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Interactive Lecture: Abuse and Trauma

Discussion: Abuse

Activity: A Place of Peace Visualization

Lecture: The Power and Control Wheel

Lecture: Interpersonal Violence

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Session 9: Fathers

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Lecture: Our Fathers as Individual Men

Discussion: Our Fathers Lives

Discussion: Fathers and Children

Activity: Breathing and Visualization

Recovery Check-out

Between-Sessions Activity and Closing

Session 10: Mothers

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Activity: Reading Letters to Fathers

Discussion: Letters to Fathers

Discussion: On Being a Father

Lecture: Our Mothers as Individual Women

Discussion: Mothers and Children

Activity: Breathing and Visualization

Recovery Check-out

Between-Sessions Activity and Closing

Session 11: Creating Healthy Relationships and Support Systems

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Activity: Reading Letters to Mothers

Discussion: Letters to Mothers

Activity: Grounding

Activity: What Does Support Feel Like?

Lecture: What Is a Supportive, Growth-Fostering Relationship?

Lecture: Defining Boundaries

Activity: Relationship Maps

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Session 12: Effective Communication

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Activity: Completing and Sharing Relationship Maps

Activity: Secret Identity

Lecture: Communication and Conflict

Activity: Communication and Conflict

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Session 13: Creating and Maintaining Intimacy

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Lecture: Intimacy and Connection

Interactive Lecture: The Man Rules and Intimacy

Discussion: Intimacy

Activity: Talking Format/COTE

Discussion: COTE

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Module C. Sexuality

Goals of Module C

Background and Rationale

The Sessions

Facilitating the Sessions

Themes

Session 14: Sexuality and Addiction

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Overview of Module C

Session Goals

Activity: Creating Lists About Sex and Feelings

Lecture: Introduction to Human Sexuality

Discussions: Basic Issues in Sex and Sexuality

Debrief Discussion

Lecture: Introducing the Sexual-Chemical Lifeline

Recovery Check-out

The Question Box

Between-Sessions Activities and Closing

Session 15: Sexual Identity

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Session Activities

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

The Question Box

Discussions: Social Messages About Sexuality and Gender

Debrief Discussions

Interactive Lecture: Heterosexism, Sexual Prejudice, and Misogyny

Lecture: Body Image

Activity: Breathing

Recovery Check-out

Between-Sessions Activities and Closing

Session 16: Barriers to Sexual Health

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activities

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

The Question Box

Interactive Lecture: Sex While Under the Influence and Consent

Lecture: Masturbation, Pornography, and Paying for Sex

Activity: Grounding

Discussions: Sexual Triggers and Relapse

Debrief Discussions

Lecture: Sober Sex

Activity: Breathing

Recovery Check-out

Between-Sessions Activities and Closing

Session 17: Healthy Sexuality

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activities

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

The Question Box

Activity: Sharing Sexual-Chemical Lifelines

Activity: Collage of Healthy Sexuality

Activity: Sharing Collages

Discussion: A Sexual Health Model

Lecture: Love, Sex, and Intimacy

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Module D. Spirituality

Goals of Module D

Background and Rationale

The Sessions

Session 18: What Is Spirituality?

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Overview of Module D

Session Goals

Activity: Yoga Pose #1

Lecture: Spirituality, Religion, and Addiction

Discussion: Religion and Spirituality

Interactive Lecture: Behaviors that Promote the Spiritual Journey

Lecture: To Be of Service

Activity: Creative Expression Project

Activity: Breathing

Recovery Check-out

Between-Sessions Activities and Closing

Session 19: Power and Privilege

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activities

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Activity: Yoga Pose #2

Lecture: Power

Discussion: Power, Privilege, and Behavior

Activity: True Identity

Debrief Activity

Lecture: Meditation and Silence

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Session 20: Building Resilience

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitator Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Activity: Yoga Pose #3

Lecture: Addiction, Trauma, and Spirituality

Lecture: Grief

Discussions: Grief and Loss

Debrief Discussions

Activity: Building Resilience

Interactive Lecture: A New Definition of Masculinity

Activity: Breathing

Recovery Check-out

Between-Sessions Activity and Closing

Session 21: Creating a Vision

Session Overview

Participant Goals

Topic Sequence and Recommended Timing

Materials Needed

Information About Facilitating This Session

Facilitators Notes and Dialogue

Welcome and Quiet Time/Settling In

Review of Previous Session/Between-Sessions Activity

Feelings/Body Check-in

Activity: Breathing

Activity: Grounding

Selected Meditation

Session Goals

Activity: Share Creative Expression Projects

Activity: The Ritual of Returning to the Community

Lecture: Promises of Recovery and Gratitude

Activity: Prospective Journey

Activity: Honoring Our Time Together

Feedback Form and Closing

Appendices [In separate file.]

Appendix 1. The Twelve Steps of Alcoholics Anonymous

Appendix 2. Recovery Programs

Appendix 3. Online Recovery Meetings

Appendix 4. Redefining Gender

Appendix 5. Emotional Sobriety

Appendix 6. Five Senses Cards

References

Feedback Form

About the Authors

Praise for Helping Men Recover

Responses to the Helping Men Recover Feedback Form

Index