The 12-Step Facilitation Therapy is an engagement strategy that s designed to help substance abusers to be engaged and actively involved in 12-step facilitation groups thus helping them is abstaining from substance abuse (Gross, 2010). The program has four core interventions namely:
- Introduction and assessment
- People, places and routines
- Getting advice
The acceptance is the second stage after introduction and assessment and it involves the admission of personal limitation (Gross, 2010). In the media file, for example, Shane points that upon being arrested, he felt that he had a problem and had to admit on being taken for treatment (Laureate Education, Inc., 2012). Although many drug abusers are able to achieve acceptance through a leap of faith, it may not apply to others, who may need to follow a number of processes in order to attain acceptance.
Two Effective Intervention Strategies for Attaining Acceptance
The first strategy in achieving acceptance is by recognizing that the client has an illness that is characterized through is/her loss of control. Since the client has no control, it is expected that it would be hard for the client to attain abstinence (accepting the limitation), which is the main goal of the TSF. Therefore, resistance is a common phenomena and the facilitator must be cautious when the client offers compliance. Through open discussion, and processes of shaping the attitudes and behavior of the client, resistance will be overcome and the client will accept personal limitation. An example is the case of Shane in the media file, who was struggling with Methamphetamine abuse (Laureate Education, Inc., 2012). Mr. Shane points that he had a strong admission of his drug abuse problem, and although he realized that he had to do something about it when he was arrested and convicted, he asserts that it was after good discussion with the 12-Step Program Facilitator, that he was able to achieve acceptance. It is quite clear that developing good rapport with the client and working to understand his/her problem is a very good strategy for attaining acceptance.
The second strategy of attaining acceptance is through continuous reinforcements, accepting resistance and reframing of the concepts of the TSF. Through encouragement of the client to listen, keep an open mind and try to identify with one or more people they hear in their meetings, they will gradually attain acceptance. In the media file, a case is given of Odessa, who says that it was hard to quit alcohol and drug abuse on her own, as she faced several relapses. However, Odessa asserts the importance of trust and encouragement from the facilitator as important step in admitting addiction to alcohol and drug abuse (Laureate Education, Inc., 2012).
In conclusion, acceptance can be achieved through an open client-facilitator discussion and continuous reinforcements and reframing of the TSF concepts. Through open discussions, the addict will feel free and thus open up an opportunity where he/she will be told about the problem and how it is a limitation of his/her control. Moreover, providing the client with complete goals of the program and encouragement will help in fighting resistance and attaining acceptance.
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