Purpose:

Transforming the lives of women struggling with drug and alcohol addiction by providing a long-term residential program to experience physical, emotional, and spiritual healing through recovery.

About Me

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Breakthru House, Inc., is a member of the Action Ministries family of ministries. Action Ministries, Inc. is an independent, faith-based, Georgia non-profit corporation with roots in the United Methodist Church. As the first long-term residential recovery program for women in Georgia, Breakthru House is designed to meet the unique needs of women struggling with drug and alcohol addiction. Utilizing the 12 Steps and a Therapeutic Community, Breakthru House provides a safe, structured drug free environment to foster a life of recovery while therapeutically addressing addiction as a disease, unresolved grief, trauma, and poor self-esteem issues commonly associated with female addicts. Since its founding in 1969, Breakthru House's founding principle remains constant: physical, emotional, and spiritual healing through recovery is possible when each woman's treatment program is designed to meet their individual needs.

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Showing posts with label Addiction. Show all posts
Showing posts with label Addiction. Show all posts

Thursday, September 1, 2011

Clinical Corner: Trauma


by Sarah Postich, LAPC, NCC, Lead Counselor

Trauma occurs when a crisis is so bad that meaning is destroyed. You cannot make meaning out of your experience.  Along with the loss of meaning is terror, helplessness and extreme emotionality or numbing.  What is traumatic for one individual may not be traumatic for another person. For some individuals, a hurricane, fire, or other natural disaster can be traumatic. Being physically, sexually, or emotionally abused at any point in one’s life can be traumatic. For others, being in a car accident, in jail, or being adopted was traumatic. It all depends on the individual.

The majority of the women in our program have experienced at least one traumatic event in their life, if not multiple traumatic events. In general, trauma can impact a person in several ways. It can lead to hyperarousal, where a person is physiologically aroused all the time because they are on the lookout for danger. They may have an extreme startle response to unexpected stimuli, or difficulty sleeping. Another way trauma affects a person is that they may experience flashbacks where memories of the event intrude into their mind unexpectedly.  There may be dreams that occur that include fragments of the traumatic event. In addition, individuals may feel numb or shut off their emotions, believe that they are observing from outside their body, that time has slowed down, or that this is a bad dream from which they will wake.

Moreover, trauma affects our women (and most individuals) in a number of ways. Trauma ultimately destroys one’s relationships with oneself and others in the world. Individuals feel they cannot trust themselves because they were not able to keep themselves out of harm’s way. They may not trust other people in the world because those people have betrayed their trust and hurt them in some way.  Often times, individuals have tried to figure out ways to cope with the trauma they have experienced. Some of the common, unhealthy ways individuals have dealt with their trauma is by using alcohol or drugs to numb themselves. It is very confusing and painful to have traumatic memories pop into one’s head unexpectedly, or to always be afraid of what will happen next.  Another way they may have learned how to cope is by limiting what they do day to day- they may not go certain places, and even start to isolate from family and friends. Commonly they may attempt to control their fear of getting hurt again by creating a sense of safety in their actions. This is done by controlling other aspects of their lives: their job, their home, and their relationships with other people in their life.

So, when a woman comes to Breakthru House we want her to start to trust herself, trust the other women in the community, and the treatment team. This all occurs very slowly as trust is built over time. One of the ways we try to heal the trauma the women have experienced is by having them feel the feelings surrounding the traumatic event. Often times, this may include: anger, shame, embarrassment, guilt, etc.  They may not be able to even identify these feelings, so we may use different techniques to help them. One technique is to look at different pictures I have of people experiencing different emotions and then the woman will have to guess what emotion that individual is feeling. Or, I may include media to have them identify with a topic.  These 2 songs relate to the cycle of domestic violence.



Tuesday, August 16, 2011

New Groups at Breakthru House!

by Melanie Storrusten, LCSW, Clinical Coordinator

We have modified our group schedule at Breakthu House to include a new group: Sober Support Skills! These groups will introduce new activities that have been shown to support sustained recovery in various ways. These group activities will include exercise, art, meditation, and leisure skills (games, movies, etc.).

Each of these types of activities have been shown through research to benefit and support sustained recovery in various ways.

It is important to not only encourage clients to participate in these activities in their free time, but to set aside group time to introduce new methods of exercise, relaxation and meditation, creative expression, and leisure to clients, as well as to give them an opportunity to practice these skills. It is natural human behavior that we are more likely to do an activity later when we have already begun the action! So, when we practice a meditation technique or exercise activity in group, it allows clients to experience for themselves, "hey, this is actually helpful! (and fun!)" Then they are much more likely to continue the behavior in their free time and continuing on after treatment to enhance and support their recovery efforts.

For further reading on how each of these types of activities are supportive of recovery, you may want to check out some of these articles!


Benefits of Exercise in Addiction Treatment and Recovery
"Active Replacement" - Benefits of Leisure Skills, including Exercise in Addiction Treatment and Recovery
Benefits of Meditation in Addiction Treatment and Recovery
Benefits of Meditation in Addiction Treatment and Recovery (second article)
Creative Arts Therapy and Addiction Treatment and Recovery
Women in Recovery from Alcoholism: The Place of Leisure
Therapeutic Recreation and Addiction Treatment

To read more about another new group at Breakthru House that focuses on creating safety to address trauma and addiction, please see our article about our new Seeking Safety curriculum!







Monday, July 25, 2011

A fatal disease

by Melanie Storrusten, LCSW, Clinical Coordinator

Addiction is a disease that is fatal when untreated. RIP, Amy Winehouse. Hopefully her untimely death will help save the life of another. For further information about drug addiction and treatment, or to make a donation to support women struggling with addiction, please visit Breakthru House's website or call us at 404-284-4658.

Tuesday, July 5, 2011

Step by Step - Step One

by Melanie Storrusten, LCSW, Clinical Coordinator

Step One: We admitted we were powerless over __________ - that our lives had become unmanageable.

For some, alcohol fits best in the blank. For others, it's addiction, or cocaine, or narcotics, or just drugs of any kind. For most of us, (and I don't mean just the addicts and alcoholics), we can fill that blank with a lot of behaviors.

Getting an official psychiatric diagnosis of dependence on a substance requires that a certain number of specific criteria are met: Increased tolerance, withdrawal in the absence of the substance, significant time spent getting, using, and recovering from the substance, using more than you intended to or for longer than you intended, unsuccessful attempts at ceasing or limiting use, missing out on important job or relationship functions due to use, and continued use despite negative consequences.

Often the most baffling of those characteristics to those viewing addiction from the outside, and also to the sufferer themselves, is the continued use despite negative consequences. Common sense and behavioral laws alike tell us that when we experience negative consequences for a behavior, that we should STOP IT!

When I first got involved with addiction treatment, the first step sounded oh-so-simple to me. I thought, "Well, these people are in treatment and asking for help - so it's obvious that they are powerless and their lives are unmanageable." Thankfully, my clinical supervisors and mentors at the time encouraged me to do a first step assignment myself. I put this off for a long while, but eventually sat down to write 10 very specific examples of the consequences I'd suffered in my life from my nicotine addiction. I struggled very much with the idea of powerlessness - my thoughts went something like this, "I could stop if I really wanted to, I just don't really want to right now." And my life was certainly not unmanageable - no one was going to arrest me for smoking a cigarette after all. As I wrote the examples, they got progressively more shocking to me, and painted a picture that - "Oh yeah... my life is pretty unmanageable in certain ways. Why haven't I stopped doing this? ... oh yeah, because I can't. I am powerless." Even though the consequences of nicotine addiction do not begin to compare in any way to the consequences of drug and alcohol addiction - the exercise was powerful. It is hard to 1. see your powerlessness and unmanageability, and 2. to acknowledge it. And this is only the first step!

Maybe you can relate to some of the following...

I knew that I was powerless over cigarettes and that my life had become unmanageable when I smoked in the car with my nephew even thought I knew it was harmful to him, and a bad example.

I knew that I was powerless over drugs and alcohol and that my life had become unmanageable when I allowed my electricity to get cut off because I spent all of my money getting high.

I knew that I was powerless over other people's actions and that my life had become unmanageable when my attempts to control others left me alone and resentful.

I knew that I was powerless over other people's thoughts and feelings and that my life had become unmanageable when I realized that I was unable to make a decision on my own and didn't know who I was anymore.

I knew that I was powerless over my depression and that my life had become unmanageable when I missed out on my child's growing up because I was in my bed avoiding the world.

I knew that I was powerless over my anxiety and that my life had become unmanageable when I could not attend my best friend's wedding.

If these statements, or others like them sound familiar to you, there are 12-step programs that can help you deal with many problems, not just drugs and alcohol.

Alcoholics Anonymous - http://www.aa.org/
Narcotics Anonymous - http://www.grscna.com/
Codependents Anonymous - http://www.coda.org/
Emotions Anonymous - http://www.emotionsanonymous.org/
Overeaters Anonymous - http://www.oa.org/
Al-Anon - http://www.al-anon.alateen.org/
Adult Children of Alcoholics - http://www.adultchildren.org/

Wednesday, May 4, 2011

Client Theme Song - I'm Not Your Average Girl, India Arie

I'm not the average girl from your video
And I ain't built like a super model
But I learned to love myself unconditionally
Because I am a queen 
...
When I look in the mirror
and the only one there is me
Every freckle on my face is where it's supposed to be
And I know my creator didn't make
no mistakes on me 

Clinical Corner - Self Worth

by Melanie Storrusten, LCSW, Clinical Coordinator

Many people struggling with addiction, and especially women struggling with addiction, have a very low evaluation of their self-worth. For many clients (unfortunately the vast majority of them), this stems from a lifetime of trauma and abuse. 100% of Breakthru House clients acknowledge a background of trauma and abuse where they repeatedly received the message, "You're not good enough," "You deserve horrible treatment," and "Nobody cares." Once they entered active addiction, our clients sent this message to themselves by not taking care of themselves and abusing their bodies and spirits, and by placing themselves in dangerous situations to be re-traumatized and have those shaming messages again reinforced.

It is a part of most of our clients' official treatment plan goals to increase their self-worth. In addressing low self-worth, clients are asked to identify their negative self-talk throughout the day and challenge the truth of those negative messages. Some clients find using daily affirmations to be helpful. Some clients use collages and other artwork to surround themselves with positive messages. Clients are encouraged to participate in a variety of activities so that they can discover that they can have fun while sober. Many of our assignments are emotionally difficult - asking clients to look at where their negative beliefs about themselves originated. Some of our assignments are a little more light-hearted.

The following video clip is from the old TV show, Allie McBeal. Tracey Ullman's character in this clip does not play a very professional therapist, so I am including the disclaimer that this isn't what actually happens in therapy! :) I do use this video clip though, to explain the assignment to many clients to Choose a Theme Song.

 

The following is an example of a client's theme song. Stay tuned for more!!




What about you? Do you have a theme song? Maybe you should! We'd love for you to share your thoughts and theme songs in the comments below.

Tuesday, March 29, 2011

A Client's Perspective

The following is published with permission from the author.

What I have received from Breakthru House and how it has helped me.

It's hard to express in words just how much Breakthru has done for me. It's given me my life back. I was a broken person in so many ways when I got here. I was so deep into my addiction that I had lost all connection with reality. I was in so much emotional and spiritual pain that I was actually numb.
It took me a while to be able to feel again, to even cry. Breakthru has brought me back to life. I could possibly be in prison or dead right now without having come here. I have many horror stories about my addiction, but I don't have to live those anymore. Breakthru has taught me self-discipline, has given me back my self-worth. I have found courage and integrity and honesty. I have started to love myself again.
Words don't come close enough to express the gratitude that i have to Breakthru. All I know is that my God brought me here so that I could survive and get the help that I so desperately needed. thank God I had a place to go. I am a miracle, a survivor, and a productive member of society today. I am worthy. I am a good daughter, a good sister, a good aunt, a good step-daughter, a good friend, a good woman and I owe that to Breakthru House.

Sincerely and Appreciatively,
Beth G.

Monday, March 28, 2011

Client Progress

by Melanie Storrusten, LCSW, Clinical Coordinator

Our newest evaluation tool that we have created is the Self-Report Unmanageability Scale. This scale measures the level of unmanageability across six areas of functioning:

Physical – ability to care for food, shelter, clothing, and safety needs
Medical – ability to care for medical, dental and psychiatric needs
Employment – ability to obtain and maintain gainful employment
Financial – ability to manage debt and other financial obligations
Relationships – ability to maintain healthy relationships and interactions with others
Legal – ability to uphold the law and fulfill any legal obligations

Clients rate each of these areas at admission and throughout their treatment on the following scale:

1 = I have no problems in this area
2 = I have some issues in this area, but nothing that causes excessive stress
3 = I have many issues and increased stress in this area, but I am able to manage    somehow
4 = I have an unmanageable amount of issues in this area, with an unmanageable amount of stress, but I have a plan to get back on track
5 = I am overwhelmed by issues in this area; I feel completely unmanageable, and I have no idea what to do.

Our current clients rated themselves as having 73% of the areas of their lives rating at 4’s or 5’s when they were admitted to Breakthru House. Today, they rate only 26% of these areas as 4’s or 5’s.
The following graph will show the decrease of unmanageability experienced by our clients in each of these areas.

From this data, we know that: clients experience the most unmanageability in the Employment and Financial areas of their lives when they first come to Breakthru. Their ongoing needs remain highest in the areas of: Finances, Employment and Relationships. We have an extensive job coaching program, although due to the current economy, none of our clients have obtained employment. This may contribute to their continued experience of unmanageability re: their finances. Our program also dictates that clients wait to begin job search until their completion of DAC, so it makes sense that clients would still have unresolved financial issues. It is promising that despite this fact, the drop in unmanageability scores from admission to present-day in the area of Employment is one of the largest! So, at least they are gaining the skills that they feel will bring some manageability back into this area of their lives. Clients are also required to wait until they are on Level 2 until they resume contact with their families, which could play a role in their continued experience of unmanageability in the Relationships area. Still, the fact that Relationships are one of clients’ biggest areas of need when they come into Breakthru, and one of the smallest drops in unmanageability, means that we need to strengthen this area of our program. We are planning to implement an extensive family component to our treatment program by the end of 2011. Above even the drop in scores in the area of Employment, are those in the area of Medical needs. Our clients are linked to and regularly access psychiatric, medical, dental, and vision care.
At Breakthru, we strive to measure and meet our client’s needs, and then to re-measure and improve our programming to ensure that we truly are transforming the lives of women by facilitating physical, emotional, and spiritual healing.

Saturday, March 26, 2011

About Our Clients

by Melanie Storrusten, LCSW, Clinical Coordinator

From our assessments, we know that: 100% of our current clients are homeless. 100% have a history of trauma. 64% have a criminal background. 36% have children in alternative custody. 82% have a family history of addiction. 64% have a diagnosis of depression. Other clients carry diagnoses of: Attention Deficit Disorder, Post-Traumatic Stress Disorder, Anxiety, and Bipolar Disorder. Our clients drugs of choice are: opiates, crack cocaine, methamphetamine, alcohol, and marijuana.
From our evaluation tools we know that: 55% of our clients acknowledge Childhood Trauma and are still affected by it today. 64% of our clients acknowledge a traumatic event in their past and still experience symptoms that impact their daily lives today. 27% of our clients have eating issues, and utilize food as an unhealthy coping skill to a level that impacts their daily lives. 82% of our clients’ addiction and recovery is impacted by hormonal or sexual issues.
As a result, in addition to Substance Abuse Treatment, many of our clients are being treated for: Grief/Trauma, Low Self-Worth, Codependency (unhealthy relationships), Post-Traumatic Stress Disorder, Guilt/Shame.

Our clients have been at Breakthru House from 1 month to 12 months. Our average length of stay among current clients is 6 ½ months.

Thursday, March 24, 2011

Blog Launch Party!!

by Melanie Storrusten, LCSW, Clinical Coordinator

Here at Breakthru House, we are pretty excited about our blog! To celebrate, we threw a drop-in blog launch party Tuesday night. There were refreshments, campus tours, and of course, our blog unveiling! If you missed it, you missed a great time! Enjoy the pictures!





Our post-card advertisement - Designed by Melanie Storrusten, our Clinical Coordinator, and Bryan Bradley, a local web designer



On to the party!!!

Long-time friend of Breakthru, Zoe Hicks, and new friend of Breakthru, Betsy Edwards
Breakthru House's Resident Manager, Gail Whitton, Executive Director, Kate Boyer, and Administrative Coordinator, Kaysha Corniffe
Our Clinical Coordinator, Melanie Storrusten, and Counselor, Jessica Jenkins


 Others in attendance included church liasons and volunteers, neighborhood residents, and supportive family and friends! If you missed out, don't worry! You can always find out more information and get connected with Breakthru House by subscribing to our blog, visiting our website, or checking out our Action Ministries facebook page!

Tuesday, March 22, 2011

Welcome to Behind the Walls at Breakthru House

by Melanie Storrusten, LCSW, Clinical Coordinator

Welcome to Breakthru House!

We are excited to establish a bigger presence on the world wide web! We want our blog to be a way for potential clients, alumni, family members, volunteers, donors, board members, church liaisons and other friends of Breakthru to keep up with what is going on here. We are a small family of staff, and rely so heavily on all the awesome people who freely give of their time and talents and care about our clients! We know that our volunteers, donors, and supporters give because they truly care about these ladies and about the ways in which their lives are changing through the hard work they are doing at Breakthru House. We are also a very unique place, because unlike other organizations, many times friends of Breakthru can't see the full picture due to the confidentiality requirements of the therapeutic work that is happening behind our walls. So, our hope is to utilize this blog to give you a peek into what daily life at Breakthru entails, and to share as much of the miracles that happen here as we can, without breaking anyone's confidentiality or anonymity.

Our clients are also excited about our new online venture, and they may volunteer from time to time to provide content for our blog. This will always be done with their very specific written consent as to what will be published, and how they will be identified.

Please let us know what you would like to see on our blog! You can comment here, subscribe to us, add us on facebook, visit our website, etc. We hope that the internet will prove to be a valuable tool in connecting all of our available resources to our clients' needs and then back again, bringing us full circle. We could not accomplish our mission without all of you!

Thank you, and welcome!