Drug Abuse Interventions

When planned carefully with the help of a professional, a drug abuse intervention can help you safely confront a loved one about their substance abuse in a way that motivates them to seek treatment.

Jessica Miller is the Content Manager of Addiction HelpWritten by
Kent S. Hoffman, D.O. is a founder of Addiction HelpMedically reviewed by Kent S. Hoffman, D.O.
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How to Stage a Drug Abuse Intervention

While a drug abuse intervention may sound straightforward on paper, staging one can feel daunting and complicated.

Drug addiction interventions are most successful when carefully planned processes, so getting friends and family members on the same page is critical. Additionally, you will want to collaborate with a doctor, licensed drug counselor, or professional interventionist; they have years of experience in staging this type of confrontation, and you want to give your addicted loved one the best chance at choosing to get help after the intervention is done.

Key Steps to Stage a Drug Intervention

If you’re at the stage with a loved one where you feel like a drug intervention is necessary, educating yourself and other key loved ones is an important first step. While you cannot control the outcome of the intervention nor force your loved one to seek treatment, you can give them the best chance to feel supported and motivated by learning everything you can ahead of time about how to stage an intervention the right way.

1. Seek Help From a Professional Interventionist

As mentioned, hiring a professional interventionist is usually a critical part of the process. Staging a drug or alcohol abuse intervention by yourself or without guidance isn’t recommended—especially if the person with the substance abuse issue has a complicated, multi-drug, or long-term substance abuse problem.

While some mild cases of substance abuse might work with an informal intervention, that’s rare.

You can avoid the common pitfalls or conflicts in DIY interventions using evidence-based techniques by contacting a licensed addiction intervention professional. A professional interventionist can ensure each stage of the intervention process is productive and stays on track.

2. Gather Loved Ones for an Intervention Team

The types of friends and family you gather for your intervention team are critical. Keeping the intervention on-topic by focusing on facts and solutions is essential, so be cautious about including group members who are highly emotional and reactive.

The goal is to show the addict they are loved and that you only want the best for their health and well-being. So, choose people who can reflect that sentiment.

3. Make Your Drug Intervention Plan

Your drug intervention plan should include the basics: day, time, location, and guest list. The plan should also include the chosen treatment plan, though it should also lay out the consequences if the addict decides not to accept treatment. Though that’s not an ideal outcome, it happens; making sure you and the others attending are prepared for this choice can prepare you for how to manage the situation if it arises.

A professional interventionist can help you make an outline and walk you through how the process will go, ensuring everyone feels comfortable with each step.

4. Rehearse the Drug Intervention

In many cases, professional interventionists will do a rehearsal ahead of time. During the real thing, there will most likely be intense feelings and difficult moments of everyone involved, so a practice run can help in many ways.

For one, rehearsing ahead of time can help your team fine-tune what you plan to say, and it helps dispel some nervousness before the actual intervention occurs. During the practice run, your interventionist can also offer important feedback and help you make adjustments toward a more ideal situation for everyone when the real thing happens.

5. Be Ready With Resources

The intervention should end with a clear path to addiction treatment. Ideally, you should choose the treatment facility ahead of time so the addict can leave straight from the intervention to an addiction treatment center.

Not all addicts need inpatient treatment; some people do better with intensive outpatient programs. Your interventionist or doctor can help you determine what treatment program is best depending on the type of substance abuse problem alongside any existing mental illness concerns.

When Is It Time to Intervene?

Determining when an intervention is necessary can be difficult, especially if your loved one denies that their drug dependence exists or hides their substance misuse well.

While not an exhaustive list, there are some signs to look for if you suspect your loved one has a drug use issue.

Signs an intervention may be necessary due to drug use include: 

  • Hiding the use and effect of drugs or alcohol
  • Continuing substance abuse despite the negative consequences
  • Intense cravings for the substance
  • Bloodshot eyes, bad breath, shakes or tremors, frequent bloody noses, or weight loss or gain
  • Bad skin, hair, teeth, and nails
  • Slurred speech or rapid rambling
  • Abrupt changes in personality
  • Struggling with limits or using the substance in moderation
  • Being unable to stop using the substance
  • Borrowing or stealing money to purchase the substance
  • Sudden aggressive behavior, irritability, and depression

Post-Intervention: What Happens Afterward?

If the intervention is successful and the subject agrees to the terms of the intervention, treatment should begin. Treatment may look different for each person, depending on the substance, the length of drug abuse, and any mental health conditions that also exist.

Drug Abuse Treatment Options

A person’s treatment plan should be individualized to their unique needs. For some, a more intensive program—with overnight rehab stays and medication assistance—might be best, while others may lean more into different types of therapy and a less intense rehab approach.

Overall, the most common addiction treatments include:

Inpatient treatment is often considered the most involved option, including a residential stay at the treatment facility. It’s generally what most people picture when they hear the word “rehab,” but not all addicts require such a high level of care.

For many, intensive outpatient or even partial hospitalization don’t include a residential stay but still require the addict to spend several hours per week at the treatment facility. Each treatment type has pros and cons you should consider before beginning the intervention.

Regardless of the treatment type chosen, all rehab options will include some kind of therapy. Even if there isn’t a co-occurring mental illness, working through the addiction and recovery process with a counselor, therapist, or similar mental health professional is usually a vital part of long-term recovery.

Common therapies offered in addiction treatment programs include:

What If a Drug Intervention Doesn’t Work?

Unfortunately, interventions don’t always succeed. There are countless reasons why an addict may reject help or react poorly to an intervention. However, it’s essential to stand by the statements and the consequences that you gave during the intervention.

Consequences are put into place to convince the addict to accept help, so sticking to your word is the best thing you can do if they choose not to seek help—not just for them, but for you and the other friends and relatives.

Follow up with your interventionist on specific steps to take next, as they will be intimately familiar with the case.

Types of Drug Interventions

Many intervention types have been developed over the years, each method with a specific focus in mind. Not all cases of addiction need huge interventions; sometimes, a simple conversation is all that’s required.

In other cases, the situation is so dire that crisis intervention is needed for the person’s short-term safety.

Here are the main types of interventions you’ll commonly see: 

  • Simple/Brief Intervention: Simple, one-on-one interventions that can be carried out alone or with the aid of a professional interventionist.
  • Formal Intervention: Planned meetings with all concerned loved ones in a calm setting, each playing a role focused on confronting the loved one’s addiction.
  • Family System Intervention: An intervention where the whole family participates in the intervention and treatment, focusing on the entire family rather than just the addicted individual.
  • Crisis Intervention: A type of intervention that occurs in response to sudden self-destructive behavior or a mental health crisis, providing short-term relief and safety for that person.
  • Johnson Model: A type of intervention model that focuses on seven distinct elements, which are as follows—
    1. Intervention Team
    2. Planning
    3. Care-Focused
    4. Notes and Proof
    5. Focus on Addiction Only
    6. Therapy as the Principal Intention
    7. Options for Treatment

Benefits of Hiring a Drug Intervention Specialist

Bringing a trained drug intervention specialist to the situation provides many benefits that you may overlook. While the instinct may be to keep someone’s addiction private, handling an intervention alone can lower the chances of success.

The benefits of working with a professional interventionist include:

  • Keeping the intervention on track and productive
  • Identifying and ending enabling behavior from all parties involved
  • Stopping conflicts before they heat up
  • Getting help for the whole family, not just the addict
  • Helping loved ones stay firm on boundaries and consequences
  • Guiding you through finding and arranging treatment options

Find a Drug Interventionist

If you need the help of a trained drug interventionist, there are several options available. The easiest option for finding an interventionist is through a mental healthcare provider, addiction doctor, treatment provider, or addiction recovery services.

If you don’t have an addiction counselor or treatment center, you can locate one through SAMHSA’s online treatment locator or by calling 1-800-662-4357.

You can also find an interventionist through the Association of Intervention Specialists.

Drug Intervention FAQs

What is the most successful type of drug intervention?

While the Johnson Model is the most popular method of drug or alcohol intervention, other models may be more successful depending on several factors. Because people may respond differently to certain approaches, it’s hard to say which is the best.

When working with a professional interventionist, they can help you determine what approach may best suit your loved one.

What happens if a drug intervention doesn’t work?

Ensure you and your intervention team stay firm on the statements and consequences laid out during the intervention.

Even if the addict rejects help, that doesn’t mean you’ve failed or that they will never accept help in the future. Luckily, a trained interventionist can guide you through the next steps specific to your case.

Do drug interventions work?

Often, when executed correctly, interventions succeed. Interventions conducted without a professional tend to fail more often, so working with a trained interventionist will increase the likelihood of success.

However, it’s important to manage your expectations for the intervention and follow the lead of an interventionist. They can best advise you on the next steps if things are unplanned.

How much do drug interventions cost?

Intervention costs range from $2,500 to $10,000, depending on the services offered and the individual’s intervention experience.

How do I find a drug intervention specialist?

You can get a referral through an addiction counselor, doctor, or treatment center. You can also find an interventionist through the Association of Intervention Specialists.

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Sources
  1. Day, J. A. (2022, October 12). Clinical Interventions in Substance Abuse Treatment at Johns Hopkins. Retrieved January 20, 2024, from https://www.hopkinsmedicine.org/substance_abuse_center/treatment/interventions.html

  2. Early Intervention, Treatment, and Management of Substance Use Disorders. Substance Abuse and Mental Health Services Administration. (2016, November). Retrieved January 20, 2024, from https://www.ncbi.nlm.nih.gov/books/NBK424859/

  3. Jhanjee, S. (2014, April). Evidence-Based Psychosocial Interventions in Substance Use. National Library of Medicine. Retrieved January 20, 2024, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031575/

  4. Mattoo, S. K., Prasad, S., & Ghosh, A. (2018, February). Brief Intervention in Substance Use Disorders. National Library of Medicine. Retrieved January 20, 2024, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5844156/

  5. Urbanoski, K. A. (2010, June 20). Coerced Addiction Treatment: Client Perspectives and the Implications of Their Neglect. Harm Reduction Journal. Retrieved January 20, 2024, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2906422/

Written by
Jessica Miller is the Content Manager of Addiction Help

Editorial Director

Jessica Miller is the Editorial Director of Addiction Help. Jessica graduated from the University of South Florida (USF) with an English degree and combines her writing expertise and passion for helping others to deliver reliable information to those impacted by addiction. Informed by her personal journey to recovery and support of loved ones in sobriety, Jessica's empathetic and authentic approach resonates deeply with the Addiction Help community.

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  • Fact-Checked
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Kent S. Hoffman, D.O. is a founder of Addiction Help

Co-Founder & Chief Medical Officer

Kent S. Hoffman, D.O. has been an expert in addiction medicine for more than 15 years. In addition to managing a successful family medical practice, Dr. Hoffman is board certified in addiction medicine by the American Osteopathic Academy of Addiction Medicine (AOAAM). Dr. Hoffman has successfully treated hundreds of patients battling addiction. Dr. Hoffman is the Co-Founder and Chief Medical Officer of AddictionHelp.com and ensures the website’s medical content and messaging quality.

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