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Millions of people around the world are living proof that recovery is stronger than addiction.
And living proof that treatment works. Families heal. Recovery lasts. Life gets better.
For more than 65 years, our nonprofit organization has devoted each new day to helping
more people reclaim their lives from addiction. Our expertise reaches across clinical care,
published resources, professional education, and research—wherever, however, whenever
we can help one more person find freedom from addiction.
Together, we will overcome addiction. We are proof.
*2012 National Survey on Drug Use and Health (Substance Abuse and Mental Health Services Administration)
** Principles of Drug Addiction Treatment (National Institute on Drug Abuse)
For a disease that strikes 1 in 10
Americans over the age of 12,*
addiction to alcoholor other drugs
is surprisingly misunderstood
by most people.
Addiction is a disease.
Addiction has been recognized as a disease by the American Medical
Association since 1956. The American Society of Addiction Medicine
describes addiction as “a primary, chronic disease of brain reward,
motivation, memory and related circuitry.” Like other chronic diseases
such as diabetes, asthma, and hypertension, addiction often involves
cycles of relapse and remission.
Addiction doesn’t discriminate.
It is an equal opportunity disease. It reaches across age, race, gender,
and socioeconomic status, striking more than 20 million Americans.
There is hope.
Like other chronic diseases, addiction can be managed successfully.
Most people who go to treatment programs not only stop using drugs they
also improve their occupational, social, and psychological functioning.**
Three things you should know–
MY RECOVERY STORY
Why I couldn’t see where drugs
were taking me.
Elizabeth D., 23, an alumna of Hazelden in Plymouth, Minnesota
INTERVIEW
Meet Elizabeth D., age 23.
Today, with four years
in recovery from
opioid/heroin addiction,
Elizabeth describes
the awakening during
treatment that saved
her life.
When did you start drinking or
using drugs?
When I was 15, in high school. It started with
drinking and study drugs [Ritalin, Adderall]. On
weekends, mostly. I had good grades and was
involved at school; I was in marching band and took
Advanced Placement classes. But by senior year, my
weekends got crazy. I drank a lot, and I don’t really
remember much of what happened. Even today,
friends from high school tell me stories about what
we did, and I don’t remember.
I went away to college, and I was on my own for the
first time. That’s when I went completely overboard.
I was taking Oxycontin. Later, when it was difficult
for me to get Oxycontin, I switched to heroin.
I didn’t go to classes. Didn’t make friends. Just
wanted to do drugs or “have fun,” as I called it.
What was your day like?
I would wake up at two or three in the afternoon;
missed all of my classes. And I’d immediately go
to the bank and withdraw cash from the savings
account my parents set up for me. I’d withdraw $200
or so, thinking it would get me through a few days,
which it never did. It lasted one day. I had a guy
living in my all-girls dorm room with me. He would
drive me about an hour away from campus where
we picked up what we needed at a hotel room. Then
I would go back and hole up in my dorm room and
watch Netflix until I passed out. That was my life.
I didn’t do anything else. I didn’t eat. I didn’t want
to spend money on food when I could use it to buy
drugs. I don’t know where all of that time went.
Sometimes on Sundays I would try to clean up and
eat something and not use. But by the end of the day
I would feel so sick that I always ended up back at
the hotel room buying drugs.
Q
A
When did you know you needed help?
I didn’t. My family did an intervention when I was
home for winter break. It was the classic scene
where they each read their notes to me about how
my actions made them feel. Right out of the TV
show, I was thinking. Even then, I didn’t think I had
a problem. I mean, I wasn’t using needles. I wasn’t
out on the streets. Those were the kinds of thoughts
going through my head.
My family had an assessment and treatment
program all lined up for me at Hazelden and
a plane ticket to Minnesota. I was extremely angry
and didn’t want to go but decided to play it out so
my family could see I didn’t have a problem. I was
completely convinced the assessment would show
I wasn’t an addict and didn’t need treatment.
Were you scared to go to treatment?
I didn’t know anything about treatment outside of
what I saw on TV. I thought it would be cold, sterile,
scary, uncomfortable. It’s not like that at all. It’s
a really nice place to be. You’re completely taken
care of the whole time. Everybody gets their own
treatment plan, so each morning your schedule is
printed off for you listing your appointments and
assignments for the day.
What changed in treatment?
My counselor told me I was in denial about my
situation and gave me the assignment to talk with
a peer about it. So I asked one of the other girls in
treatment what she thought. She told me to think
about myself before I started using, to look at my
19-year-old self through my 14-year-old eyes.
Betty Ford’s legacy of hope
Former first lady Betty Ford put a courageous
new face on recovery in 1978 when, at age
60, she openly sought treatment for addiction
to alcohol and prescription medications. Her
candor created a national dialogue and lifted
the shame surrounding addiction, unlocking
the door to recovery, especially among women.
In 1982, the
former First
Lady opened
the door to
recovery even
wider when she
cofounded the
nonprofit Betty
Ford Center in
Rancho Mirage,
California,
modeling
the clinic after Hazelden. She became an
outspoken advocate for treatment, raising
awareness about the disease of addiction
and the potential for recovery. Her legacy of
courage and compassion, now united with
Hazelden, ensures countless more individuals
and families will find new life in recovery.
Closer than you
might think
Patients come to the Hazelden Betty Ford
Foundation from across the country and
around the world. With treatment centers in
California, Minnesota, Oregon, Illinois, New
York, and Florida, we’ve been a place of new
beginnings for hundreds of thousands of
people from all walks of life.
See a list of our locations at
hazeldenbettyford.org
And to ask myself what, back then, I thought my
life would be like. And that’s when it dawned on me.
I’d pictured going to Duke University. Becoming an
attorney. Being surrounded by lots of friends and
family. Instead, I was alone. Miserable. So, so low.
That was your turning point?
Completely. I got a before-and-after picture of my
life, and I could finally see that drugs and alcohol
were ruining everything. Once I realized where my
life was going, I was so extremely grateful to be in
a place where I could get help. There was a solution
for me. Things could be different. I was thirsty for
this new knowledge. That’s how I started to learn
about my addiction and how to start living again.
The First Lady
of Recovery
If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800.
H A Z E L D E N B E T T Y F O R D . O R G
THE VERY
DEFINITION OF
TREATMENT
The Hazelden Betty Ford Foundation’s earliest clinicians
developed the addiction treatment approach most widely used
in the world today, known originally as the Minnesota Model.
Combining medical care with the emerging Twelve Step mutual
support practices, addiction treatment for our patients was, above
all, provided with empathy and dignity.
Fast-forward to today. The innovation continues. As science
further reveals the complex biological and behavioral workings
of addiction, our treatment approach integrates the latest research
and proven effective practices—always leading with the respect
and compassion that has set our care apart from the beginning.
TREATMENT & RECOVERY
LEVELS OF CARE
A plan built
for you.
Addiction doesn’t happen overnight. It’s a gradual
process so incremental that it’s often not recognized
until someone else intervenes.
And, with addiction, every person’s situation is
different. At the Hazelden Betty Ford Foundation,
we take into consideration physical and mental
health, gender, family history, types of drugs being
abused and many other variables.
Understanding those differences is important in
developing the best possible plan to help you or your
loved one get well and stay well.
Assessment
A careful process to ensure an accurate diagnosis.
Residential Addiction Treatment
Campus-based intensive care to meet the unique
needs of each individual.
Outpatient Addiction Treatment
Programs that meet during the day or evening
so you or your loved one can tend to work and
family responsibilities.
Structured Living
Residential options with treatment and
counseling support.
Continuing Care
Ongoing counseling to support and reinforce
development of healthy behaviors, relationships,
and lifestyle.
TREATMENT & RECOVERY
FAMILY SERVICES & SUPPORT
Being there
for families.
Addiction is called “a family disease” for good
reason. Families are in pain. By the time most
families reach out for help, the disease has
progressed to a crisis level. Families feel
traumatized and overwhelmed; they’ve been
lied to and betrayed. There are arguments and
confrontations, slamming doors, and sleepless
nights. Often, there’s more serious trouble—
an accident, a lost job, an arrest.
Families need help in their own right. Our
educational and support programs help families
learn about the disease of addiction and how it
affects them. With care and support, families are
able to work through the chaos they’ve experienced,
understand how to set healthy boundaries, and
begin to rebuild a trusting relationship with
their loved one.
Knowing that the disease of addiction is passed
from one generation to the next, our prevention
programs embrace children who are directly
affected, and educate K–12 students, their parents,
and school communities.
Family Programs
Social Communities
Parent Recovery Groups
Parent Coaching
Children’s Programs
Prevention Programs
To learn more, visit
H A Z E L D E N B E T T Y F O R D . O R G
TREATMENT & RECOVERY
To learn more, visit
H A Z E L D E N B E T T Y F O R D . O R G
RESIDENTIAL & OUTPATIENT
ADDICTION TREATMENT
Getting your
whole picture.
The way you think. How you feel. What you
believe. Addiction changes everything about
a person. It affects judgment, emotions, and beliefs.
That’s why our treatment approach is holistic and
personalized, providing care for the mind, body,
and spirit and taking into account everything you
or your loved one needs to get well.
For Men
For Women
For Adolescents & Young Adults
Our residential treatment centers maintain separate
programming and lodging for males and females.
TREATMENT & RECOVERY
INTEGRATED CARE
Designed to
meet your
needs.
More often than not, addiction comes with
complicating factors, including mental health
issues related to anxiety, trauma, eating disorders,
or depression. As many as 80 percent of alcoholics
experience symptoms of depression.*
With such complex disorders, the most effective
approach is to integrate addiction and mental health
treatment so that both issues are addressed at the
same time. Your treatment team includes medical
and mental health professionals who design your
care plan with whatever therapies, mental health
services, and medications are appropriate.
Trauma
Anxiety
Depression
Eating Disorders
Compulsive Behaviors
*“Addiction and Mental Illness,” Research Update, published
by the Butler Center for Research, a part of the Hazelden
Betty Ford Foundation.
To learn more, visit
H A Z E L D E N B E T T Y F O R D . O R G
TREATMENT & RECOVERY
To learn more, visit
H A Z E L D E N B E T T Y F O R D . O R G
TARGETED CARE
Extra focus
when needed.
The more we learn about addiction, the more our
treatment efforts can be targeted to address specific
risks and challenges. For those who suffer from
chronic pain or those in recovery from addiction
to painkillers, careful medication management
can be an important part of aftercare. Peer group
support can be an especially important part of
treatment for physicians, attorneys, and other
licensed professionals who face significant risk
and recovery issues unique to their professions.
Informed by the latest research and best practices,
specialized treatment programming for you or your
loved one ensures the most effective care.
Chronic Pain
Older Adults
LGBTQ
Trauma
Eating Disorders
Pain Medications/Heroin
College Bound
Health Care Professionals
Legal Professionals
Licensed Professionals & Executives
TREATMENT & RECOVERY
LIVING IN RECOVERY
With you
every step
of the way.
The changes made in treatment—the way you think
and react and care for yourself—are new ways of
living that take practice. Regaining and maintaining
health means learning to live differently; learning to
manage a chronic disease.
Staying connected with others in recovery is one
of the healthiest moves you can make. Whether you
want to be part of a structured recovery support
program or you prefer informal support networks,
our services and resources are designed to help you
get answers when you need them and share that
wisdom with others along the way.
Web-Based Recovery Tools,
Coaching, and Support
Recovery Support Apps
Recovery Support Text Programs
Recovery Coaching & Monitoring
Online Recovery Social Network
Alumni Groups & Activities
Recovery Retreats
Recovery Celebrations &
Special Events
Daily Inspirational Emails
Books & e-Books
To learn more, visit
H A Z E L D E N B E T T Y F O R D . O R G
TREATMENT & RECOVERY
If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800.
H A Z E L D E N B E T T Y F O R D . O R G
WRITING NEW
CHAPTERS IN
HOPE
In 1954, Hazelden published a book written by a man who
simply wanted to help other alcoholics. The book’s format was
untried—a daily reading, meditation, and prayer. Selling almost
5,000 copies in its first year, Twenty-Four Hours a Day launched
Hazelden’s publishing division and introduced a now iconic
self-help tool: the daily meditation book.
Today, we are the world’s leading publisher of addiction treatment
and recovery resources. Our mobile apps and e-books, online
bookstore, and on-demand curricula and videos for professionals put
this world of information and inspiration at your fingertips, 24/7.
PUBLISHING
IT TAKES A FAMILY
Families and addicts can find healing
from addiction, together.
Recovery author Debra Jay
INTERVIEW
PUBLISHING
Meet Debra Jay, author,
clinical interventionist,
and addiction counselor.
In 2008, Jay coauthored
Love First: A Family’s
Guide to Intervention,
a breakthrough book
for families hoping to
get a loved one into treatment. In
2014, Hazelden Publishing released
Jay’s newest book, It Takes a Family:
A Cooperative Approach to Lasting
Sobriety. In it, Jay draws from wisdom
born of experience—her own as an
addiction professional and that of
countless families she’s helped
along the way.
Isn’t treatment for the addict the end
goal families need most?
Treatment for the addict is a starting place for the
rest of the family to begin healing. Families need
help in their own right. When an intervention
is done properly, family members rally together
and are educated about the disease of addiction
and supported in taking action against addiction.
I’ve seen families come together in unbelievable,
amazing, beautiful ways through an intervention.
The family is able to set the anger aside and move
into empathy. Then their loved one goes off to
treatment, the family is left on their own, and
nothing more changes for them. Most alcoholics
and addicts coming out of treatment have
a recovery plan, but families are left to figure
things out for themselves.
What kinds of things do families
need to change ?
Families are profoundly affected by the disease of
addiction, but they don’t realize the extent.
More than anything, family members need help in
recognizing and changing the fear-based behavior
patterns they’ve developed in response to the
Q
A
disease of addiction. They have
been living in crisis mode and,
as a result, have developed some
unhealthy survival skills that carry
over into all other areas of their
lives. These survival skills become
behavior patterns, or what’s called
“character defects” in Twelve
Step language.
Some of the more common
behaviors include the need to
control others, perfectionism,
hanging onto resentments, or
behaving like a martyr. These are
ways we learn to protect ourselves
from pain. Peel back each of
these behaviors and you’ll find
the same thing: fear. Families
who live with addiction live in
a state of fear, behaving in ways
to keep themselves safe—not
understanding that those survival
behaviors further perpetuate
the fear.
How does the family
get out of that cycle
of fear?
There are simple, practical
strategies families can put into
action to build a circle of support
for each other. I call it “Structured
Family Recovery.” It begins when
family members learn to take focus
off of the addict and, instead,
begin to focus on their own
behaviors. More than anything,
families worry about relapse.
Everyone’s focus is on the addict.
This has been the pattern. For
months or years leading up
to treatment, the family has been
in crisis and watching the addict
like a hawk, fearing whatever
the next consequence might be.
During treatment, all attention
is on the addict, too. And after
treatment, everyone’s attuned
to the addict’s every move,
terrified at the prospect of relapse.
But families can change their
focus and work in a collaborative
way to not only reinvent their
relationships but also be of
support to one another, which
reduces the probability of relapse.
So, you use the term
“circle of support” to
describe a family?
The circle image came to me in
working with a young man whose
family was at a loss after years
of experiencing his mother’s
struggle with addiction to opiates.
His mother would go to treatment,
stay sober for a while, and then
relapse. Each time she relapsed,
he said it felt like his family
was standing outside a circle,
turned inward, and all pointing
at his mother in judgment. When
his family finally got help for
themselves, he described it as
standing inside the circle—holding
hands, working recovery together.
That’s what Structured Family
Recovery feels like for the family:
You’re all in it together, including
the recovering alcoholic or addict,
each taking personal responsibility
for yourselves and at the same
time supporting one another.
PUBLISHING
IT BEGINS
WHEN FAMILY
MEMBERS
LEARN TO
TAKE FOCUS
OFF OF THE
ADDICT AND,
INSTEAD, BEGIN
TO FOCUS ON
THEIR OWN
BEHAVIORS.”
“
Hope, to share.
As long as people in recovery and their families courageously tell their stories.
As long as clinicians and researchers push for new approaches and more answers.
As long as educators and community leaders believe in reducing risks and building resilience.
We will continue to publish resources to build that better tomorrow.
PUBLISHING
If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800.
H A Z E L D E N B E T T Y F O R D . O R G
PROFESSIONAL EDUCATION
A STUDIED
INSTITUTION
Our earliest leaders believed there were too many people suffering
with addiction for us to keep our knowledge and experience to
ourselves. That’s why our doors have always been open to other
treatment providers and professionals—physicians, psychologists,
social workers, clergy—to come and learn with us.
Today, our Hazelden Graduate School of Addiction Studies is an
accredited institution of higher education where the next generation
of addiction counselors gains the professional competencies to
deliver the most effective help. And with each new clinician comes
the uncharted potential to save hundreds if not thousands of lives.
AN EDUCATION IN
ADDICTION
Two counselors discuss the science
behind hope.
Hazelden graduate school alumni Manuel G. & Ahmed E.
INTERVIEW
PROFESSIONAL EDUCATION
Meet Manuel G. of Mexico
and Ahmed E. of Egypt,
licensed and practicing
addiction counselors and
alumni of the Hazelden
Graduate School of
Addiction Studies. Both in
long-term recovery from
addiction, Manuel G. and Ahmed E.
started graduate school with a special
place in their hearts for people still
suffering from the disease. What they
gained was a different education in
addiction recovery: the clinical skills
to deliver the most effective help.
What brought you to the
graduate school?
Manuel: I first heard of Hazelden when I was 16 as
one of the treatment options my parents considered
for me. At 18, after I got clean and sober, I needed to
decide what to do with my life. I realized I wanted
to help other addicts. That was an important turning
point for me because I was a guitarist, a performer,
and was accepted at the Berklee College of Music
in Boston. Instead, I stayed in Mexico City to earn
a bachelor’s degree in psychology, with the goal of
going on to become an addiction specialist through
the Hazelden graduate school.
Ahmed: I was working as a counselor in the
addiction unit of a psychiatric hospital in Egypt.
I am a recovering addict, and I’d actually gone to
treatment in that same hospital. I knew of Hazelden
through its books and pamphlets on addiction and
recovery. I had a bachelor’s degree in psychology,
and my supervisor suggested that I continue
my education if I wanted to work as a clinician.
Hazelden seemed the obvious choice. I didn’t
know it at the time, but our treatment model in
Egypt was based on the Hazelden model of care.
That’s something I discovered after arriving at
the graduate school.
Q
A
Does your recovery experience
make you a better counselor?
Manuel: A natural and important part of recovery
is sharing your experience with other people who
are working a Twelve Step program. Having that
shared experience is still important, but now, as
an addiction counselor, I’m able to clinically guide
people through the stages of change.
Ahmed: Being in recovery gives me a better
understanding of challenges the addict and family
members face, but I don’t think it makes me
a better counselor. My education through the
graduate school makes me a more effective
counselor, a skilled clinician. I have the knowledge
and skills to be effective–the scientific approach to
treat the disease using evidence-based practices.
What does the world need to
know about addiction?
Ahmed: What people don’t understand is that
treatment works. We tend to hear and see only the
bad outcomes, the news stories about famous people
who get DUIs or commit other crimes or relapse and
A Big Reveal
Professionals gain insight
into addiction treatment.
A week-long summer institute held at
the Betty Ford Center in Rancho Mirage,
California, puts a face on the disease of
addiction for medical students. Shadowing
treatment patients or family program
participants, medical students learn about
addiction, treatment, and recovery from
the patient’s perspective.
It’s quite an awakening, as described by
medical student Sahbina E., from Meharry
Medical College. “I was overwhelmed by the
honesty and openness of the family members
who were a part of my group. I will never lose
sight of the fact that addiction is a disease
and that, as a future physician, I now carry
the responsibility to use the information
I’ve acquired to help future patients and
their families.”
Social workers, health care professionals,
educators, and other helping professionals
have opportunities for on-site learning at
the Hazelden Betty Ford Foundation, as well.
Through residential study programs, visiting
professionals get an up-close look at the
challenges of addiction and the effectiveness
of treatment.
Online and in-person continuing education
courses, delivered by our clinicians, authors,
and other experts in the field, connect
professionals with the latest thinking and best
practices in addiction prevention, treatment,
and recovery.
die. There are so many more people who go through
treatment and are doing well. I think we will start
hearing more and more of the good news. People in
recovery are beginning to speak up.
PROFESSIONAL EDUCATION
“NOW, AS AN ADDICTION
COUNSELOR, I’M ABLE
TO CLINICALLY GUIDE
PEOPLE THROUGH THE
STAGES OF CHANGE.”
“I WILL NEVER LOSE
SIGHT OF THE FACT
THAT ADDICTION IS
A DISEASE … ”
If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800.
H A Z E L D E N B E T T Y F O R D . O R G
THE FIELD’S
RESEARCH
ENGINE
We know addiction treatment is effective, measurably so.
And treatment outcomes improve even more for patients who
participate in continuing care or stay involved with recovery
support groups. But more can be done. By studying the dynamics
of addiction—how change happens, what internal and external
factors matter most—we can help even more people.
Through clinical and institutional research, the Butler Center
for Research at the Hazelden Betty Ford Foundation asks the
questions that lead to increasingly effective methods of addressing
addiction, from prevention to treatment to lasting recovery.
RESEARCH
PHILANTHROPY & ADVOCACY
TOGETHER, WE WILL
OVERCOME ADDICTION.Millions of people die because of the stigma that surrounds
addiction to alcohol and other drugs. Our Center for Public
Advocacy is dedicated to breaking the silence around addiction
and promoting policies aimed at helping people more easily access
treatment and recovery support.
As the nation’s largest nonprofit treatment provider, we rely on
the generosity of donors who make hope and healing possible.
We see a future where no one suffers or dies from addiction,
a disease that can be treated, managed, and overcome. And
every day, through expert care, published resources, professional
education, research, and the support of donors, we are helping
to build that promising new world.
HAZELDENBETTYFORD.ORG
If you or someone you love
is struggling with alcohol or other
drug abuse, there isn’t a better place
to find help and answers than the
Hazelden Betty Ford Foundation.
Reach out today.
We’ll be there for you.
Call us toll-free, 24/7, at 800-257-7800
or visit us at hazeldenbettyford.org
4949-1 MAT-0861 ©2014 Hazelden Betty Ford Foundation
OUR LOCATIONS
Aurora, Colorado
Beaverton, Oregon
Boston, Massachusetts
Center City, Minnesota
Chaska, Minnesota
Chicago, Illinois
Irving, Texas
Maple Grove, Minnesota
Naples, Florida
Chelsey, New York
Tribeca, New York
Plymouth, Minnesota
Rancho Mirage, California
Springbrook, Oregon
St. Paul, Minnesota
West Los Angeles, California
The Hazelden Betty Ford Foundation is a force of healing and hope for individuals,
families and communities affected by addiction to alcohol and other drugs. It is the
nation’s largest nonprofit treatment provider, with a legacy that began in 1949 and
includes the 1982 founding of the Betty Ford Center. With 16 sites in California,
Minnesota, Oregon, Illinois, New York, Florida, Massachusetts, Colorado and Texas,
the Foundation offers prevention and recovery solutions nationwide and across
the entire continuum of care to help youth and adults reclaim their lives from the
disease of addiction. It includes the largest recovery publishing house in the country,
a fully accredited graduate school of addiction studies, an addiction research center,
an education arm for medical professionals and a unique children’s program, and
is the nation’s leader in advocacy and policy for treatment and recovery.
Together, we will overcome addiction.
Call us toll-free, 24/7, at 800-257-7800
or visit us at hazeldenbettyford.org

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HBFFcapabilitiesBrochure

  • 1.
  • 2. Millions of people around the world are living proof that recovery is stronger than addiction. And living proof that treatment works. Families heal. Recovery lasts. Life gets better. For more than 65 years, our nonprofit organization has devoted each new day to helping more people reclaim their lives from addiction. Our expertise reaches across clinical care, published resources, professional education, and research—wherever, however, whenever we can help one more person find freedom from addiction. Together, we will overcome addiction. We are proof.
  • 3. *2012 National Survey on Drug Use and Health (Substance Abuse and Mental Health Services Administration) ** Principles of Drug Addiction Treatment (National Institute on Drug Abuse) For a disease that strikes 1 in 10 Americans over the age of 12,* addiction to alcoholor other drugs is surprisingly misunderstood by most people. Addiction is a disease. Addiction has been recognized as a disease by the American Medical Association since 1956. The American Society of Addiction Medicine describes addiction as “a primary, chronic disease of brain reward, motivation, memory and related circuitry.” Like other chronic diseases such as diabetes, asthma, and hypertension, addiction often involves cycles of relapse and remission. Addiction doesn’t discriminate. It is an equal opportunity disease. It reaches across age, race, gender, and socioeconomic status, striking more than 20 million Americans. There is hope. Like other chronic diseases, addiction can be managed successfully. Most people who go to treatment programs not only stop using drugs they also improve their occupational, social, and psychological functioning.** Three things you should know–
  • 4. MY RECOVERY STORY Why I couldn’t see where drugs were taking me. Elizabeth D., 23, an alumna of Hazelden in Plymouth, Minnesota INTERVIEW Meet Elizabeth D., age 23. Today, with four years in recovery from opioid/heroin addiction, Elizabeth describes the awakening during treatment that saved her life. When did you start drinking or using drugs? When I was 15, in high school. It started with drinking and study drugs [Ritalin, Adderall]. On weekends, mostly. I had good grades and was involved at school; I was in marching band and took Advanced Placement classes. But by senior year, my weekends got crazy. I drank a lot, and I don’t really remember much of what happened. Even today, friends from high school tell me stories about what we did, and I don’t remember. I went away to college, and I was on my own for the first time. That’s when I went completely overboard. I was taking Oxycontin. Later, when it was difficult for me to get Oxycontin, I switched to heroin. I didn’t go to classes. Didn’t make friends. Just wanted to do drugs or “have fun,” as I called it. What was your day like? I would wake up at two or three in the afternoon; missed all of my classes. And I’d immediately go to the bank and withdraw cash from the savings account my parents set up for me. I’d withdraw $200 or so, thinking it would get me through a few days, which it never did. It lasted one day. I had a guy living in my all-girls dorm room with me. He would drive me about an hour away from campus where we picked up what we needed at a hotel room. Then I would go back and hole up in my dorm room and watch Netflix until I passed out. That was my life. I didn’t do anything else. I didn’t eat. I didn’t want to spend money on food when I could use it to buy drugs. I don’t know where all of that time went. Sometimes on Sundays I would try to clean up and eat something and not use. But by the end of the day I would feel so sick that I always ended up back at the hotel room buying drugs. Q A
  • 5. When did you know you needed help? I didn’t. My family did an intervention when I was home for winter break. It was the classic scene where they each read their notes to me about how my actions made them feel. Right out of the TV show, I was thinking. Even then, I didn’t think I had a problem. I mean, I wasn’t using needles. I wasn’t out on the streets. Those were the kinds of thoughts going through my head. My family had an assessment and treatment program all lined up for me at Hazelden and a plane ticket to Minnesota. I was extremely angry and didn’t want to go but decided to play it out so my family could see I didn’t have a problem. I was completely convinced the assessment would show I wasn’t an addict and didn’t need treatment. Were you scared to go to treatment? I didn’t know anything about treatment outside of what I saw on TV. I thought it would be cold, sterile, scary, uncomfortable. It’s not like that at all. It’s a really nice place to be. You’re completely taken care of the whole time. Everybody gets their own treatment plan, so each morning your schedule is printed off for you listing your appointments and assignments for the day. What changed in treatment? My counselor told me I was in denial about my situation and gave me the assignment to talk with a peer about it. So I asked one of the other girls in treatment what she thought. She told me to think about myself before I started using, to look at my 19-year-old self through my 14-year-old eyes. Betty Ford’s legacy of hope Former first lady Betty Ford put a courageous new face on recovery in 1978 when, at age 60, she openly sought treatment for addiction to alcohol and prescription medications. Her candor created a national dialogue and lifted the shame surrounding addiction, unlocking the door to recovery, especially among women. In 1982, the former First Lady opened the door to recovery even wider when she cofounded the nonprofit Betty Ford Center in Rancho Mirage, California, modeling the clinic after Hazelden. She became an outspoken advocate for treatment, raising awareness about the disease of addiction and the potential for recovery. Her legacy of courage and compassion, now united with Hazelden, ensures countless more individuals and families will find new life in recovery. Closer than you might think Patients come to the Hazelden Betty Ford Foundation from across the country and around the world. With treatment centers in California, Minnesota, Oregon, Illinois, New York, and Florida, we’ve been a place of new beginnings for hundreds of thousands of people from all walks of life. See a list of our locations at hazeldenbettyford.org And to ask myself what, back then, I thought my life would be like. And that’s when it dawned on me. I’d pictured going to Duke University. Becoming an attorney. Being surrounded by lots of friends and family. Instead, I was alone. Miserable. So, so low. That was your turning point? Completely. I got a before-and-after picture of my life, and I could finally see that drugs and alcohol were ruining everything. Once I realized where my life was going, I was so extremely grateful to be in a place where I could get help. There was a solution for me. Things could be different. I was thirsty for this new knowledge. That’s how I started to learn about my addiction and how to start living again. The First Lady of Recovery
  • 6. If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800. H A Z E L D E N B E T T Y F O R D . O R G THE VERY DEFINITION OF TREATMENT The Hazelden Betty Ford Foundation’s earliest clinicians developed the addiction treatment approach most widely used in the world today, known originally as the Minnesota Model. Combining medical care with the emerging Twelve Step mutual support practices, addiction treatment for our patients was, above all, provided with empathy and dignity. Fast-forward to today. The innovation continues. As science further reveals the complex biological and behavioral workings of addiction, our treatment approach integrates the latest research and proven effective practices—always leading with the respect and compassion that has set our care apart from the beginning. TREATMENT & RECOVERY
  • 7. LEVELS OF CARE A plan built for you. Addiction doesn’t happen overnight. It’s a gradual process so incremental that it’s often not recognized until someone else intervenes. And, with addiction, every person’s situation is different. At the Hazelden Betty Ford Foundation, we take into consideration physical and mental health, gender, family history, types of drugs being abused and many other variables. Understanding those differences is important in developing the best possible plan to help you or your loved one get well and stay well. Assessment A careful process to ensure an accurate diagnosis. Residential Addiction Treatment Campus-based intensive care to meet the unique needs of each individual. Outpatient Addiction Treatment Programs that meet during the day or evening so you or your loved one can tend to work and family responsibilities. Structured Living Residential options with treatment and counseling support. Continuing Care Ongoing counseling to support and reinforce development of healthy behaviors, relationships, and lifestyle. TREATMENT & RECOVERY
  • 8. FAMILY SERVICES & SUPPORT Being there for families. Addiction is called “a family disease” for good reason. Families are in pain. By the time most families reach out for help, the disease has progressed to a crisis level. Families feel traumatized and overwhelmed; they’ve been lied to and betrayed. There are arguments and confrontations, slamming doors, and sleepless nights. Often, there’s more serious trouble— an accident, a lost job, an arrest. Families need help in their own right. Our educational and support programs help families learn about the disease of addiction and how it affects them. With care and support, families are able to work through the chaos they’ve experienced, understand how to set healthy boundaries, and begin to rebuild a trusting relationship with their loved one. Knowing that the disease of addiction is passed from one generation to the next, our prevention programs embrace children who are directly affected, and educate K–12 students, their parents, and school communities. Family Programs Social Communities Parent Recovery Groups Parent Coaching Children’s Programs Prevention Programs To learn more, visit H A Z E L D E N B E T T Y F O R D . O R G TREATMENT & RECOVERY
  • 9. To learn more, visit H A Z E L D E N B E T T Y F O R D . O R G RESIDENTIAL & OUTPATIENT ADDICTION TREATMENT Getting your whole picture. The way you think. How you feel. What you believe. Addiction changes everything about a person. It affects judgment, emotions, and beliefs. That’s why our treatment approach is holistic and personalized, providing care for the mind, body, and spirit and taking into account everything you or your loved one needs to get well. For Men For Women For Adolescents & Young Adults Our residential treatment centers maintain separate programming and lodging for males and females. TREATMENT & RECOVERY
  • 10. INTEGRATED CARE Designed to meet your needs. More often than not, addiction comes with complicating factors, including mental health issues related to anxiety, trauma, eating disorders, or depression. As many as 80 percent of alcoholics experience symptoms of depression.* With such complex disorders, the most effective approach is to integrate addiction and mental health treatment so that both issues are addressed at the same time. Your treatment team includes medical and mental health professionals who design your care plan with whatever therapies, mental health services, and medications are appropriate. Trauma Anxiety Depression Eating Disorders Compulsive Behaviors *“Addiction and Mental Illness,” Research Update, published by the Butler Center for Research, a part of the Hazelden Betty Ford Foundation. To learn more, visit H A Z E L D E N B E T T Y F O R D . O R G TREATMENT & RECOVERY
  • 11. To learn more, visit H A Z E L D E N B E T T Y F O R D . O R G TARGETED CARE Extra focus when needed. The more we learn about addiction, the more our treatment efforts can be targeted to address specific risks and challenges. For those who suffer from chronic pain or those in recovery from addiction to painkillers, careful medication management can be an important part of aftercare. Peer group support can be an especially important part of treatment for physicians, attorneys, and other licensed professionals who face significant risk and recovery issues unique to their professions. Informed by the latest research and best practices, specialized treatment programming for you or your loved one ensures the most effective care. Chronic Pain Older Adults LGBTQ Trauma Eating Disorders Pain Medications/Heroin College Bound Health Care Professionals Legal Professionals Licensed Professionals & Executives TREATMENT & RECOVERY
  • 12. LIVING IN RECOVERY With you every step of the way. The changes made in treatment—the way you think and react and care for yourself—are new ways of living that take practice. Regaining and maintaining health means learning to live differently; learning to manage a chronic disease. Staying connected with others in recovery is one of the healthiest moves you can make. Whether you want to be part of a structured recovery support program or you prefer informal support networks, our services and resources are designed to help you get answers when you need them and share that wisdom with others along the way. Web-Based Recovery Tools, Coaching, and Support Recovery Support Apps Recovery Support Text Programs Recovery Coaching & Monitoring Online Recovery Social Network Alumni Groups & Activities Recovery Retreats Recovery Celebrations & Special Events Daily Inspirational Emails Books & e-Books To learn more, visit H A Z E L D E N B E T T Y F O R D . O R G TREATMENT & RECOVERY
  • 13. If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800. H A Z E L D E N B E T T Y F O R D . O R G WRITING NEW CHAPTERS IN HOPE In 1954, Hazelden published a book written by a man who simply wanted to help other alcoholics. The book’s format was untried—a daily reading, meditation, and prayer. Selling almost 5,000 copies in its first year, Twenty-Four Hours a Day launched Hazelden’s publishing division and introduced a now iconic self-help tool: the daily meditation book. Today, we are the world’s leading publisher of addiction treatment and recovery resources. Our mobile apps and e-books, online bookstore, and on-demand curricula and videos for professionals put this world of information and inspiration at your fingertips, 24/7. PUBLISHING
  • 14. IT TAKES A FAMILY Families and addicts can find healing from addiction, together. Recovery author Debra Jay INTERVIEW PUBLISHING Meet Debra Jay, author, clinical interventionist, and addiction counselor. In 2008, Jay coauthored Love First: A Family’s Guide to Intervention, a breakthrough book for families hoping to get a loved one into treatment. In 2014, Hazelden Publishing released Jay’s newest book, It Takes a Family: A Cooperative Approach to Lasting Sobriety. In it, Jay draws from wisdom born of experience—her own as an addiction professional and that of countless families she’s helped along the way. Isn’t treatment for the addict the end goal families need most? Treatment for the addict is a starting place for the rest of the family to begin healing. Families need help in their own right. When an intervention is done properly, family members rally together and are educated about the disease of addiction and supported in taking action against addiction. I’ve seen families come together in unbelievable, amazing, beautiful ways through an intervention. The family is able to set the anger aside and move into empathy. Then their loved one goes off to treatment, the family is left on their own, and nothing more changes for them. Most alcoholics and addicts coming out of treatment have a recovery plan, but families are left to figure things out for themselves. What kinds of things do families need to change ? Families are profoundly affected by the disease of addiction, but they don’t realize the extent. More than anything, family members need help in recognizing and changing the fear-based behavior patterns they’ve developed in response to the Q A
  • 15. disease of addiction. They have been living in crisis mode and, as a result, have developed some unhealthy survival skills that carry over into all other areas of their lives. These survival skills become behavior patterns, or what’s called “character defects” in Twelve Step language. Some of the more common behaviors include the need to control others, perfectionism, hanging onto resentments, or behaving like a martyr. These are ways we learn to protect ourselves from pain. Peel back each of these behaviors and you’ll find the same thing: fear. Families who live with addiction live in a state of fear, behaving in ways to keep themselves safe—not understanding that those survival behaviors further perpetuate the fear. How does the family get out of that cycle of fear? There are simple, practical strategies families can put into action to build a circle of support for each other. I call it “Structured Family Recovery.” It begins when family members learn to take focus off of the addict and, instead, begin to focus on their own behaviors. More than anything, families worry about relapse. Everyone’s focus is on the addict. This has been the pattern. For months or years leading up to treatment, the family has been in crisis and watching the addict like a hawk, fearing whatever the next consequence might be. During treatment, all attention is on the addict, too. And after treatment, everyone’s attuned to the addict’s every move, terrified at the prospect of relapse. But families can change their focus and work in a collaborative way to not only reinvent their relationships but also be of support to one another, which reduces the probability of relapse. So, you use the term “circle of support” to describe a family? The circle image came to me in working with a young man whose family was at a loss after years of experiencing his mother’s struggle with addiction to opiates. His mother would go to treatment, stay sober for a while, and then relapse. Each time she relapsed, he said it felt like his family was standing outside a circle, turned inward, and all pointing at his mother in judgment. When his family finally got help for themselves, he described it as standing inside the circle—holding hands, working recovery together. That’s what Structured Family Recovery feels like for the family: You’re all in it together, including the recovering alcoholic or addict, each taking personal responsibility for yourselves and at the same time supporting one another. PUBLISHING IT BEGINS WHEN FAMILY MEMBERS LEARN TO TAKE FOCUS OFF OF THE ADDICT AND, INSTEAD, BEGIN TO FOCUS ON THEIR OWN BEHAVIORS.” “
  • 16. Hope, to share. As long as people in recovery and their families courageously tell their stories. As long as clinicians and researchers push for new approaches and more answers. As long as educators and community leaders believe in reducing risks and building resilience. We will continue to publish resources to build that better tomorrow. PUBLISHING
  • 17. If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800. H A Z E L D E N B E T T Y F O R D . O R G PROFESSIONAL EDUCATION A STUDIED INSTITUTION Our earliest leaders believed there were too many people suffering with addiction for us to keep our knowledge and experience to ourselves. That’s why our doors have always been open to other treatment providers and professionals—physicians, psychologists, social workers, clergy—to come and learn with us. Today, our Hazelden Graduate School of Addiction Studies is an accredited institution of higher education where the next generation of addiction counselors gains the professional competencies to deliver the most effective help. And with each new clinician comes the uncharted potential to save hundreds if not thousands of lives.
  • 18. AN EDUCATION IN ADDICTION Two counselors discuss the science behind hope. Hazelden graduate school alumni Manuel G. & Ahmed E. INTERVIEW PROFESSIONAL EDUCATION Meet Manuel G. of Mexico and Ahmed E. of Egypt, licensed and practicing addiction counselors and alumni of the Hazelden Graduate School of Addiction Studies. Both in long-term recovery from addiction, Manuel G. and Ahmed E. started graduate school with a special place in their hearts for people still suffering from the disease. What they gained was a different education in addiction recovery: the clinical skills to deliver the most effective help. What brought you to the graduate school? Manuel: I first heard of Hazelden when I was 16 as one of the treatment options my parents considered for me. At 18, after I got clean and sober, I needed to decide what to do with my life. I realized I wanted to help other addicts. That was an important turning point for me because I was a guitarist, a performer, and was accepted at the Berklee College of Music in Boston. Instead, I stayed in Mexico City to earn a bachelor’s degree in psychology, with the goal of going on to become an addiction specialist through the Hazelden graduate school. Ahmed: I was working as a counselor in the addiction unit of a psychiatric hospital in Egypt. I am a recovering addict, and I’d actually gone to treatment in that same hospital. I knew of Hazelden through its books and pamphlets on addiction and recovery. I had a bachelor’s degree in psychology, and my supervisor suggested that I continue my education if I wanted to work as a clinician. Hazelden seemed the obvious choice. I didn’t know it at the time, but our treatment model in Egypt was based on the Hazelden model of care. That’s something I discovered after arriving at the graduate school. Q A
  • 19. Does your recovery experience make you a better counselor? Manuel: A natural and important part of recovery is sharing your experience with other people who are working a Twelve Step program. Having that shared experience is still important, but now, as an addiction counselor, I’m able to clinically guide people through the stages of change. Ahmed: Being in recovery gives me a better understanding of challenges the addict and family members face, but I don’t think it makes me a better counselor. My education through the graduate school makes me a more effective counselor, a skilled clinician. I have the knowledge and skills to be effective–the scientific approach to treat the disease using evidence-based practices. What does the world need to know about addiction? Ahmed: What people don’t understand is that treatment works. We tend to hear and see only the bad outcomes, the news stories about famous people who get DUIs or commit other crimes or relapse and A Big Reveal Professionals gain insight into addiction treatment. A week-long summer institute held at the Betty Ford Center in Rancho Mirage, California, puts a face on the disease of addiction for medical students. Shadowing treatment patients or family program participants, medical students learn about addiction, treatment, and recovery from the patient’s perspective. It’s quite an awakening, as described by medical student Sahbina E., from Meharry Medical College. “I was overwhelmed by the honesty and openness of the family members who were a part of my group. I will never lose sight of the fact that addiction is a disease and that, as a future physician, I now carry the responsibility to use the information I’ve acquired to help future patients and their families.” Social workers, health care professionals, educators, and other helping professionals have opportunities for on-site learning at the Hazelden Betty Ford Foundation, as well. Through residential study programs, visiting professionals get an up-close look at the challenges of addiction and the effectiveness of treatment. Online and in-person continuing education courses, delivered by our clinicians, authors, and other experts in the field, connect professionals with the latest thinking and best practices in addiction prevention, treatment, and recovery. die. There are so many more people who go through treatment and are doing well. I think we will start hearing more and more of the good news. People in recovery are beginning to speak up. PROFESSIONAL EDUCATION “NOW, AS AN ADDICTION COUNSELOR, I’M ABLE TO CLINICALLY GUIDE PEOPLE THROUGH THE STAGES OF CHANGE.” “I WILL NEVER LOSE SIGHT OF THE FACT THAT ADDICTION IS A DISEASE … ”
  • 20. If you or a loved one is struggling with alcohol or other drugs, call 800-257-7800. H A Z E L D E N B E T T Y F O R D . O R G THE FIELD’S RESEARCH ENGINE We know addiction treatment is effective, measurably so. And treatment outcomes improve even more for patients who participate in continuing care or stay involved with recovery support groups. But more can be done. By studying the dynamics of addiction—how change happens, what internal and external factors matter most—we can help even more people. Through clinical and institutional research, the Butler Center for Research at the Hazelden Betty Ford Foundation asks the questions that lead to increasingly effective methods of addressing addiction, from prevention to treatment to lasting recovery. RESEARCH
  • 21. PHILANTHROPY & ADVOCACY TOGETHER, WE WILL OVERCOME ADDICTION.Millions of people die because of the stigma that surrounds addiction to alcohol and other drugs. Our Center for Public Advocacy is dedicated to breaking the silence around addiction and promoting policies aimed at helping people more easily access treatment and recovery support. As the nation’s largest nonprofit treatment provider, we rely on the generosity of donors who make hope and healing possible. We see a future where no one suffers or dies from addiction, a disease that can be treated, managed, and overcome. And every day, through expert care, published resources, professional education, research, and the support of donors, we are helping to build that promising new world. HAZELDENBETTYFORD.ORG
  • 22. If you or someone you love is struggling with alcohol or other drug abuse, there isn’t a better place to find help and answers than the Hazelden Betty Ford Foundation. Reach out today. We’ll be there for you. Call us toll-free, 24/7, at 800-257-7800 or visit us at hazeldenbettyford.org
  • 23. 4949-1 MAT-0861 ©2014 Hazelden Betty Ford Foundation OUR LOCATIONS Aurora, Colorado Beaverton, Oregon Boston, Massachusetts Center City, Minnesota Chaska, Minnesota Chicago, Illinois Irving, Texas Maple Grove, Minnesota Naples, Florida Chelsey, New York Tribeca, New York Plymouth, Minnesota Rancho Mirage, California Springbrook, Oregon St. Paul, Minnesota West Los Angeles, California The Hazelden Betty Ford Foundation is a force of healing and hope for individuals, families and communities affected by addiction to alcohol and other drugs. It is the nation’s largest nonprofit treatment provider, with a legacy that began in 1949 and includes the 1982 founding of the Betty Ford Center. With 16 sites in California, Minnesota, Oregon, Illinois, New York, Florida, Massachusetts, Colorado and Texas, the Foundation offers prevention and recovery solutions nationwide and across the entire continuum of care to help youth and adults reclaim their lives from the disease of addiction. It includes the largest recovery publishing house in the country, a fully accredited graduate school of addiction studies, an addiction research center, an education arm for medical professionals and a unique children’s program, and is the nation’s leader in advocacy and policy for treatment and recovery. Together, we will overcome addiction. Call us toll-free, 24/7, at 800-257-7800 or visit us at hazeldenbettyford.org