This document provides information to help wealth advisors identify and assist clients who may be struggling with substance abuse or other behavioral health issues. It discusses signs to look out for, the importance of legal documentation that allows advisors to communicate with family members, different types of treatment options and specialties, and resources for intervention and treatment referral. Case studies of potential clients with issues are also presented to demonstrate how to assess situations using the ABC (age of first use, big changes, co-existing issues) model.

1. Privilege- Power-Prestige
Problems
Dr. Louise Stanger ED.D, LCSW, CDWF, CIP
&
Dr. James Flowers

2. Meet Dr. Louise
Expert-Author Falling Up-A Memoir of
Renewal & Learn To Thrive- An Intervention
Guidebook
Director -All About Interventions and Past
Director Alcohol and Other Drug Services USD
Clinician -ED.d, LCSW , CDWF , CIP
Educator - Faculty SDSU, School of Social
Work, SDSU Interwork Institute. NIAA
Researcher , USD, Director AOD
-Widow- Wife-Mother-Stepmother-
Grandmother - Step Grandmother -
Aspirant Client

3. Meet
Dr. James Flowers, LPC
CEO, Driftwood Recovery
CEO Kemah Palms
National Pain Recovery
Consultant

4. Your Career
Help People Achieve & Maintain Financial Success

6. You Have the Opportunity
To Play a Key Role
With the ongoing opioid epidemic, availability or
marijuana and other drugs addiction has become a
problem with no class lines. The story of pain medication
following surgery leading to opioid addiction and heroin is
everywhere.
Wealth advisors may not of thought of this as part of your
job description , but you are in a unique position of
Influence and Trust to identify and help intervene when
the persons with problems are clients and their loved ones.

7. Who is your Client ?
As an advisor what are your
legal rights in terms of who you
communicate to?
Who is your client?
Its easier if you represent the
family and have the power to
talk to the family
Tricker if your client is the
identified love one with the
problem

8. “Make sure your documents put you
in a position to do something”.
Harry Nelson Esq.
Trust Documents and client agreements should provide sufficient power
for mangers and trustees to speak in case of a health crisis .
Trust documents include “spendthrift”provisions allowing trustees to adjust
or control spending for people with spending problems and substance
abuse and mental health crisis.
Different states offer different degrees of latitude to put controls on funds -
age 21- 25 th and in some cases beyond
Think that addiction is not an age-bound disease and have management -
control mechanisms beyond these dates
These are discussion you may have with parents or grandparents

9. People Come with…
Children
Wives
Husbands
Mistresses
Extra Marital Affairs
Relatives-Intergenerational Wounds
Employees
Entourage of Folks

10. Be On The LookOut
Sudden Changes in Spending
Lying- Increased Irritability
Depressed or Overly anxious and Worried
Legal
Health- Physical Maladies- Lethergy
Relationship Failures
Work- Cheating
School- Missing Classes
Intergenerational Wounds

11. Temporary Incapacity Of
Clients and their families
Accidents keep happening
Money keeps being missed
Missed Appointments with
you
Fall asleep while talking with
you-Distracted not able to
keep focus

12. Attributes of Healthy Families
McMannis PHD & MacMcMannis MSW
Talking and Loving Balancing Closeness &
Difference
Expressing Language Accepting Difference
Adapting to Change Seeing The Positive
Sharing Time together Effective Problem Solving
Who’s in Charge Parenting Together

13. Keeping The Status Quo
SA. MH, CP etc .
Organizing structure
Unconscious and
Conscious Gratification
Strategies must be
employed that change
usual ways of relating,
categorizing , and thinking

14. Meet The Parents
EMOTIONAL INTENSITY
FINISH SENTENCES
BAIL OUT
FINANCIAL SUPPORT
FOOD, CLOTHING
SHELTER
FEAR of FAILURE
ABCD

15. Secrets Dominate

16. Confabulations

17. Problematic
Behaviors
Substance Abuse-
Mental Health
&
Process Disorders ( Sex,
Gambling, Spending, Shopping,
Disorder Eating
Etc)

18. Phone Call For Help
Your client calls you in distress
The accountant calls you
The estate attorney calls you
Usually they speak with rapid fire
and They want something done -
NOW- Fix It
You lend an ear and Stop- Pause-
Breathe and Listen
Quick answers are not always the
best answer

19. Please Remember
This is not your area of expertise

20. And You Can Be A
Resource
Listen as best you can - You have a position of
Trust and you can reassure the client with the
problem that just as Aspirant has a top notch
team you can help bring in a team
Isolate the concerns
Who, What When, How
Share that you will connect with an expert -
Even if you have had first hand experience
with MH or SA or Process Disorders Not all
Treatment Centers are alike and one size does
not fit all
Before Giving out or Commenting on a Center
its best to seek professional Consultation

21. What does this mean in the
Behavioral Health Care Field
A= AGE OF FIRST USE
B=BIG CHANGES
C=CO-EXISTING
MENTAL / BEHAVIORAL
HEALTH ISSUES
DNA-FAMILY HISTORY

22. Isolate and Locate the Issues

24. When Choosing Good Treatment Geography is not
the issue !

25. What makes Good
Treatment
Accreditation of Center- CARF-
JACHO
Staff-Credentials- CEU
Emphasis of Treatment and
Treatment Modalities
Accommodations
Auxiliary Services
How Long In Business
Flexibility They do what they say and
say what they do

26. Types of Treatment
Medical Detoxification
Residential Treatment
Florida Model
Structured Sober Living
Intensive Outpatient
In-Home Treatment Plans
Intensives
Sober Companions
Sober Coaches
MOST IS MULTIFACTED

27. SPECIALITIES
PROFESSIONALS
SENIORS
GENDER SPECIFIC -WOMAN- MEN
LGBT-TRANSGENDER
YOUNG ADULT-WILDERNESS - SCHOOL- DIGITAL
ADDICTIONS-AFFLUENZA
FAILURE TO LAUNCH
GAMBLING
SEX
SHOPPING
DiIGITAL ADDICTION-GAMING
DISCORDED EATING
CHRONIC RELAPSERS
DUAL DIAGNOSIS -MH AND SA OR PD
MENTAL HEALTH- BD, DEPRESSION, ANXIETY
TRAUMA INFORMED

28. Treatment Costs
Inpatient -from $ 300,000 per month-to
o
Average is around $45,00 a month though
there is good treatment at the $15,000.00
a month range
Average length of stay is 45 days
Average length of all treatment types 6
months to 1 year
Insurance -No Insurance
Aston Abernathy COO,AVA Billing and
Consulting - Can check Insurance
949-315-1818 or 949-397-2288

32. Meet Josh
age 52 Embezzlement
A=14 played poker and
Texas hold um in high
school, trips to Vegas
B= Divorce pending , two
sons Fractured family,
C- high strung -anxiety -
Possibly Manic -Cocaine -
alcohol -pills
DNA-, hx of religiosity ,
workaholism MH ,
holocaust three generations

33. Meet Sylvia
age 69 Embezzlement
A= 30 Valium from Mom
B= Suicide adopted son.
Divorce, two daughters,
Fractured family,
C- Cognition Problems /
Mental Health/ SA R/O/
early dementia
DNA- three sisters, hx of
SA, MH three generations

37. Getting Back to the ABC’s and
Failure to Launch
Meet Arthur
Entitled
Never Had to Work
College Education
Enmeshed Family System

41. Meet Rob age 45 and His
Divorced Mother $$$$

44. Recovery is Beautiful

46. RESOURCES
Dr. Louise Stanger Ed.D, LCSW, CDWF,CIP, ,http://www.allaboutinterventions.com,
619-507-1699
Harry Nelson JD. Nelson Hardiman -Behavioral Health Care Law- http://
www:www.nelsonhardiman.com/ 310-203-2800
Dr. James Flowers, LPC -CEO Driftwood Recovery, Austin- https://
www.driftwoodrecovery.com /715-205-1493
Aston Abernathy COO,AVA Billing and Consulting - Can check Insurance
949-315-1818 or 949-397-2288
Cherylene Short Majors Ph.D- Senior Strategic Advisor, Constellation Behavioral
Health 310-924-9139 http://www.constellationbehavioralhealth.com

47. ASAM Definition of
Substance Abuse 3-11-2015
Addiction is a primary , chronic disease of brain reward ,
motivation , memory and related circusy. Dysfunction in
these circuits leads to characteristic biological,
psychological, social and spiritual manifestations. This is
reflected in an individually pathological;;y pursuing
reward and/or relief by substance abuse use and other
behaviors.