Mindful Happiness

Anthony Quintiliani, Ph.D, LADC

  • Home
  • Dr. Anthony Quintiliani
    • About
  • Mindful Happiness
  • Mindful Expressions Meditation CD
  • Contact

December 30, 2017 By Admin

Very “SAD” Facts about the Addictions Field

Very “SAD” Facts about the Addictions Field

A recent issue of the Addictions Professional presented very disturbing news about how clinicians in the field are doing.  NOT WELL! Addictions clinicians treat people with addictions but mainly people with co-occurring disorders – addictions with trauma, depression, anxiety and/or eating disorders.  Often there is also a co-occurring medical condition. This is very difficult work. People suffering from these conditions often relapse into one condition when they improve in another. Trying to attain a healthier client life in this work is no easy matter, and places huge emotional strains on families and clinicians. It is a profession of the heart.

To begin with it is so sad how poorly the American public understand addictions. I think much of this wrong opinion is based on stigma, shame, and very poor public education about addictions.  A recent Harris Poll of 2,184 adults, of which 692 were parents of children between the ages of 6 and 25, noted that 66% of the people polled thought addictions could be cured; nearly all professional groups believe it is a chronic, progressive disease/syndrome that can be managed. Recovery, of course, is quite possible; recovery, however, does not meet clinical criteria of a “cure.”  18% believed that recovery was hopeless once a person relapses after intervention. In reality, relapse is simply part of the recovery process and may indicate by its repetition how severe the addiction is (a brain-based, mind-body-spirit disorder). 55% had an opinion that a person with an addiction could not perform well at work. In reality this situation if quite variable. 42% to 47% of respondents would feel uncomfortable if a significant person (potential in-law, teacher, medical doctors) had an addiction. Well we all know how poorly informed the American public has been and still is about the realities of addictions. What is the problem here?

A recent Quality of Life survey of 650 addictions clinicians found that in 2015 71% intended to work in the field until retirement. That number was reduced in 2016, with only 68% planning to retire from their current work. In 2017 the number went down again with only 59% of current addictions professionals intending to remain in the field until they retired. That is a 12% drop in just three years. Almost 10% noted that they would most likely seek another career. Workloads have increased and salaries have not move very much. 52% of a sample of workers noted that their caseload has increased over the past two years. What about compensation? Not so good! In 2017 71% noted that their current salary DID NOT reflect their training, experience, and job requirements. 35% have quit a job in addictions work.  13%noted that their clinical supervision needed improvement or was not good at all. These numbers are dismal.

At the same time documentation requirements of state and federal government funding, as well as health insurance company funding, have increased dramatically. In my own experience I supervised clinicians working with very difficult addiction clients. Most of them had to spend about 51% of their time documenting the work they did, while only 49% of their time or less was actually working with clients.  It was common for people to go back to work on weekends to complete overdue paper/computer documentation. I often joke that to be an addictions counselor you need to fill out more paper and/or computer screens than to transport nuclear waste across state line or to buy a house.  I think this may be true!  I call this “Organic Bureaucracy,” where record keeping and management functions increase to the detriment of time with clients. Is it not the goal to help client learn skills and stabilize emotions so that they may enter recovery process? This requires TIME!

How about self-care. Surely in such a “strained” field – often called the poor sister or poor brother of health care – where demand for services outpaces staff and funding availability – self-care must be seen as important. Perhaps not! Survey data suggests that only about 1/3 of addictions counselors perceive self-care as a high priority at their place of employment. 25% note that self-care receives little or no attention.  41% note that self-care is an occasional topic in the workplace. I fear that marginal supervisors may be fearful of emphasis on self-care, perhaps suggesting that the job really cannot be done in a healthy way. Lots and lots of “burn-out.”

Let’s HOPE that somewhere up the federal bean stock somebody wakes up. In not, we may see huge shortages of qualified addictions professional. Yes there are other resources, but often far less trained and experienced in helping people work their way out of their addictions and other clinical conditions. Then what?

For more information refer to Addiction Professional (Fall, 2016), pp. 16-18, 20, 40.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, Vermont and the Home of The Monkton SanghaChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Addiction, Behavior, Featured, Therapist, Thoughts & Opinions Tagged With: ADDICTION PROFESSIONAL, ADDICTION SUPPORT STAFF, WORKING WITH ADDICTION

Twitter

Mindful Happiness -Currently in Production

Mindful Happiness Posts

Honoring First Nation – Native American Spirited-Wisdom American First Nation or Native American People (according to how they wish to be named) have  a strong spiritual traditions honoring life, the earth and the heavens.  Naming these wise peoples is a problem; out of respect one would call them First Nations, Native American, or a specific […]

Improving Client/Patient Collaboration  in Treatment To improve collaboration between you and your clients/patients, simply practice the following behaviors as your norms.  See the list below, and practice, practice, practice. Present with an attitude of helpfulness and authentic caring. Empathy and authentic concern are required. Recognize the reality that clients/patients are at different levels of readiness […]

Grief, Mourning, and Traditional Chinese Medicine Based on the Buddhist reality of impermanence – we all will someday die; it is also quite true that we all will suffer from loss, grief, and mourning when others we care about die.  The typical stages in this process are Denial, Anger, Bargaining, Depression, and Acceptance. There are […]

A Tribute to Ram Dass (Richard Alpert) Recently Ram Dass died at his home in Maui. He was 88 years old.  He was born into a well-off Boston family, and enjoyed materialism in his early professional years.  When completing a Ph.D. in Psychology at Stanford University he was still into material things. His spiritual awakening […]

What The Buddha Taught About Metta In the Metta Sutta (Anguttara Nikaya, 11:16) The Buddha said that we should seek the following characteristics in how we live our lives: Wholesome goodness; Gentle speech; Human Humility; Personal contentment; Personal calmness; and, Pure-heartedness in all we think, say, and do. By living this way we would be […]

In The Dhammapada the Buddha includes an important section on the topic of happiness.  How to be happy in a life of changing joy, suffering, and neutrality? How to be happy in a world of attachment/craving for desired pleasures and avoidance of all suffering?  Attachment, impermanence and unhelpful experiences – all cause suffering.  It is quite […]

Healing Meditations for Destructive Emotions Based on the mountain of research supporting the use of regular meditation practices and yoga, it is safe to say that Buddhism and its practices have merged with modern scientific investigation. From the early days of Mindfulness-Based Stress Reduction (the MBSR of Jon Kabat-Zinn) and Dialectical Behavior Therapy (the DBT […]

Mindful Happiness:   Joy is Within Reach – It is Up to You to Choose It! We all live in a very troubled world with lots of greed, hate, warfare, and danger. Many of us use distractions (addictions, cell phone habits, eating, gathering, games, etc.) to make it through the days. This is true!  However, […]

The Failed “War on Drugs” – Let’s Try Treatment On Demand and Fund It The New York based Drug Policy Alliance (drugpolicy.org) and other sources have provided some important information about our failed drug and alcohol policies. Here are a few astounding facts.  The United Stares has about 5% of the world’s population, but it […]

Vipassana Meditation and Introduction Vipassana meditation, as taught by S. N. Goenka, has been practiced in India, Europe, the United States and in many other parts of the world. There are various claims for effectiveness when used as a form of meditative treatment with various populations (often correctional and substance using populations); however, there is […]

Mindfulness Defined… There are many definitions of mindfulness.  Here I have combined several popular views into one.  This definition and process may be helpful to readers who cannot quite grasp what it is, what it feels like, and what steps can make it happen.   Good luck in your regular practices!   Mindfulness is: Paying […]

Trauma Informed Care – The Absolute Basics This post aims at providing a very basic introduction to Trauma Informed Care.  Advanced versions of this information are available from the author.  So what is Trauma Informed Care (hereafter TIC)?  Below I have listed rationales of need and core characteristics of TIC in organizations. Why We Need […]

Building Emotional Resilience On a personal note, right now I am suffering.  Its April 15th and I have a terrible viral infection (sore throat, chest congestion, and fever).  I feel weak and miserable.  Perhaps all that frigid air we endured in New England this Winter also kept infectious “stuff” under control for a while. However, […]

Safety:  Mindful Candle Gazing Meditation Practices Candle light and candle gazing are common in many spiritual and religious practices.  After many fire-related losses, religious organizations have found ways to maintain the practice and reduce liability related to accidental fires.  The National Candle Association is also quite aware that their products include some risk.  Therefore, the […]

“The Other Shore” to Happiness and Enlightenment Thich Nhat Hanh’s book, The Other Shore: A New Translation of The Heart Sutra…Berkeley, CA: Palm Leaves Press brings us on an inner journey toward a happier, more peaceful and enlightened life. Wisdom implies that we understand that life is made up of mental formations, no-self (more clarifications later), […]

Counseling/Psychotherapy with Self-Compassion Please begin by ending all conversations, and PLEASE shut-off your phones and/or laptops.  Simply be for a moment in the quietude of your inner self. Please close your eyes if you wish to do so. Contemplate the sacred nature of your profession – saving lives, reducing suffering, being a constant object, practicing […]

Mindfulness Based Contemplations Best to practice both of these contemplations using the lectio divina method, that is each time you contemplate the content of the two messages concentrate a bit more, go a bit deeper into your mind. Concentrate! Concentrate! Concentrate! Go deeper into your mind to discover your answers. Contemplation 1 – Who Am I? If I […]

Psychodynamics of Alliance – Therapeutic Relationship Enhancement This post includes basic considerations, processes, and clinical skills necessary for developing a strongly positive clinical alliance and therapeutic relationship in therapy.  Here the alliance is required for any substantial change in psychotherapy, and the therapeutic relationship rides the quality of the initial alliance to expand and inter-penetrate […]

In Times of Uncertainty; Clinical Practice H. Colodro and J. Oliver provide sound advice in their new book, A Guide to Self-Care for Practitioners in Times of Uncertainty. This 2020 New Harbinger publication is loaded with helpful suggestions on surviving, even thriving, in our time of struggle. Their core questions include: What do my clients need most […]

Mindful Happiness Explores – The Miracle of Mirror Neurons Between 1996 and 2000 researchers (Gallese and Rizzolatti) at the University of Parme in Italy discovered what are now called mirror neurons. Neuroscientists speculate that mirror neurons (reportedly in the Broca’s area of the prefrontal cortex) activate perceptual responses for internal motor-emotional responses.  Thus mirror neurons […]

Mindful Happiness Tags

ACTIVITY TRAINING SELF COMPASSION COVID-19 VIPASSANA MEDITATION DR ANTHONY QUINTILIANI BRAIN SELF ESTEEM TRAUMA JOURNALING SELF MEDICATION WALKING MEDITATION ACTIVITIES PRACTICE MBSR THERAPY. VERMONT MINDFUL HAPPINESS PRACTICES SELF CARE MEDITATION PRACTICE HAPPINESS ADDICTION VIPASSANA WISE MIND MINDFULNESS BUDDHISM PSYCHOTHERAPY MINDFULNESS TRAINING CONSCIOUSNESS SELF THICH NHAT HANH SUFFERING ENLIGHTENMENT COMPASSION CLINICAL SUPERVISION MINDFUL ELEANOR R LIEBMAN CENTER MEDITATION BREATHING MINDFUL MEDITATION ANTHONY QUINTILIANI EXERCISES MINDFUL TRAINING EMPTINESS

Mindful Categories

Mindful Happiness Pages

  • About
  • Contact
  • Dr. Anthony Quintiliani
  • Mindful Expressions Meditation CD
  • Mindful Happiness
  • Site Map

Copyright © 2023 · Mindful Happiness