FAITH BASED REHABS:

What, in Gods name, is going on?

By Shaun Shelly While there has been a long history of incorporating spiritual principles in recovery and faith based organisations are commonplace ,with many of them doing a fine job, if they are simply offering spiritual solutions to addiction they are not offering addiction treatment, and may, in fact, be doing more harm than good. Any place that purports to be a rehabilitation centre should be recovery based, not faith based. One of the pastors who volunteers time at the non-profit organisation where I head up the addiction program came to me and said: Shaun, I have a problem. I no-longer feel comfortable with many of the rehabs I have been helping out at. What is going on there is wrong, and I can no longer be part of it. Hallelujah.

has seen the spiritual program becoming the de facto cure for addictions. Even this, however, is too much recovery for some of the faith based addiction programs we have in my local setting. Many organisations purporting to offer a cure for addiction believe that there is a pill that will solve your problems: The Gos-PILL. For me this is a bitter pill to swallow. Let me state clearly that it is my position that this thing we call addiction cannot be fully explained without taking a spiritual component into account. It is, in my and many others opinion, a bio-psycho-social-spiritual disorder. I also state for the record that I am a Christian working for an organisation that has a Christian ethos. I also believe that religion and spiritual awakening can be powerful motivators and agents of change, but to present this as a cure for addiction is morally wrong.

The Value of Religion in Recovery Recently I attended an academic forum where a clinical psychologist was presenting on the psycho-dynamic theories of For a long time recovery and addiction. After the talk one I also believe that religion and spirituality have been of the attendees, a pure spiritual awakening can be inexorably linked. This is scientist with a PhD who is powerful motivators and agents understandable considering currently studying changes in of change, but to present this as that AA, and by association brain activity amongst a cure for addiction is morally 12-step programs, were Methamphetamine users, wrong. influenced by the teachings made the comment we of the Christian Oxford should send them all to Group. Jung, whos ideas church. While this comment was made a also influenced the thinking of Bill W, the little tongue in cheek, there is some truth in founder of AA, coined the phrase Spritus the concept that many addicts benefit from contra spiritum and described alcoholism in religious involvement. The cynical amongst us one patient as the equivalent, on a low level, may even describe the 12-step meetings as a of the spiritual thirst of our being for form of religious gathering. wholeness, expressed in medieval language: the union with God. The adoption of 12-Step In their paper Religion, Self-Regulation, and program into the professional treatment Self-Control: Associations, Explanations, and setting in the form of the Minnesota Model Implications, McCullough and Willoughby Page 1 of 4
Copyright: Shaun Shelly, 2013 www.addictioncapetown.blogspot.com shaun.shelly@yahoo.com

conclude that there is strong evidence that religion is positively related to self control and influences goal selection, pursuit and management; there is reasonable support for the idea that religious rituals such as prayer and meditation can promote self-regulation; and there is mixed support for the idea that religion promotes self-monitoring. Religion can therefore have a due role: (a) It prescribes what people should strive for and (b) it prescribes the path people should take to reach these goals (Pargament, 1996). In other words, it can help the individual find meaning. In terms of social support, by joining a religious organisation, the recovering addict can form new bonds and receive the social integration and support that was often lacking during the periods of addiction (Loewenthal, 1995). I have also found that the Christian concepts of being reborn, forgiveness and repentance greatly facilitate the addict turned Christian to heal the damage of their past as well as catalyze the behavioural, cognitive and psychodynamic changes essential to the recovery process. Without labouring the point further, I merely want to point out that spiritual enlightenment/conversion can be key to a persons recovery, or can, to a lesser degree, certainly help an individual attain their recovery goals. Where it Goes Wrong While there are a number of faith based recovery resources that successfully blend religion and recovery, we have all heard the horror stories that stem from faith based programs gone wrong. In the local (South African) context we have heard reports of Islamic Rehabilitation Centres kidnapping

people off the street at the request of their family, holding these people captive and beating the soles of their feet (or should that be souls). One of the largest Christian facilities guarantees a cure for addiction. I quote: Last night I heard, the word came to me, about a miracle cure for addiction100% cure, guaranteed..How desperate are you for this cure?.John Chapter 8 verse 36. Therefore if the Son makes you free you shall be free indeed. This particular centre also offers correctional Intervention where The level of discipline will be stricter than the centre (e.g. military style inspections and parades) in order to build team spirit, respect and selfcontrol. This Centre was investigated in early 2001 for the deaths of two patients, or would that be inmates. These miraculous cures and false promises all come with an overrider: You must join, and stay in, our program at a fee. Yes, this fee is often a lot less than other treatment options, but then other treatment options have to do things such as employ professionals, and are trying to pay salaries for a multi-disciplinary staff, rather than support the owners life-style. This is manipulation. It is taking advantage of desperate families who would do anything to save their children and it is morally reprehensible. Recently I have had to deal with some of the fall-out of an organisation that was started by an ex-addict who had had a Damascus Road experience and was called by God to open a secondary care facility. This individual recently relapsed causing significant therapeutic damage to many of those living in the house, and expecting his subordinates to assist him in converting items in the facility to cash so he could continue to fund his habit. When the Page 2 of 4

Copyright: Shaun Shelly, 2013 www.addictioncapetown.blogspot.com shaun.shelly@yahoo.com

money ran out, he simply rededicated himself and its back to business. And this is where it all goes wrong: there is no accountability.

professional body, the standards set for evidence based treatment, your church, your peers, and most importantly, those in your care.

More Harm than Go(o)d Accountability and Training Addicts and their families are a vulnerable Speaking from the Christian perspective, population. They are desperate for recovery. there has to be accountability. Many of these Often they have tried many things that faith based facilities have no accountability. havent, for various reasons, worked. That is They use various loop-holes that are designed why we see the proliferation of expensive and to protect freedom of religion so as to be able untested cures. Think Ibogaine. The to deliver various services without particular harm done by these fundamentalist accountability. We see rehabs call themselves religious approaches is that they may laden all manner of things to avoid providing the addict with an undue sense of shame. professional services and avoid registration as Shame has been shown to increase incidences treatment centres and thus circumvent the and severity of relapse as well as have corresponding compliance criteria. In so doing implications on health (Tracy & Randles, they also avoid being accountable to 2013). The typically confrontational approach professional bodies. And because it is a is also in direct opposition to evidence based ministry and calling from God many are techniques such as motivational interviewing. simply too trusting to ask This all goes to making valid the difficult questions, so They are usually recovering treatment approaches less they cleverly avoid addicts who use their personal attractive to the addict and accountability to the very recovery experience as the their family. people that pay them to sum total of their research. Another factor is that these provide recovery services. People, surviving cancer does programs tend to advocate not qualify you as an Oncologist! Most of the program long-term treatment, and are leaders that I have often only effective while the encountered in such facilities have no individual is in the program. They have personal accountability either. They are nothing to carry home and self-efficacy is usually recovering addicts who use their not what the program is designed to foster. personal recovery experience as the sum There is often the on-going financial and total of their research. People, surviving emotional abuse that the leader exerts on his cancer does not qualify you as an Oncologist! converts, fuelled by the inappropriate oneIf God has called you to turn your tribulation sided relationship that has been fostered. In into triumph and help others, then walk the these facilities it is certainly Personality walk. If helping people recover is your true before Principles. I find it amazing that the purpose and calling then you wont mind self-appointed experts would often not begin working under those who are more to measure up to the standards they expect experienced and qualified. You wont mind from their followers/clients and yet they hold studying for a few years and working for a themselves up as the standard. pittance. You wont mind living in the real These cultish organisations give religion and world before teaching others how to. And you recovery a bad name, and make it even more wont mind being accountable to a Page 3 of 4
Copyright: Shaun Shelly, 2013 www.addictioncapetown.blogspot.com shaun.shelly@yahoo.com

difficult for those suffering with addictive orders to find true recovery after exposure to these damaging environments. These facilities begin to look a lot like churches with captive congregations and 7-day a week services. What should Legitimate Faith Based Facilities be Offering? We all have a right to religious freedom. As I have stated, I believe that a spiritual awakening is key to many peoples recovery, but it is not the only way to finding recovery from addiction disorders. In his useful book The Biblical Link to Addiction, Colin Garnett views addiction from a Christian Biblical understanding, and even from this point of view he suggests that Alcoholism needs Christianity like the Church needs therapy and continues Therefore the danger is that even if we assume the best of Christian ministers to be fully conversant with counselling people through the theological themes highlighted, their best theology is still going to leave people wanting. Addiction is an exceedingly difficult disorder to treat. Rule number one of effective addiction treatment is that there is no one size fits all cure. Because of the complex interactions of mind, body, soul and environment that lead to addiction, addicts require an equally complex mix of treatment interventions. While there are some who will benefit from a purely religious or spiritual experience, this should not be the focus of a professional treatment setting this type of spiritual awakening, as is the 12-step program - is free to anyone who joins a church, and those who commercialise this should be approached with caution. Any good treatment program, even if it is faith based, should include qualified professionals who are using research based therapies or interventions that stand the test of science.
Copyright: Shaun Shelly, 2013 www.addictioncapetown.blogspot.com shaun.shelly@yahoo.com

In fact, I would go so far as to say that before being faith based, any addiction treatment centre needs to be recovery based. Bibliography Garnett, C. (2011). The Biblical Link to Addictions. AuthorHouse. Loewenthal, K. (1995). Mental Health and Religion. London: Chapman&Hall. Mc Cullough, M., & Willoughby, B. (2009). Religion, Self Regulation andSelf-Control: Associations, Explanations and Implications. Psychological Bulletin , 1:69-93. Mental Health Foundation of UK. (2006). The Impact of Spirituality on Mental Health: A Review of the Literature. London: Mental Health Foundation. Pardini, D., Plante, T., Sherman, A., & Stump, J. (2000). Religious faith and spirituality in substance abuse recovery: determining the mental health benefits. Journal of Sustance Abuse Treatment , 19(4):347-54. Pargament, K. (1996). Religious Methods of Coping: Resources for the Conservation and Transformation of Significance. In E. Shafranske, Religion and the Clinical Practice of Psychology (pp. 215-234). Washington DC: APA. Sremac, S. (2010). Addiction, Narrative and Spirituality: Theoretical-Methodological Approaches and Overview. Academia.edu , 255-273. Tracy, J., & Randles, D. (2013). Nonverbal Displays of Shame Predict Relapse and Declining Health in Recovering Alcoholics. Clinical Psychological Science .

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