AIR's Response to Intervention TV

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AIR's Response to Intervention TV

Based on the popularity of reality TV today and the number of phone calls our offices have received over the past year from various program producers, we knew it was only a matter of time before a reality based TV program about interventions was put on the air.

Working in the intervention field, we were obviously concerned about the quality and the impact that a reality TV show could have on viewers in general, families that are struggling in particular, and our industry as a whole. I vividly remember the negative affect the widely watched HBO-TV show The Soprano’s had on our business several years ago. During the episode entitled “The Strong, Silent Type,” a drug intervention is held for the heroin-addicted character Christopher. The intervention goes badly and ends with the intervention participants beating each other. Many families who watched that show believed this was the way a typical intervention ended. As a result of that, phone calls into our call centers virtually stopped for weeks.

The new A&E TV reality program titled Intervention airs nationwide on Sunday evenings at 10:00 p.m. eastern daylight time. This program portrays addicts of every type: drug, shopping, gambling, self mutilation. It follows the addict to show how their problem affect other areas of their life, contains interviews with families and friends, and finally shows the addict being confronted at a professionally run intervention.

I personally have found the mixed emotions surrounding this show very interesting and revealing. The show has more the feel of a documentary than a reality TV program. It has done very well in the ratings and is generating a great deal of interest. The opening episode of Intervention drew 1.6 million viewers -- the biggest-ever young audience for a Sunday night show on the network.

All that being said, many of the mainstream media critics do not seem to approve:
"It makes prime-time sport of vulnerable, desperate people and their spiral to the bottom," wrote Matthew Gilbert of the Boston Globe. Dusty Saunders of the Rocky Mountain News says the show is "scream-and-shout television at its worst, a depressing hour trying to pass itself off as a show offering helpful therapy." Kevin Crust of the Los Angeles Times calls the show a "vile little exercise in debasement" and an "emotional snuff film."

As I reviewed some of the show's comments on the reality TV messaging boards, it was interesting to watch how those not familiar with addictions and recovery viewed the show. These fans understood immediately how the addiction affected the family system and how/where the family enabled the use. One viewer commented on the show about a compulsive gambler: “I felt terribly sorry for his parents, who he thought was obligated to take care of him for his entire life”. Another wrote: “Shame on his parents for creating this monster! His parents have enabled him far too long.”

Many professionals from the addiction field that I talked to felt that the show was exploitative and crossed many lines. The show that stirred the most controversy was the young girl who was “cutting” herself. Counselors felt that this episode may cause more people to harm themselves.

From my position, as a direct provider of intervention services, I believe this show was a huge success on many levels. The most important perhaps being that the show is helping families by educating them about possibilities they may not have previously considered. As well, it is galvanizing a fair portion of them into action--our national call center set record call volumes following the first two episodes. Millions of views saw first hand that professional interventions work.

This show does a great job of educating people about the various guises that the disease of addiction can wear. It clearly points out that it is a family disease and that there are negative consequences for the entire family system. And, sadly, shows to what a large degree the family, through their own unwitting enmeshment and enabling, contribute to keeping their loved ones sick.

While Intervention illustrates how terrible addiction can be it also gives people hope. Through intervention and family action we are able to motivate behavior that changes lives and help families.

The interventions that take place on the A & E show are realistic and fairly represent what actually takes place during a professional intervention. The piece of this program that differs from tradition intervention work in the field in that these addicts have already moved beyond the denial stage as they have already agreed to be on camera and willingly expose their usage. In many ways it makes the work of the interventionist that much easier.

I would have preferred it had A&E televised more about the actual intervention preparation process than they did. The most important piece of the intervention process, missing from the show, is the work that is done to prepare the family team the day preceding the actual intervention. This preparation work is the key to a successful intervention.

There are two goals when we do interventions: the first goal is to get the identified individual into treatment and that happens around 90% of the time. The second goal is to move the family out of crisis and to help them set healthy boundaries for themselves and that happens 100% of the time. I believe that families would have related to this program at a higher level and gained more benefits had that side of the intervention been highlighted.

If you watch this program closely you can see how terribly beaten down everyone is. The families were sick physically and emotionally and seemed hopeless. If you watch the addicts/alcoholics closely they were relieved to be offered help. It makes me wonder with the high success rates of interventions and the increased recovery rate after treatment, why intervention isn’t used more often.

There is a lot of education and resources around addiction and prevention which is great, but information about intervention is scant. Intervention is affective solution when prevention wasn’t when you’re already addicted or live with someone who is. It provides immediate solutions to the families’ immediate problems. Still few people know about it.

I think that the show is a success because it has publicized and validated intervention. Most of the calls we receive following each episode are from people who didn’t know that this service existed. Many of them were contacted by other family members and friends who saw the program and felt empowered to finally break the conspiracy of silence and talk about their family problems.

The common message we receive from families is that they were told all along that they can’t do anything. That their loved one has to hit bottom and that treatment doesn’t work if they are not ready. These are the two biggest myths in our industry that we need to address and debunk. We need to educate families. That nobody has to hit bottom. Nobody has to get sicker before they can get better. Some people may never hit “bottom” and just struggle and bounce along looking for the bottom while taking their entire family along for that terrible ride. All too often we are reminded that bottom for some is six feet down.

Treatment centers web sites and calls centers can do more to promote intervention. When a family member calls they often don’t know enough to ask for an interventionist referral and they believe the myths they were told that there is nothing they can do to help. It is our opportunity to educate them and provide solutions and resources that they didn’t know existed.

Television as an industry has a tremendous opportunity to educate the masses. I think when done well these programs help by getting these issues out into the public forum. "With this series there is real potential for an amazing personal transformation each week," said A&E documentary programming executive Nancy Dubuc. "If the intervention doesn't succeed, viewers will still be witness to a portrait of the unrelenting power of addiction."

Battling the war on drugs globally is a problem that I couldn’t even imagine trying to solve and I don’t know if we win this war from the outside in. I do believe, however, that we can win it from the inside out; one family, one home and one intervention at a time.

Robert M. Poznanovich
President/CEO
Addiction Intervention Resources, Inc.


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