Latest / Finding New Waters / The Healing Power of Long-Term Recovery and Family Involvement with Jared Murray
Transcript
- 0:00And those things are are crucial and and for me like getting
- 0:02sober when I was 20 like recovery had to become a
- 0:06lifestyle for me, right. Like it.
- 0:07It had to be something that I really could truly see myself
- 0:11living out each day. And and for the young men coming
- 0:14into our program like recovery happens throughout the inner
- 0:17therapeutic groups and you know recovery happens in individual
- 0:20therapy. Growth happens in those in those
- 0:22ways like those things are crucial to the therapeutic
- 0:25process. But where I see guys engage the
- 0:27most is when I see, like any other, running around on the
- 0:30softball field, smiling and laughing.
- 0:32You know what I mean? Like, I I couldn't remember the
- 0:34last time I laughed or smiled or had fun, you know what I mean?
- 0:38And when I was in treatment, like coming alive again in that
- 0:40way and experience and stuff like that, help me see that
- 0:43like, hey, this is something, man, that I might not hate.
- 1:10Good afternoon. My name is Graham Durgey and I'm
- 1:12the founder and CEO of New Waters Recovery in Raleigh, NC
- 1:16Welcome to our weekly podcast, Finding New Waters.
- 1:19Our goal in creating Finding New Waters is to provide a resource
- 1:22for families to help navigate the complexities of supporting a
- 1:25loved 1 struggling with substance use or mental health.
- 1:28When we find ourselves in crisis due to one of these issues, most
- 1:31people have no idea where to turn.
- 1:32We hope to shed some light onto what is often the darkest hour
- 1:35for many families. Hello everyone.
- 1:37Welcome to Finding New Waters. I'm Ryan Jarrell, Continuing
- 1:41Care Coordinator. I I'm sitting here with Justin
- 1:42McClendon, our Executive Director, and we have the
- 1:45privilege of talking to Jared Murray, works in admissions and
- 1:50outreach at Momentum Recovery. Jared, welcome to finding new
- 1:54waters. Absolutely guys, happy to be
- 1:57here. Decided to be on here with
- 1:58y'all. Yeah, yeah this is this is
- 2:02really nice Jared. You know I know that we work
- 2:04together we we work together regularly and it's a really it's
- 2:08a really wonderful experience to be able to to to work with young
- 2:13men and and get them kind of engaged on a path that I know
- 2:17personally I think Justin knows personally and and you do as
- 2:20well and. I was really hoping that you
- 2:22would open up and and talk a little bit about, you know, how
- 2:25you found yourself in the industry and and maybe how you
- 2:28found yourself in recovery yourself.
- 2:31Yeah, totally. Yeah.
- 2:33I guess a little bit of background on me.
- 2:35I grew up in Huntsville, AL, so born and raised in Alabama.
- 2:39I was hoping we would get on this podcast and just talk about
- 2:42Alabama football for an hour. But that's okay.
- 2:46We can talk about recovery instead.
- 2:49But yeah, man, I guess like a little bit about my story.
- 2:52A little bit of back story, I guess for me, like I grew up in
- 2:56a good family, had an older brother who I looked up to, had
- 3:00loving parents who poured unconditional loving to me.
- 3:03I had everything you could have ever asked for growing up.
- 3:06Of course, my family system had its own stuff in it, like every
- 3:10family system does. But somewhere along the way,
- 3:13through my experience experiences growing up, like I
- 3:16did develop a negative belief system about myself, you know?
- 3:20And like I was an athlete, I thrived in sports.
- 3:24I did well academically. I did well in social groups.
- 3:28I could put on whatever mask I needed to put on to fit in with
- 3:31whatever group I needed to fit in with.
- 3:33However, I never fully felt comfortable with myself.
- 3:35You know, I never felt fully okay with me.
- 3:38There was always that kind of emptiness and that internal
- 3:41void, that fear of not being good enough, fear of being
- 3:44alone, fear of failure, fear of success.
- 3:47Like I always struggled with that level of selfcentered fear
- 3:50that we talked about in recovery a lot.
- 3:53And as far back as I can remember, I've.
- 3:55I've always kind of felt that way.
- 3:57And so I recall, like the first time I ever tried any
- 4:00substances, I was probably about 13 years old.
- 4:03And it was like all that fear went away.
- 4:05All that insecurity went away. I felt like I could be who I
- 4:08wanted to be. I felt like I could be who
- 4:09others wanted me to be. I'm someone who really likes
- 4:13connection from others. I like acceptance from others.
- 4:15I like approval from others. And and I seem to be able to
- 4:18find all those things through the lifestyle of using drugs,
- 4:22you know, and I found that out early on when I was really
- 4:26young. And so my addiction really
- 4:29started at a young age. When I went into high school was
- 4:31when it really kind of started to really progress.
- 4:34That was when I was introduced to opiates and benzos and
- 4:37cocaine and certain substances like that, that I really
- 4:40struggled with. And so I got in a lot of legal
- 4:43trouble in high school, got arrested quite a bit, skipping
- 4:47school, getting high before school, Deering school after
- 4:50school. You know, my, my disease
- 4:52continued to progress throughout the later years of high school
- 4:54for me. And then I left Huntsville and
- 4:58went down to the University of Alabama, which was a phenomenal
- 5:01idea for the substance abuse problem I had coming out of high
- 5:04school. You know, my parents, I I talked
- 5:07to him about that decision. And they're like, man, we were
- 5:09so ready for you to get out of our house.
- 5:12I think some denial on their part is that they did think that
- 5:15I would just somehow go to college and grow up and these
- 5:17things would just figure themselves out.
- 5:20But they desperately wanted me out of their house because of
- 5:22the unmanageability that was going on as a result of my
- 5:25addiction when I was living at home.
- 5:27So I went down to Alabama, basically got heavily addicted
- 5:32to Oxycontin down there and cocaine.
- 5:34Those are my two kind of constants.
- 5:37Was an IV drug user eventually and got into some pretty big
- 5:41legal trouble when I was 20, which is what drove me to go
- 5:45into treatment. So I got arrested with a, you
- 5:47know, about 5-5 felonies and two counts of two misdemeanors and
- 5:51one big arrest. I was living in the fraternity
- 5:53house at the time, and that's kind of what pulled me out of
- 5:58the University of Alabama and put me in treatment.
- 6:00And since then I've been. I've been completely clean and
- 6:03sober since then. So January 29th, 2011 was was
- 6:09when I went to treatment and it's my sobriety date, so went
- 6:11into this thing when I was 20 and man, it's been an incredible
- 6:14journey for almost the last 13 years.
- 6:18Jared, I think it it's really interesting that you kind of got
- 6:21springboarded. A lot of people think, you know
- 6:23in a recovery setting that the only way we can enter it is when
- 6:26we have a full internal collapse.
- 6:28We've totally surrendered to the process.
- 6:30We have to be fully accepting of ourselves as Alcoholics and my
- 6:34guess is. Getting busted with the heroin
- 6:37at the frat house, That's maybe not mentally where you were at.
- 6:41Did you? Was that your motivation
- 6:42initially? And did your motivation change
- 6:44over time during your treatment experience?
- 6:46Yeah, I think that's a great question, Ryan.
- 6:48I think that ties into a lot of the things that even when I get
- 6:51to work with young men with you on, that we try to talk to
- 6:54families about and guys about is that, hey, like, you know, it's
- 6:57OK that you're not fully surrendered to the idea that
- 7:00you're an addict or an alcoholic.
- 7:01It's OK that you don't, you know, fully see the true, severe
- 7:04consequences of your substance use, right.
- 7:07Like what we try to do in this field as interventionist
- 7:11treatment centers, professionals that do this work is try to help
- 7:14raise the bottom for young men and try to coach their families
- 7:17on helping them understand that like you know the we put the
- 7:21shovel down when we stopped digging, right?
- 7:23Like it, it's I didn't have the rational ability to make a
- 7:27decision to go to treatment on my own.
- 7:29Like I had to be intervened on from that standpoint.
- 7:32And I remember when I was getting arrested that day, like
- 7:35I was telling this police officers, I'm going to get it.
- 7:37I've been clean for two weeks, you know?
- 7:39And what's so crazy about that? It's like I believed that being
- 7:44delusional, I was at that point in time in my addiction.
- 7:47And man, like if it was left up to me, there was no way I was
- 7:51going to make a decision to go to treatment.
- 7:53Like deep down I wanted something different, right?
- 7:56Like and and I was miserable and I was empty and and all of those
- 8:00things. But the light bulb of recovery
- 8:03and surrender did not happen for me then, right?
- 8:06Like it happened for me over the course of the long period of
- 8:08time 1. 100%, I mean, Justin, I know you have a lot of
- 8:12experiences at therapists, like working with young people like.
- 8:16How do people have these kind of motivation shifts and changes?
- 8:19You know, I think there's, I mean, I mean, I think we all see
- 8:22it, right. And we see it at so many
- 8:23different levels. Everybody's so different.
- 8:26And I think, you know, sometimes we get lucky and we have people
- 8:29whether they're young, whether they're middle age, older.
- 8:31We have some people that, you know, maybe they did, they did
- 8:34have that light switch kind of go off for them, right.
- 8:36You know, they had a. A horrible experience or they
- 8:39just happen to wake up one day and they were just like, hey,
- 8:41I'm tired of living this way. And they and then maybe they're
- 8:43stepping into that process with that motivation.
- 8:46But I think more times than not people simply don't, right?
- 8:50They're just not at that place yet or they're not.
- 8:53You know, maybe they have a little bit of motivation or they
- 8:56know that they need to make a change, but they're still not at
- 8:58the place to where we hope that they're going to get.
- 9:01And and as you were saying, Jared, I think.
- 9:04It's not a prerequisite, right? I mean, it's not required that
- 9:10somebody is fully on board or that they're fully accepting of
- 9:14where they're at in their life and their substance use in order
- 9:17to take their first step towards change.
- 9:19You know what I mean? And I think, Jared, I know you
- 9:22do too. We have these conversations on
- 9:24what feels like a daily basis is.
- 9:27You know, we're not asking you to have that right.
- 9:28We're just asking you to take one step forward right now and
- 9:31and with the hopes that it along that path you are going to come
- 9:35to believe some different things about yourself and what life
- 9:37needs to look like for you, you know?
- 9:39100% I think purity of motivation.
- 9:41Sometimes it's very difficult for parents or spouses of people
- 9:45that are involved in this, right?
- 9:46They don't just want the person to make the right action, but
- 9:49they wanted to make it for the right reason.
- 9:51And I think a lot of times the work is letting them know like,
- 9:53hey, that may not be the case. That's just maybe not a
- 9:55realistic expectations. One of my best friends, a real
- 9:58icon of mine in recovery. You know, he he got sober and
- 10:02chose a sponsor because a sponsor had a nice watch, you
- 10:05know, he wasn't interested in like.
- 10:07What he had to say about God, you know, or how thorough kind
- 10:10of a fifth step was, like he saw that guy had a nice watch in
- 10:13sobriety and he said, I I that's what I want.
- 10:16Like when he worked with that guy for like a year, you know,
- 10:19Right. Or.
- 10:20Yeah. And and especially when you're
- 10:22talking about young men, I mean sometimes it is, it is like,
- 10:25listen, I see this guy and he's, he's dating a nice girl and he's
- 10:28going back to school and he's in sobriety.
- 10:30And I never thought that would be me, you know?
- 10:33And Jared, I think that's something that I see you when
- 10:35you're connecting with guys at Momentum.
- 10:36I think that's something that that I see you trying to trying
- 10:39to engage with them with. Could you talk a little bit
- 10:41about momentum that the demographic that you guys serve
- 10:43and and what you guys specialize in?
- 10:47Yeah, I came in. So yeah, at the minimum
- 10:49recovery. First off we're based in
- 10:51Wilmington, NC and we work with 18 to 35 year old young adult
- 10:56men, primarily 18 to 30 year olds.
- 10:58We occasionally get, you know guys who are 30 to 35 depending
- 11:01on their situation and and specializing in that age group,
- 11:05right. Kind of like what we're talking
- 11:07about. I think some of the biggest
- 11:09things that are so needed for for the young men that we work
- 11:12with is they all come into our program with this negative
- 11:16belief system about them themselves, in the world around
- 11:18them, you know and and what we're trying to create for them
- 11:21is help them develop a positive belief system about themselves
- 11:23and the world around them. And and how we accomplish that
- 11:26is through helping them achieve and maintain healthy
- 11:28relationships and accomplish healthy relationships and
- 11:31establish connection with themselves and with others.
- 11:34You know and really kind of how we go about helping them
- 11:39accomplish those goals is through the therapeutic
- 11:42approaches that we do, you know. And so when guys come to us,
- 11:44basically we have a full continuum of care, right.
- 11:47That's spread out over the course of you know, 9 to 12
- 11:50months. If someone was to do our full
- 11:52continuum, when guys usually first initially get to us,
- 11:55they're going to start in our first days, right?
- 11:57Like when they're coming out of new waters, coming out of detox,
- 12:00they land in phase one. And when they're in that phase
- 12:03of the program, you know they're in a 90 day, pretty intensive
- 12:06structured regimented program in that days where their sole focus
- 12:10is to really kind of dig deep and do the internal work that it
- 12:13takes to build an appropriate foundation in the recovery
- 12:16without a ton of distractions that are going to keep them from
- 12:18doing that work. And you know, in working with
- 12:21this age group, 18 or 30 year olds, I know for me getting
- 12:24sober at 20, like, I had to see that there were other young men
- 12:28who are my age, who are normal, who are having fun, who are
- 12:32cool, who I could connect with to be able to identify.
- 12:35Right? Like if I was in a setting where
- 12:38I was around guys who are way older than me with wife and kids
- 12:42and career and all that, like, I wasn't going to connect to that
- 12:45as much. You know, Like I needed to be
- 12:46around young men who I could really relate with and identify
- 12:49with. Because if I wasn't, you know, I
- 12:51know you guys probably can relate with this.
- 12:53My disease is going to focus on the one difference instead of
- 12:56the 99 similarities. You know, I mean that I'm
- 12:58someone like it's a disease of isolation.
- 13:00So I need to be able to find common ground with guys and I
- 13:03think we do a really good job of fostering that for young men.
- 13:07And you know what? What's really important And one
- 13:10thing I want to highlight like we do some really exceptional
- 13:13trauma work, dual diagnosis work, attachment focused work.
- 13:17I mean those things are a lot of the things that we focus on.
- 13:20But I really love talking about like the experiential and the
- 13:23adventure based stuff that we do, you know, And when I'm
- 13:26talking to families, I'm like look like in Group Tuesday
- 13:29mornings and Saturday mornings for group, like they're going to
- 13:32be surfing or free diving or fly fishing or kayaking or paddle
- 13:35boarding, whatever it is that we're doing in terms of our
- 13:38experiential curriculum at that time.
- 13:42And what's important for these guys is through having those
- 13:45experiences, that's what allows them to engage in this work, You
- 13:48know what I mean? Like if we keep them in a
- 13:50setting where they're just standing at the same for walls
- 13:52every day, sitting in the same groups, hearing the same things,
- 13:56like they're never going to engage in this stuff, man.
- 13:58But we get guys outside and allow them to have these
- 14:01experiences that really helps them find themselves and really
- 14:03helps them connect to the guys around them in the program,
- 14:06right? And I think like doing that kind
- 14:09of work, man, is so therapeutic and so crucial for this age
- 14:12population. You know, like it's amazing when
- 14:14you see a resistant 1920 year old coming to the program and
- 14:18like get out, you know, in the water and catch a wave.
- 14:21Like we were on the clinical morning meeting.
- 14:22We're on the clinical morning meeting this week and we had
- 14:24this guy come to us and he's wanted to leave the whole first
- 14:27week that he's been there because that's what happens at
- 14:29primary treatment, right. Like he came in resistant and
- 14:32like he went out surfing with the guys and afterwards was
- 14:34like, man, that was a killer experience.
- 14:36You know, like I might, I might actually be able to enjoy it
- 14:39here. You know, like he, he really had
- 14:41an experience with recovery in my opinion through that.
- 14:45So man, I love that we do that kind of stuff.
- 14:47That's. Huge.
- 14:48Yeah. I mean.
- 14:49You know, the whole idea of experience recovery or even you
- 14:52know, a lot of these like adventure based programs and
- 14:54things like that. As a matter of fact, one of the
- 14:57podcasts we we did with someone earlier today was with the
- 15:01Adventure Recovery Center program, Tim with Adventure
- 15:04Recovery. And you know, it just never
- 15:08ceases to amaze me. You know, we talk a lot about
- 15:11you know, like learning to have fun and recovery and like yes,
- 15:13that's important. I don't want to devalue that,
- 15:15That is important. But there's something about.
- 15:17Like you're saying, Jared, like that experience, that that
- 15:21feeling of, you know, the dopamine rush that we get from
- 15:24those experiences, the connectedness of being able to
- 15:26share those experiences with other people.
- 15:29I mean, it's just something deeper that I think sometimes is
- 15:32really difficult to find in an office clinical setting or it
- 15:36takes a lot more work to maybe get to that place.
- 15:40You know what I mean? You know, not to devalue
- 15:43clinical work. I mean, I'm a therapist.
- 15:44I think there's a. A lot of value there, but
- 15:46there's just something of essence and doing that
- 15:49experiential work that is just really hard to find in other
- 15:51places. 100% and I think one of the things is that it, you know,
- 15:55people don't, I think assign it as a classical value.
- 15:57But adventure, exploration, those are values that people
- 16:00have, especially that young men have.
- 16:02It's the thing that they've been chasing in this substance use
- 16:04and so they get to address and empower themselves and their
- 16:07values. I had an experience when I was
- 16:09we took the guys at Green Hill, we took them rock climbing, you
- 16:12know, and we got the instructor and at one point.
- 16:15A client at Green Hill was operating, was was using the
- 16:19ballet for me, myself, who was the program director at the
- 16:22time. And you know, it was pretty
- 16:24scary for me, right? It was, it was a kind of
- 16:27terrifying experience. This guy seemed to have a real
- 16:30inability to do laundry and he was responsible for my life,
- 16:33essentially a pilot mountain. But it was, it was really,
- 16:37really beautiful. I think what a lot of people, I
- 16:39think what a lot of parents really struggled to see with
- 16:42young people in recovery. This was definitely true for me.
- 16:45Is the complete lack of self efficacy the complete?
- 16:47I did not believe I could do anything at my core.
- 16:50I certainly couldn't do anything without drugs and alcohol and
- 16:53that's what that escape was. And and that adventure therapy
- 16:55builds up self efficacy like nobody else.
- 16:57You know it's. True.
- 16:59I I know you guys have a lot of real specific, kind of
- 17:03experiential options. Do you guys work with people in
- 17:05the Wilmington area and in the Wilmington recovery community
- 17:08there? Yeah we do man.
- 17:10We have a lot of relationships with you know people in our
- 17:13recovery community and locally in Wilmington like on the on the
- 17:16topic of experiential work like we have a relationship with the
- 17:19right school beach Outrigger canoeing club and so our guys
- 17:22get in these big Outrigger canoes and you know do some
- 17:26Outrigger canoeing around like in the Bay which is cool man.
- 17:29You learn about teamwork. You learn about connecting with
- 17:31these up with each other. You learn about trust and and
- 17:34trust in the other guys to to row and you know there's there's
- 17:37a lot that goes into that Outrigger and I got to do it
- 17:40with the guys when I was down there one time.
- 17:42And again like we're talking about, it's really through those
- 17:45experiences that the connectedness happens, the self
- 17:49efficiency happens. I can't say that word right like
- 17:51you can Ryan, know what it means.
- 17:54But you know, man, those things are crucial.
- 17:57And for me, like getting sober when I was 20, like recovery had
- 18:01to become a lifestyle for me, right?
- 18:03Like it, it had to be something that I really could truly see
- 18:06myself living out on each day. And and for the young men coming
- 18:10into our program, like recovery happens throughout the inner
- 18:13therapeutic groups. And you know, recovery happens
- 18:16in individual therapy. Growth happens in those in those
- 18:18ways. Like, those things are crucial
- 18:20to the therapeutic process. Where I see guys engaged the
- 18:23most is when I see, like 20 of them running around on the
- 18:26softball field. It's my own laughing, you know
- 18:28what I mean? Like, I I couldn't remember the
- 18:30last time I laughed or smiled or had fun, you know what I mean?
- 18:33And when I was in treatment, like, coming alive again in that
- 18:36way and experience and stuff like that helped me see that,
- 18:39like, hey, this is something, man, that I might not hate, you
- 18:42know? And I don't know, for this
- 18:45population, for for young adults, that stuff's just
- 18:47crucial. I can't express it enough, you
- 18:49know? Yeah.
- 18:51Absolutely. You know, I think one of the
- 18:53things that that and we've probably talked about it on this
- 18:55podcast before, but I think it needs to be said, I'd like to
- 18:58talk about length of care and the importance of that because I
- 19:01think it's something that I think Jared, you know Justin,
- 19:04you know I know people really balk at the idea.
- 19:07I mean when you tell them that you have a continuing of care of
- 19:099 to 12 months, I mean I think that really blows people's minds
- 19:12and I really be interested in. Justin, your and Jared like your
- 19:16point of view from clinical and someone very experienced in the
- 19:19recovery industry, what is the importance of that continue to
- 19:22care in that and the length of time for that?
- 19:25Jared, you go first, buddy. Yeah, I mean like since I've
- 19:29been working in this industry which has been now just for
- 19:31about, you know, eight years, like I've only, you know, worked
- 19:34at long term programs. And that's what I'm a huge
- 19:37believer in. And what I love about our
- 19:39continuum at Momentum is we have the ability to take young men
- 19:43all the way from residential care to extended care all the
- 19:47way to silver living. You know, through a full
- 19:49continuum of 9 to 12 months where we can slowly stand them
- 19:52on their own 2 feet while giving them every single tool they
- 19:54need, every step of the way to help them successfully do that.
- 19:57And we help them do that at their own pace.
- 19:59Like our program is not one where it's like you've done 90
- 20:02days, you're 90 days is up, but you're going to the next phase.
- 20:04It's like we only phase guys up if they're ready for that.
- 20:07You know, I love him individualized.
- 20:09Our care is, but we all know that every, you know, bit of
- 20:12outcome studies we've ever seen in this field points to the
- 20:16longer you can keep people engaged in a structured setting
- 20:20over a long course of time, the better outcomes we're going to
- 20:23have, you know, and and I'm a big believer in this, that
- 20:26recovery does not happen overnight.
- 20:27It happens over time. And you know, I can't tell you
- 20:30how many guys and you guys see this too that I've worked with
- 20:34doing this work who have just done the revolving door of
- 20:36traditional 28 days of treatment over and over and over again.
- 20:40And maybe when they've done that, they haven't followed
- 20:41through with aftercare recommendations, right.
- 20:43But you know it's just understanding that 30 days isn't
- 20:46long enough to fully treat the magnitude of the the complicated
- 20:50issues that we deal with. You know and this healing takes
- 20:54takes a long time and and the longer because that's the thing,
- 20:57right. It's like when we talk about
- 20:58resistance and we talk about guys that are precontemplative
- 21:01like I've seen many that are still kind of struggling with
- 21:04that even 90 days into our program, right.
- 21:06But when we get them into that second phase or into that third
- 21:09phase and we keep them longer, we we see a shift eventually
- 21:13hopefully right. That's the hope.
- 21:14And you know sometimes that shift just doesn't happen right
- 21:17at first. It needs time for that to be
- 21:19able to happen, you know, and that's what I love about having
- 21:22a full continuum and having the capacity to work with guys on a
- 21:25long term basis and I think it's so crucial.
- 21:28I couldn't agree with you more, Jared.
- 21:29I think we have, again, we have these conversations with
- 21:34families and with clients all the time and I think it's.
- 21:37It's true, especially when you're, you're looking at a
- 21:39program like Momentum or some other programs that are based on
- 21:43a on a longer length of stay. There's kind of that sticker
- 21:46shock, right? It's like, Oh my God, you're
- 21:48asking me to go away somewhere for, you know, three months, six
- 21:51months, nine months. And that's a lot for them to
- 21:54digest. But I think #1 to to, you know,
- 21:58go back to what you're saying, Jared, I think #1 like length of
- 22:01time in. In clinical care, receiving that
- 22:04clinical support is directly correlated with your increasing
- 22:08your chances of successful sobriety.
- 22:10I mean hands down and I think you can't argue that point.
- 22:14I mean I think we see it time and time again.
- 22:16As you said Jared, I think there's so many people that do
- 22:18these you know, 28 day, 30 day programs and they think that
- 22:22it's just a one time thing they can go in.
- 22:24I'm going to, you know, commit myself for this month and then
- 22:27I'm going to come out and I'm not going to follow any
- 22:29recommendations or aftercare. And I'm, I'm just fine, right.
- 22:32I'm going to go in, I'm going to, you know, do my time, so to
- 22:34speak. And then I'm just going to be
- 22:36cured and somehow life is just going to look completely
- 22:38different when I come out. And the reality is, is it just
- 22:41does not work that way, right. So I think you got two options.
- 22:44You can either it's going to take about a year at least
- 22:48clinically and it may continue on more of an outpatient basis.
- 22:51Past that and obviously utilizing community support, you
- 22:54know, working a personal program of recovery, these things are
- 22:56super important. But if you're not going to a
- 22:59facility. Where you're going to be there
- 23:01for, you know, six months more and slowly step down to those
- 23:04levels of care, then you're going to do it in a disjointed
- 23:08fashion. You're going to do 30 days plus
- 23:09of residential. Then you're going to come out
- 23:11and you're going to do an IOP. Then you're going to step down
- 23:13to an outpatient, like you're going to do the same thing.
- 23:17It's just going to be in different settings, right?
- 23:19And I think for those people that are willing to do that in a
- 23:22facility like Momentum or places that have that more longer term
- 23:26kind of modality. It's more helpful because at
- 23:31least if you're going to do that work for that amount of time, at
- 23:35least do it in a place to where you know the team is gonna have
- 23:38continuity, they're gonna be able to communicate.
- 23:41There's just gonna be more of a seamless transition from one
- 23:44level of care while you're staying supported in that
- 23:46environment instead of. You know going to the
- 23:48residential program and then hoping that the residential
- 23:51program team is going to communicate with the IOP.
- 23:54And then when you step down to OPIE that the IOP is going to
- 23:57communicate with the with the therapist that you're going to
- 23:59see like you get you're you're rolling a lot of dices in that
- 24:02situation. I think you know. 100% I also
- 24:05think I like the cultural element of being a young person
- 24:08specifically in recovery. Like the idea that I could have
- 24:11done 30 days of residential treatment and then return to a
- 24:13dorm room, you know what I mean? Where like.
- 24:16Where there's drug dealers and drinking just everywhere like
- 24:19I'm I'm just not gonna have. I'm just setting myself up for
- 24:22failure in that regard and and kind of winnowing and sorting
- 24:25between who is going through a quote UN quote phase like people
- 24:29thought I was and who has a genuine substance used to sort
- 24:31you just can't tell, you know and to throw you in that mill
- 24:33you is just it's just really difficult.
- 24:36It's difficult and you know, again, all of this not to say
- 24:39that maybe some people are successful when they do that,
- 24:42right? Maybe some people, you know
- 24:44they, you know they. Wake up one day, they're like,
- 24:46hey, I need to make a change. They go to a detox.
- 24:48They go to a 30 day program. They get a therapist afterwards
- 24:51and you know, and they're and they're sober, right?
- 24:53And they're happy and that's fine.
- 24:55But I think for the vast majority of people, things just
- 24:58don't work out that right. Like you're saying, like you
- 25:00can't, you know, leave from a potentially like dysfunctional
- 25:04family system where you've been struggling and not been able to
- 25:07maintain sobriety. You know, go be sober for about
- 25:1030 days and then go right directly back into that family
- 25:13environment or that home environment and then expect that
- 25:15it's going to be OK Definitely not a dorm room, for sure.
- 25:19A dorm room. I'm back in Alabama.
- 25:22Yeah, going. To the front.
- 25:24That's right. Yeah.
- 25:26In talking about the full continuum and talking about long
- 25:29term treatment like we are especially with young adults,
- 25:31like it brings me to you know, just the the whole theory of
- 25:35like the family's part in that, right.
- 25:36And and the part that they play and engaging with us and
- 25:39treatment to continue to keep their loved one with us.
- 25:42You know what I mean? Because you guys see it on the
- 25:44front end all the time. Like the way that guys get to us
- 25:47typically is because parents are putting down some boundaries and
- 25:49utilizing some leverage. And you know, understanding and
- 25:52following our direction. When we tell them like hey, it's
- 25:55not that your son won't be successful or not that they
- 25:57don't want to get better. They just don't know how to
- 25:59rationally make the best decision for what they need
- 26:01right now, you know, and coaching them on how to put
- 26:03those boundaries in place. And The thing is, is we have
- 26:05that intervention on the front end and we ask these guys for a
- 26:08minimum commitment of 90 days. And then typically what we see
- 26:11is around that 90 day mark like we have to have that same
- 26:13intervention. You know and the hope is, is
- 26:16that throughout 90 days we're continuously prepping the family
- 26:20and preparing them for understanding that there is a
- 26:22next step after primary treatment.
- 26:24The importance of that, you know, but also the part that
- 26:27they're going to continue to play and helping them get to
- 26:29that next step because families will think, well you know,
- 26:32they've been there for 90 days, they sound better they.
- 26:34Look, great. They're eating well.
- 26:36They're saying all the right things, like they're good to
- 26:38come home, you know, and it's continuing to educate them.
- 26:41Not like, hey this, this process is still not over.
- 26:44And in order to get them to the next level of care, we're going
- 26:46to have to probably have a conversation about boundaries
- 26:49again. You know, and that's the
- 26:52family's role, right? And keeping them in treatment
- 26:54for a for a year and and their part is so crucial for their
- 26:59loved one to have a successful outcome, you know?
- 27:02Do you, do you guys that momentum?
- 27:05Do you have a family component? Do you work with the families on
- 27:08exactly that, like setting those boundaries, understanding how
- 27:10to? Kind of kind of what support
- 27:12looks like and how to get their own treatment so to speak.
- 27:16Yeah, absolutely. I mean so at Momentum we have
- 27:19that same belief system and philosophy that if the whole
- 27:23family system is not recovering together, it's going to be
- 27:25really hard for their loved one to have a successful outcome.
- 27:28Like I hear our owner, Rick say this all the time.
- 27:31You know when you're asked about success and you know rates of
- 27:34success and and all that, you know I hear Rick always mention
- 27:37that like the guys who come to us that engage in our program,
- 27:41that have their families also engage in our program and and do
- 27:45the things that we recommend and trust us, you know what I mean
- 27:47and follow our guidance throughout the whole process.
- 27:50Those guys do well. Yeah, you know, and so how we go
- 27:54about working with the family and engaging the family is all
- 27:57of our families get weekly family therapy on a weekly
- 28:00basis. They also attend a weekly
- 28:03support group that we do via Zoom on Thursdays where they all
- 28:06kind of hop on Zoom. And we have one of our masters
- 28:08level therapists facilitate a support group via Zoom.
- 28:11And then a big thing that we do is a 2 day intensive family
- 28:14workshop that we do quarterly, so every 90 days and families
- 28:19will come in town for that workshop.
- 28:20And day one will be a lot of like psycho education around
- 28:23attachment work and kind of what we're trying to accomplish with
- 28:26your loved one, educating them on all of those types of things,
- 28:30right? And then day two, we actually
- 28:32bring the family and their loved one in and we do family
- 28:35sculpting and psychodrama with the entire family, which is one
- 28:39of the most powerful processes these families, you know, could
- 28:42experience with their loved one. Like we've seen so much powerful
- 28:45stuff happen in those settings there in the family program.
- 28:48And you know, I want to mention it to like the The Cove, right.
- 28:51Our young women's program, we do the same thing with them as
- 28:54well, the same family program, the same family therapy, you
- 28:58know, the same road map. Which is crucial.
- 29:02Absolutely. It is crucial.
- 29:04I mean as as you mentioned, I think if especially I think for
- 29:07everyone, but especially that young or adult population, I
- 29:10mean like the families. If they're not engaged, it's
- 29:14just so much more difficult of a process for the client to be
- 29:19able to find recovery for their self, you know, or.
- 29:21How much? It's so often the idea that the
- 29:23child is the problem, everyone else is fine.
- 29:26If the kid would only act right, then we would all be in this
- 29:29harmonious kind of correlation without seeing that we're all
- 29:31impacting each other, we're all pushing and pulling in these
- 29:34very specific kind of ways. And it's it's difficult to give
- 29:37families to have that kind of. High opening experience that
- 29:40they need to engage in their own kind of step up recovery.
- 29:44I know you guys do The Cove as well.
- 29:45I would love for you to talk a little bit about that, Jared, if
- 29:48there are differences between those programs or how it's
- 29:50different for you guys to interact with young women as you
- 29:52interact with young men. Yeah, I mean, I think I think
- 29:55there are like you know some differences, right.
- 29:58I know when when Gabby had the vision to to open the Cove and
- 30:01do the women's program, it was to have a heightened you know,
- 30:06trauma component to it. However, like we do trauma work
- 30:10with all of our guys too on a very deep level.
- 30:12But the women's program specifically, you know, a very
- 30:14trauma informed trauma based program.
- 30:17You know we have therapists who are certified in the MDR somatic
- 30:21experiencing brain spotting which are all different
- 30:24modalities. We work you know through trauma
- 30:26with you know with with our with our young men and our young
- 30:29women and dealing with the young women.
- 30:31You know, we we started out initially as an 8 bed program
- 30:35and we're just serving these women in extended care and
- 30:38server living. We we we we've not been offering
- 30:41primary treatment for them. What we've done recently is
- 30:44we've actually just now expanded our extended care and we have
- 30:48more beds for extended care which is good to know.
- 30:50And so we just moved our young women to a new campus that is
- 30:53similar to the men set up. And so it backs up to the
- 30:56Saltwater Marsh. We have brand new townhouses
- 30:59that exist on this campus. They're awesome, really awesome
- 31:04facilities. It's a really unique campus and
- 31:07we're super excited about that. But as far as the programming
- 31:10goes, everything's the same besides us not having primary
- 31:14yet for young women, that is hopefully going to be coming
- 31:17soon. That's great.
- 31:19It's definitely a needed resource for sure.
- 31:21I think not to get on that whole soapbox, but.
- 31:25You know, I think young adult treatment, especially adolescent
- 31:27treatment, which I know you guys don't do, I mean there's a huge
- 31:29need for that. But there really is a lack of
- 31:31services I feel just kind of in North Carolina in general for
- 31:35for a female specifically. I mean it's so it's it's great
- 31:38to hear that you guys are offering that and then they're
- 31:40going to expand those services. Yeah, we've just seen a lot of
- 31:43like a lot of need for it, right.
- 31:46Basically like when we first opened up the women's extended
- 31:49care, like we got filled, filled up pretty quickly and got on a
- 31:51wait list pretty quickly because there's not a lot of longterm
- 31:55options for young adult women. You know, like we're talking
- 31:58about. And and I think options that are
- 32:01gender specific that are you know, age specific that are
- 32:05specialized in that way of working with trauma and Co
- 32:08occurring issues that are longterm.
- 32:10You don't see a lot of that you know women for sure.
- 32:13And so, you know, I think those think those components are
- 32:16crucial. You know, absolutely.
- 32:18I love how you guys really address that recovery can't be
- 32:21this monolithic experience that there are demographic specific
- 32:24experiences that are that are best addressed within that
- 32:26demographic and and just because it's a it, it's a more holistic
- 32:30and and better treatment and it's true just in any medical
- 32:32science a young body isn't going to react the same way as as
- 32:35someone who is older and the mental health operates in the
- 32:38same way. You talked a little bit about
- 32:40Gabby and I think it's something that we don't talk a lot about.
- 32:42I know we talk a lot about clinical modalities, but I
- 32:44wanted to ask a little bit about.
- 32:46How important it is it to have, you know, a psychiatric nurse
- 32:49practitioner, like, really kind of keyed in to your milieu and
- 32:53and and how psychiatric medication might play a role
- 32:56over someone's continuing of care and momentum?
- 32:59Yeah, that's a good question. And she's a psychiatric PA,
- 33:02right? So she I know she's going to
- 33:04listen. Child I'm.
- 33:06Sorry Gabby, I'm sorry, no, but but I mean just to just to talk
- 33:11about Gabby, not to get in too much of the weeds with
- 33:14medication and stuff because that's really her, you know,
- 33:17topic that she is so skilled with.
- 33:19But just to talk kind of about her and her skill set, you know,
- 33:22she has a large background in clinical mental health, a very
- 33:26extensive background of substance abuse as well.
- 33:28And what what's really dynamic about Gabby is she meets with
- 33:32our guys and our girls weekly, you know, at 1st and and
- 33:36definitely like does thorough Med assessments with them,
- 33:39thorough evaluation kind of with them on the front end and goes
- 33:43over everything from their childhood up to what led him,
- 33:45you know, in the treatment. And what's great about Gabby is
- 33:49she's the center of our pro, like she's a big part of our
- 33:51program, right? Like, she's there, you know,
- 33:54every single week, Monday through Friday, you know, she's
- 33:57there. And she builds real
- 33:58relationships and rapport with these guys.
- 34:00Not to say that not all psychiatrists don't do that.
- 34:03But, you know, a lot of programs like you ask somebody, hey, like
- 34:06what was the psychiatrist like there?
- 34:07And they're like, oh, you know, I met, I'm like once or twice,
- 34:09maybe the time that I've been here.
- 34:11Well, Gabby, like she's meeting with them on a consistent basis
- 34:14and she's a therapist by trade. She's certified and somatic
- 34:17experiencing. So I think what sets her apart
- 34:19is it's not just like the psychiatry medication
- 34:22conversation or topic that she meets with these guys and girls
- 34:25on. Like she builds real
- 34:26relationships with them. She does, you know, even engages
- 34:29in some trauma work with them, you know, because she's also a
- 34:31therapist by trade. So you kind of have like that
- 34:33psychiatric skill set, the therapist skill set mixed into
- 34:36one, and she just builds real reporting relationships with
- 34:39them. What's interesting is some of
- 34:42our guys, not as much the girls, but some of the guys look at her
- 34:45as like, oh, I can trust her. Like, she's an outsider and
- 34:48she's like, you know, I'm the medical director and like
- 34:50everything you tell me is going to be communicated to our whole
- 34:53clinical team, you know? But like, it just speaks volumes
- 34:56about her ability to build rapport and trust, you know?
- 34:59And yeah, we're very, very fortunate to have her for sure.
- 35:03Yeah, that's huge, especially for a medical provider.
- 35:06I mean, we are also blessed with Dr. Hong, our medical director
- 35:09is. He's very much the same.
- 35:11He's also skilled in therapy and he will really spend time with
- 35:14with the patients and not to say anything negative about doctors
- 35:17in general, but I I feel like that is a difficult thing to
- 35:21find in the in that particular part of the field for sure.
- 35:25It is definitely. And she helps so much with
- 35:28medications and different mental health issues that we can work
- 35:31with. You know, she's a major
- 35:33component of, you know, being able to set us apart in some
- 35:36ways and helping us work with various issues.
- 35:39You know, yeah, that comes to different dual diagnosis issues
- 35:42and medications. That's great, man.
- 35:45That's good stuff. Well, Jared, I think we're
- 35:49coming close to our time here. Is there anything else that you
- 35:53want us to know? Anything you'd like to broadcast
- 35:55about momentum, about yourself, man, I mean, no, not not that I
- 36:00can think of. You know, I just, I I love doing
- 36:03this work. As you guys know, I'm extremely
- 36:05passionate about it. I love working with families on
- 36:07the front end. I love doing the admissions
- 36:09piece, you know as well and just kind of diving in the trenches
- 36:12with them. And we've had so much good
- 36:15experiences working with you guys like y'all are just
- 36:18phenomenal on the detox and stabilization piece and so
- 36:22responsive and you know just do such a good job and helping us
- 36:25on the front end and and we appreciate you guys for that and
- 36:28love working with y'all. So Jared let me.
- 36:31Let me hit you with this real quick, man, not to put you on
- 36:34the spot. So if we had to, if you had to
- 36:37say one thing to any potential families or potential clients
- 36:42that are kind of kicking the tires of treatment or looking to
- 36:46stop their use and step into treatment, what, what would be
- 36:49like 1 Nugget that should kind of leave them with, man, there's
- 36:54so many, right? I guess that the one Nugget
- 36:56would would be like, you know, as cheesy as the sounds, I guess
- 36:59it's to not to not lose hope, you know, like don't don't give
- 37:03up on them. If there's one thing I really
- 37:06try to help family see is like when they get on the phone with
- 37:09us, they have so much compassion fatigue, you know what I mean?
- 37:12Like out they, they aren't able to view their loved one as a
- 37:16cancer patient anymore that suffers from a chronic
- 37:19progressive disease. You know, because the person who
- 37:22has cancer doesn't steal from you, lie to you, manipulate you,
- 37:25you know what I mean? So they develop this compassion
- 37:27fatigue and when they get on the phone with us, man, they're
- 37:28tapped out. And so the biggest thing we try
- 37:31to accomplish with them is helping them get on this side of
- 37:34compassion and empathy again with them.
- 37:36Because if we can achieve that with families, then like we can
- 37:39move them into action to really want to get them the best help
- 37:43that they need, you know? So yeah.
- 37:47Amen, brother. That's for sure.
- 37:51Well, thank you, Jared. Yeah.
- 37:53Thank you so much for taking the time.
- 37:54Man, this has been awesome. I'm glad my cat didn't jump on
- 37:58the screen over here. I'm kind of upset.
- 38:00That that it did. That it did.
- 38:01Yeah. Yeah.
- 38:03Maybe better luck next to him. I guess that's right.
- 38:07That's right.