Improving Recovery Rates for Affluent Addicts and Alcoholics

Introduction
B.  Encouraging and Inducing Change
2.   Use Leverage to Support Long Term Recovery and Improve Outcomes (Article)

• Explains how we modify the pilot/physician program when applying leverage to affluent alcoholics and addicts to improve outcomes. Describes fifteen differences between programs for pilots/physicians and programs for the affluent.

4.   Building Leverage in Governance Documents to Support Early Intervention and Stable Recovery (Article)

• Discusses a problem solving approach in dealing with family members exhibiting addictive or other dysfunctional behavior.  Suggests language to include in family documents, the reasons underlying these suggestions and explains from a “stages of recovery” perspective why leverage must remain in place for many months.

D.  Improving Treatment for the Affluent: Substantive Program and Clinical Issues
6.   Practical Advice on Achieving High Recovery Rates for Affluent Alcoholics and Addicts (Article)

• In depth review of the clinical needs of the affluent in treatment and in the context of applying the pilot/physician program model to the affluent.  Explains why current treatment is inadequate and describes strategies to improve outcomes.

7.   Families, Wealth and Addiction (Article)

• A new clinical approach to addiction, treatment and recovery for affluent families.  Discusses barriers to finding and receiving effective treatment (four page overview).

E.  Advice for Families
8.   Flawed Family Assumptions about Addiction and Treatment:  Information for Families (Article)

• Misconceptions by parents about treatment impede recovery for their adolescents and young adults.

G.  For Family Offices, Family Businesses, Trustees, Lawyers, Accountants and Advisors
13.  Trustees and Beneficiaries (Article)

• The Demise of Trustee Discretion and Ascertainable Standards as Effective Controls on Dysfunctional and Underperforming Beneficiaries".  Discusses ways beneficiaries access funds despite restrictions on distributions.  Suggests language to include in trusts and other governance documents to address addictive behavior in family members  (See Article 4, above).

14.  Advisors, Trustees, Account Managers and Family Offices (Article)

• Solutions for Dealing with Alcoholism and Drug Addiction in Affluent Families: What Advisors, Account Managers, Trustees and Family Offices Need to Know  

15.  Financial Managers and Dysfunctional Clients (Article)

• Financial Managers and Dysfunctional Clients: Addiction’s Effect on Staff Morale and Fiduciary Responsibilities in the Family and Wealth Management Office