Jerry Spicer - The Minnesota Model: The Evolution of the Multidisciplinary Approach to Addiction Recovery
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The Minnesota Model: The Evolution of the Multidisciplinary Approach to Addiction Recovery
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The Minnesota Model of chemical dependency treatment is a unique blend of behavioral science principles and the philosophy of Alcoholics Anonymous that Hazelden has embraced and adapted over many years. Hazelden President Jerry Spicer takes an inside look at the model -- how it began, how it successfully combines professional assistance with self-initiative and a mutual care community, and what is in store for the future.
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The Evolution of the Multidisciplinary Approach To Addiction Recovery
Jerry Spicer, M.H.A.
Page iv
Hazelden Educational Materials Center City, Minnesota 55012-0176
1993 by Hazelden Foundation All rights reserved. Published 1993 Printed in the United States of America No portion of this publication may be reproduced in any manner without the written permission of the publisher
Library of Congress Cataloging In Publication Data
Spicer, Jerry. The Minnesota Model: The evolution of the multidisciplinary approach to addiction recovery / Jerry Spicer. p. cm. Includes bibliographical references and index. ISBN 0-89486-846-2 1. Substance abuseTreatment. 2. Substance abuseTreatment MinnesotaHistory. I. Title. RC564.S7 1993 362.29'18'09776dc20 92-44556 CIP
Editor's note Hazelden Educational Materials offers a variety of information on chemical dependency and related areas. Our publications do not necessarily represent Hazelden's programs, nor do they officially speak for any Twelve Step organization.
Manuscript Editor: Debora O'Donnell-Tavolier Acquisitions Editor: Bill Chickering Cover design: Theresa Jaeger Copywriter: Sandra Haus Typesetter: Northwestern Printcrafters Proofreader: Caryn Pernu Production Editor: Cynthia Madsen Print Manager: Joan Seim Printer: Bang Printing The typeface used in this book is Goudy.
Page v
To the pioneers and reformers who taught us new ways to help others and thereby made each of us a better person; and to the future generations of leaders who must continue to carry the message.
Page vii
Contents
Dedication
v
Preface
ix
Acknowledgments
xiii
Introduction: A Tale Of Recovery
1
Chapter 1: Before The Minnesota Model
7
Chapter 2: The Minnesota Model Is Born-Three Crucial Experiments
27
Chapter 3: Understanding The Minnesota Model
47
Chapter 4: Progress And Problems1950 To 1990
59
Chapter 5: Critics And Criticism
73
Page viii
Chapter 6: Three Points About The Minnesota Model
87
Chapter 7: Challenges And Possible Futures
105
Appendix: Reflections On The Minnesota ModelAn Interview With Daniel J. Anderson
119
Endnotes
137
Bibliography
147
Index
151
Page ix
Preface
In 1978 I arrived at Hazelden's campus in Center City, Minnesota, to interview for a position as manager of the research and quality assurance department. I was struck by the beauty of the grounds, the kindness of the staff, and the scale and diversity of Hazelden's mission.
I came to Hazelden from a job in Canada, where government funding was the way people got help. And I was familiar with debates in the research community about controlled drinkinga topic that challenges some basic assumptions of the Minnesota Model. As the day progressed, my concerns gave way to excitement about Hazelden and the Minnesota Model. That's an excitement that I still have in 1993 as president of Hazelden.
I remember my first impressions of Hazelden. The building and grounds gave evidence that here was a place where respect and dignity were "in the bricks"no locked buildings, no staff wearing white coats to separate themselves from the patients, no people kept in pajamas to reinforce their identity as passive, sick patients. The staff were practical, experienced professionals from all disciplines, who worked as a team to address the complex needs of their clients. They carefully balanced some cynicism about researchers like me with a willingness to go on record with the outcomes of the Minnesota Model they so strongly supported.
Hazelden's commitment to outcome, too, was uniquethe belief that human beings, even those struggling with addictions, can
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change and grow; and the related emphasis on relationships, mutual help, quality of life, and spirituality. Taken as a whole, Hazelden added up to far more than what I'd been taught to researchounces of ethanol consumed per day!
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