Hope Rehab: This is what makes our addiction treatment so unique


Hello everyone, my name is Henk Nagel. I’m originally from Holland, and I work
for Hope Rehab. Hi, Henk, I’m Simon, I’m the founder of
Hope, and we’re going to make a short film today. The title is, the variety of treatment at
Hope Rehab. I guess we’re going to talk about what’s
included, the various activities. I think it’s worth mentioning at first how addiction
affects us, because that structures the treatment. We know that addiction affects us mentally,
so that’s our thinking. It affects us emotionally, so that’s stimulus
and emotional responses. It also affects us physically, our physical
wellbeing in many different ways. But it also affects us spiritually and I’ll
talk a little bit about what spirituality is. When I say that, what do I mean? I think the physical part is quite straightforward,
to the greater extent, and we have a fitness programme that
includes all levels. We do yoga, Pilates, Muay Thai. The Muay Thai training, kickboxing, I think
that’s particularly valuable, it plays into our psychology, being assertive, being confident. Emotionally, we approach that a couple of
different ways. One is obviously the therapy to get some emotional
balance, an understanding of how we react to situations, and maybe why. And of course, mindfulness helps emotionally
as well. It helps us manage that relationship between
our thoughts and our emotions, so it helps with depression and anxiety. Spiritually, I think it’s more about meaning,
purpose in our lives, if we felt lost due to our addiction, low self-esteem due to our
addiction. There’s also that connection with others. Being connected, generally, I would lump into
emotional wellbeing. There’s a number of things there. How do we do that, how do we approach these
issues? That’s how I formulated the programme, to
include as much as possible. We know that addiction affects our reward
centre, so we need to introduce clients to rewarding activities that are healthy. We know it affects our learning centre in
the brain, so it’s about building some new positive memories that can happen at Hope. It affects other parts of our thinking, our
mental health, so we can have distorted thinking. That might have started early on in our lives,
or due to some traumatic events. But as adults, it’s worth having a look
at our thinking and tracing it and seeing how we react and respond to our thoughts. Is it destructive, or is it constructive? It’s hard to pack into a short video everything that goes
on while you’re at Hope, but it’s a busy programme. I always call it an intensive programme. It’s up early with the fitness activities. That can include going out on bike rides,
temple walks, or it can be a high-impact group like Muay Thai fighting or training. Then it moves more into the therapeutic day
between 9 and lunchtime, which includes mindfulness every morning, gratitude circle, and then
the two-hour therapy groups. Also, because we’re in Thailand, we can
provide massage, wonderful massage, which is a bit like physiotherapy, to be honest. It’s relaxing, and it gets you back in touch
with your body and feeling good. It’s necessary after all the fitness. Those are just a few things I’ve mentioned,
and I’ll let Henk take over. Thanks, Simon. So now you have an impression and a global
understanding of our programme. If we look at the therapeutic groups, it’s
a key component of what we do at Hope Rehab. Our therapy groups have a huge variety of
components that help people stay well. As you know, many people struggle to stay
sober, it’s very difficult. One of the things we look at with our clients
is helping them to build a recovery programme. We also use cognitive behavioural therapy,
CBT, that’s where we look at people’s perceptions of life, people’s perceptions
of their difficulties, their struggles, and evaluate those perceptions. Where needed, we can replace them with more
helpful perceptions. We took the best parts of DBT, that’s dialectical
behaviour therapy, where we look at more rational approaches to struggles in life. You might know from your own experience that
addiction brings a lot of irrational behaviours and perceptions and thoughts with it, so that
needs work. In our programme, we have psychotherapy, CBT,
DBT, but also ACT. That’s a lot of acronyms, but ACT stands
for acceptance and commitment therapy. It’s a very goal-oriented form of looking
at a person’s behaviour and replacing it with more helpful behaviours. In addiction people develop a life that supports
addiction. In treatment we need to develop a life that
supports recovery. One of the things is a healthy routine, starting
the day in a positive way and being there when you have to be there, because it’s
real addict behaviour, not being there when you have to be there, so that needs practice. We also have parts from psychotherapy that
really help people to look at themselves. We also have in our programme SMART Recovery,
that stands for Self-Management and Recovery Tools. Self-management is a very important part for
people to get well, because self-evaluation leads to self-improvement and self-improvement
leads to self-management and that’s where people get recovery,
when they learn to manage themselves, as in their responses, their decisions,
their behaviour. That needs to be managed in a helpful way
if you want to get well. We have Refuge Recovery that uses Buddhist
principles, because addiction has principles. In addiction we lie, steal, manipulate or whatever
people do, and that’s different for everyone. Now we need to see, what principles are going
to be helpful in my life? That can be being loving, kind, caring, compassionate,
tolerant, accepting, forgiving. All of those things help people to stay stable
and find a satisfying way of life. That’s combined with all kinds of other
parts from different therapies. That’s also what we hear from our clients,
that the programme is very stimulating, motivating and also inspirational. Sorry to interrupt, but what’s unique about
our programme… For a primary programme, i.e. the first month
or two of someone’s treatment, it’s quite unusual that they go out
three times a week. I always believe that, so long as we can manage
it safely, why not take the whole client group out and have some fun? I think that’s an important part of the
programme, those rewarding activities. On a Friday night we go to the health park,
which is kind of an Asian thing, so it’s nice to have a look at the local customs and
practices. Then we go to a Japanese restaurant. That’s quite something, organising that,
because obviously for a small rehab to take 40 people for a night out without alcohol
is quite significant, so we manage that. Saturdays, we go out to a beautiful place
on the seaside, and there’s a meeting. That’s very popular, and it’s a lovely café. Sundays are excursion day over to the island,
so a ferry ride to the island, which is a unique place in itself, and the beach. That, I can’t imagine any other rehab
in the world can offer anyone. I’m proud that we’ve got that, and what
I’m really proud about is that it works so well. We’ve had very few problems in four years,
doing that. It is possible to safely take people out in
their initial phase of treatment and I think that really helps keep it stimulating. There’s nothing worse for an addict if it’s boring,
then you’re just going to have cravings the whole time. But keep it stimulating. I always say that the boring moments are useful
as well, because you need to be able to train yourself to sit on the couch at home without
much going on, and not use. I acknowledge that, it’s really important
to slow things down. But I think within the mindfulness programme
we’re able to teach people to be with themselves for half an hour without doing anything or
thinking that. I just wanted to mention that. Yes, this morning we had sports day, actually. Over the week, people developed their own teams
and we had low-level therapeutic exercise as well. A lot of fun, a lot of smiles, and then we took the
clients to the scout camp and had the programme. It’s really fun and inspirational. I think we’re coming up to the end of the
video. If you have any questions, feel free to contact
me or Simon, I’m happy to help you forward. Contact Henk. Okay, contact me, and I’m happy to help
you forward. Thanks for watching. Yes, thanks for listening. Bye.

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