Intervention Therapists in Québec

What is a therapeutic intervention?

In a mental health and addiction context, an intervention typically refers to a structured process designed to help someone who is struggling with addiction or a mental health crisis to recognize the impact of their situation and accept help. Interventions can range from informal conversations between loved ones and the person of concern, to professionally facilitated structured interventions (such as the ARISE or Johnson Intervention models), to involuntary assessments when a person poses an imminent risk to themselves or others. Intervention is also used more broadly to refer to any therapeutic action or treatment approach.

When should a family consider a formal intervention?

A formal intervention may be worth considering when someone's addiction or mental health crisis is causing significant harm to themselves or their family and they are not willing to seek help independently; when informal conversations have not been effective; and when the family is organized and committed to supporting treatment. Interventions are not appropriate in all situations — active domestic violence, significant mental illness, or highly strained family relationships can make structured interventions counterproductive or unsafe. Professional guidance is essential.

What are the different models of intervention?

The Johnson Intervention (confrontational, surprise model) was historically the most common but has given way to more collaborative approaches. The ARISE model involves the person of concern from the start rather than surprising them. The CRAFT (Community Reinforcement and Family Training) model teaches family members specific skills to reduce enabling and increase the likelihood the person will seek treatment — without a formal "intervention event." Research suggests CRAFT is as effective as or more effective than traditional intervention models for getting resistant loved ones into treatment.

Should I use a professional interventionist?

A professional interventionist — typically a certified addiction counsellor or therapist with specific training in intervention — can provide invaluable guidance: assessing whether intervention is appropriate, helping the family prepare, facilitating the intervention itself, and managing unexpected reactions. The intervention field in Canada is not tightly regulated, so checking credentials is important. A therapist trained in CRAFT may be a better first option for many families than a traditional interventionist.

What if the person refuses to accept help after an intervention?

Refusal is a real possibility, and families must be prepared for it. If the person refuses, the most important thing family members can do is follow through on any consequences they have communicated, maintain their own support (therapy, Al-Anon, Nar-Anon), and avoid enabling behaviour that makes it easier for the person to continue without changing. CRAFT specifically trains family members in what to do both when the person accepts help and when they do not.