Can I Use FMLA for Rehab? How the Family and Medical Leave Act Supports Addiction Treatment

Family Medical Leave Act FMLA

48.5 million (17%) Americans struggle with a substance use disorder, but only 23% receive the help they need. One of the biggest barriers? Fear of losing your job while seeking treatment. Fortunately, you may be legally protected through the Family and Medical Leave Act (FMLA). This federal law allows eligible employees to take time off for serious health conditions, including substance use disorders, without risking job security.

What is FMLA?

The Family and Medical Leave Act is a federal law that gives certain employees up to 12 weeks of unpaid, job-protected leave per year for specific family or medical reasons. FMLA has made it possible to take care of your health and the health of your family without sacrificing your job or health insurance. Thankfully, treatment for substance abuse can be covered by FMLA. 

What reasons can I use FMLA for?

  • The birth, adoption, or foster care placement of a child
  • Caring for a child, spouse, or parent with a serious health condition
  • Your own serious health condition that prevents you from working
  • Certain situations related to a family member’s military service

Can I use FMLA for inpatient or outpatient substance abuse treatment?

Generally, yes. The term “serious health condition” can include substance use disorders and mental health conditions if:

  • You’re receiving inpatient care (like a residential treatment program)
  • You’re receiving ongoing treatment by a healthcare provider (like intensive outpatient programs)
  • A covered family member needs your care during their treatment

It is important to note that if your substance use interferes with your job performance, your employer may still take disciplinary action.

Am I eligible for FMLA?

You may qualify for FMLA if you:

  • Have worked for your employer for at least 12 months, and worked at least 1,250 hours
  • Work for a company with 50 or more employees, a government agency, or school
  • Work for a covered employer

What protections does FMLA provide?

Eligible employees can:

  • Take up to 12 weeks of unpaid leave during a 12-month period
  • Take up to 26 weeks of military caregiver leave during a 12-month period
  • Use leave intermittently, even a few hours at a time
  • Return to the same job or a nearly identical role
  • Keep your group health insurance while you’re on leave

Your employer cannot fire, discipline, suspend, or retaliate against you for requesting or taking FMLA.  

Do I need to tell my employer why I am taking FMLA?

No, your medical privacy is protected. While you need to share enough information to show your leave qualifies for FMLA, you do NOT need to say that you’re seeking treatment for substance abuse, nor do you need to share any other medical history that is unrelated to why you are taking leave. 

Now that I know I can take time off, how do I find treatment for myself or a loved one?

When you’re ready to begin your recovery journey, The Council is the place to start for objective and expert advice. Our compassionate team will walk alongside you to ensure you find the support you or a loved one needs – whether it is with us or elsewhere in the Houston community. Contact The Council or call us at 713-942-4100 to take the first steps toward recovery.

Note: This blog is for informational purposes only and does not constitute legal advice. For questions about your specific rights or situation, consult your HR department or a legal advisor.

Sober Curious? Try Dry January

As we step into the new year, many of us look for ways to reset and rejuvenate. What about starting 2024 by trying Dry January? This month-long challenge invites individuals to abstain from alcohol and focus on health, wellness, and self-improvement.

What is Dry January?

Dry January is a popular trend where people refrain from drinking alcohol throughout January. It began in 2012 as a public health initiative by Alcohol Change UK and has gained popularity in the US. In 2024, a quarter of Americans reported completing Dry January, according to CivicScience.

Why try Dry January?

There are many physical health benefits from even just 30 days without alcohol. One study found such effects as better sleep, increased energy, weight loss, and lower blood pressure and cholesterol levels.

For the “sober curious,” Dry January can offer an opportunity to reset and refocus on health goals, especially after the holiday season. It also allows individuals to sample sobriety without the pressure of a long-term commitment.

Benefits Beyond January

In addition to the health benefits, taking a break from alcohol can offer a chance to reflect on your habits. Here are some questions to consider:  

  • What role does alcohol play in my life?
  • Why am I drinking this amount?
  • How do I feel without it?

Dry January can reveal signs of potential substance use issues, indicating it may be time to seek professional help. If you are not sure where to start, start at The Council. Our team can provide guidance and referrals to support your unique situation, regardless of your ability to pay. Call us at 713-942-4100 or start online.

Tips for a Successful Dry January

  • Find a non-alcoholic substitution, like mocktails, sparkling water, or non-alcoholic beer or wine.
  • Pair up with a like-minded friend or family member to complete the challenge together.
  • Keep a positive mindset and view Dry January as a form of self-care rather than a punishment.
  • Consider a new way to cope in social settings, like stepping outside for breathing exercises.

Note: Dry January is not recommended for those who are daily or near daily heavy drinkers (4+ drinks), as quitting alcohol abruptly can lead to mild to severe withdrawal symptoms such as hallucinations, delirium, racing heart rate, and fever. Seek immediate medical help if you suffer any of these symptoms.

Supporting Those in Recovery during the Holiday Season

As the holidays approach, a time usually filled with joy and celebration, it can also spark a range of emotions, especially for families navigating the complexities of recovery. Whether it’s a loved one overcoming addiction, managing mental health challenges, or healing from a significant life change, the holiday season can present unique hurdles.

In this blog post, we will share meaningful ways to support family and friends during this time, ensuring that the spirit of love and togetherness is still felt while creating an environment conducive to healing and growth.

Keep expectations realistic

Acknowledge that the holidays may look different, especially when celebrating with someone in early recovery, but different isn’t bad. You may need to adjust plans or skip some of your usual activities to be mindful of their needs. This transition may be hard for everyone, but it is important to help them (and yourself) realize the holidays can still be enjoyable.  

Express your support

Your loved one may be especially vulnerable during this time. Ask them, “What do you need from me to feel supported during this time?” Offer empathy, compassion, and positive communication. It is important to be mindful of their sobriety, but avoid making a show out of catering to them. Remember that connection is important.

Be open

Be open to hearing about triggers and cravings. Talking about them does not mean they will lead anywhere. Not talking about them is riskier.

Strategize an exit plan

Help your loved one create an exit plan for potentially triggering situations – let them know they have an “out” with you. Reassure them that you will support their choices, even if others are uncomfortable with the changes. Try to give grace and understanding if the recovering person misses an event or has to leave early.

Find support for yourself

Recovery is hard for families and friends too, so have a trusted person or two that you can lean on. The Council is also ready to support and guide you, even if your loved one is not seeking help here, through group meetings and more. Give us a call at 713.942.4100 or visit our website at any time. We invite you to join us on January 11 for the Wayfinders workshop to learn therapy-based skills about navigating a loved one’s addiction while also caring for yourself.

Maintaining Recovery during the Holiday Season

The winter holidays are usually a time of celebration, but for those in recovery, they can also bring added challenges. With the pressure of social gatherings, heightened expectations, and the overall emphasis on happiness, the holiday season can test your commitment to recovery in ways that other times of the year don’t.

In this blog, we’ll explore practical strategies for maintaining recovery during the holidays, whether you’re newly in recovery or have years under your belt. From navigating tricky social situations to finding moments for self-care, The Council is here to help turn this season into one of strength, joy, and resilience in recovery.

Keep expectations realistic

Just like with any other disease, substance abuse does not take a vacation just because the calendar says so. It’s important to keep expectations for yourself realistic in how you will maintain your recovery. Know your holidays may look different, but different isn’t bad.

Set healthy boundaries

Saying “no” can be one of the most empowering acts of self-care. It is more about being honest about what you can and can’t handle. Try to let go of the guilt of what you “should” do and prioritize what protects your recovery. One missed holiday event is worth being present for the next 10, 20, 30…

Surround yourself with the right people

Spend time with people who already know your struggle and can be there for you if the environment becomes a challenge to your sobriety or mental health.

Have an exit plan

If things don’t feel right, you might need to excuse yourself quickly. So before you go, think about how you will leave. Have your own transportation, ride-share apps installed, or a supportive friend ready to pick you up. Maintain your boundaries and remember that you are in control.

Schedule something to look forward to

Having something positive on your calendar can boost your spirits so plan an activity that excites you, whether it’s volunteering or attending a sober event. Mark your calendar for the Sober Recreation Committee bowling event on December 7 or come volunteer at The Council.

Reach out for support

If you’re wondering whether to reach out for support or not, go ahead and reach out now. The Council is ready to guide you through this season. We have over 15 different recovery group meetings on our campus and recovery support services available. Call us at 713.942.4100 or visit our website anytime for assistance.

What is CBD and How is it Different from Marijuana?

Clinical Director for the Center for Recovering Families Lori Fiester answers your burning questions about CBD.

If you’ve driven around town lately, you might have seen all the CBD shops that have burst on the scene, or may have seen ads on your favorite social media site selling CBD oils and other such related items.

This surge recently came about due to hemp being legalized in 2018. There seems to be a lot of confusion about that too, especially when you realize that hemp and marijuana come from the cannabis plant. The difference between hemp and marijuana is that hemp can only contain 3% of Tetrahydrocannabinol (THC). Past that percentage, it’s considered marijuana, which is illegal in Texas. While I see the effects of recreational marijuana abuse in my work, I had limited understanding about the what the differences between the substance were, the legalities, and was Cannabidiol (CBD) just another silver bullet. So I thought I’d dip my big toe in the river.

What is CBD? Understanding Cannabidiol and Its Benefits

Cannabidiol, commonly known as CBD, has gained significant attention in recent years. Derived from the cannabis plant, CBD is one of many cannabinoids known for its potential therapeutic effects without the psychoactive “high” often associated with cannabis. This unique profile has made CBD an appealing option for those seeking natural relief for various conditions.

What is CBD?

CBD is a natural compound found in cannabis plants. Unlike THC (tetrahydrocannabinol), which is another well-known cannabinoid, CBD does not produce mind-altering effects. Instead, it interacts with the body’s endocannabinoid system, a complex network that plays a role in regulating functions such as sleep, mood, and pain.

The Science of CBD

First of all, THC and CBD are chemically the same! Twenty-one carbon atoms, 30 hydrogen atoms and two oxygen atoms. The difference is in a single atom structure. And that single-atom difference is about feeling the psychoactive effects of the substance or not.

There are about 85 known cannabinoids found in the Cannabis plant, which include THC and CBD. A cannabinoid is a compound that interacts within the network of receptors in the Endocannabinoid System (ECS), which assist to maintain vital functions within the body. There are two receptors in the body called CB1 and CB2. CB1 is found in parts of the brain that is responsible for mental and physiological processes such as memory, cognition, emotion and motor skills. CB2 is found throughout the central nervous system and the immune system.

While both CBD and THC bind to the CB2, they interact with the CB1 receptors differently.  THC binds to the CB1 receptors that signals the brain to feel pleasure or ‘high’ feeling. CBD doesn’t bind directly to the CB1 and even its presence will negate the effects of the THC on the brain, meaning you won’t feel high. 

CBD

Use and Effects

CBD has been linked to assisting with pain, epilepsy, multiple sclerosis (MS), Parkinson’s, and inflammation, just to name a few. CBD is not regulated by the FDA and there have been no long term studies. There are no known side effects except in drug to drug interaction, i.e. medication.

THC is psychoactive which gives the ‘high,’ and its effects can include relaxation, altered senses, fatigue, hunger and reduced aggression.  Long term effects include addiction, impaired thinking and reasoning, a reduced ability to plan and organize, altered decision making, reduced control over impulses and correlates with significant abnormalities in the heart and brain.

Medical THC has been seen to help with the side effects of chemotherapy, MS, HIV/AIDS, spinal injury, nausea/vomiting, chronic pain, inflammation and digestive issues.

Potential Benefits of CBD

Many individuals turn to CBD for various health and wellness reasons, and early research indicates CBD may offer several potential benefits:

  • Pain Relief: Studies suggest CBD may help with chronic pain by reducing inflammation.
  • Anxiety and Stress Relief: Some evidence indicates that CBD may positively affect mental health, offering calming effects that might aid with anxiety and stress.
  • Sleep Support: CBD is also popular among those struggling with sleep issues, as it may promote relaxation without the hangover effects of traditional sleep aids.

Is CBD Legal?

CBD’s legality can be complex, depending on where you live and the product’s source. Generally, CBD derived from hemp (containing less than 0.3% THC) is federally legal in the United States, though local laws may vary. However, cannabis-derived CBD is only legal in states where cannabis has been fully legalized.

Marijuana is illegal in Texas although many states have legalized it for both recreation and medically.  Medical cannabis is legal in Texas in very limited situations. The Texas Compassionate Use Act came into law in 2015 allowing those affected with epilepsy, MS, Parkinson’s and Lou Gehrig’s disease have access to cannabis oil with less than 5% THC.

The Bottom Line is…

While CBD and THC come from the same plant, one is legal in Texas and one is not. It appears that CBD can have positive effects on a person’s health, it is not a psychoactive drug, there are no known side effects, and due to the changes in the law, it is readily available.  However, with that being said, there are no guidelines for manufacturing the substance, and there are no long term studies on the effects from taking the substance. I stress the issue of manufacturing due to the serious illness and even deaths we have seen from vaping when this delivery system was off-brand/market and often involving marijuana.

Marijuana is still illegal in Texas, it is a psychoactive and addictive drug and there are many side effects from its use. 

To make an appointment for a clinical assessment, or if you have any questions about how we can help you or a loved one struggling with substance abuse, call 713-914-0556 or contact us online.

If your campus, workplace or community would benefit from a presentation, contact us at 281-200-9273 or comm_education@councilonrecovery.org.

Council On Recovery To Host Symposium On Co-occurring Disorders

Neeraj Gandotra 1

February 7-9 Symposium to Gather Multi-Sector Experts to Confront Addiction and Mental Health Crisis & Forge Solutions

The Council on Recovery announces their Symposium on Co-Occurring Disorders: Bringing Care for Substance Use, Mental Health and Physical Health Together, February 7-9, the first conference of its type in Houston to bring together leaders from substance use, mental health, and medical sectors to increase awareness of co-occurring conditions and enhance collaboration to improve health outcomes and save lives.

Taking place at The Council’s main campus at 303 Jackson Hill Street in Houston, the Symposium on Co-Occurring Disorders will utilize keynote speakers, panel discussions, and break-out sessions across the three major sectors: substance use, mental health and medical care. The Summit will also explore systemic and policy issues surrounding the crisis, and will bring to light the role stigma plays in both the problem and solutions.

The Summit kicks off Wednesday evening, February 7th, with a keynote presentation by Michael Botticelli, former Director of the White House Office of National Drug Control Policy for the Obama Administration and the first in the role to be a person in long-term recovery. Thursday, February 8th features an opening keynote address on the scope of the issue presented by Dr. Neeraj Gandotra, Chief Medical Officer at the Substance Use and Mental Health Services Administration (SAMHSA), followed by breakout sessions throughout the day and an afternoon keynote panel focusing on partnerships. Friday, February 9th will conclude with traditional breakouts and a closing session. A detailed program for the event is available at: https://www.councilonrecovery.org/closing-thegaps/.

Wednesday, February 7, 2024, 5:30 PM – 7:30 PM – Evening with Michael Botticelli and
Symposium Kick-Off
Thursday, February 8, 2024 8:00 AM – 6:00 PM – Symposium on Co-Occurring Disorders
Friday, February 9, 2024 8:00 AM – 12:30 PM – Symposium on Co-Occurring Disorder

The Hamill Foundation Conference Center at The Council on Recovery (a smoke-free, vape-free, alcohol-free facility)
303 Jackson Hill Street
Houston, TX 77007
(Free garage parking)

TICKETS: Evening with Michael Botticelli: $40
Registration for Thursday and Friday only: $200
Registration includes breakfast, lunch, and refreshments. Licensed professionals in attendance are eligible to receive up to 10 continuing education units.
To register, please visit https://www.councilonrecovery.org/closing-the-gaps/, email
specialevents@councilonrecovery.org or call 281.200.9336