TIP 39: Substance Abuse Treatment and Family Therapy

Relationships serve as the communication conduits that connect family members to each other. Attachment theory provides a way of understanding the development and quality of relationships between family members. John Bowlby (1988) developed attachment theory through the clinical study of mammalian species and humans. He postulated that at the time of an infant’s birth, the primary relationship, usually with the mother but not always, serves as the template for all subsequent relationships throughout the life cycle. It is through this relationship, at a prelanguage level, that infants learn to communicate and relate to their environment.

2. Rewards and Rewarding Activities

  • Families in which there is a parental SUD are characterized by an environment of secrecy, loss, conflict, violence or abuse, emotional chaos, role reversal, and fear.
  • Skills are described in more detail below based on material presented in that treatment manual.
  • Individuals with SUDs cannot be understood and treated effectively without considering the impact on the whole family.
  • For example, children may come to understand that they don’t ask permission from their mother when she is drinking.
  • These components of treatment may be especially effective because they typically are provided in the context of helping clients who attend self-help groups change their life styles.

The perspective I have espoused here is that the benefits of intervention programs depend on these processes, which underlie the growth of personal and social resources and protect individuals from developing substance use in the first place (Moos, 2006). Just as the provision of these ingredients of treatment appears to foster better outcomes, iatrogenic effects may occur when they are lacking. In this vein, about 10% of patients who participate in psychosocial treatment for substance use disorders may be worse off subsequent to treatment than before. The main mediating mechanisms appear to involve an increase in self-blame and learned helplessness and a decline in the sense of personal control (Moos, 2005). Since a paramount goal of treatment is to do no harm, these findings highlight the importance of extending our knowledge about the positive and negative processes involved in treatment.

Common Characteristics of All Families

Children and adolescents may engage in more externalizing behaviors like aggression, violence, lying, or stealing. An adolescent or intimate partner who has taken on major responsibilities for family functioning given up by the adult client with the SUD may resent and unintendedly sabotage the client’s efforts to resume a position of responsibility and authority in the family system. Or the family may experience a period of relative harmony that is disrupted if other family issues begin to surface. Your task is to help family members adjust to these changes in lifestyle, find ways to support the client’s recovery, learn new relationship and coping skills, and find healthier levels of functioning and family homeostasis.

what are some counseling theories used with family substance abuse

Current Models for Including Families in SUD Treatment

  • To the extent possible, arrange for separate treatment for the client who is violent, such as in a Batterer’s Intervention Program, and individual counseling focused on safety planning for the partner who has been a victim of violence.
  • Given that the family in which one is raised influences both of these, it is important to explore the impact of SUDs on the family.
  • Understanding what motivates people to drink abusively involves knowing their drinking behaviors and patterns and their perceptions, or cognitions, about themselves and about alcohol.
  • Assess the willingness of family members to participate in ongoing family counseling if appropriate.

The potential benefit of this transformation would be an SUD healthcare network positioned to deliver the most effective treatments for those with SUDs and their families. Motivational interviewing (MI) and motivational enhancement therapy (MET) are client-centered directive treatments that utilize elements of the counselor-client relationship to activate and capitalize on clients’ motivation and commitment for change. MI and MET seek to help clients resolve their ambivalence about change, reinforce clients’ statements about why they want to change, and strengthen clients’ commitment to actually change their substance use behavior (Miller and Rollnick, 2002).

Family Systems Therapy and the Genogram

what are some counseling theories used with family substance abuse

The center of excellence seeks to improve resources, training, and technical assistance for families, caregivers, professionals, and organizations. B. F. Skinner developed another behavioral therapy approach, called operant conditioning. He believed in the power of rewards to increase the likelihood of a behavior substance abuse counseling and punishments to decrease the occurrence of a behavior. Behavioral therapists work on changing unwanted and destructive behaviors through behavior modification techniques such as positive or negative reinforcement. In the case of a child or adolescent, a healthcare provider may focus on their parents.

Mental Health Counselor Training, Skills, and Salary – Verywell Mind

Mental Health Counselor Training, Skills, and Salary.

Posted: Sat, 17 Dec 2022 08:00:00 GMT [source]

Monti and colleagues (1989) have characterized the skills that must be taught as either intrapersonal or interpersonal and have developed a session-by-session manual for implementing a comprehensive skills training program (table 1). Skills are described in more detail below based on material presented in that treatment manual. Therapists use brief strategic family therapy to reduce family interactions that support or exacerbateteen drug abuse or problematic behavior. Such behavior includes problems at school, delinquency, associationwith anti-social peers, aggressive tendencies and high-risk sexual behavior. Multidimensional family therapy is an outpatienttreatment for teens who abuse drugs. It focuses on individual, family, peer and community networks to reduceproblematic behavior and encourage healthy behavior.

Goals of Integrated Family Counseling for SUDs

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