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    Multi-Family Group for Substance Use Treatment
    Multi-Family Group for Substance Use Treatment
    Multi-Family Group for Substance Use Treatment
    Ebook125 pages5 hours

    Multi-Family Group for Substance Use Treatment

    By Melinda Drake

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    About this ebook

    The Multi-Family Group for Substance Use Treatment is a two-day intensive or a 16-week group curriculum for the patient, spouses, parents, siblings, and partners.
    LanguageEnglish
    PublisherBookBaby
    Release dateDec 24, 2016
    ISBN9781483589145
    Multi-Family Group for Substance Use Treatment

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      Multi-Family Group for Substance Use Treatment - Melinda Drake

      References

      Introduction

      Substance abuse adds to the conflict within the family which erodes relationships and creates tension within the family system (Zalice, 2005). Additionally, Schaefer (2011) identified that there is a strong connection between disrupted family relationships and alcohol and other drug addiction. The family plays a strong central role in preventing substance use and later misuse among young people (Velleman, Templeton and Copello, 2005). In 1978, Stanton, et. al. described the complex homeostatic interlocking feedback system that fuels the chronic relapsing condition within heroin addiction. It is important to address addiction within the context of a family.

      The media hype associated with reality shows have showcased families confronting loved ones afflicted with the disease of addiction as an intervention. However, there has not been a single clinical trial showing efficacy of confrontational counseling in addiction treatment in the last forty years. Additionally, there are numerous clinical studies showing empathic and supportive style practice being more effective in dealing with substance abuse (White and Miller, 2007). These interventions focused solely on the identified client, and does not take into account the environment which needs a parallel or complementary intervention for the family members. Family members’ responses to the identified client’s addiction should also focus on strengthening recovery, and decreasing the occurrence of relapses from addiction (Sugai, et. al., 2000). The Multi-Family Group for Substance Use Treatment addresses the family members’ need to examine their roles and possible changes that need to occur within the family system to assist in the recovery process. Additionally, it also addresses the family’s needs to endure as a system dealing with the chronic nature of addiction.

      Elements

      The Multi-Family Group for Substance Use Treatment is a two-day intensive or a 16-week closed group curriculum for the patient, spouses, parents, siblings, and partners. The two-day intensive program is the preferred delivery method. It consists of six elements:

      Assessments of the identified client and family members for need and readiness to accept changes in their lives.

      Psychoeducation Group to help the family to develop an understanding of addiction, realize that that their experiences and feelings are not unique and that they can set healthy boundaries for themselves.

      Dyads with the support and guidance of two trained clinicians to allow the family members and the identified client to share how the addiction-related behaviors have impacted their relationship in a safe environment.

      Informal interaction with other family members. While this element may seem inconsequential we believe that it is a vital element for success. When family members share intimate information with one another they are more apt to trust and bond.

      Goal and Relapse Prevention Planning to assist the family to generalize lessons learned in the program.

      Outcome measurement using the Hopefulness-Hopelessness Scale before and at the completion of the multi-family group and a satisfaction survey at the end of the group.

      Goals and Objectives

      The goals of the Multi-Family Group for Substance Abuse Treatment are to equip the family members with tools needed to support their loved one in maintaining sobriety; decrease intensity, duration, and frequency of relapse(s); or mitigate the occurrence of relapse(s); and support the family members in dealing

      The objectives of the Multi-Family Group for Substance Abuse Treatment are to provide the family education on addiction, mental illness and co-occurring disorders, to assist the family to understand enabling and co-dependency behaviors, to improve the family’s communication, stress management, and anger management skills, and create a relapse prevention plan that addresses the family member’s responses to their loved one’s relapse(s).

      Key Concepts to the Process

      The Multi-Family Group Substance Use Treatment model utilizes the following concepts on current view of addiction Multi-Systemic Therapy, Systems Theory and Person Centered Therapy.

      Addiction is a family disease. It is defined to be biological in nature, ASAM (2011) defined it as a primary, chronic disease of brain reward, motivation, memory and related circuitry. However, certain aspects of addiction involve behavioral control and ineffective coping mechanisms.

      The fit of the problem. The crisis brought about by addiction in the family provides critical opportunity for assessment and change (Henggeler, et.al, 1996).

      Change is constant. Each person in a family is part of the whole system. The whole is greater than the sum of its parts. A family can be thought of as a holon, simultaneously a whole and a part of a larger system (Longres, 1990, p. 266). When a change occurs, the impact is systemic, creating ripples throughout the system.

      Resistance is normal. Motivation to seek treatment is not always present with the person or the family; the lack thereof can be a barrier to treatment, but it also provides clues to processes needed to be successful and to create lasting lifestyle changes.

      Relationship is vital. Healthy relationships require work throughout the individual and family developmental tasks.

      Person-centered intervention is key. Each person brings a different set of resources with the difficulty they faced. Interventions to overcome these difficulties should be based on the person’s repertoire.

      Stages

      The Multi-Family Group for Substance Use Treatment is designed as a stand-alone program developed from assessment to outcome measurement. It is recommended that the group be facilitated by at least two people, one of whom should be licensed in the healing arts. There are four stages to the process, all of which are equally important.

      Foundation – Rapport development begins at first contact whether by phone or face-to-face. A family member or the identified client may initiate the process, but it is important that there is an agreement on who among the family members would be attending the group. Additionally, it is important that the family as a whole, in addition to the shared problem of addiction, is matched or groups with other families of similar or complementary situation to create increased cohesion (Hogg, 1992). Activities at the foundation stage includes assessment, orientation, addressing and prioritizing treatment issues for the process. Simultaneous interventions should occur between multiple family members, the identified client and the facilitator(s) at this stage to match families and clients who would benefit most with the grouping.

      Assessment. The joining together of the family systems and the treatment providers create a new social system. Understanding the interactions: past and present, of the different systems within the family is the first task in creating a lasting foundation. This requires a thorough assessment of both the identified client and the family members. Helping all the family members to feel welcome is important. A non-judgmental approach is a key to treatment acceptance.

      Program orientation. Expectations can be shaped though a comprehensive orientation. It should cover treatment benefits and what the treatment entails. Understanding past treatment experience(s) for both the identified client and the family members provides a background on the family.

      Addressing treatment issues. Different circumstances prompt treatment. Understanding these issues provides key to treatment motivation.

      Prioritizing treatment issues. The time limitation

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