Feature Article: Substance Abuse and the Family: Family-Based Interventions for Substance Abuse: A Profile of Two Models

2003 ◽  
Author(s):  
C. Rowe
Keyword(s):  
Substance Abuse ◽  
Feature Article ◽  
The Family ◽  
Family Based ◽  
Family Based Interventions

scholarly journals A realistic review of family-based interventions for children of substance abusing parents.

2021 ◽  
Author(s):  
Amelia M. Usher ◽  
Kelly E. McShane ◽  
Candice Dwyer
Keyword(s):  
Data Analysis ◽  
Disease Model ◽  
Realist Review ◽  
Program Theory ◽  
Intervention Programs ◽  
Substance Abusing ◽  
The Family ◽  
Prevention Model ◽  
Family Based ◽  
Family Based Interventions

Background Millions of children across North America and Europe live in families with alcohol or drug abusing parents. These children are at risk for a number of negative social, emotional and developmental outcomes, including an increased likelihood of developing a substance use disorder later in life. Family-based intervention programs for children with substance abusing parents can yield positive outcomes. This study is a realist review of evaluations of family-based interventions aimed at improving psychosocial outcomes for children of substance abusing parents (COSAPs). The primary objectives were to uncover patterns of contextual factors and mechanisms that generate program outcomes, and advance program theory in this field. Methods Realist review methodology was chosen as the most appropriate method of systematic review because it is a theory-driven approach that seeks to explore mechanisms underlying program effectiveness (or lack thereof). A systematic and comprehensive search of academic and grey literature uncovered 32 documents spanning 7 different intervention programs. Data was extracted from the included documents using abstraction templates designed to code for contexts, mechanisms and outcomes of each program. Two candidate program theories of family addiction were used to guide data analysis: the family disease model and the family prevention model. Data analysis was undertaken by a research team using an iterative process of comparison and checking with original documents to determine patterns within the data. Results Programs originating in both the family disease model and the family prevention model were uncovered, along with hybrid programs that successfully included components from each candidate program theory. Four demi-regularities were found to account for the effectiveness of programs included in this review: (1) opportunities for positive parent-child interactions, (2) supportive peer-to-peer relationships, (3) the power of knowledge, and (4) engaging hard to reach families using strategies that are responsive to socio-economic needs and matching services to client lived experience. Conclusions This review yielded new findings that had not otherwise been explored in COSAP program research and are discussed in order to help expand program theory. Implications for practice and evaluation are further discussed.

scholarly journals Family-Based Interventions for the Prevention of Substance Abuse and Other Impulse Control Disorders in Girls

2014 ◽  
Vol 2014 ◽  
pp. 1-23 ◽  
Author(s):  
K. L. Kumpfer
Keyword(s):  
Substance Abuse ◽  
Cultural Adaptation ◽  
Impulse Control ◽  
Prevention Programs ◽  
Impulse Control Disorders ◽  
Adolescent Substance Abuse ◽  
Effective Prevention ◽  
Adolescent Substance ◽  
Family Based ◽  
Family Based Interventions

Standardized family-based interventions are the most effective way of preventing or treating adolescent substance abuse and delinquency. This paper first reviews the incidence of adolescent substance abuse worldwide emphasizing gender and causes by etiological risk and protective factors. New epigenetic research is included suggesting that nurturing parenting significantly prevents the phenotypic expression of inherited genetic diseases including substance abuse. Evidence-based family interventions are reviewed including family change theories behind their success, principles and types of family-based interventions, research results, cultural adaptation steps for ethnic and international translation, and dissemination issues. The author’s Strengthening Family Program is used as an example of how these principles of effective prevention and cultural adaptation can result in highly effective prevention programs not only for substance abuse, but for other impulse control disorders as well. The conclusions include recommendations for more use of computer technologies to cut the high cost of family interventions relative to youth-only prevention programs and increase the public health impact of evidence-based prevention programs. The paper recommends that to reduce health care costs these family-based approaches should be applied to the prevention and treatment of other impulse control disorders such as obesity and type 2 diabetes, sexually transmitted diseases, and delinquency.

Control and controllability: beliefs and behaviour in high and low expressed emotion relatives

2002 ◽  
Vol 32 (6) ◽  
pp. 1091-1099 ◽  
Author(s):  
JILL M. HOOLEY ◽  
CHRISTINE CAMPBELL
Keyword(s):  
Clinical Outcomes ◽  
Family Environment ◽  
Expressed Emotion ◽  
Unipolar Depression ◽  
Theoretical Models ◽  
Behavioural Control ◽  
The Family ◽  
Family Based ◽  
Family Based Interventions

Background. Expressed emotion (EE) is a measure of the family environment that is a well replicated psychosocial predictor of psychiatric relapse. Theoretical models of EE place heavy emphasis on the notion of control. We explored the extent to which high and low EE relatives made both attributions of control about patients and engaged in controlling behaviours.Methods. Trained raters who were blind to information about EE coded interviews with 35 relatives of patients with schizophrenia and 42 relatives of patients with unipolar depression. Relatives were rated on two reliable scales that assessed relatives' tendencies to make illness controllability attributions and relatives' efforts to exert direct behavioural control over patients.Results. In both the schizophrenia and depressed groups, high-EE relatives attributed more control to their ill family members than did low EE relatives. They also behaved in a more controlling manner. Examination of patients' clinical outcomes during a 9-month follow-up period revealed that high levels of behavioural control on the part of relatives significantly predicted relapse in patients with schizophrenia but not in patients with depression.Conclusions. These findings support the attribution-based model of EE. They further suggest that controlling behaviours on the part of relatives may mediate the EE-relapse link in schizophrenia. Such behaviours may be important targets for modification in family-based interventions for schizophrenia.

Introduction

2016 ◽  
pp. 1-10
Author(s):  
Leslie M. Drozd ◽  
Nicholas Bala
Keyword(s):  
Program Development ◽  
Child Outcomes ◽  
Contact Problems ◽  
Great Depth ◽  
The Family ◽  
Family Based ◽  
Traditional Approaches ◽  
Parent Child Relationships ◽  
Family Based Interventions ◽  
Parent Child

This introduction provides a synopsis of the overall scope of this volume as well of its individual chapters, which cover a range of issues related to parent–child contact problems and family-based interventions to address them. The traditional approaches of the law and the justice system have failed to deal adequately with these alienation cases. Family-based therapeutic approaches that use psychoeducation and clinical interventions with the parents, the child, and the family offer promise for improving parent–child relationships and child outcomes. While the book focuses in great depth on the Overcoming Barriers approach, chapters are also dedicated to other such interventions. The authors endorse the need for further research and program development.

scholarly journals A realistic review of family-based interventions for children of substance abusing parents.

2021 ◽  
Author(s):  
Amelia M. Usher ◽  
Kelly E. McShane ◽  
Candice Dwyer
Keyword(s):  
Data Analysis ◽  
Disease Model ◽  
Realist Review ◽  
Program Theory ◽  
Intervention Programs ◽  
Substance Abusing ◽  
The Family ◽  
Prevention Model ◽  
Family Based ◽  
Family Based Interventions

Background Millions of children across North America and Europe live in families with alcohol or drug abusing parents. These children are at risk for a number of negative social, emotional and developmental outcomes, including an increased likelihood of developing a substance use disorder later in life. Family-based intervention programs for children with substance abusing parents can yield positive outcomes. This study is a realist review of evaluations of family-based interventions aimed at improving psychosocial outcomes for children of substance abusing parents (COSAPs). The primary objectives were to uncover patterns of contextual factors and mechanisms that generate program outcomes, and advance program theory in this field. Methods Realist review methodology was chosen as the most appropriate method of systematic review because it is a theory-driven approach that seeks to explore mechanisms underlying program effectiveness (or lack thereof). A systematic and comprehensive search of academic and grey literature uncovered 32 documents spanning 7 different intervention programs. Data was extracted from the included documents using abstraction templates designed to code for contexts, mechanisms and outcomes of each program. Two candidate program theories of family addiction were used to guide data analysis: the family disease model and the family prevention model. Data analysis was undertaken by a research team using an iterative process of comparison and checking with original documents to determine patterns within the data. Results Programs originating in both the family disease model and the family prevention model were uncovered, along with hybrid programs that successfully included components from each candidate program theory. Four demi-regularities were found to account for the effectiveness of programs included in this review: (1) opportunities for positive parent-child interactions, (2) supportive peer-to-peer relationships, (3) the power of knowledge, and (4) engaging hard to reach families using strategies that are responsive to socio-economic needs and matching services to client lived experience. Conclusions This review yielded new findings that had not otherwise been explored in COSAP program research and are discussed in order to help expand program theory. Implications for practice and evaluation are further discussed.

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