Brief Strategic Family Therapy for Adolescent Drug Abuse.
Does Family Therapy for Adolescent Substance Users As well Help Parents?
Family therapies such as multisystemic family therapy, multidimensional family therapy, and brief strategic family unit therapy (BSFT) have been shown to help reduce substance use among adolescents.
Cursory strategic family therapy (BSFT) is based conceptually on strategic family therapy (developed by Salvador Minuchin) and structural family unit therapy (adult by a group led by Jay Haley and Cloe Madanes). It regards the boyish with the presenting substance utilise disorders (SUD) as the "identified patient" within a family unit system marked by maladaptive boundaries and interactions.
Furthermore, altering the family'southward operation through increased cohesion and decreased conflict is assumed to modify the adolescent'south unhealthy coping behaviors including substance utilise.
Studies have yet to examine whether parents receiving these evidence-based family therapies also brand changes to their own substance utilize.
This is important for two reasons:
- ongoing parent substance use is a risk cistron for substance misuse and relapse amidst adolescents whose substance use disorder (SUD) is in remission
- reduced parent substance use fifty-fifty at subclinical levels could improve their quality of life, and decrease the overall brunt of substance misuse in families and communities.
In this secondary assay of a randomized controlled trial comparison Cursory strategic family therapy (BSFT) to Treatment as Usual (TAU) in eight outpatient addiction treatment programs across the country, Horigian et al. assessed 480 adolescents and their families on adolescent substance utilize, parent substance employ, and family unit functioning (using the Parenting Practices Questionnaire and the Family Environment Scale). Reporting parents were 85% female person, 43 years old on average, and had a variable, albeit very modest family income (25% between $10-nineteen,999, and eighteen% < $10,000).
At baseline (past 30 days), approximately twoscore% of parents reported alcohol utilize, 14% drug use, and 45% neither. Adolescents were lxxx% male person, fifteen.v years quondam on boilerplate, and 44% Hispanic, 31% White, and 23% African American. Three-quarters of adolescents met DSM-IV criteria for drug use disorder.
The study establish that parents of adolescents receiving Brief strategic family therapy (BSFT) significantly reduced their alcohol, but non drug use relative to treatment every bit usual (TAU), and that change in family functioning partially mediated (east.g., explained) this outcome.
Although Brief strategic family unit therapy (BSFT) families were not significantly different from handling every bit usual (TAU) families on family functioning over time, BSFT families showed what is considered a small clinical improvement (i.e., a small effect size) on family functioning relative to TAU families. Contrary to authors' hypotheses, changes in parent substance utilise from baseline to 12-month follow-up were non related to adolescent substance use at 12-months.
IN CONTEXT
Parent substance apply is a powerful risk gene for boyish substance utilize. The current report showed that among adolescents with drug using parents, Brief strategic family therapy (BSFT) may buffer this risk. In add-on, well articulated family therapies targeting adolescents with substance utilise disorders (SUD) may too simultaneously atomic number 82 to changes in parents' alcohol use.
The Net is a valuable resource for the field of recovery, and it is crucial that interventions are designed to stay relevant given the shift towards an Cyberspace-based society.
This study is of import to contextualize in the larger adolescent addiction treatment/recovery literature. In the large multisite Cannabis Youth Treatment Report (N=600), a separate but related family unit therapy, Multidimensional Family Therapy (MDFT), promoted reductions in boyish substance use to the same degree equally the Adolescent Community Reinforcement Approach (A-CRA) and another treatment that combined motivational enhancement therapy (MET) with cognitive behavioral therapy (CBT), but at a greater price.
Although MET/CBT does not involve parents direct, A-CRA focuses on improving communication and problem solving between patient and parent(s). The extent to which A-CRA and MET/CBT leads to reductions in parents' substance apply and adolescents' use when parents are drug users is unclear, and thus of import to consider when implementing interventions for adolescents with substance utilize disorder.
BOTTOM LINE
- For individuals & families seeking recovery: Brief systemic family therapy and other family unit therapies that focus on boundaries and interactions between family members may help modify substance utilize of both the adolescent and family unit members.
- For scientists: The current study was a methodologically sound secondary assay of an RCT of brief systemic family therapy. Change in family functioning appeared to mediate reductions in parents' drinking. This is a broad construct, however, and future enquiry might determine what specific components of family operation accounted for improvements (eastward.g., improved advice).
- For policy makers: Policies to facilitate parent involvement in boyish SUD handling may better parental substance-related risks equally well. Still, the relative advantage of family unit-focused therapies relative to other individually or grouping-delivered treatments is unclear for the adolescents themselves.
- For handling professionals and treatment systems: Prove-based family therapy targeting adolescents with substance use disorders may be a useful intervention to promote changes in parents' substance use as well as adolescents. This may be a peculiarly good choice for adolescents whose parents are misusing alcohol and other drugs themselves.
CITATIONS
Horigian, V. E., Feaster, D. J., Brincks, A., Robbins, Yard. S., Perez, M. A., & Szapocznik, J. (2015). The effects of Cursory Strategic Family Therapy (BSFT) on parent substance use and the association betwixt parent and adolescent substance use.Addictive behaviors,42, 44-50.
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Source: https://www.recoveryanswers.org/research-post/does-family-therapy-for-adolescent-substance-users-also-help-parents/
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