AODS 153: Family Relapse Prevention Planning скачать в хорошем качестве

AODS 153: Family Relapse Prevention Planning

Families have a very important role in relapse prevention (i.e., preventing a return to problematic substance use). A fully integrated substance use treatment and family counseling program includes enlisting family support and involving family members in relapse prevention and recovery maintenance efforts (SAMSHA, 2020). Family support for recovery from substance use disorders is one of the primary factors associated with successful substance use treatment outcomes (Fals-Stewart et al., 2005; O’Farrell & Clements, 2012; O’Farrell & Fals-Stewart, 2012; SAMHSA, 2019). One of the main tasks for alcohol and drug counselors working with substance users and their families is to develop a relapse prevention plan that works for both the substance user and the family system (SAMSHA, 2020). Family relapse prevention planning is a well-established behavioral intervention technique in couples and family therapy (O’Farrell & Schein, 2011; Schumm & O’Farrell, 2013). The typical process of family relapse prevention planning is to have the substance user develop an initial relapse prevention plan before treatment ends and discuss this with a spouse or other key family members. The relapse prevention plan will anticipate high risk situations and “triggers”—internal and external factors that could influence a person to return to problematic substance use (e.g., feeling the urge to drink alcohol in social situations to relieve feelings of anxiety)—and develop a plan to address those situations and triggers. Once the substance user develops an initial relapse prevention plan (typically with the support of counseling staff), family members are then involved in the process. Family members will hear or receive a copy of the relapse prevention plan and then engage in a discussion. Sometimes family members may identify additional high-risk situations or triggers that were not accounted for. As family members often can identify early warning signs that the client may not be aware of that signal a return or process of returning to substance use, warning signs are also included in the discussion and construction of the plan. In addition to assisting with the construction of the relapse prevention plan, family members are also encouraged to discuss and identify coping and support strategies that the family members themselves can participate in or implement to prevent relapse, such as removing alcohol or other drugs from the household, participating in sober family activities with the recovering family member, and attending sober support meetings for substance users (e.g., Narcotics Anonymous) and family members of substance users (e.g., Al-Anon). Many times, family relapse prevention planning also includes a discussion and a “crisis” action plan for how to manage a return to substance use if it happens (SAMHSA, 2020). This introductory lecture will discuss the process of relapse and the structure of a relapse prevention plan, including a procedure for involving family members in the process. There is a short discussion on the (sometimes controversial) concept of lapses vs relapses and involving the family in a crisis plan in the event of a return to substance use. Common family relapse prevention planning goals are reviewed. References Fals-Stewart, W., O’Farrell, T. J., Birchler, G. R., Córdova, J., & Kelley, M. L. (2005). Behavioral couples therapy for alcoholism and drug abuse: Where we’ve been, where we are, and where we’re going. Journal of Cognitive Psychotherapy, 19(3), 229-246. O’Farrell, T. J., & Clements, K. (2012). Review of outcome research on marital and family therapy in treatment for alcoholism. Journal of Marital and Family Therapy, 38(1), 122-144. O'Farrell, T. J., & Fals-Stewart, W. (2012). Behavioral couples therapy for alcoholism and drug abuse. Guilford Press. O’Farrell, T. J., & Schein, A. Z. (2011). Behavioral couples therapy for alcoholism and drug abuse. Journal of Family Psychotherapy, 22(3), 193–215. Substance Abuse and Mental Health Services Administration. (2019). Enhancing motivation for change in substance use disorder treatment. Treatment Improvement Protocol (TIP) Series 35. HHS Publication No. PEP19-02-01-003. Substance Abuse and Mental Health Services Administration. Substance Abuse and Mental Health Services Administration. Substance Use Disorder Treatment and Family Therapy. Treatment Improvement Protocol (TIP) Series, No. 39. SAMHSA Publication No. PEP20-02-02-012. Substance Abuse and Mental Health Services Administration, 2020. Schumm, J. A., & O’Farrell, T. J. (2013). Families and addiction. In P. M. Miller et al. (Eds.), Comprehensive addictive behaviors and disorders: Vol. 1. Principles of addiction (pp. 303–312). Elsevier Academic Press.