Interventions For Families of Substance Abuse
Interventions For Families of Substance Abuse
Interventions For Families of Substance Abuse
Abstract
This paper will identify the effects of various interventions made available to convicted
substance abusers and their families. Hopefully I will be able to identify the effectiveness or
ineffectiveness for both parent and child of such interventions. All of the various programs I
found incorporate positive parenting techniques. Combined with drug and family counseling.
Being a North American Native from an impoverished reservation I am all too familiar of the
devastating effects from substance abuse. Until recent decades, it was considered common
practice to remove Native children from the home and never return them. They were either
adopted out or left in foster care. My question is, would programs that focus on teaching
parenting techniques in addition to child and family counseling benefit Native families
devastated by substance abuse?
Unfortunately more often than not a great number of substance abusers are vulnerable and
oppressed individuals. The links between parental substance abuse and child abuse and neglect
seem to be intertwined. In addition children of substance abusers have a greater risk of becoming
abusers themselves.
When the courts and child welfare agencies become involved what is best for the entire family,
reunifying them or placing the children in foster care? Furthermore if the parent receives
treatment what measures if any are in place to strengthen and unify the family?
Intervention 1
Parenting Services for Families Affected by Substance Abuse
I searched electronically over the Internet on several databases through the Wayne State
University library site. While using the terms intervention substance abuse and families this was
one of many articles that appeared. This program was titled The Nurturing Program for Families
in Substance-abuse Treatment and Recovery. This intervention seemed to be built on the
concept of another successful treatment programs and was modified to meet the needs of the
study group. They utilized play therapy, art therapy and an additional group bonding therapy
among the adults.
It appears that this intervention would be beneficial for teaching women of various groups
different coping techniques and methods to stay sober and parent better. It employed techniques
to teach empathy and enhance self-esteem. Unfortunately this intervention may not work for my
selected population, due to the fact that the entire family unit would need to be involved not just
the mothers and children.
Intervention 2
The Strengthening Families Program
From my understanding of this intervention a great number of the participants in the
program had been incarcerated and currently resided in transition housing. Therefore the adult
participants were frequently drug tested. This proved an adequate method of testing sobriety.
Even though the researchers considered this intervention a success, they did admit a major flaw
in the pretest posttest design (Moore & Finkelstein 2001). Of the three interventions I examined
this seemed to be the most appropriate for my group of interest. Even though the majority of the
participants were female there was some male involvement and it did incorporate several ethnic
groups including Native American. This article provided some details about the activities of the
actual program, whereas the previous article seemed more general in its description of program
activities. This particular intervention involved both parents and children. It appeared that parts
of the program was administered to the children separately from those administered to the
parents This may provide additional benefits due to the fact that some children are more
receptive when they are with their peers. Sessions for the children involved such things as
identifying and communicating their emotions, handling peer pressure and various coping skills.
Then the remainder of the sessions involved bringing the children and parents together to try out
their new skills under supervision. This is an additional benefit to my group due to their beliefs
in strong family bonds and the high value they place on children.
Intervention 3
Nothing About Me Without Me": Leading the Way to Collaborative Relationships with Families
Ichosethisarticlebecauseitgenerallydescribesandevidencebasedinterventionthatis
communitydrivencalledCASASafeHaven^Itappearsthatthisparticularprogramismorein
linewithsocialwork.Itincludesaspectsofselfdeterminationbyallowingfamiliestohelpinthe
designoftheirindividualserviceplan,anditutilizesthemultidisciplinaryteamconceptfoundin
socialwork.Itinvolvesacollaboratedeffortbetweenlocaljudicialsystems,substancetreatment
providers,welfareagenciesandchildprotectiveagenciesallworkingtogethertomeetthefamily
needs.Inadditionitimposesspecifictimelinesdesignedtoprovidechildrenasenseofstability
andpermanence.Becausethisseemstobeacollaborativeinterventionandmultipleagenciesare
involved,Ihavesomeconcernsaboutclientconfidentiality.Unfortunatelytheresnotenough
evidencetoprovehowbeneficialthisprogramis.Itmaybedifficulttoconvinceanagencyto
setasidefundingfortrainingandimplementationforthistypeofinterventionduetoitslackof
evidence.Becauseithasbeenusedinonlyafewlargemetropolitanareasitmaynotbe
beneficialformyselectedgroup.Imlookingforsomethingthatwouldbemoreeffectiveina
smallertightknitcommunity.
Inconclusionwhenadvocatingonthebehalfoftheclient,theprocessoffindingresearch
evidenceandappraisingtherapiesorinterventionsisacriticalcomponenttotheevidencebased
practice.Theevidencebasedpracticeprocessencouragescriticalthinking,recognizingbiased
informationandprovidestheongoinglearningprocessnecessaryinthefieldofsocialwork.It
alsoprovidesthesocialworkerwithscientificdocumentationofnewstrategiesandinterventions
thatarespecifictotheneedsoftheclients.
Moore, J., & Finkelstein, N. (2001). Parenting services for families affected by substance abuse.
Child Welfare, 80(2), 221-38. Retrieved from
http://search.proquest.com.proxy.lib.wayne.edu/docview/213810331?accountid=14925
O'Connor,L.A.,Morgenstern,J.J.,Gibson,F.F.,&Nakashian,M.M.(2005)."Nothingabout
mewithoutme":leadingthewaytocollaborativerelationshipswithfamilies.Child
Welfare,84(2),153170.
Rubin,A.,&Babbie,E.(2013)Evidencebasedpractice.InS.Dobrin&A.McLaughlin(Eds.),
EssentialResearchMethodsforSocialWork(pp.2133).Belmonte:CAJonDavid
Hague.