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Systemic‐motivational therapy for substance abuse disorders: an integrative model
Author(s) -
Steinglass Peter
Publication year - 2009
Publication title -
journal of family therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.52
H-Index - 45
eISSN - 1467-6427
pISSN - 0163-4445
DOI - 10.1111/j.1467-6427.2009.00460.x
Subject(s) - motivational interviewing , family therapy , psychotherapist , substance abuse , psychology , substance use , systemic therapy , inclusion (mineral) , clinical psychology , relapse prevention , psychiatry , medicine , intervention (counseling) , social psychology , cancer , breast cancer
Although recent reviews of the literature on families and substance misuse offer compelling evidence that inclusion of families significantly improves treatment engagement, retention and outcome, family therapy remains peripheral in most substance abuse treatment programmes. Furthermore, many of the treatment approaches that have been included under the term ‘family therapy’ continue to focus on the substance abuser as the sole target of treatment. Still conspicuously absent are treatment models based on family systems approaches, with outcomes targeted at non‐abusing family members as well. This article presents an overview of one such family‐focused substance abuse treatment model – systemic‐motivational therapy – that combines a family systems approach with techniques derived from motivational interviewing, but this time is applied to work with the family as a unit. The background for the development of the model will be described, as well as the assessment/consultation, family‐level action plan, and aftercare/relapse prevention phases of the treatment approach.