This article reviews all the published and non-published outcome studies that were randomized controlled trials (RCTs) or quasi-experimental designs on solution-focused brief therapy (SFBT) conducted with Latinos within the United States and Latin America. Data search included 18 databases for published articles, three databases for dissertations, and other sources of information. Forty-four studies met the criteria for a full-text review and, of those, six studies met criteria for this systematic review. Studies of SFBT with Latinos were conducted in adult mental health, children and adolescents in school, and couples, revealing positive outcomes on the effects of SFBT on standardized measures and participant goals.
This article presents a pilot study exploring the applicability of a linguistically adapted, solution-focused brief therapy (SFBT) program, implemented by social workers in Chilean primary care. Method: We completed a single-case design with eight replications. To analyze the results of the program on participants' alcohol use and other related variables, we conducted visual and percentage of nonoverlapping data analyses. Results: Social workers successfully implemented 10 of the 13 SFBT techniques. Although results need to be interpreted with caution, positive trends were observed. Participants increased their "percentage of days abstinent," diminished "consequences of alcohol use," decreased their "depression index," and increased their "selfreported well-being." Discussion: Results are consistent with previous studies on SFBT and alcohol use. Exception and coping questions may serve to increase abstinent days. SFBT focus on issues other than alcohol that are important to clients could help to reduce harm on individuals who use alcohol.
Solution-focused brief therapy (SFBT) is a resource-based, future-oriented therapeutic approach that focuses on finding exceptions to problems and identifying coping strategies to build solutions. SFBT has been efficacious with individuals with alcohol use disorders. Chile experiences high levels of alcohol consumption and alcohol-related health consequences. Despite the international dissemination of SFBT, this is the first study to attempt a linguistic adaptation of SFBT in a Latin American country. We conducted 9 cognitive interviews to examine 13 translated main SFBT tools and 3 focus groups to gather information on cultural aspects of alcohol use in primary care. Results suggest that Chileans understood most SFBT tools, albeit with some linguistic modifications of original translations, and that family, gender, and meaningful issues should be considered when working with individuals with alcohol use disorders.
This chapter describes how SFBT has been used in the treatment of substance use and relies on the clinical literature to illustrate interventions. Specific ways to engage clients with substance use will be covered, including the questions to ask in order to promote change. In addition, this chapter will describe a case where SFBT has been used with a client with alcohol use disorder and explain how SFBT may be used in groups to treat substance use. Finally, this chapter will discuss the emerging outcome literature on SFBT with clients who have substance use including studies that assess substance use and trauma.
Research has shown differences in alcohol use and problems across race/ethnicity. This study examines whether there are differential effects of alcohol use disorder (AUD) symptoms on drinking outcomes across race/ethnicity. Data from 1483 patients admitted to a hospital for treatment of an injury were utilized (19% Black, 45% non-Latino White, and 36% Latino). AUD symptoms and race/ethnicity reported at baseline and their interaction were the predictor variables. Drinking patterns and associated problems measured at the 6- and 12-month follow-up were the outcome variables of interest. Linear regression was the analytic method employed. Endorsement of “spending a great deal of time to obtain, use, or recover from effects of drinking,” “craving,” “failure to fulfill major role obligations,” and “alcohol use in physically hazardous situations” at baseline was associated with greater levels of subsequent alcohol use and alcohol-related problems at both 6- and 12-month follow-ups, regardless of race/ethnicity. Endorsement of “important social, occupational, or recreational activities given up because of drinking” was differentially associated with greater alcohol-related problems at both 6- and 12-month follow-ups dependent on race/ethnicity. Follow-up analyses indicated that this symptom was a significant predictor of alcohol problems among Latino and Black participants, but not non-Latino White participants. Brief interventions targeting these AUD symptoms could increase the effectiveness of brief motivational interventions among different racial/ethnic groups.
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