Barriers and enablers to implementation of family-based work in alcohol services: A qualitative study of alcohol worker perceptions

Lee, Claire E.; Christie, Marilyn; Copello, Alex; Kellett, Sue

doi:10.3109/09687637.2011.644599

Cited by 18 publications

(13 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in common with previous studies, this study found implementing BFT was not without difficulties. Findings from this study suggest that difficulties experienced by participants delivering BFT in adult intellectual disability services were similar to the barriers identified in previous studies exploring implementation of FIs into general and community mental health settings (Absalom-Hornby et al 2011, Lee et al 2012, Eassom et al 2014. For example, difficulties with engagement have been reported with other clinical populations (e.g.…”

Section: Discussionsupporting

confidence: 81%

“…), a lack of management and professional support (Smith & Vellman ), difficulties engaging with families (Kim & Salyers , Lee et al . ) and inappropriate referrals (Smith & Vellman ) have been reported. Conversely, the development of clear pathways (Smith & Vellman , Absalom‐Hornby et al .…”

Section: Introductionmentioning

confidence: 99%

“…NICE 2014) recommend the use of FIs for this population, implementation in routine clinical practice has proven problematic (Fadden 1998, Fadden & Heelis 2011. Barriers such as insufficient time (Absalom-Hornby et al 2011), difficulties integrating family work with caseloads (Bailey et al 2003), a lack of management and professional support (Smith & Vellman 2002), difficulties engaging with families (Kim & Salyers 2008, Lee et al 2012) and inappropriate referrals (Smith & Vellman 2002) have been reported. Conversely, the development of clear pathways (Smith & Vellman 2002, Absalom-Hornby et al 2011, strong organizational commitment (Powell et al 2013) and well-developed training and supervision (Fadden 2006, Absalom-Hornby et al 2011 have been shown to enable implementation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Health professionals’ experiences of behavioural family therapy for adults with intellectual disabilities: a thematic analysis

Hutchison

Lang

Anderson

et al. 2017

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Introduction Studies have found family interventions (FIs) to be effective in reducing stress and relapse rates for a variety of mental health conditions. However, implementing FIs into clinical practice is challenging. Studies have suggested that levels of stress within some families of people with intellectual disabilities can be high. However, there is little reported about the use and implementation of FIs, such as Behavioural Family Therapy (BFT), in adult intellectual disability services. Purpose of study To explore the experiences of practitioners delivering BFT to adults with intellectual disabilities. Method A qualitative methodology was employed, using semi-structured individual interviews with BFT therapists from a health professional background (n = 9). Data were analysed thematically. Results Two overarching themes were identified: positivity and frustration. Discussion Implementation of therapy was identified as being broadly successful but with some underlying challenges, notably wider organizational issues and some issues specific to working with adults with intellectual disabilities. Implications for practice The broadly positive experiences reported provide encouragement for the delivery of FIs, such as BFT, to adults with intellectual disabilities, by professions outwith psychology. However, there is a need to provide clarity on referral processes, adapt materials accordingly for this client group and ensure that supportive management and supervision is available to therapists.

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health professionals’ experiences of behavioural family therapy for adults with intellectual disabilities: a thematic analysis

Hutchison

Lang

Anderson

et al. 2017

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…This is taking place in some jurisdictions. A review of contemporary drug policy However, the implementation of family oriented interventions in AOD service provision remains limited (Lee et al, 2012;Orford et al, 2013;Orr et al, 2014;Schanche Selbekk and Sagvaag, 2016).…”

Section: Introductionmentioning

confidence: 99%

The emergence of the affected adult family member in drug policy discourse: A Foucauldian perspective

Devaney

2017

Drugs: Education, Prevention and Policy

View full text Add to dashboard Cite

The affected adult family member has increasingly received attention in drug research, policy and practice fields; however, this development has received limited critical and theoretical examination with respect to the presuppositions underpinning its rationale. Using a Foucauldian theoretical perspective, this article traces how families have been problematised in the treatment and rehabilitation domains of Irish drug policy and considers the political implications. A poststructuralist method, Bacchi's (2009) "What's the Problem Represented to Be?" approach, is applied to the analysis of eight drug policy documents published in Ireland between 1971 and 2009. Families are constructed as contributing to both the problem and solution of adolescent drug use. They are imagined as a key resource in treatment of adult drug use but as needing support in this role; and, as such they are constructed as service users in their own right. Families are governed through responsibilisation. The behavioural policy solutions are individualising and preclude alternative solutions that address political, socioeconomic and gender inequalities that shape the experiences of affected families. The findings may be used as a starting point for critical reflection on the assumptions and privileged forms of knowledge and expertise that are shaping policy and practices relating to affected families.

show abstract

“…Even when parents somehow participate in treatment, it seems that they remain on the periphery of the treatment enterprise (3, 4). Furthermore, it appears that family members in contact with drug and alcohol services several times describe feelings of stigma and insignificance which undermine the experience of meaningful and reciprocal relationships and a sense of belonging and trust (5).…”

Section: Introductionmentioning

confidence: 99%

Changes in Professionals' Attitudes and Approaches to Parents in the Drug and Alcohol Treatment

Misouridou

Esseridou

2016

Mater Sociomed

View full text Add to dashboard Cite

Background:Parental involvement with drug and alcohol services remains limited.Aim:to illuminate changes in addiction professionals’ subjective attitudes and approaches of parents over time in their career.Methods:Overall, twenty seven drug and alcohol professionals participated in the study.Results:Themes depicting changes on therapists’ attitudes, beliefs and experiences of working with the families of their clients are ‘Redefining therapeutic role and expectations’, ‘Increased understanding and acceptance’, ‘Finding the right distance in relationships’, ‘Ability to contain feelings and experiences’, ‘Being selective in collaborations with professionals’, ‘Empathy for coworkers and increased collaboration’. Therapists described their interaction with families of their clients in their earlier years of practice as a challenging and often overwhelming experience generating intense anger and frustration which sometimes led to acting outs and tempted them to give up their efforts to build an alliance with family members. Nevertheless, experience, clinical supervision and personal growth contributed in being gradually more capable in managing their emotional reactions, setting limits, having less and more realistic expectations from family members and finally providing the latter with the necessary experience of being understood.Conclusions:Overall, addiction therapists feel unprepared for meeting the challenging experience of collaborating with families in their earlier years of practice requiring educational support and clinical supervision. Further research is required on addiction professionals-parents alliance and countertransference issues.

show abstract

Barriers and enablers to implementation of family-based work in alcohol services: A qualitative study of alcohol worker perceptions

Cited by 18 publications

References 18 publications

Health professionals’ experiences of behavioural family therapy for adults with intellectual disabilities: a thematic analysis

Health professionals’ experiences of behavioural family therapy for adults with intellectual disabilities: a thematic analysis

The emergence of the affected adult family member in drug policy discourse: A Foucauldian perspective

Changes in Professionals' Attitudes and Approaches to Parents in the Drug and Alcohol Treatment

Contact Info

Product

Resources

About