Community reinforcement and family training: an effective option to engage treatment‐resistant substance‐abusing individuals in treatment

Roozen, Hendrik G.; Waart, Ranne de; Kroft, Petra van der

doi:10.1111/j.1360-0443.2010.03016.x

Cited by 139 publications

(122 citation statements)

References 48 publications

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“…More effective are interventions that have been developed and can be applied to increase engagement. [28][29][30] Furthermore, for patients with accompanying psychiatric or social conditions and more severe dependence, more intense monitoring and management of recovery following treatment may be necessary. 31 Review drinking practices; and the complex social, cultural and moral context concerning what constitutes problematic drinking.…”

Section: What Resources Exist To Help In Administering Brief Intervenmentioning

confidence: 99%

Brief interventions for alcohol misuse

Moyer

Finney

2015

CMAJ

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Section: What Resources Exist To Help In Administering Brief Intervenmentioning

confidence: 99%

Brief interventions for alcohol misuse

Moyer

Finney

2015

CMAJ

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“…As patients reported less social support while they more often asked for support from their friends/family and perceived more social pressure to seek treatment, the social network of dependent users could be an additional target for interventions. Proven effective examples are the use of Community Reinforcement And Family Training (CRAFT; Roozen et al, 2010), Table 2 Barriers to seek treatment among dependent precluders, dependent users with objective and with subjective treatment need.…”

Section: Perceived Treatment Barriersmentioning

confidence: 99%

Facilitators and barriers in treatment seeking for cannabis dependence

Pol

Liebregts

Graaf

et al. 2013

Drug and Alcohol Dependence

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Facilitators and barriers in treatment seeking for cannabis dependence van der Pol, P.; Liebregts, N.; de Graaf, R.; Korf, D.J.; van den Brink, W.; van Laar, M. General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Download date: 13 May 2018Drug and Alcohol Dependence 133 (2013) t r a c tBackground: Relatively few cannabis dependent people seek treatment and little is known about determinants of treatment seeking. Methods: Treatment determinants were compared among 70 DSM-IV cannabis dependent patients and 241 non-treatment seeking DSM-IV cannabis dependent community subjects. In addition, perceived facilitators for treatment seeking were assessed in patients, whereas perceived barriers were assessed in 160/241 cannabis dependent community subjects not prepared to seek treatment (precluders), of whom 63/160 showed an objective treatment need, and 30/241 showed a subjective treatment need. Results: Compared to non-treatment seekers, patients reported more cannabis use (176.9 versus 82.8 joints monthly), more symptoms of dependence (5.6 versus 4.5), higher perceived lack of social support (70.0% versus 41.1%), more pressure to seek treatment (58.6% versus 21.6%), a more positive attitude to treatment, and more previous treatments. In addition, patients reported more mental health problems (internalising disorders 57.1% versus 24.5%; externalising disorders 52.9% versus 35.3%) and more functional impairments (8.4 versus 4.8 monthly days out of role). Cannabis dependent 'precluders' reported desire for self-reliance (50.0%), preference for informal help (22.5%), and absent treatment need (16.9%) as their main reasons not to seek treatment, whereas cannabis dependent community subjects with a subjective treatment need mainly expressed desire for self-reliance (36.7%), treatment ineffectiveness (16.7%), and avoiding stigma (13.3%). Conclusions: Functional impairment, mental health problems and social pressure are important reasons to seek treatment in people with cannabis dependence. Treatment participation might improve if desire for self-reliance and the preference for informal help are considered, and perceived ineffectiveness of treatment and stigmatisation are publicly addressed.

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“…There is an extensive amount of literature supporting family involvement to help engage individuals with substance use disorder in treatment [56][57][58]. As health care professionals typically focus on the addicted individual, families are often not included in the creation of treatment goals, and affects to the family system are often not considered, despite the vast impact families have on the individual with the substance use disorder [59].…”

Section: Family Programsmentioning

confidence: 99%

Access to Substance Use Disorder Treatment Services in Canada

McPherson¹,

Boyne²

2017

J Alcohol Drug Depend

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Substance use disorder is an increasingly challenging and widespread issue throughout Canada with significant barriers negatively impacting access for treatment seekers. This paper seeks to examine the salient factors prohibiting equitable access for these individuals, while exploring a series of pragmatic considerations for policymakers to advance system efficacy. Increasing demand, treatment availability, funding prioritization, and marginalized subgroups were identified as central factors impacting treatment access. A review of the current intervention programs to enhance access is discussed, in addition to areas for system improvement and methodological considerations for future research.

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Community reinforcement and family training: an effective option to engage treatment‐resistant substance‐abusing individuals in treatment

Abstract: CRAFT has been found to be superior in engaging treatment-resistant substance-abusing individuals compared with the traditional programmes.

Cited by 139 publications

References 48 publications

Brief interventions for alcohol misuse

Brief interventions for alcohol misuse

Facilitators and barriers in treatment seeking for cannabis dependence

Access to Substance Use Disorder Treatment Services in Canada

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