The “Concerned Other” Call: Using Family Links and Networks to Overcome Resistance to Addiction Treatment

Garrett, James; Stanton, Mark; Landau, Judith; Baciewicz, Gloria; Brinkman-Sull, David; Shea, Robert

doi:10.3109/10826089909035651

Cited by 17 publications

(10 citation statements)

References 26 publications

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“…Application of this model to increase family and community connectedness in Argentina has resulted in a 400% increase in the number of young substance abusers seeking treatment, along with a marked increase in health‐seeking behaviors among other citizens (Landau, Stanton, & Yaria, 1996; Yaria, 1995). Similarly, A Relational Interventional Sequence for Engagement (ARISE), another application of the Transitional approach that is based on the principle of enhancing family connectedness, has also resulted in a marked increase in mobilizing the family and social support network in engaging addicts in treatment (Garrett, Landau‐Stanton, Stanton, et al, 1997; Garrett, Landau, Stanton, et al, 1998; Garrett, Stanton, Landau, et al, 1999; Landau, Garrett, Shea, et al, 2000; Landau, Stanton, Garrett, et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Family Connectedness and Women's Sexual Risk Behaviors: Implications for the Prevention/Intervention of STD/HIV Infection*

Landau

Cole²,

Tuttle³

et al. 2000

Family Process

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The present study explores the relationship between connectedness with the intergenerational family and women's sexual risk-taking as a guide to the development of family-focused prevention and intervention. Cross-sectional interview data from a pilot study were analyzed for correlations between a number of self-reported, risky sexual practices, the range of extended family members with whom the respondent was in contact, and awareness of stories pertaining to intergenerational family history. Structured interviews were administered by female interviewers to 56 women from two contexts: a STD (sexually transmitted disease) Clinic (N = 26), and an inner-city, Hispanic Community Organization (N = 30). Knowledge of stories about grandparents or great-grandparents was a robust predictor of lower sexual risk-taking in the STD Clinic sample. This relationship persisted, but only at the trend level in the Community Organization sample. In both the total sample and the STD subsample, the number of categories of extended family members with whom a respondent was in at least monthly contact was correlated with less sexual risk-taking. Given the fundamental importance of the family system as the primary social unit, these findings argue for further family theory-based research and for its potential application in the development of health prevention and intervention. Implications for practice and future research are discussed.

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Section: Discussionmentioning

confidence: 99%

Family Connectedness and Women's Sexual Risk Behaviors: Implications for the Prevention/Intervention of STD/HIV Infection*

Landau

Cole²,

Tuttle³

et al. 2000

Family Process

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“…A review by Stanton159 attests to the substantial empirical effort which has been devoted to developing and testing family-focused strategies for influencing drug involved individuals to enter treatment (e.g.,160,161). According to Stanton,159 the two most rigorously tested and well supported family-based pretreatment engagement strategies are Structural-Strategic Systems Engagement (SSSE)156, 162 and Community Reinforcement and Family Training (CRAFT) 163, 164.…”

Section: Promising Assertive Outreach Strategies For Improving Rates mentioning

confidence: 99%

Assertive Outreach Strategies for Narrowing the Adolescent Substance Abuse Treatment Gap: Implications for Research, Practice, and Policy

Ozechowski

Waldron

2008

J Behav Health Serv Res

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In any given year, only about 10% of the nearly two million adolescents exhibiting substance abuse or dependence in the United States receive substance abuse treatment. Given this state of affairs, it is unlikely that the massive effort and expenditure of resources over the past decade on developing, testing, and disseminating effective treatments for adolescent substance abuse can have an appreciable impact on the prevalence of substance use disorders among the adolescent population. In order to substantially diminish the pervasive gap between levels of need for and utilization of adolescent substance abuse treatment, specialized assertive outreach strategies may be needed. This paper outlines a framework for assertive outreach for adolescents with substance use disorders, and proposes specific types of strategies for identifying and enrolling such adolescents into treatment. Implications for practice and policy pertaining to adolescent substance abuse treatment service delivery are considered. KeywordsAssertive outreach; adolescent substance abuse treatment; treatment gap; treatment engagement; service utilization It has been said that the middle to late 1990s marked the onset of a renaissance period in adolescent substance abuse treatment research. 1,2 In particular, the past decade has witnessed the emergence of a variety of individual, group, and family-based substance abuse treatment models which are firmly grounded in adolescent developmental theory and research.3 , 4 A solid base of empirical support for the efficacy of such models has taken shape over dozens of randomized clinical trials conducted over this period (for comprehensive reviews, see 5 , 6). Based on an accumulation of scientific evidence, a number of treatment approaches for adolescent substance abuse and associated behavioral problems have been deemed "empirically supported" according to official criteria and guidelines for evidence-based practice.7 , 8 Further, several research-based adolescent treatments have been delineated as besta A prime example of a systematic and cutting edge GPM-based approach to assertive outreach for individuals with substance abuse problems is the Screening, Brief Intervention, Referral, and Treatment (SBIRT) cooperative agreement initiated in 2003 by the Substance Abuse and Mental Health Services Administration (SAMHSA) (see http://www.samhsa.gov/Matrix/programs_treatment_SBIRT.aspx). Briefly, the SBIRT cooperative agreement initiative is a five-year $108 million program to support comprehensive substance use screening for individuals receiving health care services in a range of settings including hospitals, general medical clinics, emergency rooms, urgent care centers, and so forth. 194 The screening is conducted by a specially trained medical professional. If a substance use problem is detected, the screener is equipped to provide a brief informational and motivational intervention on the spot, as well as to provide a referral for more comprehensive substance abuse treatment services as needed. Preli...

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“…This phone conversation entails 10-20 minutes of coaching over the telephone by the counselor. Conveying the message "You can't do this alone," its goal is to help the caller (the CO) reach the decision to agree to invite as many significant others, relatives, friends, work associates and so on, as necessary to a soon-to-be-convened meeting oriented toward inducing the SA to enter treatment/self-help (Garrett et al, 1999). The SA is also invited to that first meeting-the process is kept aboveboard as much as possible and secrecy is discouraged.…”

Section: Outcomes With Engagement-primary Approachesmentioning

confidence: 99%

Getting Reluctant Substance Abusers to Engage in Treatment/Self‐help: A Review of Outcomes Andclinical Options

Stanton

2004

J Marital Family Therapy

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This review examines the results from 19 outcome studies, involving 1,501 cases, within 10 different clinical approaches to getting alcohol or drug abusers to engage in treatment or self-help. Each approach is summarized and its "success rate(s)" presented. Comparisons are made across various subcategories, such as alcohol vs. drug abusers, adolescents vs. adults, and experimental conditions vs. controls. A distinction is drawn between "Dual-Purpose" approaches, which combine engagement with counseling of the concerned person who originally sought help for the substance abuser, and "Engagement-Primary" approaches, which generally confine their efforts (through working with family members and others) to getting the substance abuser into treatment/self-help. "Best bet" clinical options are presented in terms of which particular approach appears to have the edge with which kind of substance abuser.

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The “Concerned Other” Call: Using Family Links and Networks to Overcome Resistance to Addiction Treatment

Cited by 17 publications

References 26 publications

Family Connectedness and Women's Sexual Risk Behaviors: Implications for the Prevention/Intervention of STD/HIV Infection*

Family Connectedness and Women's Sexual Risk Behaviors: Implications for the Prevention/Intervention of STD/HIV Infection*

Assertive Outreach Strategies for Narrowing the Adolescent Substance Abuse Treatment Gap: Implications for Research, Practice, and Policy

Getting Reluctant Substance Abusers to Engage in Treatment/Self‐help: A Review of Outcomes Andclinical Options

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