SPECIFIC PRACTICE MODELS FOR FAMILY INCLUSIVE PRACTICE
Family inclusive work is typically described in these three ways:
- Working with family members to promote the engagement of clients into services.
- Involving families and others in treatment plans.
- Providing services directly for family members.
(Copello, Velleman & Templeton,2005)
Each of the models, described below, will be useful to help practitioners clarify their application of FIP.
- Family interventions in the treatment of alcohol and drug problems
This informative article by Copello, Velleman & Templeton, (2005), outlines the range of family interventions that are currently being employed. To access this article contact info@kinatrust.org.nz
This comprehensive overview of family work and addiction includes tips for clinicians in several aspects of this work:
A predominant model within the addiction field is the all-encompassing bio-psychosocial model that locates the causes of addictive behaviour in the physiology, psychology and environment of the individual. These specific models which are underpinned by the approaches mentioned previously are now utilised in family based alcohol and drug treatments:
Click on the links under each model for additional information and resources.
The Stress Coping Model
(Copello, Orford, Velleman, Templeton & Krishnan, 2000) Works with relatives of alcohol and drug users in primary care settings and focuses on identifying stressors, exploring coping skills, and developing support systems. It employs behavioural approaches and motivational interviewing features in helping family members to identify coping strategies that promote their wellbeing.
- For a copy of the article that describes this model in full, contact info@kinatrust.org.nz
The McCrady Model
For more information on the McCrady Model, please contact Kina Trust on info@kinatrust.org.nz
(2005) Focuses on educating the family about addiction, teaching positive interaction styles (particularly in terms of relapse prevention) and developing skills to improve family relationships. It has a clear focus on behavioural approaches by utilising a functional analysis of substance use to construct a plan that is supported by partners.
The CRAFT Model
focuses on behavioural analysis of the drinking or drug using behaviour and training the family to ensure there is reinforcement for abstinence (Meyers & Smith, 1995). It also includes many strength based features in assessment and planning.
Social Behaviour Network Therapy -SBNT
(Tober, Leeds Addiction Unit 2007) Is centred on developing a social network to support client change. Behavioural principles are applied to analyse and form a plan. The practitioner actively facilitates the network but is not central to the change process that involves agreeing on treatment goals and increasing positive alternative activities
THE FAMILY DISEASE, OR 12-STEP MODEL
This model views addiction as an illness of the family, primarily located with the identified client, but also directly affecting the family members who are seen as co-dependent. Interventions primarily involve the use of the 12-Step process of change, often self-help group based, with a view to change occurring in individuals independent of one another. AlAnon is a 12-step group for family members.
Click on these links for further information:
THE BRIEF STRATEGIC FAMILY THERAPY MODEL
(NIDA 2004) A sub-set of systems theory is frequently used to treat adolescent drug use. This model is based on three principles:
- Family members are interdependent.
- Patterns of interaction influence the behaviour of each family member.
- Interventions can be planned that carefully target and provide practical ways to change the interaction patterns.
Click on these links for further information:
©
KINA - Families and Addictions Trust
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