Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-01T17:56:14.129Z Has data issue: false hasContentIssue false

Chapter 14 - Addiction Problems in a Family and Social Context

Published online by Cambridge University Press:  02 November 2021

Edited by
Get access

Summary

This chapter begins by arguing that a complete view of substance use disorders needs to take into account the focal client’s wider family and social network, as members of this network are both potential sources and recipients of help. Evidence is presented to suggest that the impacts of alcohol, drugs and other addiction problems on others may constitute a major neglected public health problem. Two methods are then described in detail – the 5-Step Method and Social Behaviour and Network Therapy (SBNT). Both incorporate a fuller conceptual understanding of these problems, embedding the primary substance use disorder within a wider social context. Both the 5-Step Method and SBNT can be used within an integrated pathway for service users, where affected family members can be identified and engaged in 5-Step Method help if necessary while also supporting the user in SBNT-type sessions. Both interventions can be offered as stand-alone or in combination.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Orford, J., Velleman, R., Copello, A., Templeton, L., Ibanga, A. The experiences of affected family members: A summary of two decades of qualitative research. Drugs: Education, Prevention and Policy. 2010; 17 (sup1): 4462.Google Scholar
Orford, J., Natera, G., Copello, A., Atkinson, C., Mora, J., Velleman, R. et al. Coping with Alcohol and Drug Problems: The Experiences of Family Members in Three Contrasting Cultures. London: Routledge; 2005; chapter 5, pp 95117.Google Scholar
Copello, A., Velleman, R., Templeton, L. Family interventions in the treatment of alcohol and drug problems. Drug and Alcohol Review. 2005; 24 (4): 369–85.Google Scholar
Copello, A., Templeton, L., Orford, J., Velleman, R. The 5-Step Method: Principles and practice. Drugs: Education, Prevention, and Policy. 2010; 17 (s1): 8699.Google Scholar
Copello, A., Orford, J., Hodgson, R., Tober, G. Social Behaviour and Network Therapy for Alcohol Problems. London: Routledge; 2009.Google Scholar
Holt-Lunstad, J., Smith, T. B., Layton, J. B. Social relationships and mortality risk: A meta-analytic review. PLOS Medicine. 2010; 7 (7): e1000316.Google Scholar
Cohen, S., Gottlieb, B. H., Underwood, L. G. Social Relationships and Health. In: Social Support Measurement and Intervention (eds. Cohen, S., Underwood, L. G., Gottlieb, B. H.): 325. Oxford: Oxford University Press, 2000.Google Scholar
Day, E., Copello, A., Karia, M., Roche, J., Grewal, P., George, S. et al. Social Network Support for Individuals Receiving Opiate Substitution Treatment and Its Association with Treatment Progress. European Addiction Research. 2013; 19 (4): 211–21.Google Scholar
Day, E. Building Bridges to Positive Social Identities: The Social Network Diagram and Opiate Substitution Treatment. In: Addiction, Behavioural Change and Social Identity (eds. Buckingham, S. A., Best, D.). London: Routledge; 2017.Google Scholar
Putnam, R. D. Bowling Alone: The Collapse and Revival of American Community. New York: Simon & Schuster; 2000.Google Scholar
McIntosh, J., McKeganey, N. Addicts’ narratives of recovery from drug use: Constructing a non-addict identity. Social Science and Medicine. 2000; 50 (10): 1501–10.Google Scholar
Granfield, R., Cloud, W. Social context and ‘natural recovery’: The role of social capital in the resolution of drug-associated problems. Substance Use and Misuse. 2001; 36 (11): 1543–70.Google Scholar
Best, D., Ghufran, S., Day, E., Ray, R., Loaring, J. Breaking the habit: A retrospective analysis of desistance factors among formerly problematic heroin users. Drug and Alcohol Review. 2008; 27 (6): 619–24.Google Scholar
Mowbray, O., Scott, J. A. The effect of drug use disorder onset, remission or persistence on an individual’s personal social network. The American Journal on Addictions. 2015; 24 (5): 427–34.CrossRefGoogle ScholarPubMed
UKATT Research Team. United Kingdom Alcohol Treatment Trial (UKATT): hypothesis, design and methods. Alcohol and Alcoholism. 2001; 36 (1): 1121.Google Scholar
Allen, J. P., Wilson, V. B. Assessing Alcohol Problems: A Guide for Clinicians and Researchers. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism; 2003.Google Scholar
Beattie, M. C., Longabough, R. L. General and alcohol-specific social support following treatment. Addictive Behaviors. 1999; 24: 593606.Google Scholar
Copello, A., Walsh, K. Families, friends and addiction: Impacts, psychological models and interventions. In: Addiction Psychology and Treatment (eds. Davis, P., Patton, R., Jackson, S.). Hoboken, NJ: Wiley-Blackwell; 2017.Google Scholar
Zywiak, W. H., Neighbors, C. J., Martin, R. A., Johnson, J. E., Eaton, C. A., Rohsenow, D. J. The Important People Drug and Alcohol Interview: Psychometric properties, predictive validity, and implications for treatment. Journal of Substance Abuse Treatment. 2009; 36: 321–30.Google Scholar
Neale, J., Brown, C.We are always in some form of contact’: Friendships among homeless drug and alcohol users living in hostels. Health and Social Care in the Community. 2016; 24 (5): 557–66.Google Scholar
Copello, A., Templeton, L., Powell, J. Adult Family Members and Carers of Dependent Drug Users: Prevalence, Social Cost, Resource Savings and Treatment Responses. London: UK Drug Policy Commission; 2009.Google Scholar
Orford, J., Velleman, R., Natera, G., Templeton, L., Copello, A. Addiction in the family is a major but neglected contributor to the global burden of adult ill-health. Social Science and Medicine. 2013; 78: 70–7.Google Scholar
Ray, G. T., Mertens, J. R., Weisner, C. The excess medical cost and health problems of family members of persons diagnosed with alcohol or drug problems. Medical Care. 2007; 45: 116–22.Google Scholar
Copello, A., Templeton, L., Orford, J., Velleman, R. The 5-step method: Evidence of gains for affected family members. Drugs: Education, Prevention, and Policy. 2010; 17 (s1): 100–12.Google Scholar
Berends, L., Ferris, J., Laslett, A. M. A problematic drinker in the family: Variations in the level of negative impact experienced by sex, relationship and living status. Addiction Research and Theory. 2012; 20 (4): 300–6.Google Scholar
Dussaillant, F., Fernandez, M. Alcohol’s harm to others’ well-being and health: A comparison between Chile and Australia. Alcohol and Alcoholism. 2015; 50 (3): 346–51.Google Scholar
Rognmo, K., Torvik, F. A., Roysamb, E., Tambs, K. Alcohol use and spousal mental distress in a population sample: the Nord-Trondelag health study. BMC Public Health. 2013; 13 (1): 852.Google Scholar
Casswell, S., You, R. Q., Huckle, T. Alcohol’s harm to others: Reduced wellbeing and health status for those with heavy drinkers in their lives. Addiction. 2011; 106 (6): 1087–94.Google Scholar
Orford, J., Templeton, L., Copello, A., Velleman, R., Ibanga, A. Working with teams and organizations to help them involve family members. Drugs: Education, Prevention and Policy. 2010; 17 (sup1): 154–64.Google Scholar
Orford, J., Copello, A., Velleman, R., Templeton, L. Family members affected by a close relative’s addiction: The stress-strain-coping support model. Drugs: Education, Prevention and Policy. 2010; 17 (S1): 3643.Google Scholar
McCrady, B. S. To have but one true friend: Implications for practice of research on alcohol use disorders and social networks. Psychology of Addictive Behaviors. 2004; 18 (2): 113–21.Google Scholar
Longabaugh, R., Wirtz, P. W., Zywiak, W. H., O’Malley, S. S. Network support as a prognostic indicator of drinking outcomes: The COMBINE study. Journal of Studies on Alcohol and Drugs. 2010; 71: 837–46.Google Scholar
Beattie, M. C., Longabaugh, R. Interpersonal factors and post-treatment drinking and subjective well-being. Addiction. 1997; 92 (11): 1507–21.CrossRefGoogle Scholar
Booth, B. M., Russell, D. W., Soucek, S., Laughlin, P. R. Social support and outcome of alcoholism treatment: An exploratory analysis. The American Journal of Drug and Alcohol Abuse. 1992; 18 (1): 87101.Google Scholar
Gordon, A. J., Zrull, M. Social networks and recovery: One year after inpatient treatment. Journal of Substance Abuse Treatment. 1991; 8 (3): 143–52.Google Scholar
Zywiak, W. H., Longabaugh, R., Wirtz, P. W. Decomposing the relationships between pre-treatment social network characteristics and alcohol treatment outcome. Journal of Studies on Alcohol. 2002; 63: 114–21.Google Scholar
McCrady, B. S., Hayaki, J., Epstein, E. E., Hirsch, L. S. Testing hypothesized predictors of change in conjoint behavioral alcoholism treatment for men. Alcoholism: Clinical and Experimental Research. 2002; 26 (4): 463–70.Google Scholar
Copello, A., Orford, J., Hodgson, R., Tober, G., Barrett, C. Social behaviour and network therapy – basic principles and early experiences. Addictive Behaviours. 2002; 27 (3): 345–66.Google Scholar
UKATT Research Team. Effectiveness of treatment for alcohol problems: Findings of the randomised UK alcohol treatment trial (UKATT). BMJ. 2005; 331 (7516): 541–4.Google Scholar
UKATT Research Team. Cost effectiveness of treatment for alcohol problems: Findings of the randomised UK alcohol treatment trial (UKATT). BMJ. 2005; 331 (7516): 544–8.Google Scholar
Copello, A., Williamson, E., Orford, J., Day, E. Implementing and evaluating social behaviour and network therapy in drug treatment practice in the UK: A feasibility study. Addictive Behaviors. 2006; 31 (5): 802–10.Google Scholar
Day, E., Copello, A., Seddon, J. L., Christie, M., Bamber, D., Powell, C. et al. A pilot feasibility randomised controlled trial of an adjunct brief social network intervention in opiate substitution treatment services. BMC Psychiatry. 2018; 18 (1): 8.Google Scholar
Cook, S., Heather, N., McCambridge, J. Post-treatment motivation and outcome 9 months later. Findings from structural equation modelling. Journal of Consulting and Clinical Psychology. 2014; advance online publication.Google Scholar
Copello, A., Orford, J. Addiction and the family: Is it time for services to take notice of the evidence? Addiction. 2002; 97: 1361–3.CrossRefGoogle ScholarPubMed
Day, E. Routes to Recovery via the Community. London: Public Health England; 2013.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×