This TIP, Substance Abuse Treatment and Family Therapy, addresses how substance abuse affects the entire family and how substance abuse treatment providers can use principles from family therapy to change the interactions among family members. The TIP provides basic information about family therapy for substance abuse treatment professionals and basic information about substance abuse treatment for family therapists. The TIP presents the models, techniques and principles of family therapy, with special attention to the stages of motivation as well as to treatment and recovery. Discussion also focuses on clinical decisionmaking and training, supervision, cultural considerations, specific populations, funding and research. The TIP further identifies future directions for both research and clinical practice.

Contents

• Acknowledgments
• What Is a TIP?
• Consensus Panel
• KAP Expert Panel and Federal Government Participants
• Foreword
• Executive Summary
• Chapter 1 Substance Abuse Treatment and Family Therapy
  • Introduction
  • What Is a Family?
  • What Is Family Therapy?
  • Family Therapy in Substance Abuse Treatment
  • Goals of This TIP
• Chapter 2 Impact of Substance Abuse on Families
  • Introduction
  • Families With a Member Who Abuses Substances
  • Other Treatment Issues
• Chapter 3 Approaches to Therapy
  • Differences in Theory and Practice
  • Family Therapy for Substance Abuse Counselors
  • Substance Abuse Treatment for Family Therapists
• Chapter 4 Integrated Models for Treating Family Members
  • Integrated Substance Abuse Treatment and Family Therapy
  • Integrated Models for Substance Abuse Treatment
  • Matching Therapeutic Techniques to Levels of Recovery
• Chapter 5 Specific Populations
  • Introduction
  • Age
  • Women
  • Race and Ethnicity
  • Sexual Orientation
  • People With Physical or Cognitive Disabilities
  • People With Co‐Occurring Substance Abuse and Mental Disorders
  • Rural Populations
  • Other Contextual Factors
• Chapter 6 Policy and Program Issues
  • Primary Policy Concerns
  • Program Planning Models
  • Other Program Considerations
  • Directions for Future Research
• Appendix A: Bibliography
• Appendix B: Glossary
• Appendix C: Guidelines for Assessing Violence
• Appendix D: Resources
• Appendix E: Resource Panel
• Appendix F: Cultural Competency and Diversity Network Participants
• Appendix G: Field Reviewers

Suggested citation:

Center for Substance Abuse Treatment. Substance Abuse Treatment and Family Therapy. Treatment Improvement Protocol (TIP) Series, No. 39. DHHS Publication No. (SMA) 04‐3957. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2004.

The opinions expressed herein are the views of the consensus panel members and do not necessarily reflect the official position of CSAT, SAMHSA, or DHHS. No official support of or endorsement by CSAT, SAMHSA, or DHHS for these opinions or for particular instruments, software, or resources described in this document are intended or should be inferred. The guidelines in this document should not be considered substitutes for individualized client care and treatment decisions.