TIP 39 Substance Use Disorder Treatment and Family …
Substance Use Disorder Treatment and Family Therapy
UPDATED 2020
TREATMENT IMPROVEMENT PROTOCOL
TIP 39
TIP 39
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TIP 39
Contents
Foreword
vii
Executive Summary
ix
Introduction
ix
Overall Key Messages
ix
Content Overview
x
TIP Development Participants
xvii
Consensus Panel
xvii
KAP Expert Panel and Federal Government Participants
xviii
Field Reviewers
xix
Resource Panel
xxi
Cultural Competency and Diversity Network Participants
xxii
Publication Information
xxiii
Chapter 1--Substance Use Disorder Treatment: Working With Families
1
Scope of This TIP
2
Family Counseling: What Is It, and Why Is It Useful?
5
Family Counseling Objectives
10
Understanding Families
10
Common Characteristics of All Families
11
History of Family-Based Interventions in SUD Treatment
15
Diferent Pathways in Working With Families
17
Where Do We Go From Here?
21
Chapter 2--Infuence of Substance Misuse on Families
23
The Role of Genetics and Family History in the Development of and
Recovery From SUDs
24
Common Characteristics of Families With SUDs
26
Family Types: SUDs and Family Dynamics
30
Where Do We Go From Here?
42
Chapter 3--Family Counseling Approaches
43
Overview of Family-Based SUD Treatment Methods
50
Family Approaches To Support Ongoing Recovery
68
Where Do We Go From Here?
74
Chapter 4--Integrated Family Counseling To Address Substance
Use Disorders
75
Appropriateness of Integrated Family Counseling for SUDs
76
Whom To Involve in Integrated Family Counseling for SUDs
79
Screening and Assessment in Integrated Family Counseling
80
Goals of Integrated Family Counseling for SUDs
89
Where Do We Go From Here?
94
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TIP 39
Substance Use Disorder Treatment and Family Therapy
Chapter 5--Race/Ethnicity, Sexual Orientation, and Military Status
95
Scope of This Chapter
96
Why Focus on Diverse Family Cultures?
97
Culturally Responsive Family Counseling
98
SUD Treatment for Specifc Family Cultures
105
Where Do We Go From Here?
117
Chapter 6--Administrative and Programmatic Considerations
119
Developing a Family-Centered Organizational Culture as an Administrator
120
Incorporating Family Counseling and Family Programming
121
Supporting Workforce Development
125
Encouraging Collaboration as an Administrator
133
Addressing Other Programmatic Considerations
136
Where Do We Go From Here?
141
Appendix--Bibliography
143
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