Family-involved alcoholism treatment. An update
Abstract
We reviewed 36 randomized studies of family-involved treatment and comparison conditions. A meta-analysis showed a medium effect size favoring family-involved treatments, over individual treatment or wait-list, for outcomes of alcohol use, treatment entry/attendance, and family adjustment. Studies of family-involved treatment when the alcoholic is unwilling to seek help show: (1) Al-Anon facilitation and referral help family members cope better; (2) the popular Johnson intervention apparently does not effectively promote treatment entry; and (3) Community Reinforcement and Family Training promotes treatment entry and should be disseminated if replicated. Studies of family-involved treatment to aid recovery when the alcoholic has sought help show: (1) evidence supporting behavioral couples therapy (BCT) has grown considerably; (2) the disulfiram contract procedure should be disseminated as part of a BCT treatment package; and (3) studies of family systems and of family disease approaches are beginning to appear in the literature. Future studies need to include more women and minority patients and focus on children.
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In the United States, Al-Anon is the most commonly used source of assistance for family members and friends worried about someone with a drinking problem.
“Al-Anon Family Groups (Al-Anon), a 12-step mutual-help program, is the most widely-used form of help in the US for concerned other people (COs) who are family and friends of problem-drinking individuals.1–3”
From Al-Anon family groups' newcomers and members: Concerns about the drinkers in their lives: Concerns About Drinkers in Al-Anon (2014) · cites this paper as [3]
Cites
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Community reinforcement and family training (CRAFT): engaging unmotivated drug users in treatment
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Couple and family involvement in adult mental health treatment: a systematic review
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- Authors
- O’Farrell, T. J., & Fals-Stewart, W.
- Affiliations
- Harvard University (US)
- University at Buffalo, State University of New York (US)
- Venue
- Alcoholism
- Publisher
- Springer US
- Published
- 2002
- Volume
- 15
- Pages
- 329-356
- OpenAlex
- W1577862796
- Cited by
- 48
- References
- 4
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 2 · 2014: 4 · 2013: 3 · 2012: 2
- FWCI
- 6.15
- Type
- book chapter
- Language
- en
- Open access
- closed
- Locations
- Springer eBooks (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K02AA000234, R01AA010356)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- family therapy, Community Reinforcement and Family Training, Al-Anon, behavioral couples therapy, family adjustment, treatment entry, alcohol use outcomes, family systems, minority patients, children of alcoholics
- MeSH terms
- Alcoholism, Behavior Therapy, Family Therapy, Female, Humans, Male, Marital Therapy, Outcome and Process Assessment, Health Care, Patient Acceptance of Health Care, Randomized Controlled Trials as Topic
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