WEEK 2 DB 1 & 2

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Discuss the importance of treating substance use disorders with a family systems approach. Why would treatment not be effective if you do not include the family? The Substance Abuse and Mental Health Services Administration [SAMHSA] (2015) states that family therapy is an essential part of drug addiction treatment. This is because those who are battling addiction have access to a variety of support systems that may or may not contribute to their recovery. Creating the client's support system is one of the assessment's initial steps. We then delve deeper into the clients' definitions of family and the rationales behind them. The size, customs, and values of these support networks—especially the client's family—will have a significant impact on the client's journey. Families may unintentionally negatively impact the addict more during treatment because interpersonal issues frequently arise in private. The client's experience within the family system and the possible effects that the values and beliefs of the family system may have on other family members are important factors to consider in family therapy (SAMHSA, 2004). It's critical to comprehend the client's addiction because, despite their continued encouragement and support, they may find it difficult to maintain sobriety. References Substance Abuse and Mental Health Services Administration [SAMHSA]. (2004). Introduction. Substance abuse treatment for persons with co-occurring disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration. (Treatment Improvement Protocol (TIP) Series, No. 39.). Substance Abuse and Mental Health Services Administration [SAMHSA]. (2015). Integrated family counseling to address substance use disorders. Substance use disorder treatment and family therapy. Rockville, MD: Substance Abuse and Mental Health Services Administration. (Treatment Improvement Protocol (TIP) Series, No. 39.).

From TIP #39, Chapters 3 and 4, select a concept that you find interesting. What is the concept and how is this concept important in your future counseling practice? Discuss and give examples of how you may apply the concept in your counseling. I think a major part of my future counseling work will involve relapse prevention. This idea appealed to me because it suggested that clients identify their triggers and have plans in place for handling them in an emergency. I believe that both the client and the family should be able to recognize these cues. A family must be involved in a relapse prevention plan because most of the work appears to occur outside of the treatment setting and some behaviors may or may not change in a short therapy session. Relapse prevention plans must be adhered to strictly by clients. Making an action plan or worksheet is one strategy I could employ to deal with my client's triggers. They fit into the following categories: There are three different categories of triggers: 1) Material (people, places, and things) 2) sensory (tastes/smells) 3) emotional (depression, anxiety, etc.). I would then ask the client to record their relapse using a 10-step process, where 10 is their use. Once a client reaches that point, knowing steps 1 through 9 will help them figure out how to change their behavior. A ten-step relapse prevention protocol might look something like this: 1) I began to withdraw 2) I got depressed 3) I got angry. 4) I stopped talking to my sponsor 5) I stopped going to AA/NA meetings. 6) I reconnected with old friends and buddies 7) Thinking back, I recall the "good times" 8) I make a call to my old vendor. 9) A visit from my dealer. 10) I use I believe this method could be useful because it can visually identify the start of their relapse. I would ask them to enumerate the coping mechanisms they would use in these circumstances. Coping mechanisms include things like "I will contact my recovery support" for number one and "I will commit to calling my sponsor three times per week" for number four. Small strategies can provide important information about a client's state of recovery. One strategy that can be used with clients who have SUD in a family setting is relapse prevention. The family must also come up with a plan for dealing with certain behaviors that their recovering loved one exhibits. Creating a similar plan that is tailored to the needs of each family member is another tactic that can be employed. Since addiction impacts the entire family, relapse prevention is critical to the success of both the substance user and their family.

Reference: Substance Abuse and Mental Health Services Administration [SAMHSA]. (2004). Introduction. Substance abuse treatment for persons with co-occurring disorders. Rockville, MD: Substance Abuse and Mental Health Services Administration. (Treatment Improvement Protocol (TIP) Series, No. 39.). Dr. Garcia, If I was a counselor I would ensure when counseling parents of teenagers who use drugs would prioritize educational strategies that provide them with the tools, resources, and knowledge they need to effectively prevent and treat adolescent substance use. Educating parents about substance abuse and helping them to understand adolescent development, risk factors, warning signs, and what they should be aware of in their behavior and communication skills are some examples of education techniques. Another is to help parents set clear expectations and to create a supportive environment. Moreover, with ongoing assistance and follow-up meetings, these strategies can be strengthened, and any fresh challenges can be handled. Reference Smith, E., & Verdurmen, E. (2012). The Effectiveness of Family Interventions in Preventing Adolescent Illicit Drug Use: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Clinical and Family Psychology Review, 18 (3), 218-239.

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