Academic journal article American Journal of Psychotherapy

Motivating Substance Abusers to Enter Treatment. Working with Family Members

Academic journal article American Journal of Psychotherapy

Motivating Substance Abusers to Enter Treatment. Working with Family Members

Article excerpt

JANE ELLEN SMITH AND ROBERT J. MEYERS: Motivating Substance Abusers to Enter Treatment. Working with Family Members Guilford Press, New York, 2004, 290 pp., $35.00, ISBN: 1-59385-052-2

This book describes an empirically based behavioral treatment program for the substance abuser that involves both the family and community. It has three goals: Two focus on the substance abuser, to influence him/her to enter treatment and to reduce his/her substance abuse in the interim. The third goal focuses on loved ones and close friends.

The treatment program is called Community Reinforcement and Family Training (CRAFT). Therapists trained in the CRAFT approach work with a "concerned significant other" (CSO), such as family member or close friend. The CSO component provides an opportunity for the CSO to improve psychological functioning whether the identified patient (LP) enters treatment or not. Results reported are promising and they warrant serious consideration by other substance abuse programs. However, adequate treatment participant follow up data is lacking. Follow up of at least five years (preferably twenty years or more) is needed to demonstrate long-term treatment effectiveness.

The careful investigatory approach of earlier studies, which builds on the strengths, weaknesses, and questions, is exemplified in the treatment approach espoused in this book. …

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