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      «Jeg får et helt annet innblikk»: Fagpersoners erfaringer med familieorientert praksis i rusbehandling Translated title: “I get a whole different view”: Professionals experiences with family-oriented practice in addiction treatment

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          Abstract

          Aim:

          Family members’ lives and health are seriously affected by alcohol- and drug addiction in close relationships, and research on addiction treatment shows that outcome of treatment is better when family is involved, both for the patient and family member. In Norway, there are clear political and professional guidelines in favour of involvement of family/significant others in the course of treatment, however, there are few addiction treatment services in Norway who comprehensively do so. The aim of this study is to explore therapists’ experiences from involving family and significant others in interdisciplinary specialised addiction treatment (TSB), within an in-patient clinic in Norway. The research question is: What significance do therapists emphasise from involving family members within interdisciplinary specialised inpatient addiction treatment, and which professional and ethical challenges arise with such involvement?

          Method:

          The data was gathered through two focus-group interviews and analysed with thematic analysis.

          Results:

          The main findings of the analysis are: (1) “A solid treatment structure for family involvement is central to family-oriented work”, (2) “Substantial positive effects for both patient, family member and therapist are attributed to family-oriented treatment focus”, and (3) “New dilemmas and challenges arise as a consequence of emphasising family-oriented work”.

          Conclusion:

          The article gives insights in how treatment practice that involves family and network members can be organised, what can be achieved with such involvement, which challenges and dilemmas can arise, and discusses how these insights challenges language, ethics and judicial framework for addiction treatment.

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          Most cited references67

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          Research summary on the therapeutic relationship and psychotherapy outcome.

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            Family interventions in the treatment of alcohol and drug problems.

            Alcohol and drug problems affect not only those using these substances but also family members of the substance user. In this review evidence of the negative impacts substance misuse may have upon families are examined, following which family-focused interventions are reviewed. Several family-focused interventions have been developed. They can be broadly grouped into three types: (1) working with family members to promote the entry and engagement of substance misusers into treatment; (2) joint involvement of family members and substance misusing relatives in the treatment of the latter; and (3) interventions responding to the needs of the family members in their own right. The evidence base for each of the three types is reviewed. Despite methodological weaknesses in this area, a number of conclusions can be advanced that support wider use of family focused interventions in routine practice. Future research needs to focus on (1) pragmatic trials that are more representative of routine clinical settings; (2) cost-effectiveness analyses, in terms of treatment costs and the impact of interventions on costs to society; (3) explore treatment process; and (4) make use of qualitative methods. In addition, there is a need to define more clearly the conceptual underpinnings of the family intervention under study.
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              Family members affected by a close relative's addiction: The stress-strain-coping-support model

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                Author and article information

                Contributors
                Journal
                Nordisk Alkohol Nark
                Nordisk Alkohol Nark
                NAD
                spnad
                Nordisk Alkohol- & Narkotikatidskrift : NAT
                SAGE Publications (Sage UK: London, England )
                1455-0725
                1458-6126
                22 April 2020
                June 2020
                : 37
                : 3
                : 243-261
                Affiliations
                [1-1455072520914207]Avdeling for rusmedisin, Haukeland Universitetssjukehus, Bergen, Norway
                [2-1455072520914207]Høgskulen på Vestlandet, Institutt for velferd og deltaking, Bergen, Norway
                [3-1455072520914207]Rogaland A-senter/KoRus Vest Stavanger, Skogstøstraen, Stavanger, Norway
                [4-1455072520914207]Universitetet i Stavanger, Avdeling for folkehelse, Stavanger, Norway
                [5-1455072520914207]Norges teknisk-naturvitenskapelige universitet, Trondheim, Norway
                Author notes
                [*]Øyvind Reehorst Kalsås, Avdeling for rusmedisin, Haukeland Universitetssjukehus, Postboks 1400, 5021 Bergen, Norway / Høgskulen på Vestlandet, Institutt for velferd og deltaking, Postboks 7030, 5020 Bergen, Norway. Email: oykalsas@ 123456gmail.com
                Author information
                https://orcid.org/0000-0001-9110-382X
                Article
                10.1177_1455072520914207
                10.1177/1455072520914207
                8899265
                35308315
                70906324-d139-4aca-a376-09b25b65fe2f
                © The Author(s) 2020

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 14 August 2019
                : 16 January 2020
                Categories
                Research Reports
                Custom metadata
                ts3

                addiction,affected family members,drug treatment,family involvement,substance use treatment,familie,pårørende,rusavhengighet,rusbehandling,sosialt nettverk

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