Skip to main content

Advertisement

Log in

The Role of Family in Residential Treatment Patient Retention

  • Clinical Case Studies
  • Published:
International Journal of Mental Health and Addiction Aims and scope Submit manuscript

Abstract

This study aims to examine the completion rate of individuals in a residential addiction center when the individual’s family members or significant others participate in the therapeutic process, contrasted with those who have no family participation. Data was analyzed from 274 patients enrolled in a residential addiction treatment program. These patients were divided into two groups, one having had family participation during treatment, the other having no family participation. These groups were analyzed for successful program completion across various characteristics. Outcome analysis reported a 9.62 % increased program completion rate for those with a family member or significant other involved in a seven-day family program.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Agrawal, A., & Lynskey, M. T. (2008). Are there genetic influences on addiction: evidence from family, adoption and twin studies. Addiction, 103(7), 1069–1081.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing.

    Book  Google Scholar 

  • American Society of Addiction Medicine. (2011). Definition of addiction. Retrieved from http://www.asam.org/quality-practice/definition-of-addiction.

  • Bartlett, R., Brown, L., Shattell, M., Wright, T., & Lewallen, L. (2013). Harm reduction: compassionate care of persons with addictions. MEDSURG Nursing, 22(6), 349–358.

    PubMed  PubMed Central  Google Scholar 

  • Betty Ford Institute. (2007). What is recovery? A working definition from the Betty Ford Institute. Journal of Substance Abuse Treatment, 33(3), 221–228.

    Article  Google Scholar 

  • Canadian Centre on Substance Abuse. (2005). Substance abuse in Canada: current challenges and choices. Ottawa: Canadian Centre on Substance Abuse.

    Google Scholar 

  • Copello, A. G., Velleman, R. D., & Templeton, L. J. (2005). Family interventions in the treatment of alcohol and drug problems. Drug and Alcohol Review, 24(4), 369–385.

    Article  PubMed  Google Scholar 

  • Costantini, M. F., Wermuth, L., Sorensen, J. L., & Lyons, J. S. (1992). Family functioning as a predictor of progress in substance abuse treatment. Journal of Substance Abuse Treatment, 9(4), 331–335.

    Article  CAS  PubMed  Google Scholar 

  • Davis, A. K., & Rosenberg, H. (2013). Acceptance of non-abstinence goals by addiction professionals in the United States. Psychology of Addictive Behaviors, 27(4), 1102–1109.

    Article  PubMed  Google Scholar 

  • Dobkin, P. L., De Civita, M., Paraherakis, A., & Gill, K. (2002). The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers. Addiction, 97(3), 347–356.

    Article  PubMed  Google Scholar 

  • Knight, D. K., & Simpson, D. D. (1996). Influences of family and friends on client progress during drug abuse treatment. Journal of Substance Abuse, 8(4), 417–429.

    Article  CAS  PubMed  Google Scholar 

  • Koob, G. F. (2006). The neurobiology of addiction: a neuroadaptational view relevant for diagnosis. Addiction, 101(s1), 23–30.

    Article  PubMed  Google Scholar 

  • Kreek, M. J., Nielsen, D. A., Butelman, E. R., & LaForge, K. S. (2005). Genetic influences on impulsivity, risk taking, stress responsivity and vulnerability to drug abuse and addiction. Nature Neuroscience, 8, 1450–1457.

    Article  CAS  PubMed  Google Scholar 

  • Lander, L., Howsare, J., & Byrne, M. (2013). The impact of substance use disorders on families and children: from theory to practice. Social Work in Public Health, 28(3–4), 194–205.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lee, M. T., Horgan, C. M., Garnick, D. W., Acevedo, A., Panas, L., Ritter, G. A.,… & Reynolds, M. (2014). A performance measure for continuity of care after detoxification: relationship with outcomes. Journal of Substance Abuse Treatment, 47(2), 130–139.

  • Liddle, H. A., Dakof, G. A., Parker, K., Diamond, G. S., Barrett, K., & Tejeda, M. (2001). Multidimensional family therapy for adolescent drug abuse: results of a randomized clinical trial. The American Journal of Drug and Alcohol Abuse, 27(4), 651–688.

    Article  CAS  PubMed  Google Scholar 

  • McCrady, B. S., Stout, R., Noel, N., Abrams, D., & Nelson, H. F. (1991). Effectiveness of three types of spouse-involved behavioural alcoholism treatment. British Journal of Addiction, 86(11), 1415–1424.

    Article  CAS  PubMed  Google Scholar 

  • McCrady, B. S., & Epstein, E. E. (1999). Addictions: a comprehensive guidebook: a comprehensive guidebook (illustrat ed.). GB: Oxford University Press.

    Google Scholar 

  • Meis, L. A., Griffin, J. M., Greer, N., Jensen, A. C., MacDonald, R., Carlyle, M., … Wilt, T. J. (2013). Couple and family involvement in adult mental health treatment: a systematic review. Clinical Psychology Review, 33, 275–286.

  • Miller, W. R., Meyers, R. J., & Tonigan, J. S. (1999). Engaging the unmotivated in treatment for alcohol problems: a comparison of three strategies for intervention through family members. Journal of Consulting and Clinical Psychology, 67(5), 688.

    Article  CAS  PubMed  Google Scholar 

  • Miller, W. R., & Wilbourne, P. L. (2002). Mesa Grande: a methodological analysis of clinical treatments for alcohol use disorders. Addiction, 97, 265–277.

    Article  PubMed  Google Scholar 

  • Meyers, R. J., Miller, W. R., Hill, D. E., & Tonigan, J. S. (1998). Community reinforcement and family training (CRAFT): engaging unmotivated drug users in treatment. Journal of Substance Abuse, 10(3), 291–308.

    Article  CAS  PubMed  Google Scholar 

  • Nattala, P., Leung, K. S., Nagarajaiah, & Murthy, P. (2010). Family member involvement in relapse prevention improves alcohol dependence outcomes: a prospective study at an addiction treatment facility in India. Journal of Studies on Alcohol and Drugs, 71(4), 581–587.

    Article  PubMed  Google Scholar 

  • Orford, J. (1994). Empowering family and friends: a new approach to the secondary prevention of addiction. Drug and Alcohol eview, 13(4), 417–429.

    Article  CAS  Google Scholar 

  • Powers, M. B., Vedel, E., & Emmelkamp, P. M. G. (2008). Behavioral couples therapy (BCT) for alcohol and drug use disorders: a meta-analysis. Clinical Psychology Review, 28(6), 952–962.

    Article  PubMed  Google Scholar 

  • Sharma, M. K., & Lal, R. (2007). Treatment retention factors amongst substance users. Indian Journal of Preventive & Social Medicine, 38(1–2), 75–79.

    Google Scholar 

  • Stanton, M. D., & Shadish, W. R. (1997). Outcome, attrition, and family–couples treatment for drug abuse: a meta-analysis and review of the controlled, comparative studies. Psychological Bulletin, 122(2), 170.

    Article  CAS  PubMed  Google Scholar 

  • Szapocznik, J., Perez-Vidal, A., Brickman, A. L., Foote, F. H., Santisteban, D., Hervis, O., & Kurtines, W. M. (1988). Engaging adolescent drug abusers and their families in treatment: a strategic structural systems approach. Journal of Consulting and Clinical Psychology, 56(4), 552.

    Article  CAS  PubMed  Google Scholar 

  • Sisson, R. W., & Azrin, N. H. (1986). Family-member involvement to initiate and promote treatment of problem drinkers. Journal of Behavior Therapy and Experimental Psychiatry, 17(1), 15–21.

    Article  CAS  PubMed  Google Scholar 

  • Siddall, J. W., & Conway, G. L. (1988). Interactional variables associated with retention and success in residential drug treatment. International Journal of the Addictions, 23(12), 1241–1254.

    Article  CAS  PubMed  Google Scholar 

  • Velleman, R., Bennett, G., Miller, T., Orford, J. I. M., Rigby, K., & Tod, A. (1993). The families of problem drug users: a study of 50 close relatives. Addiction, 88(9), 1281–1289.

    Article  CAS  PubMed  Google Scholar 

  • Verweij, K. J., Zietsch, B. P., Lynskey, M. T., Medland, S. E., Neale, M. C., Martin, N. G., … & Vink, J. M. (2010). Genetic and environmental influences on cannabis use initiation and problematic use: a meta‐analysis of twin studies. Addiction, 105(3), 417–430.

  • Walls, R. T., Moore, L. C., Batiste, L. C., & Loy, B. (2009). Vocational rehabilitation and job accommodations for individuals with substance abuse disorders. Journal of Rehabilitation, 75(4), 35–44.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carson McPherson.

Ethics declarations

Conflict of Interest

Carson McPherson, Holly Boyne, and Dr. Robert Willis declare that they have no conflict of interest.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.

Statement of Human Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

McPherson, C., Boyne, H. & Willis, R. The Role of Family in Residential Treatment Patient Retention. Int J Ment Health Addiction 15, 933–941 (2017). https://doi.org/10.1007/s11469-016-9712-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11469-016-9712-0

Keywords

Navigation