Skip to main content

Advertisement

Log in

Couple Therapy in Substance Use and Gambling Disorders: Promoting Health System Change

  • Original Paper
  • Published:
Contemporary Family Therapy Aims and scope Submit manuscript

Abstract

Couple and family relationships are central in processes of substance use and gambling disorders, yet they remain inadequately researched and marginally addressed in services found in the health system. Multiple barriers exist that favour a focus on the individual due to organization structure and discourse, shortage of couple therapy training, and values and philosophy of addiction services. This article describes a successful strategic initiative to foster a partnership for researchers and health system decision-makers to promote a health system change. We identify impactful factors in a two-day integrated knowledge translation workshop bringing together practitioners, researchers, decision-makers and couples seeking services for gambling and substance use disorders. The initiative shifted awareness of decision-makers, built a network of collaborative relationships and created a consensus for action among stakeholders. This early integrated knowledge translation strategy opened up research partnership on a couple therapy randomized trial in the health system, training for counselors, and research opportunities for graduate students.

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.

Fig. 1
Fig. 2

Similar content being viewed by others

References

Download references

Funding

This project was funded by a Canadian Institutes of Health Research, Partnerships for Health Services Improvement Planning Grant.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bonnie K. Lee.

Ethics declarations

Conflict of interest

Bonnie Lee is the developer of Congruence Couple Therapy, an integrated systems model for substance abuse and gambling treatment. Robert Gilbert and Rebecca Knighton have no conflict of interest to declare.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, B.K., Gilbert, R. & Knighton, R. Couple Therapy in Substance Use and Gambling Disorders: Promoting Health System Change. Contemp Fam Ther 42, 228–239 (2020). https://doi.org/10.1007/s10591-020-09536-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10591-020-09536-8

Keywords

Navigation