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Role of Families, Schools, and Communities in Treatment and Recovery: From First Responders to Sustained Support

  • David G. StewartEmail author
  • Anita Chu
  • Nancy Rappaport
Chapter

Abstract

Families, schools, and communities play a critical role for adolescents with problematic substance use. These supports can mobilize to strengthen recovery with successful early problem recognition, cultivation of appropriate attitudes and behaviors, and engagement with treatment to reinforce sustained change. High-quality evidence-based treatment interventions targeting families, schools, and communities have demonstrated effectiveness and offer practical guidance for parenting and educating adolescents in treatment and recovery. This chapter provides an overview of evidence-based practices that help adolescents reduce or abstain from problematic substance use; develop the necessary social, emotional, behavioral, and cognitive skills to cope with the challenges of recovery; and ultimately thrive in a sober life.

Keywords

Family therapy School-based intervention Systemic approaches Adolescent substance use Community-based first responses 

References

  1. 1.
    Hogue A, Liddle HA. Family-based treatment for adolescent substance abuse: controlled trials and new horizons in services research. J Fam Ther. 2009;31(2):126–54.CrossRefGoogle Scholar
  2. 2.
    Smith JE, Meyers RJ. Motivating substance abusers to enter treatment: working with family members. New York: Guilford Press; 2004.Google Scholar
  3. 3.
    Liddle HA. Multidimensional Family Therapy for adolescent cannabis users. Cannabis Youth Treatment (CYT) Series (Volume 5). Rockville: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration; 2002.Google Scholar
  4. 4.
    Szapocznik J, Williams RA. Brief strategic family therapy: twenty-five years of interplay among theory, research and practice in adolescent behavior problems and drug abuse. Clin Child Fam Psychol Rev. 2000;3(2):117–34.CrossRefGoogle Scholar
  5. 5.
    Alexander JF, Waldron HB, Robbins MS, Neeb AA. Functional family therapy for adolescent behavior problems. Washington, DC: American Psychological Association; 2013.CrossRefGoogle Scholar
  6. 6.
    Henggeler SW, Clingempeel WG, Brondino MJ, Pickrel SG. Four-year follow-up of multisystemic therapy with substance-abusing and substance-dependent juvenile offenders. J Am Acad Child Adolesc Psychiatry. 2002;41(7):868–74.CrossRefGoogle Scholar
  7. 7.
    Miller WR, Meyers RJ, Tonigan J. Engaging the unmotivated in treatment for alcohol problems: a comparison of three strategies for intervention through family members. J Consult Clin Psychol. 1999;67(5):688–97.CrossRefGoogle Scholar
  8. 8.
    Meyers RJ, Wolfe BL. Get your loved one sober: alternatives to nagging, pleading, and threatening. Center City: Hazelden; 2004.Google Scholar
  9. 9.
    Liddle HA, Dakof GA. A randomized controlled trial of intensive outpatient, family-based therapy vs. residential drug treatment for co-morbid adolescent drug abusers. Drug Alcohol Depend. 2002;66:S2–S202, S103.CrossRefGoogle Scholar
  10. 10.
    Greenbaum PE, Wang W, Hall K, et al. Gender and ethnicity as moderators: integrative data analysis of multidimensional family therapy randomized clinical trials. J Fam Psychol. 2015;29(6):919–30.CrossRefGoogle Scholar
  11. 11.
    Henggeler SW, Schaeffer CM. Multisystemic Therapy®: clinical overview, outcomes, and implementation research. Fam Proc. 2016;55:514–28.CrossRefGoogle Scholar
  12. 12.
    Santisteban DA, Coatsworth JD, Perez-Vidal A, Mitrani V, Jean-Gilles M, Szapocznik J. Brief structural/strategic family therapy with African American and Hispanic high-risk youth. J Community Psychol. 1997;25(5):453–71.CrossRefGoogle Scholar
  13. 13.
    Barkley RA, Robin AL, Benton CM. Your defiant teen: 10 steps to resolve conflict and rebuild your relationship. New York: Guilford; 2008.Google Scholar
  14. 14.
    Trupin EJ, Kerns SEU, Walker SC, DeRobertis MT, Stewart DG. Family integrated transitions: a promising program for juvenile offenders with co-occurring disorders. J Child Adolesc Subst Abuse. 2011;20(5):421–36.CrossRefGoogle Scholar
  15. 15.
    Botvin GJ, Griffin KW. Life skills training as a primary revention approach for adolescent drug abuse and other problem behaviors. Int J Emerg Ment Health. 2002;4(1):41–8.PubMedGoogle Scholar
  16. 16.
    Haggard LK. Reasonable accommodation of individuals with mental disabilities and psychoactive substance use disorders under Title I of the Americans with Disabilities Act. Wash U J Urb Contemp L. 1993;43:343.Google Scholar
  17. 17.
    Stewart DG, Siebert E, Arlt VK, Moise-Campbell C, Lehinger E. READY or not: findings from a school-based mi intervention for adolescent substance use. J Subst Abus Treat. 2016;71:23–9.CrossRefGoogle Scholar
  18. 18.
    Finch AJ, Tanner-Smith E, Hennessy E, Moberg DP. Recovery high schools: Effect of schools supporting recovery from substance use disorders. Am J Drug Alcohol Abuse. 2018;44(2):175–84.CrossRefGoogle Scholar
  19. 19.
    Levy S, Siqueira LM, Committee on Substance Abuse, Ammerman SD, Gonzalez PK, Ryan SA, Siqueira LM, Smith VC. Testing for drugs of abuse in children and adolescents. Pediatrics. 2014;133(6):e1798–807.CrossRefGoogle Scholar
  20. 20.
    Evans-Whipp T, Beyers JM, Lloyd S, Lafazia AN, Toumbourou JW, Arthur MW, et al. A review of school drug policies and their impact on youth substance use. Health Promot Int. 2004;19(2):227–34.CrossRefGoogle Scholar
  21. 21.
    National Association of School Nurses. Naloxone use in the school setting: the role of the school nurse (Position Statement). 2015. https://www.nasn.org/advocacy/professional-practice-documents/position-statements/ps-naloxone. Accessed 10 Aug 2018.
  22. 22.
    Kelly JF, Myers MG, Brown SA. A multivariate process model of adolescent 12-step attendance and substance use outcome following inpatient treatment. Psychol Addict Behav. 2000;14(4):376–89.CrossRefGoogle Scholar
  23. 23.
    SAMHSA, Office of Applied Studies, 2008, as cited in Community Anti-Drug Coalitions of America (CADCA). Research support for comprehensive community interventions to reduce youth alcohol, tobacco and drug use and abuse. Research and Evaluation White Paper Series, 2010, 1.Google Scholar
  24. 24.
    Burris S, Beletsky L, Castagna CA, Coyle C, Crowe C, McLaughlin JM. Stopping an invisible epidemic: legal issues in the provision of naloxone to prevent opioid overdose. Drexel L Rev. 2009;1:273–340.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of PsychiatryCambridge Health Alliance, Harvard Medical SchoolCambridgeUSA
  2. 2.Child Guidance Center of Southern ConnecticutStamfordUSA

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