Lecture 6 Drug Ed

ADDICTION COUNSELING
WITH GROUPS AND
FAMILIES
Tabitha Young, PhD, LMHC, LAC, NCC

Overview of Chapter
●Introduction
●Evolution of Group Treatment
●Group Dynamics, Process and Structure
●Group Treatment in the Continuum of Care
●Pragmatics of Group Treatment
●Group Treatment Efficacy

Introduction
●Group treatment is the most common modality for the

delivery of services to individuals and families recovering from substance use disorders.
●Psychoeducational groups can provide means for learning information about addiction as well as social and coping skills needed to reduce risk of relapse.
●Self-help groups cultivate hope.
●Best outcomes involve matching clients with stages of change, intervention, or counselor characteristics.
●Early identification and intervention with at-risk adolescents can disrupt the progression of problems with addictive disorders. Evolution of Group Treatment

Group Dynamics, Process and
Structure

Group Dynamics, Process and
Structure

Group Dynamics, Process and Structure:
Stages of Group Development

Group Dynamics, Process and Structure:
Structural Considerations
●Voluntary participation?
●Receptivity or Amenability to Treatment
 Attrition

 Major contributing factor: Failure to attend to multicultural concerns

Group Treatment in the Continuum of Care
Continuum of Care: represents a response of behavioral

healthcare to demands for matching patient needs to effective modalities of treatment
Prevention

 Prevention groups for children:
 Increase self-esteem
 Improve social and problem-solving skills
 Avoid problem behaviors

Group Treatment in the Continuum of Care
Detoxification and Inpatient Treatment

 Detoxification
 First stage in addiction treatment
 Represents beginning of treatment/No an end in itself
Residential Treatment
 Primary modality for treating alcoholism, drug addiction, and other addictive disorders

Group Treatment in the Continuum of Care
Partial Hospitalization and Day Treatment
 Day