Methods for reducing alcohol and drug related family harm in non-specialist settings

Abstract

Relatives and those living close to people with alcohol and drug problems experience significant stress which often manifests itself in terms of physical and psychological symptoms. Because alcohol and drug problems are highly prevalent in our society the number of relatives affected is very high and hence it is important to develop strategies to meet their needs. The present paper describes a brief 5-step intervention that has been used and tested with relatives of alcohol and drug users in the primary care setting. The intervention is based on the stress-coping-health model and has been developed from previous research. The steps of the intervention are described including strategies for exploring three key areas: the stress experienced by relatives, their coping responses and the social support available to them. Each step is described in some detail together with information as to how to apply it. Finally, case examples are presented illustrating the intervention. It is argued that this approach offers a useful way of understanding and working with families and concerned others experiencing addiction related problems.