Treatment FAQ

how can family members negatively impact treatment outcomes

by Kristian Kunze Published 2 years ago Updated 2 years ago
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Family, regardless of biological or ‘Chosen’, can have a significant impact on substance abuse treatment outcomes. Family can be a significant trigger for continued drug use and relapse. In many cases, the biological family has disowned their LGBT child or sibling; others may tolerate – but not really accept – them.

Full Answer

What are the effects of illness on family members?

V. Conclusion In conclusion, the effects of illness on family members are substantial and widespread, affecting areas of life as diverse as physical pain and ability to sustain social connections, and affect family caregivers as well as all members of all ages.

How do family members'attitudes and patients'intention of Independence affect rehabilitation outcomes?

Family members' attitudes and patients' intention of independence are important factors influencing poststroke patients' rehabilitation across different outcomes. Patients' intention of independence would promote motor recovery, while family members' positive attitudes toward such independence could enhance cognitive regains.

What are the negative impacts of parental SUDs on the family?

The negative impacts of parental SUDs on the family include disruption of attachment, rituals, roles, routines, communication, social life, and finances. Families in which there is a parental SUD are characterized by an environment of secrecy, loss, conflict, violence or abuse, emotional chaos, role reversal, and fear.

What are the effects of substance abuse on family members?

Each family and each family member is uniquely affected by the individual using substances including but not limited to having unmet developmental needs, impaired attachment, economic hardship, legal problems, emotional distress, and sometimes violence being perpetrated against him or her.

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What are three ways family members are affected when a person has a drug problem?

Spouses, children, and parents may all be impacted by the way addiction affects the family. The effects of drug and alcohol addiction can be both short-term and long-term....Teenage Addiction Affects The FamilySide effects.Withdrawal.Strained relationships.Financial hardships.Poor school performance.

What are the effects of drug abuse on family and society?

These effects on the family may include: Emotional burden. Members may feel anger, frustration, anxiety, fear, worry, depression, shame and guilt, or embarrassment. Economic burden.

How do drugs affect family relationships?

Increased Risk of Abuse They are erratic, frustrated, and angry, lashing out at those closest to them. Drugs and alcohol affect an individual's inhibitions. People are more likely to act out while under the influence. One of the most serious ways addiction affects the entire family is the higher risk of abuse.

How important is family in recovery?

Those individuals with family support and involvement throughout their recovery may be at a lower risk of relapsing after treatment. This is because the family is often educated about addiction, its causes, triggers, and other important factors that can help to navigate the recovery process.

What are the 3 environmental factors that influence substance use and abuse?

10 Environmental Factors That Influence Substance Abuse DisordersFamily History. ... Family Dynamics. ... Peer Pressure. ... Mental Health Conditions. ... Using Substances as a Young Adult. ... Film, TV and Celebrity Culture. ... Social Media. ... Learned Environments.More items...•

What are social effects of drug abuse?

Drug abuse is often accompanied by a devastating social impact upon community life. The present article focuses on the adverse effect of drug abuse on industry, education and training and the family, as well as on its contribution to violence, crime, financial problems, housing problems, homelessness and vagrancy.

How do drugs affect friendships?

Drugs can also cause users to become paranoid about their relationships, like thinking that their friends are turning against them. Drug users may even become aggressive and violent toward other people, even their family and friends. For these reasons and more, drugs can destroy friendships.

How does addiction affect a person's life?

People with addiction often have one or more associated health issues, which could include lung or heart disease, stroke, cancer, or mental health conditions. Imaging scans, chest X-rays, and blood tests can show the damaging effects of long-term drug use throughout the body.

What to do if other parent is using drugs?

If you believe that your child's other parent is addicted to narcotics or alcohol, and if you feel that their abuse has or does negatively affect their ability to properly care for your child, then it is imperative that you file a motion to request a drug test as soon as possible.

Why is it important to involve the family in the treatment process?

Family members can provide valuable information about the patient's functioning at home and can help patients comply with treatment recommendations. They can also help keep track of medication side effects, and prodromal and residual symptoms.

How can you involve family in the treatment and recovery process?

Family members can be involved by:Learning about the treatment program and recovery process,Participating in intake and recovery planning,Sharing in the learning process/lessons,Attending family groups or appointments (as appropriate), and.More items...

What is the role of family in preventing drug abuse?

Overwhelming evidence shows that a parent's lessons and involvement reduce the risk of substance abuse habits, particularly when started at an early age. Therefore, it is crucial for parents to talk to their children early and often about the drugs they may encounter.

What are the effects of drugs?

Effects of common drugsmay cause relaxation and altered perception.can lead to increased heart rate and low blood pressure.can make you feel relaxed and happy, but can also cause lethargy, anxiety, paranoia, and psychosis in extreme cases.More items...•

What are the effects of drugs to the country?

Moreover, absenteeism, lost productivity, and increased use of medical and insurance benefits by employees who abuse drugs affect a business financially. The economic consequences of drug abuse severely burden federal, state, and local government resources and, ultimately, the taxpayer.

How can drugs affect your friends?

Drugs can also cause users to become paranoid about their relationships, like thinking that their friends are turning against them. Drug users may even become aggressive and violent toward other people, even their family and friends. For these reasons and more, drugs can destroy friendships.

What are the effects of drug abuse in school?

Memory loss, diminished concentration and attention, increased absenteeism, impaired academic performance, and physical illness are also associated with drug use.

How does substance abuse affect family?

Substance abuse disorders turn family members against one another. Family members start to acquire reasons to avoid helping their loved ones. There is often something gained by holding onto certain family roles such as the hero or the enabler who seeks to remain feeling needed in the relationship.

Why do family members take on counterproductive roles within the family system?

As a result, family members take on counterproductive roles within the family system to help them through .

Why do people enable?

A person enables for various reasons, often having little to do with the person suffering from a substance use disorder. Most people understand enabling a substance abuser often takes away their ability to face consequences. The question is not so much what is the enabling providing for the substance user, it is moreso what is it providing to ...

How does the family system approach substance abuse?

The family system often approaches the problem from the direction of the substance use being the primary problem. Our research shows it is far more effective to address and repair the damage to the family system before help can be offered effectively.

How to move a substance abuse client through the stages of change?

Family members avoid confrontation and the fear of rejection. Creating Ambivalence and Confrontation is proven to be the most effective method to move a substance abuse disorder client through the stages of change when applied therapeutically and professionally.

Why do family members blame addiction?

Family members often blame the addiction as the cause of the family problems when the problems more frequently stem from the family members reacting to the other family roles. An intervention is not about how to control the substance user; it is about how to let go of believing you can. 1 (877) 728-1122.

What happens when a loved one abuses drugs?

When a loved one begins to abuse drugs or alcohol, their relationships with others begin to change. Everyone reacts to addiction in their own way. However, a substance use disorder often brings more problems and devastation into the home.

How does family affect rehabilitation?

Family members' factor was found to influence the cognitive function outcome equally among the younger and older patients. More positive attitudes among family members were associated with more gains in cognitive function among the patients. By the same token, the patient factor influenced the motor function outcome in both groups. Differential age-related effects were observed in the patient's intention of independence on the other 2 outcomes. Among the younger group, their intention of independence was only significantly associated with the gains in the emotion function outcome. In contrast, among the older group, their intention of independence was only significantly associated with the gains in the self-care independence outcome.

How does family affect stroke survivors?

Previous studies 7, 8 have indicated that family members' beliefs regarding, and attitudes toward, physical activity mediate stroke survivors' outdoor travel, diet, and physical activity. Negative attitudes toward outings and paid work deter poststroke patients' participation in these activities. 9 Some of these studies 7, 8, 9 were limited by relatively small sample sizes, their qualitative nature, and the use of subjective outcomes. In addition to attitudes, family members' and caregivers' knowledge about poststroke recovery was reported to significantly affect patients' rehabilitation outcomes. 10 These studies proposed that a better understanding of the process of recovery and rehabilitation can help to form realistic expectations among family members or caregivers, which can facilitate patients to move through a rehabilitation program by improving their adherence to therapeutic intervention. 11

What are the parts of the Rehabilitation Questionnaire?

The Patient's Rehabilitation Questionnaire has 2 parts. The first part (items 1–3) assesses the patient's knowledge of the rehabilitation process (Patient's Rehabilitation Questionnaire–Knowledge About Rehabilitation), and the second part (items 4–7) assesses the patient's intention of independence (Patient's Rehabilitation Questionnaire–Intention of Independence). The test construct of the Patient's Rehabilitation Questionnaire makes reference to recent publications 1, 2, 3 on the principle of poststroke rehabilitation. The patient responds with a rating on the 6-point Likert scale. To avoid potential acquiescence, the polarity of the rating scale for 3 items (items 1, 6, 7) was reversed. Higher scores on each of the 2 parts suggest more knowledge or a stronger intention of independence by the patient. The content of the questionnaire was reviewed by an expert panel in terms of content relevance and importance. Exploratory factor analysis identified a 2-factor structure that explained 49.5% of the variance, corresponding to Patient's Rehabilitation Questionnaire–Knowledge About Rehabilitation (Cronbach α=.73) and Patient's Rehabilitation Questionnaire–Intention of Independence (Cronbach α=.67), respectively (Kaiser-Meyer-Olkin=.684; χ221 =277.331, P <.001).

What are the factors that influence poststroke rehabilitation?

Poststroke rehabilitation outcome could be influenced by a variety of factors. The 2 factors of interest were family members' attitudes toward patients' independence, and patients' intention of independence and their knowledge about poststroke rehabilitation.

What is the significance of the Patient's Rehabilitation Questionnaire?

The Patient's Rehabilitation Questionnaire–Intention of Independence was the significant predictor of the other outcomes. It significantly predicted motor function outcome for both groups, but predicted emotion function outcome only for the younger group and self-care independence outcome only for the older group.

How many items are in the Family Member Attitudes Questionnaire?

The Family Member Attitudes Questionnaire consisted of 16 task items (see supplemental appendix S1 ). It was designed to assess the patient's expected roles by family members in performing basic activities of daily living (BADL) after the stroke (Family Member Attitudes Questionnaire–BADL, 10 items) and the patient's expected roles in performing instrumental activities of daily living (IADL) after the stroke (Family Member Attitudes Questionnaire–IADL, 6 items). The task items were extracted from the Modified Barthel Index (except the “wheelchair” item) and Frenchay Activities Index.

Which questionnaire predicted cognitive outcome?

The Family Member Attitudes Questionnaire–BADL predicted cognitive outcome and the Patient's Rehabilitation Questionnaire–Intention of Independence predicted motor outcome for both groups. Differential age-related effects were revealed for the Patient's Rehabilitation Questionnaire–Intention of Independence in predicting emotional outcome only for the younger group, and self-care independence only for the older group.

How do family members help addicts?

Family members can impact addicts’ recoveries more than anyone else in their lives. They can act as enablers, interventionists, saboteurs, and helping hands. Their influences can truly make or break addicts’ abilities to seek treatment and get clean. In order to find help and make lasting recoveries, addicts need to understand the roles their families play in their lives. They must identify negative influences to be mitigated, but they must also determine who can help them as they endure the pains and difficulties of drug rehab. The following are the ways in which various family members can impact addicts’ recoveries.

What role do parents play in adolescent addiction?

For adolescent addicts, parents often play the roles of enablers. They may rationalize that their teens will rebel if they set stricter house rules, so they allow drinking and even illegal drug use to continue for extended periods of time.

Can a married couple relapse?

Even if one spouse does attend clinical rehab, they will often relapse when they return home. A successful recovery typically results in the end of the marriage in these situations.

Can a sober spouse help an addict?

Spouses are the most influential figures in most married people’s lives, and addicts are no exception. Sober spouses can often be instrumental in helping addicts seek treatment, and their support is invaluable during the lifelong process of recovery. However, even sober spouses can also have negative influences.

Can drug abuse alienate families?

Unfortunately, many people with drug problems alienate their families during periods of active use. They may permanently sever ties with their closest relatives, leaving them with few people to rely on in their times of need. Thankfully, quality rehab facilities focus on helping their patients form positive friendships and reconnect with estranged relatives when possible.

How to deal with family issues?

How do you cope with family issues? Here are some ideas that have helped others deal with family concerns: 1 Let others know what you're able to do as you heal - and what not to expect. For example, don't feel like you have to keep the house or yard in perfect order because you always did in the past. 2 Know that this is a new time in your life so it may take time to adjust. Roles in the family may change again and different emotions may get triggered. This is normal.

How to help family after cancer treatment?

After treatment, you may want to consider getting help from someone to help you and your family adjust. Ask your doctor or social worker to refer you to a counselor. An expert on family roles and concerns after cancer treatment may help your family work on your problems.

What to do if your child is not able to do an activity?

If you’re not able to do an activity or go to an event, the children may think that you’re unhappy or mad at them. Children of cancer survivors have said that these things are important once their parent has finished treatment. That you: Be honest with them. Speak as directly and openly as possible.

Can cancer affect family?

Families also may not realize that the way their family works may have changed permanently as a result of cancer. They may need help dealing with the changes and keeping the "new" family strong.

Should family members be open with children about cancer?

With your permission, other family members should also be open with your children about your cancer and its treatment.

How many abstracts were screened for the impact on family?

In total, 1517 abstracts were screened, and 158 were identified for review of the full paper. Of these, 63 articles highlighted at least one aspect which was not covered in other articles. Articles were rejected if, after fully reading them, their content was already covered by other articles. No sources were identified when combining the search term “impact on family” with several major medical specialties and only 13 sources were identified using the term “impact of disease on family” (Table 1). Several sources were rejected for use of the term “family” in an irrelevant context, for example articles about genetics.

Is there a general impact of disease on family members of patients over more than one specialty?

The majority of articles reviewed concerned family members of patients of one medical specialty or specific disease, and were often limited to one particular family member, for example partners. No information was found regarding the more general impact of disease on families of patients over more than one specialty. However, many of the studies revealed similar ways that family members of patients were impacted by disease. In this review, only original articles were included. Table 2summarises the studies which included a control group.

Is cancer a lower quality of life for parents?

Parents of children diagnosed with cancer, diabetes or epilepsy reported significantly lower quality of life compared with healthy controls. However they were also more satisfied with their family situation compared with healthy controls.

Does atopic dermatitis affect family function?

Families of children with atopic dermatitis have a lower family function level than families of healthy controls.

How does family intervention help with SUD?

Family interventions can help the family influence or pressure the member with the SUD to enter treatment and get help, address the impact of the SUD on the family system and members , help the family support the member with the SUD, and help the family address their own reactions and problems associated with their loved one’s SUD. The latter may involve participation in treatment, family support programs, or both.

How does SUD affect a family?

The effects of a SUD on a specific family or concerned significant other are determined by the severity of the disorder, the presence of other serious problems such as psychiatric illness, behaviors exhibited by the family member with an SUD, support available for the family, and the family members’ coping strategies . Some family members are more resilient than others and less prone to the adverse effects of the SUD.

How to help a child with SUD?

They can help kids learn about SUDs, treatment, and recovery. Establishing normal routines and rituals in the home, taking an active interest in the child’s life, engaging them in family activities, and facilitating an evaluation for a child with a psychiatric or substance use disorder are other ways of helping the family.

How does alcohol affect a child?

Effects on the developing fetus and children. Alcohol use during pregnancy can harm fetal development causing birth defects and problems in child development. Infants born to opioid-dependent mothers are at increased risk for neonatal abstinence syndrome, which can contribute to developmental or cognitive delays. Children of parents with SUDs are at increased risk for abuse or neglect, physical problems, poor behavioral or impulse control, poor emotional regulation, conduct or oppositional disorders, poorer academic performance, psychiatric problems such as depression or anxiety, and substance abuse.

How can couples help with SUD?

Couples or family sessions can help families address their questions and concerns, change how they interact within the family system, and improve communication. Families can also benefit from addressing their own emotional burden and behaviors that can interfere with the recovery of the member with the SUD. Treatment can be provided in sessions with the individual family or in multiple family groups, which provide a supportive environment for families to share their common experiences and concerns. Families can form bonds with each other and learn what has worked for others.

What are the emotions that families experience?

Family members experience a wide range of emotions such as anger, fear, anxiety, and depression . The burden experienced by the family can be reduced as they learn about specific disorders, get support and help for themselves, identify with other families experiencing similar problems, and share their own feelings and concerns. As families feel empowered by learning information and acquiring new coping skills, their emotional burden often lessens.

How to help a SUD patient?

Families can help their loved one in several ways: facilitate their involvement in treatment; attend sessions together to address the SUD and recovery needs; engage in ongoing discussions about recovery, and what can and cannot be done to help the member with the SUD; point out early warning signs of relapse that their loved one may ignore; and help them stabilize from a relapse should one occur .

Why is treating the individual without family involvement important?

Treating the individual without family involvement may limit the effectiveness of treatment for two main reasons: it ignores the devastating impact of SUDs on the family system leaving family members untreated, and it does not recognize the family as a potential system of support for change.

How does substance use affect family?

Each family and each family member is uniquely affected by the individual using substances including but not limited to having unmet developmental needs, impaired attachment, economic hardship, legal problems, emotional distress, and sometimes violence being perpetrated against him or her. For children there is also an increased risk of developing an SUD themselves (Zimic & Jakic, 2012). Thus, treating only the individual with the active disease of addiction is limited in effectiveness. The social work profession more than any other health care profession has historically recognized the importance of assessing the individual in the context of his or her family environment. Social work education and training emphasizes the significant impact the environment has on the individual and vice versa. This topic was chosen to illustrate how involving the family in the treatment of an SUD in an individual is an effective way to help the family and the individual. The utilization of evidence-based family approaches has demonstrated superiority over individual or group-based treatments (Baldwin, Christian, Berkeljon, & Shandish, 2012). Treating the individual without family involvement may limit the effectiveness of treatment for two main reasons: it ignores the devastating impact of SUDs on the family system leaving family members untreated, and it does not recognize the family as a potential system of support for change. Two theories important to understanding how and why SUDs impact the family are attachment theory and systems theory.

How does homeostasis affect the family system?

Homeostasisrefers to the idea that it is the tendency of a system to seek stability and equilibrium (Brown & Christensen, 1986). The idea of homeostasis is key to understanding the effect of SUDs on the family in that each family member tends to function in such a way that keeps the whole system in balance even if it is not healthy for specific individuals. For example, a latency-age child may cover up her father's drinking by cleaning up after him if he is sick, getting him into bed after he passes out, and minimizing his drinking to her mother. Her efforts allow his SUD to continue with limited consequence and keep the family system at relative equilibrium by reducing fighting between the mother and father. Although that adaptation may keep the family system in a state of equilibrium, it also serves to maintain the problem. Feedbackrefers to the circular way in which parts of a system communicate with each other. The process of feedback is how the parent–child attachment relationship is formed. In a family system, a wife may identify that she abuses pain pills because her husband ignores her and she is depressed. The husband may in turn state that he avoids his wife because she is always morose and high on pain pills. Each person's behavior becomes reinforcing feedback for the other. Boundariesdefine internal and external limits of a system and are established to conserve energy by creating a protective barrier around a system. In a family they regulate interpersonal contact. In a healthy family, boundaries surround the parental subsystem and the child subsystem by keeping them separate. In a family with a parent who has a SUD, boundaries around the parental and child subsystems are typically permeable as the parental subsystem does not function well as a cohesive unit. Boundaries around the family itself are rigid to maintain the family secret of substance abuse. Healthy boundaries are important in the normal development of a family and children.

How many children have SUD?

Two theories important to understanding how and why SUDs impact the family are attachment theory and systems theory. Attachment Theory. It is estimated that more than eight million children younger than age 18 live with at least one adult who has a SUD that is a rate of more than one in 10 children.

Why is it important to assess for active substance abuse in the immediate and extended family?

Knowing that an individual with an SUD grew up in a family with an SUD has significant implications in treatment. Active substance abuse in the family of a client who is trying to get clean will also put that client at risk for relapse.

What is family context?

The family context holds information about how SUDs develop, are maintained, and what can positively or negatively influence the treatment of the disorder. Family systems theory and attachment theory are theoretical models that provide a framework for understanding how SUDs affect the family. In addition, understanding the current developmental ...

What are the negative effects of SUDs?

The negative impacts of parental SUDs on the family include disruption ...

How does illness affect family members?

Having an ill or disabled relative imposes a well-documented burden on family caregivers and non-caregiving family members. [1,2]These “spillover” effects of illness affect many aspects of family members’ lives, from physical and emotional health to quality of life and well-being. [3–6]Quality of life and well-being are subjectively-assessed constructs that may include aspects of health, functioning, capabilities, security, spirituality and other domains depending on the context.[7] This study empirically assessed the range of effects experienced by family members of ill individuals to capture the entirety of disease burden, ranging from focused symptomatology to elements of well-being.

How to understand the burden of disease?

To fully understand of the complete burden of disease we must consider the effect of illness on family members as well as the patient. The purpose of this research was to identify the domains of an individual’s well-being that are affected when a family member has a chronic health condition, including both family caregivers and members who do not provide caregiving. We further explored the variation in this experience by the type of condition the family member had and the relationship between the two family members. Our goal was to improve medical decision making by improving our understanding of the reach of illness, and through this understanding, to inform measurement of these outcomes for inclusion in decisions.

Does family spillover affect mortality?

Prior research on family spillover effects of illness has shown that caregivers experience increased mortality risk , with findings often suggesting an association between caregiver strain and negative outcomes. [8,9]Contradictory evidence, however, suggests positive, even life-extending benefits from caring for an ill relative.[10] A duality in effect has been described, distinguishing between providing caregiving for an ill relative and caring about that person[11], that suggests that spillover effects are more nuanced than may have previously been thought.

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