The perceptions and experiences of families dealing with substance use disorders: implications for holistic employee wellness programmes

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Abstract

Neglecting the significant role played by family members in the post-rehabilitation trajectory of substance abusers can pose a significant challenge in supporting intervention programmes in the workplace. This paper reports on a small-scale qualitative investigation that used focus group interviews with family members to explore their perceptions and experiences of being confronted with family members with substance use disorders. The findings are presented through three themes: 1) emotional burden; 2) coping and avoidance strategies; and 3) support needs of family members. Recommendations highlight how employee assistance programmes can provide a comprehensive suite of holistic support systems.

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Most cited references 34

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The impact of substance use disorders on families and children: from theory to practice.

Laura Lander, Janie Howsare, Marilyn Byrne (2013)

The effects of a substance use disorder (SUD) are felt by the whole family. 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 stage a family is in helps inform assessment of impairment and determination of appropriate interventions. SUDs negatively affect emotional and behavioral patterns from the inception of the family, resulting in poor outcomes for the children and adults with SUDs. Social workers can help address SUDs in multiple ways, which are summarized in this article.

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Family interventions in the treatment of alcohol and drug problems.

Richard D B Velleman, J A Copello, Arnoud Templeton (2005)

Alcohol and drug problems affect not only those using these substances but also family members of the substance user. In this review evidence of the negative impacts substance misuse may have upon families are examined, following which family-focused interventions are reviewed. Several family-focused interventions have been developed. They can be broadly grouped into three types: (1) working with family members to promote the entry and engagement of substance misusers into treatment; (2) joint involvement of family members and substance misusing relatives in the treatment of the latter; and (3) interventions responding to the needs of the family members in their own right. The evidence base for each of the three types is reviewed. Despite methodological weaknesses in this area, a number of conclusions can be advanced that support wider use of family focused interventions in routine practice. Future research needs to focus on (1) pragmatic trials that are more representative of routine clinical settings; (2) cost-effectiveness analyses, in terms of treatment costs and the impact of interventions on costs to society; (3) explore treatment process; and (4) make use of qualitative methods. In addition, there is a need to define more clearly the conceptual underpinnings of the family intervention under study.

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First steps in research

J. NIEUWENHUIS, K. MAREE, K. Maree … (2016)

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Author and article information

Journal

Journal ID (publisher-id): sw

Title: Social Work

Abbreviated Title: Social work (Stellenbosch. Online)

Publisher: Department of Social Work, Stellenbosch University/ Universiteit Stellenbosch (Stellenbosch, Western Cape Province, South Africa )

ISSN (Print): 0037-8054

ISSN (Electronic): 2312-7198

Publication date (Print and electronic): 2022

Volume: 58

Issue: 3

Pages: 349-365

Affiliations

[02] orgnameUniversity of the Western Cape orgdiv1Centre for Interdisciplinary Studies of Children South Africa nroman@ 123456uwc.ac.za

[01] orgnameSol Plaatje University South Africa eldene.braaf@ 123456spu.ac.za

[03] orgnameUniversity of KwaZulu-Natal orgdiv1Discipline of Physiotherapy South Africa PharaohH@ 123456ukzn.ac.za

Article

Publisher ID: S0037-80542022000300008 Publisher ID: S0037-8054(22)05800300008

DOI: 10.15270/58-3-1061

SO-VID: 5fe308e3-7116-4410-aa76-d9c78eca3c03

License:

This work is licensed under a Creative Commons Attribution 4.0 International License.

History

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Figures: 0, Tables: 0, Equations: 0, References: 35, Pages: 17

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SciELO South Africa

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