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Ioane J, Knibbs C, Tudor K. The challenge of security and accessibility: Critical perspectives on the rapid move to online therapies in the age of COVID‐19. PSYCHOTHERAPY AND POLITICS INTERNATIONAL 2021. [PMCID: PMC7994993 DOI: 10.1002/ppi.1581] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This article offers some critiques of the rapid move to online therapies in response to the restriction of movement and in‐person psychotherapeutic and psychological practice, imposed by necessary responses to the COVID‐19 pandemic. The critique is informed by concerns about the security of online therapeutic practice; informed by, but not restricted to, legislation and practice in the United Kingdom. Furthermore, it includes cultural perspectives regarding healthcare provision, specifically with Pacific communities in Aotearoa New Zealand and, more broadly, with regard to disadvantaged and vulnerable clients and communities throughout the world. The article offers a framework that accounts for the challenge of making practical, culturally appropriate, and therapeutic decisions about the security and accessibility of online therapeutic practice.
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Affiliation(s)
- Julia Ioane
- School of Psychology Massey University Auckland New Zealand
| | - Catherine Knibbs
- School of Health and Social Sciences, Counselling and Psychotherapy University of Salford Salford England
| | - Keith Tudor
- Department of Psychotherapy & Counselling Auckland University of Technology Auckland Aotearoa New Zealand
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2
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McGovern R, Smart D, Alderson H, Araújo-Soares V, Brown J, Buykx P, Evans V, Fleming K, Hickman M, Macleod J, Meier P, Kaner E. Psychosocial Interventions to Improve Psychological, Social and Physical Wellbeing in Family Members Affected by an Adult Relative's Substance Use: A Systematic Search and Review of the Evidence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1793. [PMID: 33673199 PMCID: PMC7918716 DOI: 10.3390/ijerph18041793] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 02/03/2021] [Accepted: 02/04/2021] [Indexed: 11/16/2022]
Abstract
It is estimated that over 100 million people worldwide are affected by the substance use of a close relative and often experience related adverse health and social outcomes. There is a growing body of literature evaluating psychosocial interventions intended to reduce these adverse outcomes. We searched the international literature, using rigorous systematic methods to search and review the evidence for effective interventions to improve the wellbeing of family members affected by the substance use of an adult relative. We synthesised the evidence narratively by intervention type, in line with the systematic search and review approach. Sixty-five papers (from 58 unique trials) meeting our inclusion criteria were identified. Behavioural interventions delivered conjointly with the substance user and the affected family members were found to be effective in improving the social wellbeing of family members (reducing intimate partner violence, enhancing relationship satisfaction and stability and family functioning). Affected adult family members may derive psychological benefit from an adjacent individually focused therapeutic intervention component. No interventions fully addressed the complex multidimensional adversities experienced by many families affected by substance use. Further research is needed to determine the effect of a multi-component psychosocial intervention, which seeks to support both the substance user and the affected family member.
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Affiliation(s)
- Ruth McGovern
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (D.S.); (H.A.); (E.K.)
| | - Debbie Smart
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (D.S.); (H.A.); (E.K.)
| | - Hayley Alderson
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (D.S.); (H.A.); (E.K.)
| | - Vera Araújo-Soares
- Faculty of Behavioural, Management and Social Science, University of Twente, 7522 Enschede, The Netherlands;
| | - Jamie Brown
- Institute of Epidemiology & Health, University College London, London WC1E 6BT, UK;
| | - Penny Buykx
- School of Humanities and Social Science, University of Newcastle, Callaghan 2308, Australia;
- School of Health and Related Research, The University of Sheffield, Sheffield S10 2TN, UK
| | | | - Kate Fleming
- Public Health Policy and Systems, Liverpool Centre for Addiction Research, University of Liverpool, Liverpool L69 3BX, UK;
| | - Matt Hickman
- Population Health Sciences Institute, University of Bristol, Bristol BS8 1TL, UK; (M.H.); (J.M.)
| | - John Macleod
- Population Health Sciences Institute, University of Bristol, Bristol BS8 1TL, UK; (M.H.); (J.M.)
| | - Petra Meier
- Institute of Health & Wellbeing, University of Glasgow, Glasgow G12 8QQ, UK;
| | - Eileen Kaner
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK; (D.S.); (H.A.); (E.K.)
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BAPTISTA HP, BORTOLON CB, MOREIRA TDC, BARROS HMT. Investigation of factors associated with low adherence to treatment of codependency in family members of psychoactive substance users. ESTUDOS DE PSICOLOGIA (CAMPINAS) 2021. [DOI: 10.1590/1982-0275202138e200023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
Abstract
Abstract The aim of this study was to investigate possible factors that prevent adherence to the treatment of codependent family members of problem drug use individuals. A quasi-experimental study was carried out with 133 relatives of psychoactive substances users who called the Brazilian drug hotline (Ligue 132) between 2013 and 2015, from the five regions of Brazil. The following instruments were used: General service protocol; Family assistance protocol; Holyoake Codependency Index; Behavioral Adherence Scale; and Adherence Factor Questionnaire. Univariate analysis of data was performed for categorical variables and Chi-square test for comparison between variables, with p < 0.05. The sample showed a predominance of women (91.7%), especially mothers (82.7%). Among the investigated factors, alcohol as the substance involved in the problem showed a significant association with the non-adherence to treatment through teleintervention of family members.
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Li L, Lin C, Liang LJ, Feng N, Pham L, Hien NT. Evaluating an intervention for family members of people who use drugs in Vietnam. Soc Sci Med 2020; 261:113238. [PMID: 32736098 DOI: 10.1016/j.socscimed.2020.113238] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 06/23/2020] [Accepted: 07/20/2020] [Indexed: 11/18/2022]
Affiliation(s)
- Li Li
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California, Los Angeles, CA, USA.
| | - Chunqing Lin
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California, Los Angeles, CA, USA
| | - Li-Jung Liang
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California, Los Angeles, CA, USA
| | - Nan Feng
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California, Los Angeles, CA, USA
| | - Loc Pham
- Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California, Los Angeles, CA, USA
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Abstract
AbstractThis research project aimed at obtaining an in-depth analysis of the experiences of self-identified co-dependents, who chose twelve-steps groups as a way for dealing with difficulties identified as co-dependency. Interpretative phenomenological analysis (IPA) was used as the methodology for the research. Eight participants volunteered from local support groups for co-dependency in the UK. Data were collected through 3 in-depth interviews with each participant over a period of 3–6 months. A visual method was used to gain a more in-depth phenomenological perspective. It included photographs, drawings and images chosen by the participants to describe their experiences. The analysis revealed 2 contradicting and complementary themes: (1) representations of the twelve-step group as a helpful tool and (2) representations of the twelve-step group as no longer meaningful. It demonstrated that the participants found their groups useful as an initial pathway for recovery; however, it did not feature as a central aspect in their recovery, as different levels of engagement were described. The results of this study provide a base for developing a more empathic and contextualised understanding of the experience of individuals who attend twelve-step groups for co-dependency, which in turn will enable health professionals to offer support which is relevant to these individuals’ experiences.
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Lima DJR, Sakiyama HMT, Padin MDFR, Canfield M, Bortolon CB, Mitsuhiro SS, Ramos Laranjeira R. Characteristics of Brazilian women affected by a substance misusing relative. J Addict Dis 2019; 37:146-150. [PMID: 31328679 DOI: 10.1080/10550887.2019.1637994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
As in many other health disorders, people who misuse substances tend to be assisted by female caregivers. Despite this, little is known about the characteristics of women affected by a substance misusing relative (SMR). Data from 2541 Brazilian female affected family members (AFM) were analyzed. The majority of participants were mothers, age 45 or above, in a relationship, responsible for the substance use treatment of the SMR, and were related to a male SMR. High levels of physical and psychological symptoms were associated with socioeconomic status, mothers, responsibility for the SMR's treatment, cocaine and crack-cocaine as substance of the preference of the SMR, and financial contraints as reasons for the delay to seeking help. Findings demonstrate the complex social systems associated with female AFMs and the need of gender sensitive approaches to address the AFM's coping responses to the substance misuse problem in the family.
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Affiliation(s)
| | | | - Maria de Fátima Ratto Padin
- Department of Psychiatry, Federal University São Paulo, São Paulo, Brazil.,National Institute of Public Policy for Alcohol and Other Drugs, São Paulo, Brazil
| | - Martha Canfield
- Psychology Department, Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | | | - Sandro Sendin Mitsuhiro
- Department of Psychiatry, Federal University São Paulo, São Paulo, Brazil.,National Institute of Public Policy for Alcohol and Other Drugs, São Paulo, Brazil
| | - Ronaldo Ramos Laranjeira
- Department of Psychiatry, Federal University São Paulo, São Paulo, Brazil.,National Institute of Public Policy for Alcohol and Other Drugs, São Paulo, Brazil
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Valente JY, Moreira TC, Ferigolo M, Barros HM. Randomized clinical trial to change parental practices for drug use in a telehealth prevention program: a pilot study. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2019. [DOI: 10.1016/j.jpedp.2018.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Randomized clinical trial to change parental practices for drug use in a telehealth prevention program: a pilot study. J Pediatr (Rio J) 2019; 95:334-341. [PMID: 29571681 DOI: 10.1016/j.jped.2018.02.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Revised: 01/19/2018] [Accepted: 02/06/2018] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVES Programs for parents have been found to have a direct positive impact on reducing the consumption of psychoactive substances by adolescents, as well as having an indirect impact on reducing risk factors and increasing protective factors. The present study aimed to verify if a telehealth prevention program based on a brief motivational intervention helps to reduce parental risk practices and increase parental protective practices for drug use in comparison with psychoeducation. METHODS A pilot randomized controlled trial was performed at the National Service of Guidance and Information on Drug Use (Ligue 132), from September 2014 to December 2015, with the parents of adolescents (n=26). The outcome measures were parental style, risk, and protective parental practices. RESULTS The brief motivational intervention was found to be more effective than psychoeducation in reducing the negligent behavior of parents. Furthermore, when comparing pre- and post-intervention data, the brief motivational intervention helped to change parental style and the large majority of parental practices: increasing positive monitoring, as well as decreasing physical abuse, relaxed discipline, inconsistent punishment, and negative monitoring. CONCLUSIONS These results demonstrate that the telehealth intervention is effective in modifying the parental practices known to help in preventing drug use. Studies with more number of subjects are required so that the results can be substantiated and generalized.
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Sola V, Sakiyama HMT, Rato Padin MDF, Canfield M, Bortolon CB, Laranjeira R, Mitsuhiro SS. Measuring stress, coping, strain and hopefulness of Brazilian family members of substance misusers: Factor structure of a set of measures. JOURNAL OF SUBSTANCE USE 2018. [DOI: 10.1080/14659891.2018.1523963] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Vanessa Sola
- Department of Psychiatry, Federal University São Paulo, São Paulo, Brazil
| | | | - Maria de Fatima Rato Padin
- Department of Psychiatry, Federal University São Paulo, São Paulo, Brazil
- National Institute of Public Policy for Alcohol and Other Drugs, Brazil
| | - Martha Canfield
- Health Psychology Section, Psychology Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | | | - Ronaldo Laranjeira
- Department of Psychiatry, Federal University São Paulo, São Paulo, Brazil
- National Institute of Public Policy for Alcohol and Other Drugs, Brazil
| | - Sandro Sendin Mitsuhiro
- Department of Psychiatry, Federal University São Paulo, São Paulo, Brazil
- National Institute of Public Policy for Alcohol and Other Drugs, Brazil
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Mesters I, Keulen HMV, de Vries H, Brug J. Counselor competence for telephone Motivation Interviewing addressing lifestyle change among Dutch older adults. EVALUATION AND PROGRAM PLANNING 2017; 65:47-53. [PMID: 28697374 DOI: 10.1016/j.evalprogplan.2017.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Revised: 05/23/2017] [Accepted: 06/19/2017] [Indexed: 05/11/2023]
Abstract
Counselor competence in telephone Motivation Interviewing (MI) to change lifestyle behaviors in a primary care population was assessed using the Motivational Interviewing Treatment Integrity (MITI) rating system. Counselor behavior was evaluated by trained raters. Twenty minutes of a random sample of 336 MI sessions were coded representing 232 counselees. Ninety-four sessions (28%) were double coded to assess inter-rater agreement. The MI fidelity was examined by comparing the MI fidelity scores direction, empathy, spirit, % open questions, % complex reflections, reflections-to-questions ratio, % MI-adherent responses with the matching beginner proficiency MITI threshold. The inter-rater agreements for the MI fidelity summary scores were good (spirit, reflections-to-questions ratio), fair (empathy, % open questions, % MI-adherent responses) or poor (direction, % complex reflection). The MI fidelity scores for direction, empathy, spirit and the percentage of complex reflections exceeded the MITI threshold, but lower scores were found for the percentage of open questions, the reflections-to-questions ratio and the percentage of MI-adherent responses. In conclusion, evidence that MI was implemented was revealed. However, the inter-rater agreements scores and some fidelity scores leave room for improvement indicating that raters and counselors may need more ongoing training and feedback to achieve and maintain adequate competence. These findings apply to more complex skills (as rating complex reflections) in particular.
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Affiliation(s)
- Ilse Mesters
- Department of Epidemiology, CAPHRI Care and Public Health Research Institute, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
| | - Hilde M van Keulen
- Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands; TNO, The Hague, The Netherlands.
| | - Hein de Vries
- Department of Health Promotion, CAPHRI Care and Public Health Research Institute, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
| | - Johannes Brug
- Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU Medical Center Amsterdam, Postbus 7057, 1007 MB Amsterdam, The Netherlands.
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Orford J, Padin MDFR, Canfield M, Sakiyama HMT, Laranjeira R, Mitsuhiro SS. The burden experienced by Brazilian family members affected by their relatives’ alcohol or drug misuse. DRUGS-EDUCATION PREVENTION AND POLICY 2017. [DOI: 10.1080/09687637.2017.1393500] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Jim Orford
- School of Psychology, The University of Birmingham, Birmingham, UK
| | - Maria de Fátima Rato Padin
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- National Institute of Public Policy for Alcohol and Other Drugs, São Paulo, Brazil
| | - Martha Canfield
- Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | | | - Ronaldo Laranjeira
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- National Institute of Public Policy for Alcohol and Other Drugs, São Paulo, Brazil
| | - Sandro Sendin Mitsuhiro
- Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
- National Institute of Public Policy for Alcohol and Other Drugs, São Paulo, Brazil
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