Drug and alcohol addiction not only affects the person addicted, but their whole family. Communities as well. Everyone suffers. Addiction ravages everyone connected to it. Especially those closest to the addict. Spirit Mountain Recovery’s comprehensive, individualized treatment plan includes addressing dysfunctional family issues and counseling to resolve them. Healing mends strained interpersonal relationships and restores hope for a better future.
Family Behavior Therapy (FBT) and Counseling
At Spirit Mountain Recovery we believe recovery starts with the person afflicted. They need to recover and become whole before the family unit can be put back together. Actually, it is often the family that is the happiest that a loved one who has struggled with substance abuse is finally getting treatment in a safe place and working on themselves. So, when our clients have progressed sufficiently in their recovery, our Clinical Director introduces Family Behavior Therapy (FET) to the mix of treatment regimens. Through this process family issues are identified and worked by the respective parties to the most favorable outcome possible.
Family Behavior Therapy (FBT), which has demonstrated positive results in both adults and adolescents, is aimed at addressing not only substance use problems but other co-occurring problems as well, such as conduct disorders, child mistreatment, depression, family conflict, and unemployment. FBT combines behavioral contracting with contingency management.
FBT involves the patient along with at least one significant other such as a cohabiting partner or a parent (in the case of adolescents). Therapists seek to engage families in applying the behavioral strategies taught in sessions and in acquiring new skills to improve the home environment. Patients are encouraged to develop behavioral goals for preventing substance use and HIV infection, which are anchored to a contingency management system. Substance-abusing parents are prompted to set goals related to effective parenting behaviors. During each session, the behavioral goals are reviewed, with rewards provided by significant others when goals are accomplished. Patients participate in treatment planning, choosing specific interventions from a menu of evidence-based treatment options. In a series of comparisons involving adolescents with and without conduct disorder, FBT was found to be more effective than supportive counseling.
This treatment approach owes its theoretical underpinnings to the Community Reinforcement Approach and includes a validated method of improving enlistment and attendance. Participants attend therapy sessions with at least one significant other, typically a parent (if the participant is under 18) or a cohabitating partner. Treatment typically consists of 15 sessions over 6 months; sessions initially are 90 minutes weekly and gradually decrease to 60 minutes monthly as participants progress in therapy.
FBT includes several interventions, including (1) the use of behavioral contracting procedures to establish an environment that facilitates reinforcement for performance of behaviors that are associated with abstinence from drugs, (2) implementation of skill-based interventions to assist in spending less time with individuals and situations that involve drug use and other problem behaviors, (3) skills training to assist in decreasing urges to use drugs and other impulsive behavior problems, (4) communication skills training to assist in establishing social relationships with others who do not use substances and effectively avoiding substance abusers, and (5) training for skills that are associated with getting a job and/or attending school.