Development of a Family Therapy Plan

Development of a Family Therapy Plan

Substance abuse disorders require the healthcare provider to come up with a plan for treatment that is effective and can be used by both the patient and the family of the patient that is abusing the drugs. Several protocols for improvement of therapy have been developed in the United States, Health and Human Services department by the Substance Abuse and Mental Health Services Administration (SAMHSA) (US Department of Health and Human Services, 2012). This paper makes use of one of the brief models of therapy in the development of a treatment plan for the family that is dealing with a patient that has a disorder for substance abuse.

Therapy model

The model of therapy that I would implement for the family that has a patient that has a disorder for substance abuse is brief Cognitive Behavioral Therapy (CBT) whose application in the treatment of abuse of substances has been spread widely (Alammehrjerdi et al., 2019). This model entails laying focus on both the theory of cognitive, social learning, where the ideas about learning through observation, cognitive expectancies role of behavior determination, the influence modeling has, and the cognitive therapy and theory that focuses on attitudes, thoughts, beliefs and the attributions that affect the feelings of the individual leading them to engage in the abuse of substances (US Department of Health and Human Services, 2012). Both cognitive and behavioral theories have contributed to interventions that have been proven to effectively help treat the abuse of substances. My rationale for choosing this model is based on the fact that there has been substantial evidence and reviews that are comprehensive presenting evidence that is supportive of the effectiveness of the cognitive behavioral therapy model of substance abuse treatment. The model sets goals that are aimed at targeting the recovery of the patient like regularly taking medication, saving money, and changing behavior. Another reason is that the full range of techniques for cognitive-behavioral therapies makes it possible for them to be successfully used in individual, family, and group settings in helping change the behavior of the patients struggling disorders for abuse of substances. This model of therapy gets preferred by patients because they are actively involved in setting their goals and planning their treatment.

Counseling goals of using Cognitive Behavioral Therapy

            Behavioral therapy is about helping the patient change their behavior that has been learned. In this case, the use of substances by an individual. The main goal that brief cognitive behavioral therapy seeks to achieve is to change the contingencies for reinforcement that lead an individual into engaging in the use of substances. The achievement of the goal gets made possible by laying focus on the responses for cravings to abuse substances and assessing patterns that lead an individual into maintaining the use of the substances. Another goal is to achieve change in the behavior of the patient by introducing him to new, better actions for the purpose of replacing the behavior of using substances (Alammehrjerdi et al., 2019). Another goal is to remake the personality of the patient by helping him manage the particular problems that are identified, making it possible for the client to apply the skills they learn while in therapy in the real world without the therapist’s help. Another initial goal that I aim to achieve by using this model of treatment is to empower the clients that are struggling with problems of substance abuse to create changes in their own behavior without any pressure from any outside influences.

Planned frequency and counseling duration

Cognitive therapy gets conducted in adherence to the goals that have been planned by brief therapy. The frequency typically entails the patient meeting with the therapist once a week. The frequency of the therapy can vary depending on the severity of the condition. The sessions are meant to last between thirty minutes to one hour. The duration of counseling for Cognitive Behavioral Therapy is usually between twelve to sixteen sessions, once per week (US Department of Health and Human Services, 2012). It can get carried out in session s that are one to one with the therapist or in groups like in this case; it can be in sessions with a therapist and the family of the patient struggling with the abuse of substances. If cognitive behavioral therapy is getting done in an individual setting, the therapy can last for a period of about five weeks to twenty weeks. The duration of the cognitive-behavioral treatment can vary depending on the therapist’s assessment of the patient’s condition. In this case, cognitive behavioral therapy is getting done in a group setting involving the family that is affected by the disorder for substance use. The duration, in this case, might be longer as there will be instances when the therapist will have sessions with the patient alone and those that he will have therapy with the family as a support for the patient. CBT sessions that entail exposure therapy last for longer than the other sessions because the therapist has to ensure that the anxiety of the patient gets managed. In this case, the therapy may be more effective if it gets carried out in a family home.

Counseling activities

Initial session

            The exercise that is involved in the initial session includes establishing a rapport with the patient by the therapist by asking questions, listening reflectively to the patient, and understanding what they think, and the client educates the therapist about himself and the problems he has. The therapist provides education to the patient about CBT and establishes whether the patient is satisfied with it. The client then explains to the therapist the activities he recently engaged in that triggered the use of substances.

Subsequent session

            The activity in the session that is subsequent includes the setting of goals that the patient and the family seek to achieve together with the therapist, monitoring the changes in feelings of the patient, maintaining session continuity, encouraging the client to evaluate, contemplate, and synthesize sources of information that are diverse (US Department of Health and Human Services, 2012). The activities in this session also entail focusing on the set therapy goals that have been set, assignments to be done as homework to ensure that the patient focuses on working on their problems through information collection, trying new behavior, and belief testing.

Termination

The activity at termination entails evaluating the outcome of the sessions for therapy to confirm whether the goals that got set have been achieved. In this case, the therapist evaluates the steps that were carried out during therapy to ensure that the outcome that was expected got achieved. The sessions will then be terminated, and the patient left to continue the application of the lessons learned during the therapy in the real world.

References

Alammehrjerdi, Z., Briggs, N. E., Biglarian, A., Mokri, A., & Dolan, K. (2019). A Randomized Controlled Trial of Brief Cognitive Behavioral Therapy for Regular Methamphetamine Use in Methadone Treatment. Journal of psychoactive drugs, 51(3), 280-289.

US Department of Health and Human Services. (2012). Substance abuse and mental health services administration. Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.

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