Family Issues in the field of Addiction Treatment

This update summarizes the growing empirical evidence supporting the effectiveness of couple- and family-based therapies in the management of substance-related disorders. It also highlights the importance of cultural sensitivity and adaptation to enhance accessibility and retention of families and to improve the outcome of these interventions. Research and guidelines in cultural adaptation are sparse because of the complexities presented by diversities of culture, yet cultural competence is an important therapeutic ingredient. A pilot study using an EE index is presented for its promising comparative cultural potential. More related studies are encouraged. So far, the most sound recommendations appear to be those drafted by NICE (2007), emphasizing the need to offer guided self-help, to facilitate contact with support groups, to provide information and education about drug misuse, and to explore and promote effective coping behaviors.