Concerned other, The
How to change problematic drug and alcohol users through their family members: a complete manual
By Phil Harris
ISBN:978-1-905541-48-5
Price: £49.95
Book Review
To see sections of this book in a PDF, please click here.The mother wracked with anxiety for her once loving son who is now transformed beyond recognition...The silent father who cannot articulate his fear or despair for a lost daughter...Husbands and wives struggling to reconcile the destruction reaped upon them by the person they vowed to spend their life with...The concerned other is desperate for change in the user, but often ends up feeling helpless and frustrated - let down by his or her own inability to help and by a lack of professional support. Professional helpers, on the other hand, may find that their training, geared to the individualistic theories that require the user to make the change, find they are unable to employ effectively the concerned other and his or her willingness to help.
In this book,
Phil Harris sees the concerned other as the person most able to effect change in the user’s life. He presents a thoroughly researched and carefully argued theoretical underpinning of his work, and offers practitioners a clear and comprehensive, intervention-based programme to help the concerned other bring about the change that he or she most wants to see.
For drug and alcohol workers, youth workers, criminal justice workers, social workers, housing officers, family workers, counsellors, families, The Concerned Other provides a complete treatment manual for working with those affected by a family member’s drug and alcohol use. It:
explores the extensive research that demonstrates why and how families can effect changeoffers comprehensive assessment and outcomes toolsprovides a complete worksheet-based programme that will help the ’concerned other’:- get their loved one into treatment
- reduce the stress and pressure they are under
- improve the quality of their own life
- support their loved one in treatment.
This book will help practitioners support the concerned others in effecting change in the user, and will increase the provision of high quality and effective services they can offer to those who suffer intolerably from those that they also love the most.
The 68 pages of copiable material to be found in this manual are also available as a FREE PDF to customers who subsequently register their purchase with RHP.
The guidance and materials in this manual are designed primarily for work with individual concerned others. But the author has included suggestions on how it can be adapted for work with groups. His work with groups is currently being developed further; and he and RHP may be able to make the results of this work available in the future. Please monitor our website for further announcements in 2010/11.
A4. 304 pages. 9781905541485. Published January 2010. £49.95
READERSHIP
Drug and alcohol workers, youth workers, criminal justice workers, social workers, housing officers, family workers, counsellors and families.
CONTENTS
Introduction
Using the manual
Working with individuals and groups
Who is this book for?
The context
Social context
What is problematic use?
Social consequences of use
Family hardships
Family coping
Family contact with the problem user
Family pressure and treatment entry
Therapeutic context
Self-help: Al Anon and Ala Teen
Co-dependency movement
The intervention
Recent approaches for concerned others
Approaches facilitating treatment entry only
Dual approach models
Parent and Carers Training Programme (PACT)
PACT: programme aims and structure
PACT: assessment
PACT: a behavioural ethos
Reinforcement and substance misuse
Reinforcement and change
Principles of treatment entry
Functional analysis logs
Extinction burst
Bringing up the subject of treatment
Selecting treatment options
Supporting the loved one in treatment
Treatment outcomes and relapse
Carefrontation and termination
Improving the concerned other’s life
Reducing pressure of the concerned other
Closing treatment
Using the manual
Outcomes and measures
Conclusion
The Programme
Induction and assessment for the PACT programme
Induction
What have you tried so far?
How PACT changes your loved one’s use
Temptations and threats
Assessment
Comprehensive assessment
Mood screener
(CES-D) Depression scale
Life satisfaction audit
My better life
How to get the loved one into treatment
Rapid entry procedure
Readiness assessment
Readiness approach
Treatment entry
Rewards for the loved one
Problem solving
Flashpoints
Reducing conflict
The ’I’ message
Assessing enabling
Others enabling
Preparing to withdraw
Functional analysis logs
Intervention plan
Barriers and hooks to treatment
What help is out there?
Bringing up the subject of treatment
How to reduce pressures on the concerned otherDomestic violence assessment
Emergency plan
Domestic violence functional analysis
Domestic violence intervention plan
How to improve the quality of life for the concerned other
Identifying social support
Building social support
Improving coping
My strengths
How to support the loved one in treatment
Understanding slips
Risk factors
Strengthening attendance
Dealing with setbacks
Setback plan
Ending
The carefrontation
When is it time to quit?
Closure and review
ABOUT THE AUTHOR
Phil Harris is an independent writer who has worked in direct access drug services for over sixteen years. He has designed and delivered internationally recognised treatment programmes and accredited training courses throughout the UK and Europe. Having worked as a drugs treatment advisor to DST’s, Criminal Justice Services and Youth Services, he has also managed several organisations and implemented innovative, practical and effective approaches to addressing people’s problems with misuse of drugs and alcohol. He continues to practice in the south west of England.