Historically, the individual has always been seen as the ‘client’ in AOD work Families have often been understood as part of the ‘problem’ behind someone’s problematic substance use, rather than an essential part of recovery Notions of confidentiality and privacy have often excluded families from being engaged in treatment Implementation fo family inclusive work requires more than training, it requires support at every level and supportive processes and infrastructure – it canno
Family Inclusive Practice and family work identified as current issues for staff development, within supervision groups but also for upcoming skills workshops Staff supported to identify training in family related skills as part of their annual performance and professional development plans A focus on family work is part of our strategic plan FIP - This group includes members at manager level and above to ensure there is decision making authority
FIP - This group includes members at manager level and above to ensure there is decision making authority
Family Inclusive Practice and Family work a standing agenda item in the Clinical Governance Committee Questions relating to the doing and recording of family work included in the file audit tool currently being developed in order to measure progress and identify training and support needs in this area for staff File audits to be carried out annually across the whole organisation and more frequently within teams
Family Programs Playgroup, established 2004 – supported playgroup for vulnerable parents and at risk families often but not exclusively with substance abuse concerns and their children under 5. Multiple locations in the Northern suburbs of Melbourne. ARC – 6 week structured program run in conjunction with Family Drug Help delivering psychoeducational support and strategies for family members and concerned other of people with substance abuse concerns. Family and Friends – a facilitated support group once a month for family members and concerned other of people with substance abuse concerns. Family counselling – short and longer term counselling for families where substance use is an issue. This is a statewide service available to current clients and their families or just their families or families accessing support in their own right. The Catalyst program includes a family information evening that is psychoeducational, therepeutic and social in nature as part of its core program.
The Bouverie Centre was funded to roll out training for Family Inclusive Practice to the AOD sector and Gambling Help and later to the Mental Health sector. One of the methods used to introduce clinicians to working with families was Single Session Family Work (SSFW), previously referred to as Single Session Work (SSW). In 1994 in response to long waiting lists for family therapy, the Bouverie Family Therapy Centre (BFTC) began researching the effectiveness of single session therapy. Encouraged by the work of Moshe Talmon in the USA implemented a study with 36 families to discover if this treatment style would be effective in reducing waiting lists and successful client outcomes. The results were promising and led to widespread implementation of SSW not only at the Bouverie Centre but in a variety of clinical contexts. (Boyhan, 1996) SSFW does not require the therapist to operate from a particular model of treatment and does not require the practitioner to be family therapy trained. SSFW is based on three empirical findings: that one treatment session is usual, that it is difficult to predict which clients will attend only one and that one session attendees do not necessarily represent drop-outs but more often satisfied customers. (Boyhan, 1996) One finding is becoming clear: the modal frequency of clients attending counselling services is 1, irrespective of therapeutic model, problem severity, or client diagnosis (Talmon, 1990; Bloom, 2001; Boyhan, 1996; Weir et al., 2007). Whilst surprising, this must be considered seriously if service systems are to align with client behaviour. A second consistent finding is that, when followed up, the majority of these clients have been satisfied with the one contact. Thirdly, largely from clinical experience, it is almost impossible to predict who will elect one session and who needs and will want more. The underlying principle of this treatment is that longevity of therapy does not necessarily point to better client outcomes than connection and presence with a client in a single therapeutic encounter in an active and focused session.
Innovation in Engaging Families
Innovation in EngagingFamilies.
W hy involve families? It’s a focus of the Victorian Government AOD Sector Reform And: families are also our clients – they have support and treatment needs in their own right working with families assists the substance user in their treatment and in motivating substance users to access treatment if they haven’t already
Organisational Context A real commitment to: •Evidenced based practice •Practical and embedded practice •Accountability •Continuous improvement Integrated Approach •Clinical •Education •HR •Evaluations
Clinical Governance Overseeing body that ensures the incorporation and contribution of good practice. Directors, Managers and Team Leaders Systematic and standardised approach with a focus on: Clinical Accountability Continuous Clinical Improvement
Culture Support, acknowledgement and celebration from the top down. Shared vision and team work on the ground.
ReGen’s Clinical PracticeGuidelines on Family InclusivePractice “Working with family members and significant others is seen as an essential part of a comprehensive response to client care rather than an exclusive specialist activity”
ReGen’s Clinical PracticeGuidelines on FamilyInclusive Practice “Families are seen as having needs in their own right and as having a right to have their needs acknowledged and met. Best outcomes are achieved by including the perspectives of consumers, family members and AOD professionals. Creating conversations between each of these groups provides the greatest potential for optimising health care for individual clients and families and for service improvements”
Family Programs―Playgroup―Action for Recovery(ARC) group program―Family and Friends Group―Single session familycounselling―Longer term familycounselling―Family evenings as part ofthe Catalyst program
Single SessionFamily Work andThe BeaconProject
references Copello, A., Velleman, R. & Templeton, L. (2005). Family interventions in the treatment of alcohol and drug problems. Drug and Alcohol Review, 24, 369-385. Copello, A & Orford, J. (2002). Addiction and the family: Is it time for services to take notice of the evidence. Addiction, 97, 1361-1363. Orford J. (1994) Empowering family and friends: a new approach to the secondary prevention of addiction. Drug and Alcohol Review,13, 417 – 29.
Thank You UnitingCare ReGen (formerly UnitingCare Moreland Hall) UnitingCare ReGen – Main Office 26 Jessie Street Coburg VIC 3058 T 03 9386 2876 F 03 9383 6705 email@example.com www.regen.org.au