Republic of the Philippines

Department of Health
Regional Office IV-A (CALABARZON)
Tagaytay City




The effects of substance addiction aren’t limited to the addicted person, and the causes
of substance abuse can be varied and complex – family issues can contribute to and perpetuate
the illness of addiction. In fact, addiction is sometimes referred to as a “family disease.”
Dysfunctional families, characterized by impaired communication among family members,
dysfunctional pattern of living and problem solving (co-dependency) and an inability of family
members to set appropriate limits or maintain standards of behavior, are associated with poor
short- and long-term treatment outcome for patients with substance use disorders. In order for
the drug dependent to fully recover from substance abuse, the family must also undergo
treatment in order to address the maladaptive behavior that allowed a loved one’s addiction to
grow and flourish.
The family systems perspective contends that the most effective way to work with
individuals is in the context of their families. Family work has become a strong and continuing
theme of many treatment approaches but family therapy is not used to its greatest capacity in
substance abuse treatment. As reviewed by Miller et al., most attention has been paid to
behavioral coping strategies, 12-step approaches, and confrontational interventions, all of which
are associated with high rates of treatment entry for patients who receive the intervention.
However, in helping family members engage their significant others in treatment, concerned
significant others and identified patients are more likely to follow through and show better results
with less confrontational approaches.
Family therapy programs help drug dependents and the family by providing much
needed education on the disease of addiction, and each family member can fully understand
why the role they assumed contributed to an addict’s abuse issues as well as their own personal
issues. Family therapy that addresses interpersonal and family interactions leading to conflict or
enabling behaviors can reduce the risk of relapse for patients with high levels of family
involvement. Family therapy are also useful for promoting psychological differentiation of family
members, providing a forum for the exchange of information and ideas about the treatment plan,
developing behavioral management contracts and ground rules for continued family support,
and reinforcing behaviors that help prevent relapse and enhance the prospects for recovery.
There are evidences that these approaches can improve the psychosocial functioning and
decrease the likelihood of substance use in children living with a parent abusing alcohol or other
substances. Studies also show that treatment approaches that involve the family have better
engagement, higher rates of success, and increased aftercare participation.
Successful treatment, therefore, incorporates the family of the person struggling with
addiction. As what Napier indicates in his groundbreaking book Family Crucible (1979), “working
directly with the totality of the forces that influence the individual is such a logical idea that it is
hard to deny its validity”.


There are two main goals in family therapy. One goal is to help everyone give the right
kind of support to the family member in behavioral health treatment, so that recovery sticks and
relapse is avoided. The other goal is to strengthen the whole family’s emotional health, so that
everyone can thrive. Specific objectives for family therapy are unique to each family, and these
objectives may change over time. The family decides for itself what to focus on, and when.

Family Therapy Objectives

Distrust Reconciliation Sadness Support
Guilt Forgiveness Anger Peace
Stress Strength Conflict Agreement
Frustration Understanding Crisis Resolution
Despair Hope

etc. Identify areas of change or Skittles) improvement to be addressed 3. or a group of people who share a home and a strong emotional connection. Favorite Therapeutic Activities for Children. It is helpful to meet with parents prior to the first family session to explain the value of using play and art activities in family therapy and to help them embrace this approach There are no pre-determined standards on what constitutes a family. Boat-Storm. I think I am. Liana. Engagement and Assessment Interventions 1. WORK PROGRAM Lowenstein. Republic of the Philippines Department of Health Regional Office IV-A (CALABARZON) TREATMENT AND REHABILITATION CENTER Tagaytay City IV. sessions initially are 90 minutes monthly and gradually decrease to 60 minutes monthly as participants progress in therapy. 2011 NAME OF ACTIVITY MODALITY GOALS MATERIALS FACILITATOR A. Individual Assess the client’s self-esteem and  I don’t think I am world view Discover the positive and negative beliefs the client has of himself Increase values vocabulary 4. Patients allowed to participate in Family Behavior Therapy must be in the Pre-Reentry Phase. Adolescents. Treatment typically consists of 6 sessions over 6 months. bravery. A family unit may consist of two unmarried partners. Participants attend therapy sessions with at least one significant other. a blended family. They may view games. And can effectively run the house as coordinator/senior members. Lifeline Individual Learn more about the client’s life Large piece of from his perspective paper Markers . They may also feel uncomfortable. drawings.e. typically a parent (if the participant is under 18) or a cohabitating partner. Colored Candy Family Gather information about the client Packs of candy Go Around and family with assorted Increase open communication colors (e. issues pertaining to danger and white paper or Assessment rescue poster board Create an opportunity to express Markers feelings such as fear. and Families: Practitioners Share Their Most Effective Interventions.g. embarrassed. helplessness. Pre-Reentry Phase (6th to 8th month)  Patient must be evaluated by clinical staff to qualify for the pre re-entry phase.  Patient must focus on career. V. PARTICIPANTS Note: Parents may have difficulty understanding the rationale and effectiveness of using play and art techniques in family therapy sessions.  Patient must be involved in managerial and supervisory roles. Family Gather information about the family Large sheet of Lighthouse i. or silly participating in playful family therapy. Paper or pencil for hopelessness. a traditional nuclear family. educational and other productive pursuits to increase self- sufficiency. and puppets merely as sources of entertainment for children. each family Identify ways to access support member 2.  Patient must establish short-term and long-term goals about social reintegration.  Patient must display insight into life problems. I am.

You’re a Star Individual Improve self-esteem by increasing Large piece of . life events. appropriate strategies for expressing each participant) family anger Large sheet of Identify how holding anger inside paper can lead to problems Tape Marker 3. Increase attunement between two or Family more individuals Improve self-control Improve ability to follow directions from someone else 7. Republic of the Philippines Department of Health Regional Office IV-A (CALABARZON) TREATMENT AND REHABILITATION CENTER Tagaytay City Increase the client’s ability to Scissors organize his sense of self Glue Develop the client’s ability to express Magazines feelings about his self. Verbally identify key issues to Paper Group address in therapy Markers Increase awareness of losses Pencil or colored Verbally express denied or pencils disconnected feelings about prior Crayons losses Expand therapeutic dialogue about the issues that matter most to the client 6. Exploding Individual. Magic Key Individual. anger several local Family Discuss appropriate ways to express restaurants anger Paper Discuss with parents ways anger Markers can be expressed in the home Folder Reduce inappropriate expressions of anger and replace with appropriate ways of expressing anger 2. Improve self-esteem by identifying Construction paper Postings Group. Scrap items for art and significant people purposes Develop the client’s awareness of his choices in creating the future 5. and expressing positive qualities Crayons/markers. Learn. Positive Individual. Treatment Interventions 1. Recipe for Family Increase self-awareness related to One sheet of Success individual and family needs scrapbooking Identify strengths and weaknesses paper within the family Pen or marker Develop future goals for treatment Scrapbooking sessions decorations related to cooking Supplies to create a chef’s hat B. Mirroring Activity Individual. List at least eight ways to express Menus from Group. practice. Anger Menu Individual. Family about oneself through writing and colored pencils verbalization Post-it Notes/ Promote positive interactions with sticky notes others through a discussion about one’s positive qualities Promote positive self-talk through verbalization of positive self-qualities 4. and implement Balloons (two for Balloons group.

Discuss the mixed feelings that Pencil or pen Family usually accompany termination Paper folded in half 3. Republic of the Philippines Department of Health Regional Office IV-A (CALABARZON) TREATMENT AND REHABILITATION CENTER Tagaytay City awareness of loved ones. paper. BUDGETARY REQUIREMENTS: VII. Termination Individual. COMMITTEE: Program Facilitator Program Coordinator Resources and Supplies Documentation and Evaluation Logistics (Registration and Facility set-up) . Termination Interventions 1. My Wish for Group. Increase positive self-statements Wood star cut-out You Family Encourage compassion for others Markers Experience a positive termination Paint from family therapy 4. Family Family To focus on the positive qualities Magazine Strength within the family Scissors Genogram To create more a more positive Paper family atmosphere Pen or marker C. Review therapeutic gains Markers First Day Group. How I Felt the Individual. and helpers cardstock Provide a method of coping with Markers future emotional issues glue 5. Aloha Lei Group Increase affect expression Premade Leis Increase open communication Scissors surrounding the ending of String relationships Threading needle Provide positive experience of Fabric flowers closure and the termination of Plastic spacers relationship 2. preferably caregivers. Validate that the therapeutic Blocks or books Party Family relationship is built on trust for each Honor the client’s progress in participant therapy Personalized gift/s VI.