Scottish Families
Affected by Alcohol & Drugs
Spotlight
The role of telehealth & technology
innovation in supporting families,
carers and significant others.
Scottish Families
Scott Clements Training & Quality Manager
www.sfad.org.uk
Overview
• Scottish Families
Who are we and what do we do?
• Family Inclusive Practice
The Family Charter
• Telehealth
Let’s talk
Telehealth
Scottish Families
Affected by Alcohol & Drugs
Role of carers & families
Scottish Families
Affected by Alcohol & Drugs
• Families play an important role in the treatment,
care and support for those using drugs.
• Families can contribute to the assessment
process and provide support, from attending
appointments to helping loved ones turn their
lives around. However, the level of intensive
commitment can come at a heavy price
for the family.
• Ongoing support for families is vital.
The Road to Recovery, The Scottish Government, 2008
Vision
Scottish Families
Affected by Alcohol & Drugs
‘A positive culture change where Scotland and
its citizens recognise recovery is possible and
supports individuals and families to recover
and to contribute to their communities’
Family recovery
Scottish Families
Affected by Alcohol & Drugs
‘Families need to be part of the recovery for their
relatives, Don’t exclude us’
‘We need to recover as well as the person with the addiction.
We need the support to stick together and help each other to
start the recovery process’
‘Families need to recover too’
The Family Wheel
Scottish Families
Affected by Alcohol & Drugs
Support impact map
Scottish Families
Affected by Alcohol & Drugs
ROSCs
Recovery-Orientated
Systems of Care
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Person-centred
Self-directed
Strength-based
Participation of family
members, carers,
significant others,
friends and the
community.
Scottish Families
Affected by Alcohol & Drugs
The Quality Principles
• Services should be
family inclusive as
part of their practice
Recovery focus
Scottish Families
Affected by Alcohol & Drugs
Family inclusive practice
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•
Scottish Families
Affected by Alcohol & Drugs
A need to improve outcomes for all
Refers to a range of different interventions
that involve families in the substance users
treatment and addresses the needs of the
family.
These interventions have common
underlying principles that are based on a
collaborative, strengths-based, solutionfocused and empowering approach.
Family interventions
Scottish Families
Affected by Alcohol & Drugs
Working with family
members to promote
the engagement of
clients into services
Providing
services directly
for family
members
Involving families
and others in
assessment and
treatment plans
(Copello, Velleman & Templeton, 2005)
Family inclusive practice
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•
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•
Scottish Families
Affected by Alcohol & Drugs
Acknowledges that individuals influence and
impact the family.
Recognises that interventions are more
effective when family is included.
Considers the family behind the individual.
Continuum of practices that involve families
in accordance to needs of both the family
and the substance user.
The Family Charter
Scottish Families
Affected by Alcohol & Drugs
The Family Charter
Intensive family based
therapeutic
interventions
Responses to family members
delivered as part of service to
alcohol/drug user
Programmes and services that
provide help and support to family
members in their own right
Assessment of family
relationships and networks on
entry into treatment
Information, signposting and
referral for families
Continuum of practice: adapted from (Copello et al, 2009)
1
Families will be actively
included in a loved one’s
treatment.
2
Families will have access to
adequate and appropriate
support services.
3
Families will be involved in
the planning,
implementation and
evaluation of services both
locally and nationally.
Scottish Families
Rural and remote
Scottish Families
Affected by Alcohol & Drugs
Rural and remote
Scottish Families
Affected by Alcohol & Drugs
• 14 Scottish council areas
deemed rural (population density is
below 1 person per hectare)
• Individual can be ‘remote’
due to little or no support
services available, mobility
issues, or where transport
costs may be prohibitive
and preclude them
accessing support.
Scottish Families
Affected by Alcohol & Drugs
Let’s talk
Telehealth
Level of support needs
Brief
intervention
Virtual family
support group
Brief advice
Listening and emotional
support
Scottish Families
Affected by Alcohol & Drugs
Telehealth website
Scottish Families
Affected by Alcohol & Drugs
Webchat
Training courses
Virtual family
support group
Online community
forum
Self-help
resources
Point-to-point
video conferencing
Telehealth brief intervention
CLIENT
Rural or remote
location
INTERVENTIONIST
Scottish Families
Affected by Alcohol & Drugs
Webchat
Email
Telephone
Telehealth brief intervention
Scottish Families
Affected by Alcohol & Drugs
• Explore and understand their situation and what
they themselves can change.
• Develop and implement coping skills and
strategies to manage difficult situations and
behaviours.
• Increase their own personal choices and control
over their own lives that have been affected by
someone else’s behaviours.
• Improve their relationships.
• Improve social isolation and increase their
network of support.
• Improve general health and wellbeing.
CRAFT Intervention
Scottish Families
Affected by Alcohol & Drugs
• Community Reinforcement & Family Training
(CRAFT) is a unilateral therapy for
family/Concerned Significant Others (CSOs) of a
substance user who doesn’t want change/refuses
treatment. [Smith & Meyers, 2004]
• Promotes active, positive participation of CSO,
utilising a motivational (vs. confrontational)
approach, using reinforcement principles to
enhance positive, non-using (competing)
behaviours and decrease negative, substance
using behaviours.
CRAFT
Primary CRAFT objectives
Scottish Families
Affected by Alcohol & Drugs
• Improve the emotional, physical and
relational functioning of family
members/Concerned Significant Others.
• Get the substance user into treatment.
• Decrease/eliminate substance use of
substance user.
CRAFT
Impact
Scottish Families
Affected by Alcohol & Drugs
‘I thought it was her (substance user) who had
to change… I now realise I had to change too.’
‘I didn’t believe anyone could help me.’
‘Talking to, and hearing someone else has
helped me cope… I am trying to maintain a
positive and solid stance for the one who has
lost the plot for now.’
‘I would like to help others cope , once I’ve got to
a safe(ish) shore myself.’
Let’s talk
Scottish Families
Families
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Telehealth
www.sfad.org.uk