Engagement and response to a psychoeducation program for family members of inpatients undergoing treatment for substance use disorder

J Marital Fam Ther. 2023 Jul;49(3):527-540. doi: 10.1111/jmft.12637. Epub 2023 Apr 1.

Abstract

The goal of this study was to evaluate a sample of family members, among whom individuals were undergoing inpatient treatment for substance use disorder and identify predictors of engagement in a family support program. A total of 159 family nuclei were analyzed; 36 (22.6%) completed the program and 123 (77.4%) did not complete the program. Compared to nonparticipants, participants were majorly female (91.9%), younger (43.3 years old, SD = 16.5), unemployed, homemakers, and not financially independent (56.7%). The results showed the predominant participation of wives (29.7%) and offspring (mostly daughters, 27.0%). Participants also reported a higher rate of depressive symptoms (p = 0.003) and worse quality of life, primarily environmental. The frequency of domestic violence was higher among participants than among nonparticipants (27.9% vs. 9.0%, p = 0.005). Engagement in family support programs is the first challenge to overcome. The nonparticipants' profile shows the need to adopt engagement strategies that encompass males and facilitate the participation of breadwinning family members.

Keywords: brief family intervention; emotional stress; substance use disorder; treatment engagement.

MeSH terms

  • Adult
  • Family
  • Female
  • Humans
  • Inpatients
  • Male
  • Quality of Life*
  • Substance-Related Disorders* / therapy