Solution-Focused Brief Therapy with Clients Managing Trauma by Froerer Adam; von Cziffra-Bergs Jacqui; Kim Johnny

Author:Froerer, Adam; von Cziffra-Bergs, Jacqui; Kim, Johnny
Language: eng
Format: epub
Publisher: Oxford University Press USA - OSO
Published: 2018-01-15T00:00:00+00:00

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1. Many thanks to Janet F. Sorensen for transcribing Masud’s interview.

8 Substance Abuse and Recovery Through SFBT

■SWATHI M. REDDY, KRISTIN BOLTON, CYNTHIA FRANKLIN, AND KARLA GONZALEZ SUITT

■Introduction to Substance Use Disorders, Trauma, and SFBT

The 2014 National Survey on Drug Use found that approximately 21.5 million people suffered from substance use disorders (SUDs) in the United States. A total of 17 million people reported an alcohol use disorder, 7.1 million people reported an illicit drug use disorder, and 2.6 million people reported both an alcohol and illicit drug use disorder (Substance Abuse and Mental Health Services Administration [SAMHSA], 2015a). Studies have found that anywhere from 30% to 60% of those seeking treatment for SUDs have experienced trauma (Back et al., 2000; Brady, Back, & Coffey, 2004; Dansky, Brady, & Roberts, 1994; Jacobsen, Southwick, & Kosten, 2001; Stewart, Conrod, Samoluk, Pihl, & Dongier, 2000; Triffleman, Marmar, Delucchi, & Ronfeldt, 1995). According to the DSM-5, a diagnosis of substance use disorder is based on evidence of impaired control, social impairment, risky use, and pharmacological criteria. Substance use is also highly comorbid with other mental disorders including trauma (SAMHSA, 2015b).

Solution-focused brief therapy (SFBT) has been used in clinical settings for clients who abuse substances (de Shazer & Isebaert, 2003; Hendrick, Isebaert, & Dolan, 2012; Juhnke & Coker, 1997) and research has started to emerge that shows that SFBT may also be a good intervention for clients who experience comorbid mental health and substance use conditions including trauma (Kim, Brook, & Akin, 2016; Mason, Chandler, & Grasso, 1995; McCollum, Trepper, & Smock, 2004; Pichot & Smock, 2009; Spilsbury, 2012). SFBT may be a practical intervention for clinicians working with clients who abuse substances because research indicates this population has a tendency to drop out of treatment after the first few sessions. Thus, the brief model of SFBT is well suited to accommodate clients because initial sessions rely heavily on determining a client’s needs to find benefit in therapy rather than conducting lengthy evaluations of the client as typically performed with the traditional medical model of treatment (Berg & Dolan, 2001).

This chapter will describe how SFBT has been used in the treatment of substance use relying on the clinical literature to illustrate interventions. Specific ways to engage clients with substance use will be covered including the questions to ask to promote change. In addition, this chapter will describe a case where SFBT has been used with a client with alcohol use disorder and explain how SFBT may be used in groups to treat substance use. Finally, this chapter will discuss the emerging outcome literature on SFBT with clients who have substance use including studies that assess substance use and trauma.

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