Family treatment of adolescent drug abuse: transitions and maintenance of drug-free behavior

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Abstract
Systemic interventions in the treatment of families with adolescent drug abusers to attain drug-free behavior were presented in a previous paper (Quinn et al., 1988). This paper describes the latter stage of treatment which is required to stabilize drug-free behavior and promote a more functional family structure with modified interactional patterns. Neglect of these goals by hospital or outpatient treatment settings increases the likelihood of relapse in drug behavior or symptom substitution, such as running away or escalating relationship conflict. Issues discussed include developmental issues around the adolescent leaving home, marital conflict and balance, aspects of treatment with single-parent or blended families, the peer network, parental drug use, and the restoration or promotion of adolescent autonomy. Clinical illustrations provide documentation of these systemic interventions.