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welcome to the addiction and family research group web site

Historically, alcoholism and drug addiction have been viewed by the majority of treatment providers and researchers, as well as by the public at large, as problems of the ‘individual’. This long-standing framework from which substance use disorders are viewed is succinctly captured in the commonly stated axiom among treatment providers, “Alcoholism and drug abuse are individual problems best treated on an individual basis.”

During the last 4 decades, the tide of reports from treatment providers and the patients themselves revealed that this view simply did not match reality. Family members’ play a crucial roles in the etiology and maintenance of, not to mention the long-term recovery from, various kinds of addictive behaviors. In sum, the family and home environments were simply too important to ignore. Consequently, treatment providers and researchers alike have placed greater emphasis on understanding drinking and drug use from family systemic perspective and, in turn, on exploring how consideration of partner- and family-dynamics may understood and used to address individuals’ substance abuse.

As it turns out, the preponderance of available evidence reveals that marital and family therapy approaches are among the most efficacious available in terms of prevention, initiating change, and treating substance use disorders. Indeed, some have argued that these interventions approaches are the most effective methods for treating alcoholism and drug abuse, principally because of the substantial improvements across a very broad range of outcomes (e.g., substance use reduction, improved child functioning, reduced domestic violence).

The Addiction and Family Research Group promotes, through research, clinical practice, and training, the understanding of family relationships in addictive behavior, as well as partner- and family-involved intervention approaches for alcoholism and drug abuse. This site is dedicated to providing information that will be useful for those who share this view (including researchers, clinicians, clients and their families) and those who wish to learn more.

Behavioral Couples Therapy by William Fals-Stewart and Timothy J. O'Farrell
Behavioral Couples Therapy
for Alcoholism and Drug Abuse (Paperback)

by Timothy J. O'Farrell, William Fals-Stewart

nrepp

NREPP supports SAMHSA’s Science to Service Initiative, which promotes greater adoption in routine clinical and community-based settings of those services that science has demonstrated to be effective in preventing and treating mental and substance use disorders. SAMHSA collaborates with the National Institutes on Drug Abuse, Alcohol Abuse and Alcoholism, and Mental Health on this agency-wide effort. 

NREPP has recognized Behavioral Couples Therapy for Alcoholism and Drug Abuse as an effective, evidenced-based treatment.

NHS

BCT was recently highlighted as one of only two therapeutic interventions which the National Institute of Clinical Excellence (NICE, the main UK reviewing body of the treatments that should be provided as part of the National Health Service) recommended for use in drug treatment services.

   * CG51 Drug misuse: psychosocial interventions: NICE brief guidelines version (see pp 16-17)
     
   * CG51 Drug misuse: psychosocial interventions: NICE Full guideline version:
     
(There are 28 mentions of BCT in the full guidelines: see section 1.4.4 of the Executive Summary and pp 135-137; and 153-154; and 172 and 174; and 177-178).

This eminently practical guide presents an empirically supported approach for treating people with substance abuse problems and their spouses or domestic partners. Behavioral couples therapy (BCT) explicitly focuses on both substance use and relationship issues, and is readily compatible with 2-step approaches. Provided are all the materials needed to introduce BCT; implement a recovery contract to supportabstinence; work with clients to increase positive activities, improve communication, and reduce relapse risks; and deal with special treatment challenges. Appendices include a condensed session-by-session treatment manual and 70 reproducible checklists,forms, and client education posters. The large-size format and lay-flat binding facilitate photocopying and enhance the book's clinical utility. more...
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smartmarriages

video Watch Video:
Dr. William Fals-Stewart was the Keynote Speaker at the 2006 Smart Marriages Annual Conference

Order your "live" copy of Dr. Fals-Stewart's "Learning Sobriety Together" presentation given at the 2006 Smart Marriages Conference in Atlanta Georgia: This program works with couples together - the drug/alcohol abuser and spouse - to improve communication skills, build cohesion and maintain sobriety.

learning sobriety together / Behavioral Couples Therapy

Learning Sobriety Together (LST) is the umbrella term that is now used to capture not only Behavioral Couples Therapy (BCT) for alcoholism and substance abuse, but also all of its variations.     more...

Learning Sobriety Together / Behavioral Couples Therapy FOR YOUR PRACTICE

Toolbox: The Learning Sobriety Together Training Kit requires no on-site training, just open the box and begin.     more...

videoVideo Vignettes: Different techniques used in Behavioral Couples Therapy.    more...

roundtable
FREE On-Line Training There is now an on-line training through the IRETA web site: Behavioral Couples Therapy in Alcoholism and Drug Abuse Treatment

m1free manuals

We provide a number of manuals  FREE  for download to the clinician which will offer a step-by-step skills-based empirically supported  therapeutic approach for alcoholic or drug-abusing clients and their partners . These manuals include  six and 12-session versions of Behavioral Couples Therapy (BCT) and Parent Skills Behavioral Couples Therapy (PSBCT). In addition, we also offer a 10-session Group Behavioral Couples Therapy (BCT) manual. Overall, the goals in all of these treatments are to build support for abstinence, increase relationship cohesion, and improve communication skills.  For those interested in psychoeducational materials, we offer 6- and 12- session individual-based manuals and a 10-session group manual for use with alcohol- and drug-abusing clients.   more...

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lst

free workbooks

Our workbooks are a collection of information, skills, and lessons learned from years of research that has been used directly with couples in our BCT programs who have reported struggles in their relationship and family as a result of a substance use problem.  These workbooks were designed to be used by one partner, a couple working together, or for presenters who choose to use the Facilitator’s Guide. Each workbook contains a number of exercises that help couples work through and practice each skill as it is introduced.  more...


Latest publications

Fals-Stewart, W., & Clinton-Sherrod, M. (2009). Treating intimate partner violence among substance-abusing dyads: The effect of couples therapy. Professional Psychology: Research and Practice, 40, 257-263.

Fals-Stewart, W., Lam, W. K., & Kelley, M. L. (2009). Learning Sobriety Together: Behavioral Couples Therapy for alcoholism and drug abuse. Journal of Family Therapy, 31, 115-125.

Morgan-Lopez, A. A., Cluff, A., & Fals-Stewart, W. (2009). Capturing the impact of membership turnover in small groups via latent class growth analysis: Modeling the rise of the New York Knicks of the 1960s and 1970s. Group Dynamics: Theory, Research, and Practice, 32, 120-132.

Wupperman, P., Amble, P., Devine, S., Zonana, H., Fals-Stewart, W., & Easton, C. (2009). Violence and substance use among female partners of men in treatment for intimate-partner violence. The Journal of the American Academy of Psychiatry and the Law, 37, 75-81.

Lam, W. K., Fals-Stewart, W., & Kelley, M. L. (2009). The Timeline Followback-Children’s Exposure to Partner Violence (TLFB-CEPV): Reliability and validity. Journal of Family Violence, 24, 133-143.

Lam, W. K., Fals-Stewart, W., Kelley, M. L. (2009). Parent Training with Behavioral Couples Therapy for paternal substance abuse: Effects on substance abuse, parental relationship, parenting, and CPS involvement. Child Maltreatment, 14, 243-254.

Fals-Stewart, W., & Lam, W. K. (2008). Brief Behavioral Couples Therapy for drug abuse: A randomized clinical trial examining clinical efficacy and cost effectiveness. Families, Systems, & Health, 26, 377-392.

This website includes general information about the Behavioral Couples Therapy / Learning Sobriety Together (BCT/LST) approach and the Addiction and Family Research Group (AFRG). In different sections of the AFRG web page, you will find our mission statement, Behavioral Couples Therapy / Learning Sobriety Together (BCT/LST) treatment manuals, BCT/LST training resources, downloadable publications written by William Fals-Stewart, Ph.D., and others, citations, frequently asked questions, and so forth. This web page is part of our ongoing effort to bridge the gap between science and practice by using our accumulated research findings (from years of large scale federally-funded clinical trials) to inform, guide, and make recommendations about clinical practice. As such, we hope to provide the tools necessary for treatment programs and providers to introduce and use BCT/LST with their substance-abusing patients and their family members.

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William Fals-Stewart, Ph.D.
William Fals-Stewart, PhD.

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