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Families of Persons With Substance Use and Mental Disorders: A Literature Review and Conceptual Framework*

Authors

  • Aloen L. Townsend,

    Corresponding author
      **Aloen L. Townsend is an Associate Professor at the Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (alt7@cwru.edu).
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  • David E. Biegel,

    Corresponding author
      David E. Biegel is the Henry Zucker Professor of Social Work Practice at the Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (deb@cwru.edu).
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  • Karen J. Ishler,

    Corresponding author
      Karen J. Ishler is a doctoral candidate at the Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (kji@cwru.edu).
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  • Barbara Wieder,

    Corresponding author
      Barbara Wieder is Director of Research and Evaluation, Ohio Substance Abuse and Mental Illness, Coordinating Center of Excellence, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (bxg12@cwru.edu).
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  • Amy Rini

    Corresponding author
      Amy Rini is the Community Development Program Director, YMCA of Metropolitan Denver, Denver, CO 80202 (arini@denvermca.org).
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  • *

    This research was supported through grants from the National Institute on Drug Abuse (grant R01 DA13944) and the Ohio Department of Mental Health.

**Aloen L. Townsend is an Associate Professor at the Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (alt7@cwru.edu).

David E. Biegel is the Henry Zucker Professor of Social Work Practice at the Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (deb@cwru.edu).

Karen J. Ishler is a doctoral candidate at the Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (kji@cwru.edu).

Barbara Wieder is Director of Research and Evaluation, Ohio Substance Abuse and Mental Illness, Coordinating Center of Excellence, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164 (bxg12@cwru.edu).

Amy Rini is the Community Development Program Director, YMCA of Metropolitan Denver, Denver, CO 80202 (arini@denvermca.org).

Abstract

Abstract: There are significant knowledge gaps concerning the experiences of families of persons with co-occurring substance and mental disorders and the impact of families on treatment of individuals with these disorders. This paper presents a conceptual framework for examining family involvement of adults in treatment for co-occurring substance and mental disorders. An overview of the characteristics, problems, and needs of these individuals and their family members is presented. The extant literature pertaining to our conceptual framework is reviewed with focus on predictors of family involvement with clients, predictors of family member involvement in clients’ treatment, and consequences of family involvement for client treatment outcomes. Gaps in the research literature and implications for future research and practice are discussed.

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