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Psychosocial rehabilitation and family intervention for people with dual disorders

abstract

In dual disorder, two serious and chronic disorders converge that are still a challenge to health
and social care networks. In this context, families play an important role in keeping these people
included in the community. Dual disorder is associated with a series of negative effects on the
family environment, with a greater burden of care and conflict. For this article, four models of
family intervention in dual disorder have been reviewed.
Conclusions. Family intervention has proven to be an important element of dual disorder
treatment. The four intervention programs presented coincide in share some common
components: single / multi-family intervention, theoretical bases of the models of with proven
efficacy, psychoeducation, communication training, problem solving, and the motivational
interview across the entire program. Even so, some areas still persist without improvements and
areas that do not improve persist and the results are not conclusive, so it is necessary to continue
looking for formulas that point towards more flexible therapeutic resources according to the
needs and circumstances of each of these people.

Keywords:

Dual disorder; severe mental disorder; drug abuse; family intervention; multi-family; psychoeducation; motivational interview.

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Authors

Jaime A. Fernández - Psicólogos Clínicos del Equipo Coordinador de Centros de Rehabilitación Psicosocial de Gran Canaria (España). Servicio Canario de la Salud.
Ernesto Baena - Psicólogos Clínicos del Equipo Coordinador de Centros de Rehabilitación Psicosocial de Gran Canaria (España). Servicio Canario de la Salud.