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Although research on substance use disorders (SUDs) largely focuses on the developed world, treatment programs from the developing world seldom get international attention. Focusing on India, this study was designed (1) to describe India’s treatment programs, and (2) to report Indian perspectives on critical factors related to treating SUDs. An online survey instrument was created, based on mixed-methods approach with concurrent strategies, to collect data. Participants were India’s clinicians (N = 112). Indian treatment approach suggests that SUDs must be treated by a multidisciplinary treatment team with a comprehensive plan that must include systemically focused clinical interventions in patients’/clients’ relevant relational systems. Findings may have relevance to clinicians, researchers, and policy makers globally. © 2017 Taylor & Francis.
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Parenting literature often focuses on parental strategies that promote positive behavioral outcomes for children, but ignores key aspects of parents’ own growth process. This article presents a critical review of current literature on parenting and highlights the importance of focusing on parents’ growth in therapy. A clinical framework to define parents’ growth is offered along with case vignettes and practical guidelines for clinicians in order to assess parents’ growth. © 2017 Taylor & Francis Group, LLC.
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Despite great advances that have been made in the understanding and treatment of substance use disorders (SUDs), fewer than 11% of eligible patients seek treatment. Few studies have explored the roles of facilitators and barriers in treatment seeking from the perspectives of addiction-focused clinicians working in developing countries. This descriptive study used a mixed-methods research design with concurrent strategies. Research participants were addiction-focused clinicians (N = 112) working in India. Primary research questions examined (1) key facilitators that motivate patients to seek treatment, (2) major barriers in treatment seeking, and (3) critical strategies for enhancing treatment seeking with the support of family, friends, and community. Key facilitators of treatment seeking included informed and caring family members, friends, and community. The most common barriers were patients’ denial of the problem of SUDs, shame in admitting the problem, and belief and confidence that they can quit using substances by themselves anytime. A systemically focused public awareness creation strategy, implemented simultaneously at various key sectors in society, was recommended for facilitating treatment seeking and removing barriers. Implications for clinicians, patients, public health personnel, community leaders, and regional, national, and global policy makers are reviewed. © 2018, © 2018 Taylor & Francis.
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In this paper, we contribute to an agenda of developing culturally informed practices, centering specifically on working with Asian Indian and Asian Indian American families. We report the results of a modified Delphi study in which we asked advanced members of the counseling field who are of Asian Indian origin to share their insight relative to family therapy with those who identify as Asian Indian or Asian Indian American in the U.S. Panelists offered a multitude of recommendations, including the importance of: careful assessment that acknowledges within group similarities and differences; attention to extended family ties and intergenerational dynamics; understanding issues of immigration, acculturation, and discrimination; and development of treatment approaches that are congruent with Asian Indian cultural values, beliefs, and practices.
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In this paper, we report our experiences as part of an international dialogue group within a U.S. family therapy training program. We describe the dialogue group and share the outcomes of our work together, including our understandings of how global relations, social positions, and personal/cultural characteristics influence our interactions within local contexts. We discuss how participation increased our international awareness and competence, offering two illustrations of how the group helped participants consider family therapy practice and research from a global perspective. Finally, we share the subjective experiences of student group members from the Southern United States, India, Turkey, and South Africa as testimony to the value of cross-national dialogue and to making space for affirming the unique journeys of international learners.
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Measurement constitutes a central issue in determining effectiveness of couple and family therapy (CFT). A review of 274 CFT outcome studies published in 25 mental health journals between 1990 and 2005 is presented. Goals of this review were to (1) provide a broad, empirically based overview of CFT outcome research, (2) examine measurement of treatment outcomes, and (3) appraise reporting practices. Findings indicate that a wide range of instruments continue to be used in CFT outcome research, although a foundation for a more integrated and coherent assessment battery has been established. Implications for the field are discussed.
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