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Family social networks and recovery from severe mental illness of clubhouse members
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Family Social Work, 16(4), 2013, pp.274-296.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the contribution of family social network variables to recovery among Clubhouse members. A random sample of 118 members from one Clubhouse was recruited for this cross-sectional study. Among all respondents, greater overall family support and better relationship quality with the most supportive network member were correlated with greater levels of recovery. Clubhouse members perceived higher quantity and quality of support and more criticalness from their most supportive network members, principally family members, compared to the rest of their family members. Longitudinal studies are needed to further investigate the relationship between family support and recovery. (Publisher abstract)
Maladaptive coping as a mediator of family stress
- Authors:
- MOORE Barbara C., BIEGEL David E., MCMAHON Thomas J.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 11(1), January 2011, pp.17-39.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Family members of women substance users might be at risk for stress-related problems and their coping responses can affect outcomes for both families and women in treatment. This study, which took place in a Midwestern urban community, involved 82 women in treatment for substance use disorders (56 with comorbid psychiatric conditions) and 82 family members. The interviews revealed that stressors related to the women's disorders were significantly related to increased family member burden. Women's behavioural problems predicted greater family member worry, displeasure, and impact. The extent of women's drug or alcohol use predicted greater family member stigma and impact. The authors conclude that stressors related to client substance use or psychiatric problems had multiple negative impacts on family members, which were partially mediated by family member maladaptive coping.
Trends impacting public policy support for caregiving families
- Authors:
- SINGER George H. S., BIEGEL David E., ETHRIDGE Brandy L.
- Journal article citation:
- Journal of Family Social Work, 13(3), May 2010, pp.191-207.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Noting that public policy aimed at supporting the caregiving capacity of families has risen to prominence in the US public agenda, the authors discuss three trends that may be contributing to this: demographic and economic pressures; values influencing public initiatives and design of services; and recent convergence on similar solutions to supporting families regardless of disabilities or ages of family members needing long-term care. It covers social, demographic and economic stressors and advocacy seeking a way to make caregiving less of a burden, residualism (described as an expectation that people must take care of themselves and their families in the event of misfortune) and women as caregivers, economic trends including purchasing of caregiving services for relatives, assessment systems determining the needs of families as well as the primary recipients of support, the Lifespan Respite Care Act 2006, and the difference social policy can make for caregivers and people who receive care. The authors conclude that support for caregiving families is likely to remain a prominent concern of the public and policy makers for the foreseeable future.
Predictors of depressive symptomatology in family caregivers of women with substance use disorders or co-occurring substance use and mental disorders
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Family Social Work, 13(1), January 2010, pp.25-44.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Families play a significant role in the well-being of relatives with co-occurring substance misuse and mental health problems through the provision of direct care, management of symptoms, retention of treatment and emotional support. This paper describes a stress-process model to investigate the impact of having a female family member with substance use or co-occurring substance use and mental disorder on family caregivers’ depressive symptomatology. Eighty two women receiving substance abuse treatment and the family member providing the most social support for each woman participated. Findings showed that greater caregiver depressive symptomatology was predicted by greater care recipient emotional problems, less care recipient social support, and poor caregiver health. The caregivers were twice as likely to suffer from depressive symptomatology compared to those in the general population. In conclusion, the author suggests that interventions aimed at improving the care recipients’ social network may help to improve the carers well-being.
Toward a cross disability view of family support for caregiving families
- Authors:
- SINGER George H. S., BIEGEL David E., ETHRIDGE Brandy L.
- Journal article citation:
- Journal of Family Social Work, 12(2), April 2009, pp.97-118.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the United States family members provide the majority of care for individuals who experience disabilities related to the many different physical and cognitive impairments that restrict normal functioning. There is growing recognition that family caregiving deserves and may require societal support with the goal of enhancing the quality of life of both the caregiving family and the care recipient. Substantial research literature on family support exists but is often limited to a particular category of disability, for example, care of frail elderly or individuals with mental illnesses. In this article the authors consider the merits of a cross-categorical analysis of family support. They point out some of the commonalities inherent in family caregiving regardless of why a care recipient needs assistance and illustrate how some ideas developed in one categorical area may be equally helpful in others. The article serves as an introduction to the other articles in this special issue in which authors working in different family support fields explain ideas that may be more widely applicable across categories. The aim is to promote a cross-disciplinary exchange of ideas.
The impact of caregiver-care recipient relationship quality on family caregivers of women with substance use disorders of co-occurring substance and mental disorders
- Authors:
- KATZ-SALTZMAN Shiri, BIEGEL David E., TOWNSEND Aloen
- Journal article citation:
- Journal of Family Social Work, 11(2), 2008, pp.141-165.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A cross-sectional, interview-based study of 82 carers of female family members with a substance use, or co-occurring substance use and mental health disorder, is reported, with the aim of assessing carer burden. Regression findings indicate that relationship quality influences both subjective and objective burden. Higher levels of emotional support given to the care recipient by the carer predicted lower levels of carer displeasure, while higher levels of undermining of the care recipient by the carer predicted higher levels of carer stigma. Higher levels of emotional support received by the carer from the care recipient were associated with lower carer displeasure and lower objective burden, while higher levels of undermining of the carer by the care recipient predicted higher objective burden. The implications for practice and service delivery are discussed.
Predictors of burden of family caregivers of women with substance use disorders or co-occurring substance and mental disorders
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.25-49.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examined the impact of having a female family member with a substance use or co-occurring disorders on family caregivers. Predictors of subjective burden (worry, stigma, and displeasure) and objective burden (family disruption) on caregivers and on types of burden were explored. Subjects were 82 women receiving substance abuse treatment and their family member providing most social support. Behavioural problems of the recipient and lack of social support for caregivers predicted higher levels of family member burden, with different types of social support predicting different types of burden. Having a dual disorder did not predict family member burden. Implications of findings for treatment are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Predictors of dyadic relationship quality of women in substance abuse treatment
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Dual Diagnosis, 3(1), 2006, pp.87-112.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The quality of relationship between family caregivers and care recipients with dual disorders can impact care recipients' well-being and treatment outcomes as well as caregivers' well-being and involvement in care. This American study examines the impact of caregiver stressors and well-being on relationship quality of family caregivers of women with substance use disorders or co-occurring substance and mental disorders. Eighty-two women receiving in-patient or out-patient substance abuse treatment and the family member/significant other, nominated by each woman, who provided her with the most social support, were interviewed in this non-experimental cross-sectional study. A stress coping model was utilized to identify the impact of family caregivers' stressors (care recipient behavioural, substance abuse, and mental health problems) and caregiver well-being (burden and depressive symptomatology) on caregivers' perceptions of the quality of their relationship with their care recipient. Findings from multiple regression analyses, across four types of caregiver well-being, show that greater perceived support to the caregiver was predicted by fewer perceived care recipient substance abuse problems, whereas higher levels of undermining of the caregiver was predicted by greater care recipient behavioural problems and by the family caregiver being a significant other of the care recipient. Care recipient classification as having a current dual disorder as compared to a current substance use disorder only was not a significant predictor of perceived support given to the caregiver or of perceived undermining of the family member. The findings suggest interventions for family caregivers need to be tailored to address different and possibly multiple groups of caregivers, specific types of stressors, and care recipient behavioural problems. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Personal social networks and disorders: a literature review and implications for practice and future research
- Authors:
- TRACY Elizabeth M., BIEGEL David E.
- Journal article citation:
- Journal of Dual Diagnosis, 2(2), 2006, pp.59-88.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This literature review aimed to examine the literature on social networks and dual disorders, and the separate literatures on social networks in relation to mental illness and substance abuse respectively and to consider implications for practice and research. Papers selected for review included empirical studies of social networks and/or social support of adults with diagnosed substance use and/or mental disorders. Thirty-six studies met the criteria for review which is organized around three themes: structural characteristics of social networks, network composition, and the impact of social networks on treatment and recovery. The results found that social networks function both as a predictor as well as an outcome of mental illness and substance use. Understanding and assessment of social networks is important to understanding addictive behaviours. The review highlights the need for further research in the following areas: the role of social networks in readiness for treatment, entry into and participation in treatment, and support for recovery; the impact of treatment and peer support programs on social networks; social networks in relation to a wider range of mental disorders (e.g., depression, anxiety and post traumatic stress disorder); and the impact of race, ethnicity, and gender on social networks of adults with dual disorders. In addition, the role that families play in treatment and recovery as well as the impact of clients' dual disorders upon family members needs examination. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Preparing social workers for social network interventions in mental health practice
- Authors:
- TRACY Elizabeth M., BIEGEL David E.
- Journal article citation:
- Journal of Teaching in Social Work, 10(1/2), 1994, pp.19-41.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Presents a social network training and technical assistance model for mental health case managers. The emphasis is on helping case managers to understand and utilise the concepts of social networks and social support in their work with persons with chronic mental illness. Highlights strategies employed to empower case managers in the training process, to bring about system changes conducive to a social network intervention approach, and to develop new resources that can be used on behalf of persons with chronic mental illness. The application of social network knowledge to graduate social work education is presented and discussed.