Addiction Professional – Improve the Client’s Parenting

By John de Miranda, EdM, LAADC

Much has been written in recent years about “client-centered” substance use disorder treatment. This approach has represented a major departure from older models of treatment, which tended to be “program-centered.” At the risk of oversimplification, the client-centered approach borrows from the self-determination innovations in the disability and mental health services sector, while the program-centered approach is a legacy of the alcohol/drug social model of the 1950s, ’60s and ’70s.

At Door to Hope (DTH) in Salinas, Calif., a comprehensive family-centered approach has evolved, taking into account that anywhere from 19 to 53% of individuals in addiction treatment live with children under 18 prior to treatment.1 The development of this approach was influenced heavily by DTH’s origin as a women’s residential treatment program with many clients involved in the child protective services system. Equally important was the development more than a decade ago of a clinic at DTH, MCSTART, that identified and provided intervention services for children exposed to alcohol and drugs in utero.2

Read more at Addiction Professional.