Treatment for alcohol abuse from Primary Health Care through Solution-Focused Brief Therapy. A clinical model for Social Work
DOI:
https://doi.org/10.30827/tsg-gsw.v9i16.8847Keywords:
Solution-focused Brief Therapy, clinical social work, hazardous alcohol use, ChileAbstract
Chile is a Latin American country that shows the highest percentage of alcohol use disorders in the region. Chilean health policy has instructed to implement brief interventions in primary health to manage hazardous alcohol use, thought there are not studies that have demonstrated their effectiveness. Solution-Focused Brief Therapy (SFBT) emerges as a promising model to manage alcohol abuse in primary health care, because it is brief and consistent with principles of professions such as social work, which gives relevance to self-determination of individuals. In this article we present and illustrate the SFBT model with speeches that show a social worker intervention during a SFBT session. The conversation is oriented towards the exceptions to the problem and towards the person's strengths and resources. Among conclusions, we state the need of empirical and descriptive studies that contribute to strength the knowledge about brief interventions in Chile and Latin America. Besides that, we highlight the need of validation and strengthen of clinical and therapeutic training in social work, in undergraduate and postgraduate studies.
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References
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
Babor, T. (1994). Avoiding the horrid and beastly sin of drunkenness: Does dissuasion make a difference? Journal of Consulting and Clinical Psychology, 62, 1127–1140. doi:10.1037/0022-006X.62.6.1127
Baldwin, S., Wampold, B. & Imel, Z. (2007). Untangling the alliance-outcome correlation: Exploring the relative importance of therapist and patient variability in the alliance. Journal of Consulting and Clinical Psychology, 75(6), 842-852. DOI: 10.1037/0022-006X.75.6.842
Bandura, A. (1969). Principles of behavior modification. Oxford, England: Holt, Rinehart, y Winston.
Basso, L., Mann, R., Strike, C., Brands, B. y Khenti, A. (2012). El distrés psicológico y abuso de drogas en pacientes en centros de tratamiento del gran Valparaíso–Chile: Implicaciones para las políticas y los programas. Texto y Contexto Enfermagem, 21, 114–123. Recuperado de http://www.scielo.br/pdf/tce/v21nspe/v21nspea15.pdf
Bavelas, J., DeJong, P., Franklin, C., Froerer, A., … Trepper, T. S. (2013). Solution-focused therapy treatment manual for working with individuals (2nd Ed). New York, NY: Solution Focused Brief Therapy Association.
Beck, A., Wright, F., Newman, C. y Liese, B. (1993). Cognitive therapy of substance abuse. New York: Guilford Press.
Berg, I. K., & Jong de, P. (1996). Solution-building conversations: Co-constructing a sense of competence with clients. Families in Society: The Journal of Contemporary Human Services, 77, 376–390.
Bien, T., Miller, W., y Tonigan, J. (1993). Brief interventions for alcohol problems: A review. Addiction, 88, 315–336. doi:10.1111/j.1360-0443.1993.tb00820.x
Brorson, H.H., Arnevik, E., Rand-Hendriksen, K. y Duckert, F. (2013). Drop-out from addiction treatment: a systematic review of risk factors. Clinical psychology Review, 33(8), 1010-1024. doi: 10.1016/j.cpr.2013.07.007
Castillo-Carniglia, A., Kaufman, J. S. & Pino, P. (2013). Alcohol attributable mortality and years of potential life lost in Chile in 2009. Alcohol and Alcoholism, 48, 729–736. DOI: 10.1093/alcalc/agt066
Domenech, D., Mann, R., Strike, C., Brands, B. y Khenti, A. (2012). Estudio de la prevalencia de la comorbilidad entre el distrés psicológico y el abuso de drogas en usuarios del portal amarillo, Montevideo–Uruguay. Texto y Contexto Enfermagem, 21, 174-184. Recuperado de http://www.scielo.br/scielo.php?pid=S0104-07072012000500022yscript=sci_abstractytlng=es
Ellis, A. & Dryden, W. (1987). The practice of rational-emotive therapy (RET): Springer Publishing Co.
García Estrada, M., Mann, R., Strike, C., Brands, B. y Khenti, A. (2012). Comorbilidad entre el distrés psicológico y abuso/dependencia de drogas, ciudad de Guatemala – Guatemala. Texto y Contexto-Enfermagem, 21, 124-132. Recuperado de http://www.scielo.br/scielo.php?pid=S0104-07072012000500016yscript=sci_arttextytlng=pt
Gingerich, W. J. & Peterson, LT. (2013). Effectiveness of solution-focused brief therapy: A systematic qualitative review of controlled outcome studies. Research on Social Work Practice, 23, 266–283.
González, K., Franklin, C., Cornejo, R., Castro, Y. & Smock Jordan, S. (2017). Solution-focused brief therapy for Chilean primary care patients: Exploring a linguistic adaptation. Journal of Ethnicity in Substance Abuse.
doi: 10.1080/15332640.2017.1310643
González, K., Franklin, C. & Kim, J. (2016). Solution-focused brief therapy with Latinos: a systematic review. Journal of Ethnic y Cultural Diversity in Social Work, 25, 50–67. doi:10.1080/ 15313204.2015.1131651
González, K., Geraldo, P., Estay, M. & Franklin, C. (2017). Solution-Focused Brief Therapy for individuals with alcohol use disorders in Chile. Research on Social Work Practice, 20(10), 1-17. doi: https://doi.org/10.1177/1049731517740958
Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., . . . & Ruan W. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. The Journal of clinical psychiatry, 69(4), 533- 545. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/18426259
Huaiquiche, T. y Bastías, C. (2016). Trabajo Social y práctica clínica individualizada- familiar en salud mental: una mirada analítica y sociohistórica. Revista electrónica de Trabajo Social, Universidad de Concepción (Chile), 13, 33- 50.
Jong de, P. & Berg, I. K. (2012). Interviewing for solutions: Cengage Learning.
Kim, J. S., Franklin, C., Zhang, Y., Liu, X., Qu, Y., & Chen, H. (2015). Solution-focused brief therapy in China: A meta-analysis. Journal of Ethnic y Cultural Diversity in Social Work, 24, 187–201.
Korman, H., Bavelas, J. B. & Jong de, P. (2013). Microanalysis of formulations in solution-focused brief therapy, cognitive behavioral therapy, and motivational interviewing. Journal of Systemic Therapies, 32(3), 31-45.
Lacerda, A., Bezerra,L., dos Santos, L. y Gondim, A. (2017). Fatores associados à satisfação de usuários com a atenção primária à saúde no Brasil. Cadernos de Saúde Pública , 33(2), 1-15.
Lewis, T. F. & Osborn, C. (2004). Solution‐Focused Counseling and Motivational Interviewing: A Consideration of Confluence. Journal of Counseling y Development, 82, 38-48. doi:10.1002/j.1556-6678.2004.tb00284.x
Ley 19.966 / 2004, 3 de septiembre, Establece un régimen de Garantías en Salud. Recuperado de https://www.leychile.cl/Navegar?idNorma=229834 (acceso 28/12/2018)
Marlatt, G. A. (1996). Taxonomy of high‐risk situations for alcohol relapse: evolution and development of a cognitive-behavioral model. Addiction, 91, 37-50. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/8997780
Merchán-Hamann, E., Leal, E. M., Basso, L., Estrada, M., Reid, P., … y Domenech, D. (2012). Comorbilidad entre abuso/dependencia de drogas y el distrés psicológico en siete países de Latinoamérica y uno del Caribe. Texto y Contexto Enfermagem, 21, 87-95. Recuperado de https://core.ac.uk/download/pdf/33545037.pdf
Miller, W., & Rollnick, S. (2013). Motivational interviewing: helping people change. New York. NY: Guilford.
Ministerio de Salud de Chile. (2018). Aprueba orientaciones y normas técnicas del trabajo social en salud. Resolución exenta nº 389. Recuperado de https://docs.wixstatic.com/ugd/27eaf7_da6a3e42c8f848a595f5fa2ed07bc555.pdf (acceso 28/12/2018)
Minoletti, A., Rojas, G., y Horvitz-Lennon, M. (2012). Salud mental en atención primaria en Chile: Aprendizajes para Latinoamérica. Cadernos Saúde Coletiva, 20, 440–447. Recuperado de http://www.scielo.br/pdf/cadsc/v20n4/v20n4a06.pdf
Morales, P. (2010) “Se hace camino al andar…” Trabajo social y derechos humanos en Chile: de la atención de casos a la denuncia documentada, 1973-2003. En M. González (Ed.). Historias del Trabajo Social en Chile, 1925-2008. Contribución para nuevos relatos. Universidad Santo Tomás. Ediciones Técnicas de Educación Superior.
Muestieles, D. (2007). La entrevista psicosocial: procesos y procedimientos, Madrid: Grupo 5.
Organización Mundial de Salud –OMS- (2014). Global status report on alcohol and health 2014. Geneva, Switzerland: OMS. Recuperado de
__________ (2019). CIE-11 para estadísticas de mortalidad y morbilidad (Versión 04/2019). Recuperado de https://icd.who.int/browse11/l-m/es
Poblete, F., Galarce, M., Zuzulich, M. S. y Villarroel, L. (2014). Efectividad de una intervención breve asociada a un test de screening (ASSIST) para usuarios con riesgo intermedio en consumo de alcohol y sustancias. Santiago, Chile: Pontificia Universidad Católica de Chile, Centro de Estudios de Adicciones, Senda-Chile.
Prieto Lopéz, R., Brands, B., Strike, C., Mann, R. y Khenti, A. (2012). Estudio de la comorbilidad entre el distrés psicológico y abuso de drogas en pacientes en dos centros de tratamiento, Asunción-Paraguay. Texto y Contexto Enfermagem, 21, 168-173. doi: http://dx.doi.org/10.1590/S0104-07072012000500021
Roger, D., Jarvis, G., & Najarian, B. (1993). Detachment and coping: The construction and validation of a new scale for measuring coping strategies. Personality and Individual Differences, 15(6), 619-626. doi: http://dx.doi.org/10.1016/0191-8869(93)90003-L
Rojas, G., Gaete, J., Guajardo, V., Martínez, V., Barroilhet, S., Meneses, J., Fritsch, R. y Araya, R. (2012). Consumo de sustancias y síntomas depresivos en escolares de liceos municipales de Santiago. Revista Médica de Chile,140, 184–191. Recuperado de https://scielo.conicyt.cl/pdf/rmc/v140n2/art06.pdf
Servicio Nacional para la Prevención y Rehabilitación del Consumo de Drogas y Alcohol. (2012). Normas y orientaciones técnicas de los planes de tratamiento para personas adultas con problemas de rivasos del consumo de drogas. Convenio de Colaboración SENDA-MINSAL.
Shazer de, S. (1985). Keys to solutions in brief therapy. New York, NY: W.W. Norton y Company.
Shield, K., Monteiro, M., Roerecke, M., Smith, B. & Rehm, J. (2015). Alcohol consumption and burden of disease in the Americas: Implications for alcohol policy. Revista Panamericana de Salud Pública, 38(6), 442-9.
Substance Abuse and Mental Health Services Administration (2012). Brief interventions and brief therapies for substance abuse (Vol. 34). Rockville, MD: National Institutes of Health.
Toledo, F., Pizarro, E. y Castillo-Carniglia, A. (2015). Consumo de alcohol y violencia en la pareja. Boletín No 20, SENDA. Recuperado de
Trepper, T., McCollum, E., De Jong, P., Korman, H., Gingerich, W. & Franklin, C. (2012). Solution-focused brief therapy treatment manual. In Franklin, C., Trepper, T., Gingerich, W., McCollum, E. (Eds.), Solution-focused brief therapy: A handbook of evidence-based practice (pp. 20-36). New York, NY: Oxford University Press.
Vizcarra, M. B., Cortés, M., Bustos, L., Alarcón, M. y Muñoz, S. (2001a). Maltrato infantil en la ciudad de Temuco. Estudio de prevalencia y factores asociados. Revista Médica de Chile, 129 (12), 1425–1432. Recuperado de http://dx.doi.org/10.4067/S0034-98872001001200008
____________ (2001b). Violencia conyugal en la ciudad de Temuco: Un estudio de prevalencia y factores asociados. Revista Médica de Chile, 129, 1405–1412. Recuperado de https://scielo.conicyt.cl/pdf/rmc/v140n2/art06.pdf
Viscarret, J. (2007). Modelos y métodos de intervención en Trabajo Social. Madrid: Alianza Editorial.
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