Bamberg John H, Toumbourou John W, Marks Richard
Centre for Adolescent Health, Murdoch Children's Research Institute, Australia.
J Psychoactive Drugs. 2008 Sep;40(3):281-91. doi: 10.1080/02791072.2008.10400643.
Substance use is common among young people and can escalate into significant problems for affected individuals and their families. Family responses can influence the course of youth substance use and its consequences for family members, including parents and siblings. Family-level interventions developed to date have neglected the important role that siblings can play. This article describes a pilot test of an intervention designed to assist parents and siblings affected by youth substance use and related problems. The BEST Plus intervention consisting of professionally-led, multifamily groups sequenced over eight sessions is described with reference to the intended therapeutic processes. Professionally observed and self-reported changes for family participants including siblings suggested that the program had a beneficial therapeutic impact. This evaluation of early impacts suggests the BEST Plus program offers a promising means of assisting families to respond to substance use problems in young people.
物质使用在年轻人中很常见，并且可能升级为影响个人及其家庭的重大问题。家庭反应会影响青少年物质使用的过程及其对家庭成员（包括父母和兄弟姐妹）的后果。迄今为止开发的家庭层面干预措施忽视了兄弟姐妹可能发挥的重要作用。本文描述了一项干预措施的试点测试，该干预措施旨在帮助受青少年物质使用及相关问题影响的父母和兄弟姐妹。文中参照预期的治疗过程，介绍了由专业人员主导、分八个阶段进行的多家庭小组干预措施“最佳加”（BEST Plus）。包括兄弟姐妹在内的家庭参与者经专业观察和自我报告的变化表明，该项目具有有益的治疗效果。对早期影响的评估表明，“最佳加”项目为帮助家庭应对青少年物质使用问题提供了一种很有前景的方法。
