Integrative Couple Treatment in Addiction - A Comprehensive Approach

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Integrative Couple Treatment in Addiction (ICT-A) presents a structured program for addressing substance and gambling issues within couples, focusing on reducing addiction, improving personal and relationship behaviors, and enhancing overall well-being. The program involves identifying triggers, improving communication, reinforcing sobriety, and fostering constructive interactions. Grounded in theories such as Social Learning Theory and Community Reinforcement Approach, the approach emphasizes reducing relationship threats, enhancing communication abilities, and addressing attachment needs through Emotionally Focused Couple Therapy.

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Integrative Couple Treatment in Addiction ICT-A AfiNet, Rotterdam, 2023, June 16 Jo l Tremblay, Ph. D., chercheur principal, UQTR Magali Dufour, Ph. D., cochercheure, UQAM Karine Bertrand, Ph. D., cochercheure, UdeS Marianne Saint-Jacques, Ph. D., cochercheure, UdeS Nadine Blanchette-Martin, M. Serv. Soc., cochercheure, CISSS-CA/CIUSSS-CN Francine Ferland, Ph. D., cochercheure, CISSS-CA/CIUSSS-CN Catherine Arseneault, co-chercheure, Ph.D. UdM Chantal Plourde, co-chercheure, Ph.D. UQTR M lissa C t , co-chercheure, Ph D., Universit Laval Paul Greenman, co-chercheur, PhD, UQO

What is it? Couple intervention Adults Couples with one or both partner presenting wiht problematic use of substances or gambling Never tested with couples including a partner presenting an overuse of screens (e.g., excessive gamer) Partner are seen in couple sessions format right from the 1st meeting Mainly in person 2

Identify the needs/triggers associated with substance/gambling use Partner overusing AOD / gambling 10 min.: review use/ craving 7 days 20-40 min.: addiction work / integrating partner Responding to needs/triggers in a different way, thereby reducing use or its consequences Increase behaviors that reinforce sobriety Questionnaires + couple discussion Partner Reduce behaviors that reinforce problematic use Learning to take better care of yourself Both Session 1 Session 16 Session 12 Doing or saying simple things that please your partner Identify negative interactions about problematic use Couple Develop constructive interactions to Team up against problematic use 20-40 min. Repairing relational wounds linked to problematic use

5 Main goals? Reduce Reduce addiction Improve Improve personal Improve Improve couple addiction behaviors personal well couple relationship relationship behaviors well being being

6 Theoretical background Substance/gambling Substance/gambling problem Social Learning Theory (Bandura) Social Learning Theory (Bandura) Community Community Reinforcement Reinforcement Approach Couple as a contexte Couple as a contexte reinforcing Couple interaction Couple interaction Susan M. Johnston (2019) Susan M. Johnston (2019) Postulat Postulat emerging emerging from Reduce Reduce threat relationship relationship CBT communication CBT communication abilities substance addiction substance addiction O Farrell problem Approach reinforcing sobriety sobriety/abstinence /abstinence from Emotionally Emotionally Focused threat to to attachment attachment needs Focused Couple needs and and secure Couple Therapy Therapy secure the the abilities (ABCT O Farrell & & Fals (ABCT - - McCrady McCrady & Epstein; BCT for & Epstein; BCT for Fals- -Stewart) Stewart)

7 Implementation Training Training 2 2 days 1 booster 1 booster day 18 18 months months supervision, once a supervision, once a month Prerequisite Prerequisite Therapist Therapist authorized authorized/ /competent Institution Institution specialized specialized in addiction Not Not natural natural to to provide provide addiction Must Must be be an official program an official program days workshop workshop day (3 (3 months months later later) ) month competent counseling in addiction treatment treatment addiction family counseling family/couple interventions /couple interventions