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This article will outline the main strands of the UK-based Alcohol, Drugs and the Family (ADF) research programme. This programme has examined the impact of substance misuse problems on children, spouses, and families, both in the UK and elsewhere, especially in urban Mexico City and in Australia amongst both urban and rural Aborigine populations. This article will outline the main theoretical perspective that we have developed from this work (the stress-strain-coping-support model). It will outline some of the key findings of this programme, and address some of the key universals that we have observed across various cultures. It will end by describing current research, including the testing of brief interventions being delivered through primary care to family members to enable them to cope better with the problems which family substance misuse causes.
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- Orford J, Harwin J (eds): Alcohol and the Family. London, Croom Helm, 1982.
- Velleman R: The importance of the family; in Cooper D (ed): Alcohol Use. Edinburgh, Radcliffe Medical Press, 2000.
- Hurcom C, Copello A, Orford J: The family and alcohol: Effects of excessive drinking and conceptualizations of spouses over recent decades. Subst Use Misuse 2000;35:473–502.
- Kroll B, Taylor A: Parental Substance Misuse and Child Welfare. London, Jessica Kingsley, 2003.
- Orford J: Alcohol and the family: An international review of the literature with implications for research and practice; in Kozlowski L, Annis H, Cappell H (eds): Research Advances in Alcohol and Drug Problems. New York, Plenum Press, 1990, vol 10, pp 81–155.
- Orford J, Natera G, Davies J, Nava A, Mora J, Rigby K, Bradbury C, Copello A, Velleman R: Stresses and strains for family members living with drinking or drug problems in England and Mexico. Salud Mental 1998;21:1–13.
- Eurocare: Alcohol Problems in the Family. A report to the European Union. St Ives, Eurocare, 1998.
- Velleman R, Templeton L: Family Interventions in Substance Misuse; in Petersen T, McBride A (eds): Working with Substance Misusers. London, Routledge, 2002.
- Velleman R, Copello A, Maslin J (eds): Living with Drink: Women Who Live with Problem Drinkers. London, Longmans, 1998.
- Kellner RJ, Sheffield B: A self rating scale of distress. Psychol Med 1973;3:88–100.
- Orford J, Guthrie S, Nicholls P, Oppenheimer E, Egert S, Hensman C: Self-reported coping behaviour of wives of alcoholics and its associations with drinking outcome. J Stud Alcohol 1975;36:1254–1267.
- Moos RH, Moos R: Family Environment Scale Manual. Palo Alta, Consulting Psychologist Press, 1981.
- Cartwright AJK: The attitudes of helping agents towards the alcoholic client: The influences of experience, support training and self-esteem. Br J Addict 1980;75:413–431.
- Copello A, Templeton L, Krishnan M, Orford J, Velleman R: A treatment package to improve primary care services for relatives of people with alcohol and drug problems: Feasibility and preliminary evaluation. Addict Res 2000;8:471–484.
- Velleman R, Copello A, Maslin J: Qualitative methods and biographies; in Velleman R, Copello A, Maslin J (eds): Living with Drink: Women Who Live with Problem Drinkers. London, Longmans, 1998, pp 9–20.
- Miller A, Velleman R, Bennett G, Orford J, Rigby K, Tod A: The use of vignettes in the analysis of interview data: Relatives of people with drug problems; in Hayes N (ed): Doing Qualitative Analysis in Psychology. Hove, Psychology Press, 1997, pp 201–225.
- Orford J, Templeton L, Copello A, Velleman R, Bradbury C: Worrying for Drinkers in the Family: An Interview Study with Aboriginal Australians in Urban Areas and Remote Communities in the Northern Territory. Final Report to the Living with Alcohol Program, Territory Health Services, Northern Territory, Australia, 2000.
- Velleman R, Templeton L: Gathering Information on Postnatal Depression in Women from Black and Minority Ethnic Groups across Wiltshire. Final Report to the Department of Health, 2000.
- Strauss A, Corbin J: Basics of Qualitative Research: Grounded Theory Procedures and Techniques, ed 2. London, Sage, 1998.
- Ritchie J, Spencer L: Qualitative Data Analysis for Applied Policy Research; in Bryman A, Burgess RG (eds): Analyzing Qualitative Data. London, Routledge, 1994, pp 173–194.
- Wilson C, Orford J: Children of alcoholics: Report of a preliminary study and comments on the literature. Q J Stud Alcohol 1978;39:121–142.
- Velleman R, Orford J: Risk and Resilience: Adults Who Were the Children of Problem Drinkers. London, Harwood, 1999.
- Velleman R, Orford J: The importance of family discord in explaining childhood problems in the children of problem drinkers. Addict Res 1993;1:39–57.
- Velleman R, Orford J: The adulthood adjustment of offspring of parents with drinking problems. Br J Psychiatry 1993;162:503–516.
- Orford J, Velleman R: Childhood and adulthood Influences on the adjustment of young adults with and without parents with drinking problems. Addict Res 1995;3:1–15.
- Velleman R: Alcohol and drug problems: An overview of the impact on children and the implications for practice; in Gopfert M, Webster J, Seeman M (eds): Seriously Disturbed and Mentally Ill Parents and Their Children, ed 2. Cambridge, Cambridge University Press, 2003, in press.
- Velleman R: The Children of Problem Drinking Parents: An Executive Summary. Executive Summary series; Centre for Research on Drugs and Health Behaviour, Executive Summary 2001;70:1–5. Published on line: http://www.med.ic.ac.uk/divisions/64/execsumm.asp (for index of Executive Summaries). http://www.med.ic.ac.uk/divisions/64/execsum70.pdf (for pdf version of this Executive Summary).
- Orford J, Velleman R: The environmental intergenerational transmission of alcohol problems: A comparison of two hypotheses. Br J Med Psychol 1991;64:189–200.
- Beinart S, Anderson B, Lee S, Utting D: Youth at Risk? A National Survey of Risk Factors, Protective Factors and Problem Behaviour among Young People in England, Scotland and Wales. London, Communities that Care, 2002, JRF Findings 432.
- van Diest H: The Impact of Childhood Experiences: The Long-Term Effects of Growing Up with a Problem-Drinking Father on Adult Daughters’ Ability to Form Close Relationships; undergraduate dissertation, Free University of Amsterdam, 2000.
- Orford J, Edwards G: Alcoholism: A Comparison of Treatment and Advice, with a Study of the Influence of Marriage. Maudsley Monogr 26. Oxford, Oxford University Press, 1977.
- Orford J, Rigby K, Miller T, Tod A, Bennett G, Velleman R: Ways of coping with excessive drug use in the family: A provisional typology based on the accounts of fifty close relatives. J Commun Appl Soc Psychol 1992;2:163–183.
- Velleman R, Bennett G, Miller T, Orford J, Rigby K, Tod A: The families of problem drug users: The accounts of fifty close relatives. Addiction 1993;88:1275–1283.
- Orford J, Natera G, Davies J, Nava A, Mora J, Rigby K, Bradbury C, Copello A, Velleman R: Tolerate, engage or withdraw: A study of the structure of family coping in England and Mexico. Addiction 1998;93:1799–1813.
- Orford J, Natera G, Davies J, Nava A, Mora J, Rigby K, Bradbury C, Copello A, Velleman R: Social support in coping with alcohol and drug problems at home: Findings from Mexican and English families. Addict Res 1999;6:395–420.
- Orford J, Natera G, Velleman R, Copello A, Bowie N, Bradbury C, Davies J, Mora J, Nava A, Rigby K, Tiburcio M: Ways of coping and the health of relatives facing drug and alcohol problems in Mexico and England. Addiction 2001;96:761–774.
- Mathews Z, Velleman R: New age travellers, urban slum dwellers, Aborigines and drug users: Experiences of collecting sensitive data from marginalised communities. Bull Meth Soc 1997;57:65–85.
- Krishnan M, Orford J, Bradbury C, Copello A, Velleman R: Drug and alcohol problems: The users’ perspective on family members’ coping. Drug Alcohol Rev 2001;20:385–393.
- Orford J: Empowering family and friends: A new approach to the secondary prevention of addiction. Drug Alcohol Rev 1994;13:417–429.
- Robinson W, Hassell J: Alcohol Problems and the Family from Stigma to Solution. NSPCC and ARP Report, 2000.
- Anderson P: Alcohol and Primary Health Care. Geneva, WHO Regional Publications, European Series No 64, 1996.
- Svenson L, Forster DI, Woodhead SE, Platt GH: Individuals with a chemical-dependent family member. Does their health care use increase? Can Family Physician 1995;41:1488–1493.
- Copello A, Orford J, Velleman R, Templeton L, Krishnan M: Methods for reducing alcohol and drug related family harm in non-specialist settings. J Ment Health 2000;9:329–343.
- Copello A, Orford J, Hodgson R, Tober G, Barrett C: Social behaviour and network therapy: basic principles and early experiences. Addict Behav 2002;27:345–366.
- Templeton L, Velleman R, Taylor A, Toner P: Evaluation of the Pilot Family Alcohol Service. Interim Report to the Camelot Foundation, 2002.
- Velleman R, Mistral W, Sanderling L: Training Professionals in Drugs Prevention. Drugs Prevention Initiative Paper 8. London, Home Office, 2001.
- Velleman R, Mistral W, Sanderling L: Taking the Message Home: Involving Parents in Drugs Prevention. Drugs Prevention Advisory Service Paper. London, Home Office, 2000.
- Velleman R: Working with substance misusing parents as part of Court Proceedings. Represent Child 2001;14:36–48.
- Copello A, Orford J: Addiction and the family: Is it time for services to take notice of the evidence? Addiction 2002;97:1361–1363.
- Alcohol Concern: 100% Proof: Research for Action on Alcohol. London, Alcohol Concern, 2002.
- Scottish Executive: Plan for Action on Alcohol Problems. Edinburgh, Scottish Executive, 2002.
- Drugs Strategy Directorate: Updated Drugs Strategy 2002. London, Home Office, 2002.