This entry discusses the evolution of the field of couples counseling from an auxiliary service provided through a variety of professional disciplines to a well-established field defined by its own standards, approaches, and a building body of research. While a few interventions for couples have been well researched using well-established standards, many of the interventions used by practitioners still lack evidence-based research or standard criteria. Also the research does little to address diversity and the application of interventions considering race, ethnicity, and socioeconomic levels. These concerns require ongoing attention.
Susan C. Harnden
Maryann Amodeo and Luz Marilis López
This entry focuses on practice interventions for working with families and individuals including behavioral marital therapy, transitional family therapy, and the developmental model of recovery, as well as motivational interviewing, cognitive-behavioral therapy, relapse prevention training, and harm reduction therapy. A commonality in these intervention frameworks is their view of the therapeutic work in stages—from active drinking and drug use, to deciding on change, to movement toward change and recovery. We also identify skills that equip social work practitioners to make a special contribution to alcohol and other drug (AOD) interventions and highlight factors to consider in choosing interventions. There are a range of practice interventions for clients with AOD problems based on well-controlled research.