Structural Ecosystems Therapy for HIV+ African American Women and Drug Abuse Relapse

Author(s)

D.J. Feaster
V.B. Mitrani
Myron J. Burns, Nova Southeastern UniversityFollow
A.M. Brincks
G. Prado
M.H. Mauer
J. Szapocznik

Document Type

Article

Publication Date

1-1-2010

Publication Title

Family Process

Volume

49

Issue/Number

2

First Page

204

ISSN

0014-7370

Last Page

219

Abstract/Excerpt

This report examines the effect of Structural Ecosystems Therapy (SET) for (n=143) HIV+ African American women on rate of relapse to substance use relative to both a person-centered approach (PCA) to therapy and a community control (CC) group. A prior report has shown SET to decrease psychological distress and family hassles relative to these two comparison groups. In new analyses, SET and CC had a significant protective effect against relapse as compared to PCA. There is evidence that SET’s protective effect on relapse was related to reductions in family hassles, whereas there was not a direct impact of change in psychological distress on rates of relapse. Lower retention in PCA, perhaps caused by the lack of a directive component to PCA may have put these women at greater risk for relapse. Whereas SET did not specifically address substance abuse, SET indirectly protected at-risk women from relapse through reductions in family hassles.

DOI

10.1111/j.1545-5300.2010.01318.x

NSUWorks Citation

Feaster, D., Mitrani, V., Burns, M. J., Brincks, A., Prado, G., Mauer, M., Szapocznik, J. (2010). Structural Ecosystems Therapy for HIV+ African American Women and Drug Abuse Relapse. Family Process, 49(2), 204-219.
Available at: https://nsuworks.nova.edu/cps_facarticles/1071