International workshop | 5-Step Method for family members affected by relatives’ addiction problems

An International workshop for collaborators and potential collaborators involved in research and action using the 5-Step Method for family members affected by relatives’ addiction problems

Tuesday 8th and Wednesday 9th November 2011, Park Inn hotel, York, England

Summary of the proceedings

Following introductions, the English Alcohol Drugs and the Family (ADF) team opened the proceedings by making short presentations about: the theoretical background to their work, the 5-Step Method, and the English programme of research to date; options for 5-Step research in other countries; and possible models for international collaboration. The whole of the rest of Tuesday was devoted to each of the other country representatives describing relevant research, evaluation and development work taking place in their countries, either conducted by themselves or by others. This was followed by questions and discussion. Wednesday morning was devoted to country representatives making brief statements about plans and prospects for relevant work in their countries. This was followed by detailed discussions in small groups, followed by further discussion of plans including potential inter-country collaborations.

Relevant work, recently completed or now ongoing, was described in several countries. This included: an evaluation of the 5-Step Method, with a comparison group, 12 months follow-up, and a cost analysis, carried out in an indigenous community in Mexico; an evaluation in Northern Ireland of an adaptation of the 5-Step Method for adolescents, including those with parents with either addiction or mental health or combined addiction and mental health problems; a survey of 500 family members affected by addiction in São Paulo, Brazil; and a quantitative and qualitative study of the experiences of affected family members in three Italian regions and an evaluation of the 5-Step Method in Naples. Future work, already funded, or for which funds had been applied, included: an evaluation of the training in the 5-Step Method of 2000 health and social workers throughout Mexico, using web-based methods; a pilot study of the 5-Step Method in São Paulo and a larger survey of 3000 affected family members, using standard family assessments, across Brazil; an adult extension of the Northern Ireland 5-Step adolescent work; and an evaluated programme of training in the 5-Step Method for members of the national Family Support Network in the Irish Republic.

Other plans which were formulated during the meeting included: an evaluation of the use of the 5-Step Method in a telephone helpline for family members in New Zealand; a programme of work in Uganda which would include a study of the experiences of affected family members, training in the 5-Step Method for village health workers, nurses and others, and the inclusion of relevant study, research and field work for public health and undergraduate students; a study at Ph.D. level in the greater Cape Town area of South Africa which might include translation and validation of family assessments and a qualitative study of family members’ experiences. Possible developments would also be actively pursued in the next few months in both Chile and Nigeria.

A number of general issues emerged during the two days of discussion. These included: the need for self-help materials for low/non-literate populations; the importance of taking into account effects on the extended family and the wider community; the problem of identifying affected family members; the problem of funding work with family members which may be seen as 'extra', and sustaining it; the need to assess longer term outcomes including resilience and life transformations; and the accreditation of 5-Step work.

The meeting agreed that participants would keep in touch with each other in a number of ways. One member of the English ADF Group would be a main contact person for each of the other countries. A professional social networking site, such as LinkedIn, would be used for communication amongst the whole group, and a dropbox would be used for sharing of materials. Useful bilateral links were also established, for example between Mexico and Brazil, and between Mexico and Chile. There was also support at the meeting for the development of an International Alliance for the promotion of research and action and policy change on the subject of affected family members, and it was agreed to take this proposal forward.

AFINet Member Login

Latest News and Research

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
Prev Next

The 5-Step Method via Zoom

Family Drug Support in New Zealand are using the 5-Step Method remotely, holding videoconferencing... Read more

Medications for Opioid Use Disorder report added to website

A new report (“Medications for Opioid Use Disorder”) has been put onto the website under Country Rep... Read more

Contributions required for the next AFINet newsletter

The next AFINet Newsletter is due to come out at the end of June, and there is a call to all members... Read more

AFINet Newsletter December 2019 (issue 10) published

Welcome to the 10th issue of the AFINet newsletter! As you may recall, we have adjusted the format o... Read more

AFINet-related scientific papers added to website

AFINet Trustee Richard Velleman has added a list of AFINet-related scientific papers published from ... Read more

First AFINet International Conference at The Discovery Museum, in Newcastle, UK, November 2018

    Conference Programme and Pack   AFINET CONFERENCE PROGRAMME   AFINET ABSTRACTS   A... Read more

AFINet member Urvita Bhatia presents Poster and gives Twitter interview

AFINet member Urvita Bhatia presents Poster and gives Twitter interview at the Wellcome Trust / Depa... Read more

AFINet members publish a systematic review of “Psychosocial interventions for addiction-affected families in Low and Middle Income Countries

AFINet members Anil Rane, Urvita Bhatia, Jim Orford, Richard Velleman and Abhijit Nadkarni recently ... Read more

5-Step Method training in New Zealand

Matua Raki (the national addiction workforce development centre in New Zealand) has been working clo... Read more

5-Step Method training in Australia

As part of the ‘Checkmate’ programme (reported elsewhere in this newsletter) , Gill and Richard Vell... Read more

Article supporting our 5 Step intervention in DNN Magazine

Great to see an article in support of our 5-Step intervention for family members in the Feb '17 issu... Read more

Training near London in the 5-Step Method is announced

Save the Date!  On 1st & 2nd November 2016, Richard and Gill Velleman will be running a 2-day tr... Read more

What I’ve been reading this month (July 2016), from Jim Orford

I have just read two articles which come from countries which, as far as I know, have not produced ... Read more

Further findings from the UK bereavement through substance use study published

Another paper from this recently completed 3 year study in the UK, which focuses on a subset of in... Read more

Core findings paper from UK bereavement through substance use study published

A paper outlining the main findings from a recently completed UK study in to bereavement through... Read more

AFINet 1st AGM, Birmingham, UK on Wednesday July 15th 2015

AFINet 1st AGM Birmingham Wednesday July 15th 2015 Winterbourne Gardens, Edgbaston Park Road, B... Read more

Final event of a major 3 year study in to 'bereavement through substance use'

In June 2015 AFINet members, Lorna Templeton and Richard Velleman, attended the final event of a m... Read more

5-Step Method training in Hong Kong & new book with contributions from AFINet members published

Following the delivery by Richard Velleman and Gracemary Leung of a 2-day 5-Step Method training i... Read more

The Parenting Support and Drug Use Study:

The following papers may be of interest to AFINet members. They report findings from a two year lo... Read more

Family members affected by a relative's substance misuse looking for social support: Who are they?

Brazilian AFINet colleagues, Helen Sakiyama et al. have had a paper describing their research in Sao... Read more

Iran’s first research about family members affected by addiction

Iran’s first research about family members affected by addiction has been published! In fact we thin... Read more

Conflict and dilemma in experiences of adult family members caring for a problem-drinking parent.

“How do I tell my children about what my mum's like?” Conflict and dilemma in experiences of adult... Read more

Involving family members in drug treatment: A pilot study of a social network intervention for heroin users in opiate substitution treatment

This multi-site randomised controlled trial aims to test the feasibility of implementing and evalua... Read more

Testing the short questionnaire for family members affected by addiction: help required

The short questionnaire for family members (affected by addiction) – the SQFM(AA) – is starting to ... Read more

First AFINet Newsletter published

This is the first AFINet Newsletter so a big welcome to all AFINet members and to others of you wh... Read more

Results from the first English Family Drug and Alcohol Court (FDAC)

A team at the Centre for Child and Youth Research at Brunel University, London, led by Professor Jud... Read more

A recent article raises interesting questions for AFINet about cultural differences

Although this interesting qualitative study by Maria Fotopoulou, of the School of Social and Politic... Read more

Is a child, harmed by the mother’s drinking during pregnancy, entitled to compensation

Is a child, harmed by the mother’s drinking during pregnancy, entitled to compensation, and what are... Read more

Bereavement through substance misuse

The first phase of this UK 3 year study (funded by the Economic and Social Research Council) has bee... Read more

Supporting young people affected by parental alcohol misuse in Northern Ireland

A major 4 year project is underway in Northern Ireland. Building on previous work (further informati... Read more

2-day Workshop on The 5-Step Method: Supporting Family Members of People with Drug, Alcohol and Gambling Problems

Richard Velleman, a founder AFINet member, is travelling to Hong Kong in April to co-run (with Grace... Read more

When Older Adult Substance Abuse Affects Others: What Helps and What Doesn’t?

Jan Ligon, PhD, LCSW Georgia State University The abuse of alcohol and other drugs in the older adu... Read more

Addiction in context: The influence of families and wider social networks, theory and practice

During November 2013 Alex Copello was invited to give one of the keynote addresses at the Australa... Read more

The Forgotten Carers: Support for adult family members affected by a relative’s drug problems reports

This work builds on the first phase of UK Drug Policy Commission (UKDPC) family research, with a... Read more

Jim Orford speaks about gambling and family members at the Third International Multidisciplinary Symposium

Jim Orford recently made two presentations about gambling and family members at the Third Internat... Read more

Alcohol Focus Scotland | Unrecognised and under-reported

"1 in 3 people report having heavy drinkers in their lives" and "1 in 2 people report being harmed... Read more

Steps to Cope

Two projects have been completed in Northern Ireland with our AFINet partners to develop and evaluat... Read more

The effects that substance misusing parents have on children and other family members

Richard Velleman recently gave a talk about the effects that substance misusing parents have on chi... Read more

Half-day programme on Addiction and the Family

Members of the UK Alcohol, Drugs and the Family research and practice group convened a half-day prog... Read more

The Impact of Substance Misusing Parents on children - References

References on Risk and Resilience: The impact of substance misusing parents on their child... Read more


If you would like to receive the AFINet newsletter, please complete the required information below: