Babaların Madde Kullanımı Tedavisine Katılımları Üzerine Nitel Bir Araştırma

Abstract

Amaç: Madde kullanım tedavisinde babaların işlevleri hakkında yeterli bilgi bulunmamaktadır. Babanın bağımlılık tedavisindeki yerinin belirlenmeye çalışılması bu çalışmanın birincil amacını oluşturmaktadır. Yöntem: Araştırmada 20 madde kullanıcısı ve 20 madde kullanan oğlu olan baba ile derinlemesine görüşmeler gerçekleştirilmiştir. Yapılan görüşmelerden elde edilen veriler, nitel veri analiz yöntemlerinden birisi olan betimsel analiz yöntemi kullanılarak analiz edilmiştir. Bulgular: Bu bağlamda Babalarda Eksik Tedavi Katılımı, Tedaviye Katılımda Babalar için Motivasyon Kaynağı Olarak Başarı Hikayeleri ve İyileşme Arzusu, Tedavi Sürecinde Baba Katılımının İşlevi, Tedavide Doğru Bilgi ve İlişki Ağını Yakalamak, Tedavi Sürecine Katılımda Anne ve Baba Arasındaki Farklar olmak üzere 5 farklı tema saptanmıştır. Sonuç: Çalışmanın sonucunda babaların madde kullanım tedavisine yeterli katılımı sağlamadıkları, daha çok maddi destek sağlayan tarafta oldukları anlaşılmıştır. Bununla beraber, iyileşmiş madde kullanıcıları ile tanışmak veya tedavi için umut sahibi olmak babaların tedavi katılımlarını etkilemektedir. Çalışmada öne çıkan bulgulardan bir diğeri, babaların tedavi katılımının tedavi sürecini olumlu etkileme potansiyelinin yanında, sürece zarar verici nitelik taşıyabilmesidir. Tedavi sürecinde babaların hızlı şekilde hayal kırıklığı yaşayabildiği ve tedavinin dışında kalabildiği dikkate alındığında, babaların doğru bilgiye ve doğru kaynağa ulaşmasının önemi oldukça büyüktür. Son olarak, tedavi sürecine katılımda anne ve baba arasında önemli farklar tespit edilmiştir. Baba maddi destek sağlarken, anne manevi destek sağlamakta ve babaya karşı çocuğunun yanında yer almaktadır.

Keywords

• bağımlılık
• madde kullanımı
• baba
• babalık
• madde kullanımı tedavisi

A Qualitative Study on Fathers' Participation in Substance Use Treatment

Abstract

Objective: There is not enough information about the functions of fathers in substance use treatment. The primary aim of this study is to try to determine the father's position in addiction treatment. Method: In this context, in-depth interviews were conducted with 20 substance users and 20 fathers of substance users. The data obtained from the interviews were analyzed using the descriptive analysis method, which is one of the qualitative data analysis methods. Results: Five different themes have been identified: Deficient Treatment Engagement in Fathers, Success Stories and Desire for Recovery as a Motivation Sources for Fathers in Engagement in Treatment, Function of Father's Engagement in the Treatment Process, Create the Right Information and Relationship Network in Treatment, Differences between Mother and Father to Engagement in the Treatment Process. Conclusion: Fathers did not provide adequate participation in substance use treatment, and they were on the side that provided more financial support. However, meeting recovered substance users or having hope for treatment affects fathers' participation in treatment. Another prominent factor in the study is that fathers' participation in treatment can have a positive effect on the treatment process and may have significant effects on termination. Considering that fathers can quickly become disappointed and stay out of treatment during the treatment process, fathers need to reach the right information and the right source. Finally, significant differences were identified between mothers and fathers in participation in the treatment process. While the father provides financial support, the mother provides moral support and stands by her child against the father.

Keywords

• addiction
• substance use
• father
• fatherhood
• substance use treatment

References

1. Bagner DM, Eyberg SM. (2003). Father involvement in parent training: when does it matter? J Clin Child Adolesc Psychol, 32(4), 599–605.
2. Begum F, Mahmood SI. (2019). Exploring psychological correlates of peers and fathers of drug addict adolescents. Dhaka University Journal Of Biological Sciences, 28(1), 9-20.
3. Bischof G, Iwen J, Freyer-Adam J, Rumpf HJ. (2016). Efficacy of the community reinforcement and family training for concerned significant others of treatment-refusing individuals with alcohol dependence: a randomized controlled trial. Drug Alcohol Depend, 163, 179–185.
4. Bogenschneider K, Wu M, Raffaelli M, Tsay JC. (1998). Parent ınfluences on adolescent peer orientation and substance use: the ınterface of parenting practices and values. Child Dev, 69(6), 1672–1688.
5. Caliendo C, Senese VP, Cantone D. (2017). Parental rejection, addiction and current fathering: a comparative study. Rivista Di Psicologia Clinica, 1, 59-69
6. Coombs RH, Landsverk J. (1988). Parenting styles and substance use during childhood and adolescence. J Marriage Fam, 50(2), 473. doi:10.2307/352012
7. Copello A, Velleman R, Templeton L. (2005). Family interventions in the treatment of alcohol and drug problems. Drug Alcohol Rev, 24(4), 369–385.
8. Fiorentine R, Nakashima J, Anglin MD. (1999). Client engagement in drug treatment. J. Subst. Abuse Treat, 17(3), 199–206

9. Garey AI, Arendell T. (2001). Children, Work, and Family. Working Families: The Transformation Of The American Home, 293. University of California Press.
10. Gearing RE, Selkirk EK, Koren G, et al. (2008). Perspectives of mothers with substance use problems on father involvement. J Popul Ther Clin Pharmacol 15(1).
11. Hornberger S, Smith SL. (2011). Family involvement in adolescent substance abuse treatment and recovery: What do we know? What lies ahead? Children and Youth Services Review, 33, S70–S76. doi:10.1016/j.childyouth.2011.06.016
12. Kahyaoğlu G, Dinç M, Işık S, Ögel K. (2020). Effects of engaging family in addiction treatment for substance use and treatment compliance: A preliminary study. Addicta, 7(4), 229-233
13. Kelley ML, D’Lima GM, Henson JM, Cotten C. (2014). Substance-abusing mothers and fathers’ willingness to allow their children to receive mental health treatment. J. Subst. Abuse Treat, 47(1), 106–111. doi:10.1016/j.jsat.2014.02.007
14. Kirby KC, Marlowe DB, Festinger DS, et al(1999). Community reinforcement training for family and significant others of drug abusers: A unilateral intervention to increase treatment entry of drug users. Drug Alcohol Depend, 56(1), 85-96.
15. Leshner AI. (1997). Addiction ıs a brain disease, and ıt matters. Science, 278(5335), 45–47. doi:10.1126/science.278.5335.45
16. Mackenzie CS, Scott T, Mather A, Sareen J. (2008). Older adults’ help-seeking attitudes and treatment beliefs concerning mental health problems. Am J Geriatr Psychiatry, 16(12), 1010–
17. Murray T. (2005). Retaining clients in drug treatment: a guide for providers and commissioners. National Treatment Agency for Substance Misuse.
18. Orford J. (1994). Empowering family and friends: a new approach to the secondary prevention of addiction. Drug Alcohol Rev, 13(4), 417–429.
19. Parent J. Forehand R, Pomerantz H, et al. (2017). father participation in child psychopathology research. J. Abnorm. Child Psychol, 45(7), 1259–1270.
20. Rollnick S, Miller WR. (1995). What is motivational interviewing?. Behav Cogn Psychother. 23(4), 325-334.
21. Shek DTL, Zhu X, Dou D, Chai W. (2019). Influence of family factors on substance use in early adolescents: a longitudinal study in Hong Kong. J Psychoactive Drugs, 1–11.
22. Stark MJ. (1992). Dropping out of substance abuse treatment: A clinically oriented review. Clin. Psychol. Rev. 12(1), 93-116.
23. Strega S, Fleet C, Brown L, Dominelli L, et al. (2008). Connecting father absence and mother blame in child welfare policies and practice. Child Youth Serv Rev. 30(7), 705-716.
24. Şimşek M, Dinç M, Ögel K. (2018). Determinants of the addiction treatment drop-out rates in an addiction counseling centre: a cross-sectional study. Psychiatr. Clin. Psychopharmacol., 1–9.
25. Wang J, Simons-Morton BG, Farhart T, Luk JW. (2009). Socio-demographic variability in adolescent substance use: mediation by parents and peers. Prev Sci, 10(4), 387–396. doi:10.1007/s11121-009-0141-1
26. Wong JJ, Cucciare MA, Booth BM, Timko C. (2018). Predicting substance use patterns among rural adults: the roles of mothers, fathers, and parenthood. Fam. Proc. 2018: 1-15.
27. Yoon S, Pei F, Wang X, et al.(2018). Vulnerability or resilience to early substance use among adolescents at risk: The roles of maltreatment and father involvement. Child Abuse Negl, 86, 206–216.