Integrating Systemic Ideas with Cognitive Behavioural Therapy: Working with Families of Drug Use Offenders, SANA & SACA (PID118)

12pm – 12.30pm EDT, 4 September 2024 ‐ 30 mins

Workshop Session

This presentation shares a collaboration of two agencies - Singapore Anti-Narcotics Association (SANA) and Singapore After-Care Association (SACA).

The current dominant evidence-based approach in effective case management practice is Risk, Needs and Responsivity (RNR) model, which prescribes the use of Cognitive-Behavioural Therapy (CBT) to address offenders’ criminal thinking and behaviours. While CBT is useful in working with individual offenders, the systemic approach opens the possibilities of intervention by examining past and current familial interactions that may influence client’s current drug use behaviour.

A systemic approach seeks to understand an individual in relationship with others, i.e. the family that he or she would return to rather than in isolation. This would mean having a view of recovery through the lens of the family and as a key partner and resource in recovery. The whole family, including the offender is supported to improve communication, increase cooperation, and develop more functional patterns of interaction, leading to long-term positive changes in the family system.

To develop and test this approach, SANA and SACA began a family work project with two families, integrating a systemic lens with existing assessment and intervention practices to the family in recovery.

The presentation will share the journey of the person-in-recovery and their family as well as reflections from the team. The team will share the broader use of RNR assessment to include a systemic perspective to support the practice. This method provides a structured way for case managers to work with families with more clarity and confidence in Singapore.