Family-Based Recovery (FBR) is an intensive in-home clinical treatment program for parents who have a substance use disorder and have children ages 0–5. FBR aims to ensure children can develop in a substance-free, safe, and stable home with their parents. FBR includes three components delivered by a team of providers: parental substance use treatment and individual psychotherapy, attachment-based parent-child therapy, and case management. FBR also includes Social Club peer support meetings to promote recovery.
For the parental substance use treatment and individual psychotherapy component, clients work with a substance use clinician. The substance use clinician helps clients to develop and implement substance use recovery plans and to explore and discuss life issues related to substance use. Clients complete a substance use screening at the beginning of each session. For each negative screen, clients receive a voucher that they can redeem for a gift card.
For the parent-child therapy component, the parent and child meet together with a parent-child clinician. Therapy sessions focus on facilitating positive parent-child interactions to develop secure attachment, promoting positive parenting practices and household routines, increasing parents’ understanding of child development and health, and supporting the child’s safety in the home. Parent-child clinicians provide real-time feedback and aim to tailor content to the parent’s strengths and needs and the child’s developmental stage.
For the case management component, clients receive services from a family support specialist (FSS). The FSS identifies areas where the family might need assistance to meet basic needs, provides referrals to relevant services, collaborates with the child welfare system and outside providers supporting the family, and facilitates individual meetings between FBR team members and clients. In addition to the FBR clinicians and the FSS, the FBR team also includes a part-time psychiatrist or advanced practice registered nurse who can conduct evaluations and provide pharmacotherapy.