THE ROLE OF SANDPLAY THERAPY IN THE TREATMENT OF ADOLESCENTS AND YOUNG ADULTS WITH CO-OCCURRING SUBSTANCE USE DISORDERS AND TRAUMA
Journal of Sandplay Therapy, Volume 24, Number 2, 2015
Lorraine Razzi Freedle, Deborah B. Altschul, Agata Freedle
Hilo, Hawaii, USA; Albuquerque, New Mexico, USA; Columbia, Missouri, USA.
KEY WORDS: sandplay therapy, substance abuse, trauma, addiction, outpatient treatment, research, study, young adults, youth, co-occurring disorders, treatment engagement, adolescents, Research.
ABSTRACT: this study explored the effectiveness of the Bonding through Experiential Adventures in Recovery (BEAR) program and the role of sandplay therapy in addressing the complex needs of youth (ages 14-24) with co-occurring trauma and substance use disorders. BEAR incorporated sandplay therapy, adventure therapy, art therapy and recovery-oriented supports in addition to the evidence-based, 16-week Matrix Model intensive outpatient treatment program. A mixed methods quasi-experimental design was utilized to evaluate the program. Data was collected through questionnaires at approximately 2-month intervals— admission, midway through treatment, and at discharge. Separate focus groups were held with youth, parents, and staff with their responses evaluated using grounded theory. Results demonstrate that the youth who participated in BEAR significantly improved daily functioning at home, school, and in their community, and reduced the severity of their substance use problem and symptoms of distress associated with trauma exposure. Sandplay therapy positively impacted engagement in treatment with youth endorsing sandplay as the most helpful part of the program. The role of sandplay therapy in the treatment of trauma and addictions is discussed, along with implications for further research.
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IN GERMAN
SANDSPIELTHERAPIE, DROGENGEBRAUCH IND TRAUMA. (DIE ROLLE DES SANDSPIELS IN DER BEHANDLUNG VON JUNGEN ERWACHSENEN MIT DROGENMISSBRAUCH UND GLEICHZEITIG AUFTRETENDEM TRAUMA).
Lorraine Razzi Freedle, Deborah B. Altschul, Agata Freedle.
Hilo, Hawaii, USA; Albuquerque, New Mexico, USA; Columbia, Missouri, USA.
SCHLAGWÖRTER: Sandspieltherapie, Drogenmißbrauch, Trauma, schädlicher Gebrauch psychotroper Substanzen, Abhängigkeit, ambulante Behandlung, Forschung, Drogengebrauch, Studie, junge Erwachsene, Jugend, gleichzeitig auftretende Störungen, Behandlungsengagement, Jugendliche.
ABSTRACT: Diese Studie erforscht die Wirksamkeit des „Bonding through Experiential Adventures in Recovery (BEAR) Programs, sowie die Rolle der Sandspieltherapie, die komplexen Bedürfnisse von Jugendlichen (14-24) mit gleichzeitigem Trauma und Drogenabhängigkeit.
IN SPANISH
EL PAPEL DE TERAPIA SANDPLAY EN EL TRATAMIENTO DE ADOLESCENTES Y ADULTOS JÓVENES CON TRASTORNOS DE USO DE SUSTANCIAS Y TRAUMA CONCURRENTES. (SANDPLAY, USO DE SUSTANCIAS Y TRAUMA)
Lorraine Razzi Freedle, Deborah B. Altschul, Agata Freedle.
Hilo, Hawaii, EEUU. Albuquerque, New Mexico, EEUU. Columbia, Missouri, EEUU.
PALABRAS SIGNIFICATIVAS: Terapia sandplay, abuso de sustancias, trauma, adicción, tratamiento ambulatorio, investigación, estudio, adultos jóvenes, jóvenes, trastornos concurrentes, compromiso tratamiento, adolescentes.
IN FRENCH
THE ROLE OF SANDPLAY THERAPY IN THE TREATMENT OF ADOLESCENTS AND YOUNG ADULTS WITH CO-OCCURRING SUBSTANCE USE DISORDERS AND TRAUMA. (SANDPLAY, SUBSTANCE USE AND TRAUMA).
Lorraine Razzi Freedle, Deborah B. Altschul, Agata Freedle.
Hilo, Hawaii, USA; Albuquerque, New Mexico, USA; Columbia, Missouri, USA.
MOTS CLES: Thérapie par le jeu de sable, addiction, traumatisme, traitement ambulatoire, recherché, étude, jeunes adultes, maladies concomitantes, engagement thérapeutique, adolescents.