Substance Use and the Family for Paraprofessionals


It is well known that alcohol use disorder is quite prevalent and can have significant negative impact on the lives of those with this disease. Past research and treatment have focused primarily on the challenges facing individuals with alcohol use disorders and on accessing supports to aid in the individuals’ recovery. There is growing evidence, however, that alcohol use disorder is much better understood within a family and relationship context. In this training, you will learn about the impact that alcohol use disorder has on families, the family dynamics that can contribute to it, and the abundant research that indicates that family interventions can play a significant role in recovery. Employing a combination of comparative research, experiential exercises, and self-study, this course provides a foundation for addressing alcohol use disorder in the context of the family rather than focusing on individual therapy or self-help groups. This training is appropriate for paraprofessionals who want to expand their understanding of alcohol use disorder in a family context.


Hours: 1.00


Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-HHS-0-SUFPP
Hours: 1
Type: Online Course
Content Expiration Date: 1/31/2019
Learning Objectives:
Explain a family systems perspective of alcohol use disorders.
Describe family factors that increase or reduce risk of developing an alcohol use disorder as well as family problems that may result from an alcohol use disorder.
Discuss recent research concerning the relationship between family factors and recovery.

Section 1: Introduction
A. Course Contributor
B. About This Course
C. Learning Objectives
Section 2: Family Systems
A. Delia’s “Behavior Problem”
D. The Importance of the Family System
E. Contributing Factors to Risk and Recovery
F. Background
G. Family Influences
H. Family Diversity
I. Family Systems
J. Family Systems Perspective
K. Family Systems and Change
L. Change and Stress
M. Family Recovery from Alcoholism
N. The Importance of the Family Context
O. Section 2: Let’s Review
P. The Family Disease Model
Q. Enabling
R. Section Summary
Section 3: Family Influences on the Development of Alcohol Use Disorder
A. Pathways
B. Family Genetic Influences
C. Interactive Factors
D. Physiology and Genetics
E. Family Context Influences
F. Family Context Influences, continued
G. Exposure to Key Events
H. Socialization and Alcohol Use Disorder
I. Section 3: Let’s Review
J. Section Summary
Section 4: Alcohol Use Disorder Influences on the Family
A. How Does Alcohol Use Disorder Influence the Family?
B. Couples
C. Parent-Child Relations
D. More about Parent-Child Relations
E. Children of Alcoholics
F. Exposure to Biological and Environmental Forces
G. Children of Alcoholics Screening Test (CAST)
H. Pathway for Influence
I. Resiliency
J. Protective Factors
K. Adolescents Living in Alcoholic Families
L. Fetal Alcohol Exposure
M. Sibling Relationships
N. Distorted Relationships
O. Section 4 Let’s Review
P. Section Summary
Section 5: Families and Recovery
A. The Impact of the Family on Individual Recovery and Vice Versa
B. Family Systems Models
C. Family Systems Models, continued
D. Behavioral Family Models
E. Behavioral Family Treatment
F. The Family Disease Model
G. Readiness to Change
H. Preparing for Change
I. Action Phase
J. Section 5 Let’s Review
K. Section Summary
Section 6: Empirical Findings
A. Intervention Efforts
B. Significant Others
C. Motivation to Change
D. Critical Factors for Effective Treatment
E. Couples Therapy
F. Support and Significant Others
G. Community Reinforcement Training
H. Unilateral Family Therapy Approach
I. Al-Anon
J. Adolescents with Alcohol Problems
K. Others’ Contributions
L. Barriers to Family Intervention
M. Section Summary
Section 7: Conclusion
A. Summary
B. References
C. Congratulations

Instructor: Carl Fornoff, LCPC
Carl Fornoff, LCPC, is an Assistant Director in the Department of Community Resources of Villa Maria. He has designed and implemented numerous family-focused behavioral health programs across central Maryland during the past 20 years. Using a “parent/provider partnership” approach, he has developed psychiatric rehabilitation programs, community clinics, respite programming, and school-based mental health services. Carl is also a trainer for the Family Resource Academy of Maryland, and a child and family therapist in private practice. Disclosure: Carl Fornoff, LCPC has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry and intermediate level Direct Support Professionals; in the following settings: Health and Human Services.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support by calling (800) 381-2321 or emailing [email protected]