Researchers may also consider the practical aspect of a journal such as publication fees, acceptance rate, review speed. For instance, in this study, team meetings between participants, caseworkers, FBT providers and others were attempted to assist treatment planning. Although the reduction of HIV risk behaviors in FBT, compared to TAU, was relatively short-lived, the integration of an HIV prevention program within family-based treatment is an important first step in treatment research involving this highly susceptible population. In the interpretation of Hedges g absolute magnitude from zero demonstrates larger effect sizes: small = .2, medium = .5, and large = .8 (Cohen, 1988). Risk Assessment Battery (RAB). Although hypothesized, there were no significant interactions for marijuana use (all ps > .05). Examination of effect sizes in Table 3 shows that FBT and TAU participants demonstrated medium to large effect sizes from baseline to both 6- and 10-month post-randomization. SC involves structured problem solving skills training exercises that are similar to the individually-based problem-solving methods developed by Dawson, de Arrnas, McGrath, and Kelly (1986) in child neglect referrals. Research Square is dedicated to improving the way new research and discoveries are shared. Blau GM, Whewell MC, Gullotta TP, Bloom M. The prevention and treatment of child abuse in households of substance abusers: A research demonstration report. Therefore, methods of engaging appropriate significant others within the context of family-based treatment for concurrent child neglect and substance abuse is warranted. The investigators reported that the latter finding was potentially due to the exclusion of neglect-specific components in PCIT. Along this vein, an examination of child protection cases in the County for which this study was conducted revealed that homelessness, methamphetamine use, and lack of resources regularly prompted placement of children into CPS custody, with many cases showing drug use as the exclusive reason for separation (Pelton, 2008). Protocol adherence of FBT providers was determined by computing the number of protocol instructions reported to have been implemented by providers, and dividing this number by the total number of prescribed protocol instructions. US Department of Health and Human Services . Chemical dependency in women: A description of its effects and outcome on adequate parenting. Inclusion in an NLM database does not imply endorsement of, or agreement with, Remedying child neglect: Effectiveness of social network intervention. Kolko DJ, Selelyo J, Brown EJ. We believe a formalized incentive program to assist mothers in treatment completion may have been helpful along these lines (Ledgerwood, Alessi, Hanson, Godley, & Petry, 2008). This result was not found pre- to 10-month post-randomization (p >.05). The latter hypothesis is based on the assumption that mothers of children who have been exposed to drugs evidence characteristics and circumstances that may be inherently unique to mothers who have neglected their children for other reasons (Lambert et al., 2010; Ondersma et al., 2001; Pennar et al., 2011). A Statewide Trial of the SafeCare Home-based Services Model With Parents in Child Protective Services. scijournal.org is a platform dedicated to making the search and However, TAU mothers referred due to child drug exposure were also found to decrease their hard drug use more than TAU mothers of non-drug exposed children and FBT mothers of drug exposed children at 6- and 10-month post-randomization. | Privacy policy International Journal Of Child Health And Human Development. Nijhawan A, Kim S, Rich JD. Mothers of drug exposed children in TAU demonstrated significant decreases in hard drug use, as compared with mothers of drug exposed children in FBT and mothers of non-drug exposed children in TAU. Assessors were not informed of the participants intervention assignment by study staff. The average number of FBT sessions attended by mothers was 14.9 meetings (sd = 7.2), whereas the average number of sessions attended by their adult significant others was 10.0 (sd = 6.9) meetings. Comparison of multi systemic therapy and parent training in the brief treatment of child abuse and neglect. Examination of Table 3 shows FBT and TAU participants both evidence small effects from baseline to 6-month post-randomization (FBT increasing employment, TAU decreasing days worked), whereas effects get somewhat larger for FBT and disappear for TAU from baseline to 10-month post-randomization. Your IP: Indeed, the results indicate an incremental improvement associated with FBT over TAU, suggesting FBT is generally preferred over TAU. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. The TLFB has consistently demonstrated concurrent validity, predictive validity, inter-rater agreement, face validity, and treatment sensitivity (Carey, 1997; Donohue et al., 2004; Donohue, Hill et al., 2007; Hjorthj, Hjorthj, & Nordentoft, 2012; Vinson, Reidinger, & Wilcosky, 2003). Journal of Social Work Practice in the Addictions. Learn more here. Reliability and validity estimates of treatment integrity were derived from completed protocol checklists (see Intervention Fidelity in the Results section). U.S. Department of Health. Mothers demonstrated medium (TAU) to large (FBT) effects in significantly decreasing marijuana use. This study was supported with a grant awarded to Brad Donohue from the National Institute on Drug Abuse (1R01DA20548-01A1). LaPota HB, Donohue B, Warren CS, Allen DN. In these situations, motivation of mothers to complete treatment was compromised and parenting practice opportunities at home were limited. However, case management follow through was sometimes missing, limited or inconsistent. Their study involving participants evidencing child physical abuse, demonstrated that a behavioral rehearsal-based parent training program (Parent Child Interaction Therapy; PCIT) was more effective in reducing child physical abuse than a standardized didactic parenting training approach offered within the community context. A significant Time Neglect Type interaction was observed from baseline to 6-month post-randomization, F(1, 68) = 5.224, p = .01, partial 2 = .071, indicating mothers of non-drug exposed children, as compared with mothers of drug exposed children, demonstrated greatest reductions in alcohol intoxication. However, the severity of behavior problems evidenced by parents in this study suggests research in the development of engagement and retention interventions in this population is warranted. Table 3 shows effect sizes and corresponding 95% confidence intervals for FBT and TAU from baseline to 6- and 10-month post-randomization. Eleven providers participated in the study. Hjorthj C, Hjorthj A, Nordentoft M. Validity of Timeline Follow-Back for self- reported use of cannabis and other illicit substances; Systematic review and meta-analysis. Young N, Boles S, Otero C. Parental Substance Use Disorders and Child Maltreatment: Overlap, Gaps, and Opportunities. Of course, this decreased motivation of the mothers to actively participate in treatment and made it difficult to practice behavioral parenting strategies in vivo with their children, which as indicated previously is important in the treatment of child neglect (Hurley et al., 2012). The journal welcomes submissions from the research community where emphasis will be placed on the novelty and the practical significance of the reported findings. Child and Family Behavior Therapy - ResearchBite Follow-up results of Supportive versus Behavioral Therapy for illicit drug use. Strategies were employed to ensure the integrity of treatment (Azrin, Donohue et al., 2001; Yeaton & Sechrest, 1981), including utilization of intervention manuals with protocol checklists, written documentation by the therapist of techniques used during sessions utilizing standardized forms, audio taping of sessions, ongoing clinical supervision of treatment sessions, corrective feedback to therapists, and utilization of detailed prompting lists by providers that indicated the specific tasks to be completed. However, it is important to emphasize that TAU mothers showed improvements on a number of treatment outcome measures, and that mothers of drug exposed children with less risk for future child maltreatment victimization demonstrated greater reductions in hard drug use and child maltreatment potential when compared with FBT mothers who were referred due to having exposed their children to drugs. In: Dubowitz H, editor. Aims and scope. We are unaware of controlled trials that have demonstrated positive outcomes in parents who have been referred to treatment for concurrent child neglect and drug abuse. Appelboam A, Oades PJ. Thus, children were significantly more likely to spend more time in DFS custody from baseline to 6-month post-randomization. Lutzker SZ, Lutzker JR, Braunling-McMorrow D, Eddleman J. Print Rates: $900 for the first page of color; $450 per page for the next three pages of color. These efforts have been disclosed to their governing institution and determined by this institution not to be a conflict of interest. J Consult Clin Psychol. Donohue B, Hill H, Azrin NH, Cross C, Strada M. Psychometric support for contemporaneous and retrospective youth and parent reports of adolescent marijuana use frequency in an adolescent outpatient treatment population. Mothers and their significant others were generally very motivated to participate in these activities, and we believe there may be long-term beneficial effects in training mothers in this population to gain and retain employment, such as financial independence from federal and state resources and abusive intimate partners. You are much more than your last research project. Results of parent self-report inventories demonstrated that both interventions improved global psychiatric functioning and overall stress. First, it was originally proposed to exclude mothers from the study if they did not have an adult significant other living in the home and willing to participate in their treatment. Participants were 72 mothers referred for treatment of substance abuse and child neglect by the County's Department of Family Services (DFS). The experimental condition that was examined in this study was adapted from Family Behavior Therapy, which is a comprehensive outpatient substance abuse treatment (Donohue & Allen, 2011; Donohue & Azrin, 2012). = Bachelor of Science degree. It is published in English. First MB, Spitzer RL, Gibbon M, Williams JBW. Federal government websites often end in .gov or .mil. Improve your chances of getting published in Child and Family Behavior Therapy with Researcher.Life. Top 15 journals in Social Sciences (miscellaneous), International Journal of Electronic Government Research. However, from baseline to 6- and 10-month post-randomization, TAU mothers of drug exposed children demonstrated a greater decrease in hard drug use than TAU mothers of non-drug exposed children and FBT mothers of drug exposed children. Carlson BE, Williams LR, Shafer MS. Methamphetamine-involved parents in the child welfare system: Are they more challenging than other substance involved parents? In reducing child maltreatment potential from baseline to 6-month post-randomization and from baseline to 10-month post-randomization FBT demonstrated medium effects, whereas TAU demonstrated small effects. Treatment outcomes for adolescent substance abuse at 4- and 7-month assessments. This peer reviewed/peer refereed journal offers original research, examples, and behavioral techniques for parents, teachers, mental health professionals, and counselors. Studies have investigated the effects of increased parental/family involvement in treatment. Walker and Davies (2010) review 27 studies that have demonstrated the CAPI's cross-cultural validity, internal consistency of its subscale and total scale scores across sample groups and cultures, relatively high (albeit varied) sensitivity and specificity classification rates, differential validity, and treatment sensitivity. This modified FBT has demonstrated preliminary efficacy in controlled and uncontrolled case trials specific to coexisting child neglect and drug abuse in home-based settings (Donohue, Romero et al., 2010; Donohue & Azrin, 2002; LaPota, Donohue, Warren, & Allen, 2011; Romero, Donohue, & Allen, 2010; Romero, Donohue et al., 2010). Overall, this study represents a significant advancement in child welfare treatment, both in terms of its methodology and scope of practice implications. Journal of Clinical Child & Adolescent . The CAPI is widely considered the most validated instrument to assess child maltreatment potential (see most recent review by Walker & Davies, 2010). Brunk MA, Henggeler SW, Whelan JP. The very few controlled treatment outcome studies that have been conducted in child neglect samples indicate in-situ delivered family-supported treatment programs are relatively efficacious, although results are not universally positive. Overall Effect Sizes (Hedges g) and 95% Confidence Intervals for Secondary Measures (N = 72). Choi S, Ryan JP. Prompting to increase motherbaby stimulation with single mothers. Erickson MF, Egeland B. Maltreatment of children born to cocaine-dependent mothers. As hypothesized, there was a significant Time Treatment interaction from baseline to 6-month post-randomization, F(1, 68) = 4.014, p = .03, partial 2 = .056, suggesting that participants in FBT demonstrated relatively greater improvements in HIV risk behavior from baseline to 6-month post-randomization as compared with TAU participants. Regarding incarceration, results revealed a marginally significant main effect from baseline to 6-month randomization, F(1, 68) = 2.554, p = .058, partial 2 = .036. Thus, FBT to some extent may have assisted in preventing future incarceration. In the majority of these studies, however, parental involvement is synonymous with maternal involvement leaving the role of fathers unknown . Although it is difficult to determine the change agents in TAU, these results should be anticipated given that both specific and non-specific treatment factors play an important role in treatment effectiveness, and these factors positively influence intervention programs typically provided in TAU (e.g., drug court, psychiatric hospitalization, family reunification). However, in our pilot trials for this study we discovered that many of the referred women did not have supportive significant others who were stable, positive influences permanently living in their homes. Seventy-four percent of participants were retained through both the 6-month and 10-month post-randomization assessments. You can select up to 3 Journals at a time, Upload your manuscript and supporting documents to journal, Resubmission of your manuscript (if needed). Brunk, Henggeler, and Whelan (1987) conducted the first randomized controlled outcome study examining parents explicitly identified for child neglect (18 families referred for child physical abuse, 15 families referred for child neglect). 72 mothers evidencing drug abuse or dependence and child neglect were randomly assigned to Family Behavior Therapy (FBT) or Treatment as Usual (TAU). SC was favorably evaluated in a recent highly controlled randomized clinical trial involving general referrals from child protective services (Chaffin, Hecht, Bard, Silovsky, & Beasley, 2012). Similarly, compared to children whose parents do not use substances, children of parents who use substances more often experience parental behaviors that are consistent with neglect, such as being unsupervised (Ells et al., 2002), exposure to dangerous environments, and remaining in foster home placements for extended time periods (Carlson et al., 2012). Publishes research on the needs of children, adults, their families and practitioners and researchers, focusing on practical applications of behavior therapy. It was further hypothesized that there would be significant 2-way interactions in all dependent measures showing greatest relative improvements in FBT mothers who were referred for child neglect not due to their child being exposed to illicit drugs, as compared with FBT mothers who were referred for child neglect due to their child being exposed to drugs and TAU participants, from baseline to 6-month post-randomization, and baseline to 10-month post-randomization. Improvements in secondary outcomes did not appear to be influenced by child neglect type, as hypothesized. A structured interview was utilized to obtain demographic and background information about the participants, including the participants age, age of the participant's child, ethnicity, personal income, household income, highest grade achieved, number of biological children, and employment status. Azrin NH, Acierno R, Kogan ES, Donohue B, Besalel V, McMahon PT. Davis SK. Consistent with these results, Table 3 indicates that effect sizes for hard drug use were small to medium for both FBT and TAU from baseline to 6-month post-randomization, and from baseline to 10-month post-randomization assessment. the contents by NLM or the National Institutes of Health. = Bachelor of Arts degree; B.S. The proportions of participants completing 6- and 10-month post-randomization assessment do not significantly differ between FBT and TAU (2 = .016, p = .899). HIV/AIDS Prevention Research Division, Department of Psychiatry Penn Behavioral Health, Psychometrics. Accessibility The APSAC handbook on child maltreatment. Examination of Table 3 shows no effect for FBT from baseline to 6- and 10-month post-randomization, whereas there are medium effects specific to TAU during this same time period. Means and Standard Deviations of Secondary Outcome Measures at Baseline, 6- and 10-Month Post-randomization (N= 72). Several controlled treatment outcome studies have demonstrated benefits for social skill interventions in neglected and abused children (Davis & Fantuzzo, 1989; Fantuzzo et al., 1988; Fantuzzo, Stovall, Schazhel, Goins, & Hall, 1987), and neglecting mothers (Gaudin, Wodarski, Arkinson, & Avery, 1991). Timeline followback: A technique for assessing self-reported alcohol consumption. the productivity and citation impact of the publications of a An 8-panel urinalysis toxicology screen (marijuana, cocaine, amphetamines, barbiturates, opiates, benzodiazepines, methadone, phencyclidine) incorporating conventional detection cut-offs was used to corroborate TLFB data. He was always the consummate pioneer driving innovation while making his research team members foolishly believe they came up with the ideas. An official website of the United States government. Child and Family Behavior Therapy - Identity Digital Journal of Child and Adolescent Drug Abuse. A multi-site comparison of psychosocial approaches for the treatment of methamphetamirie dependence. Color illustrations will also be considered for print publication; however, the author will be required to bear the full cost involved in color art reproduction. Neglected children: Research, practice, and policy. Multiple intervention components are implemented sequentially and cumulatively, and include the following: (1) contingency management to assist significant others in providing family-derived rewards for pro-social target behaviors (e.g., child management) that are incompatible with substance use; (2) communication skills training to improve family relationships through expressions of appreciation and positive requests (e.g., succinct, polite directives, offers to help facilitate desired actions, offering alternatives), thereby making it reinforcing to engage in non-drug associated activities; (3) stimulus control interventions to assist family members in spending less time with individuals (and in situations) that involve substance use and other problem behaviors, and more time with individuals (and in situations) that have not involved substance use and other problem behaviors.
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