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. Learn more here. For hard drug use, the repeated measures analyses of variance indicated that there was a significant main effect for time from baseline to 6-month post-randomization, F(1, 68) = 15.424, p < .001, partial 2 = .185, and baseline to 10-month post-randomization, F(1, 68) = 12.484, p < .001, partial 2 = .155, indicating that hard drug use was significantly reduced across time. 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. Treatment of Substance Dependence, child neglect, and domestic violence: A single case examination utilizing Family Behavior Therapy. Chaffin M. The changing focus of child maltreatment research and practice within psychology. Volume 27 . Child and family-focused cognitive-behavioral therapy (CFF-CBT) is an adjunctive psychosocial intervention designed to meet the developmental needs of children aged 8-12 with bipolar disorder and their families (Pavuluri et al., 2004b; West et al., 2007). The child abuse potential inventory: Manual. Unfortunately, lack of integration between child welfare services and substance abuse treatment providers has restricted the development of evidence-based programming for this group (Young, Boles, & Otero, 2007). In determining the clinical meaningfulness of these results, CAPI Abuse scale scores were examined based on clinical cut-off scores that indicate risk for child maltreatment potential (i.e., scores above 215 indicate significant risk) at baseline, 6-mo. Child neglect is the least likely type of child maltreatment to be substantiated (U.S. Department of Health and Human Services, 2003), and is relatively dangerous (Garbarino & Collins, 1999) and understudied (Erickson & Egeland, 2002). 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). The integration of HIV prevention components in FBT is noteworthy given the high risk of HIV and AIDS in this population (see Nijhawan, Kim, & Rich, 2008). Demographic Characteristics of the Mothers with Numbers Shown as Frequency (%), Note. 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. 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. Aggression and Violent Behavior: A Review Journal. Along these lines, intervention implementation for some of the secondary measures (i.e., HIV risk behaviors, days employed, days incarcerated) appeared to be relatively less dependent on the influence or presence of family members. By including a TAU comparison condition, this study was designed to examine the public health question of whether the FBT model is more effective than standard agency services in reducing maternal drug use and neglect (Swenson, Schaeffer, Henggeler, Faldowski, & Mayhew, 2010). The https:// ensures that you are connecting to the A journal impact factor is frequently used as a proxy for the relative importance of a journal within its field. Providers attended 90 to 120 minutes of weekly group supervision throughout the study. 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). Higher scores are indicative of greater likelihood of child maltreatment potential, with scores above 215 indicating significant potential for child maltreatment. Coma due to cannabis toxicity in an infant. Inclusion in an NLM database does not imply endorsement of, or agreement with, Get professional help to navigate the publishing process, minimise the chance of rejection. Drug abuse is one of the chief factors influencing the development and maintenance of child maltreatment (Davis, 1990; Jones, 2008), with approximately 50 to70% of maltreated children estimated to have mothers who abuse illicit substances (Jones, 2005). For instance, if a participant reported 3 days of marijuana use, the significant other reported 1 day of marijuana use, and urinalysis testing results indicated no marijuana use, 3 days of marijuana use was used to estimate the frequency of marijuana use. 1993. 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. The results of a controlled trial conducted by Chaffin and colleagues (2004) suggest behavioral rehearsal is especially warranted when implementing parenting skills training in child maltreatment. CAPI = Child Abuse Potential Inventory; Drug Exposed = mothers whose children were exposed to drugs; Other Neglect = Mothers founded for neglect of children other than drug exposure. The journal welcomes submissions from the research community where emphasis will be placed on the novelty and the practical significance of the reported findings. Real-time trigger alerts. When examining reductions in marijuana use, there was a significant main effect for time from baseline to 6-month post-randomization, F(1, 68) = 19.346, p < .001, partial 2 = .221, and baseline to 10-month post-randomization, F(1, 68) = 17.327, p < .001, partial 2 = .203, indicating that marijuana use decreased across time. Waldron HB, Slesnick N, Turner CW, Turner Brody JL, Peterson TR. The most common treatments of psychosocial problems in children and adolescents include combinations of child- and family-focused psychological strategies, including cognitive behavioral therapy (CBT) and social communication enhancement techniques and parenting . Prompting to increase motherbaby stimulation with single mothers. Journal of Child and Adolescent Substance Abuse. Metzger DS, Woody GE, Druley P, DePhillipis D, Navaline H, McLellan AT, O'Brien CP. Participants were 72 mothers referred for treatment of substance abuse and child neglect by the County's Department of Family Services (DFS). Psychiatric symptoms, high risk behaviors and HIV positivity among methadone patients. HHS Vulnerability Disclosure, Help A multi-site comparison of psychosocial approaches for the treatment of methamphetamirie dependence. Davis SK. Gaudin JM, Wodarski JS, Arkinson MK, Avery LS. The intra-class correlation coefficient was 96.4%, suggesting the providers estimates of protocol adherence were reliable. This is a significant problem (Conners, Bradley, Whiteside-Mansell, & Crone, 2001) as substance abuse programs are rarely equipped to manage child maltreatment, and persons afflicted with substance abuse are often excluded from programs specializing in the treatment of child maltreatment (see review by Donohue, Romero, & Hill, 2006). Given his tremendous contributions to the treatment of human suffering, it is soothing for me to know he was interested in concluding his prodigious career developing treatments for children most in need of positive reinforcement. Contingency management for attendance to group substance abuse treatment administered by clinicians in community clinics. Lutzker JR, Wesch D, Rice JM. Child & Family Behavior Therapy is a leading publication of child and adolescent behavior therapy, cognitive behavior therapy and family therapy providing needed information to an inclusive, international audience. and transmitted securely. National Center for Prosecution of Child Abuse. (Learn More), The h-index is an author-level metric that attempts to measure both Trends in child maltreatment literature. There are also other factors such as H-Index, Self-Citation Ratio, SJR, SNIP, etc. Brunk MA, Henggeler SW, Whelan JP. Launched in 1979 as Child Behavior Therapy, it acquired its current name in 1983 and publishes the latest applied research on cognitive and behavioral therapy with children and families.. Each issue features original research articles and brief reports on current clinical . Barone VJ, Greene BF, Lutzer JR. Home safety with families being treated for child abuse and neglect. However, many of the emergency outcomes (e.g., domestic violence, eviction, financial need, no food) were not formally assessed in this study, supporting the need to develop outcome measures with real-world application. Assessment and modification of home cleanliness among families adjudicated for child neglect. sharing sensitive information, make sure youre on a federal Approximately 10% of sessions were randomly coded by independent reviewers who were blind to the provider assessments of protocol. These results indicated that there were no significant baseline differences between participants in the respective intervention conditions on the examined demographic and outcome measures at baseline (all p-values > .05). Improve your chances of getting published in Child and Family Behavior Therapy with Researcher.Life. Memorable events (e.g., birthdays, holidays) are marked on the calendars to facilitate recall. No significant differences in re-reports of child neglect reports were found between the experimental interventions. Ondersma S, Rawson RA, et al. Garbarino J, Collins CC. In a series of case trials, these investigators demonstrated that the implementation of behavioral interventions in the environment for which child neglect occurs facilitates development of skill sets that are incompatible with child neglect, such as personal hygiene and dental care in children, home cleanliness (Lutzker, Campbell, & Watson-Perczel, 1984), decreased home hazards (Barone, Greene, & Luzker, 1986; Watson-Perczel, Lutzker, Greene, & McGimpsey, 1988), and improved affective responses of mothers to their infants (Lutzker, Lutzker, Braunling-McMorrow, & Eddleman, 1987). Research to practice: Reducing re-referral in unsubstantiated child protective services cases. Indexed in the following public directories. Child Maltreatment 2009. Cognitive-behavioral therapy (CBT) for anxiety disorders in youth has been evaluated in randomized clinical trials and found to be an efficacious treatment. Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version (SCID-I). 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 criterion is hypothesized to assist in providing opportunities to implement prescribed family supported interventions, including home practice of parenting techniques and drug relapse prevention strategies, with adult significant others who are likely to monitor children in the homes of participating mothers. Ethics; Peer Review; Open Access; Advertising; . Log in or register to compare similar Journals. In these situations, motivation of mothers to complete treatment was compromised and parenting practice opportunities at home were limited. Indeed, complicating factors in preventing HIV infection have been noted in populations with substance use disorders, with a call for comprehensive and integrated care (Nijhawan, Kim, & Rich, 2008). Evidence-based psychosocial treatments for adolescents with disruptive behavior. Studies have investigated the effects of increased parental/family involvement in treatment. Print Rates: $900 for the first page of color; $450 per page for the next three pages of color. Choi S, Ryan JP. This peer reviewed/peer refereed journal offers original research, examples, and behavioral techniques for parents, teachers, mental health professionals, and counselors. Blau GM, Whewell MC, Gullotta TP, Bloom M. The prevention and treatment of child abuse in households of substance abusers: A research demonstration report. International Journal Of Child Health And Human Development. Examination of Table 3 shows there was a small effect for both FBT and TAU from baseline to 6-month post-randomization, indicating the children of participants increased their time in DFS custody during this time. Measuring alcohol consumption: Psychosocial and biological methods. Ondersma SJ, Halinka Malcoeb, L., Simpson SM. 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. In conclusion, this investigation suggests there is much work to be done in child neglect and drug abuse treatment outcome research. It has an SJR impact factor of 0,228 and it has a best quartile of Q3. It has an SJR impact factor of 0,228. These case trials have demonstrated noticeable improvements in various undesired behaviors, including child abuse potential . 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). (2007).Treating Somatization: A Cognitive-Behavioral Approach. Hurley K, Griffith A, Ingram S, Bolivar C, Mason W, Trout A. Management of HIV Infection in Patients With Substance Use Problems. Child & Family Behavior Therapy is an active peer-reviewed scholarly journal published quarterly by Taylor & Francis. Brown JA, Hohman M. The impact of methamphetamine use on parenting. A critical review of the psychometric evidence base of the Child Abuse Potential Inventory. US Department of Health and Human Services . Therefore, many of the FBT sessions were focused on assisting mothers in achieving employment or learning self-protection strategies, which took therapy session time away from other target problem areas, but improved sustainable employment and personal independence. However, as in most studies, there were limitations in the methodology of this study, including the lack of outcome measures specific to the direct assessment of behaviors, home conditions, attitudes, and underlying belief systems of participants. Approximately 50% of Child Protective Service (CPS) referrals abuse drugs; yet, existing treatment studies in this population have been limited to case examinations. The providers and independent raters lists were compared, and a reliability estimate was computed to estimate inter-rater reliability. Despite assurances from CPS caseworkers, and often inconsistent with the progress of mothers in therapy, children were often not returned into the homes of their mothers in a timely manner, and sometimes were not returned. 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. In: Dubowitz H, editor. Mothers in FBT, compared to TAU, also decreased HIV risk from baseline to 6-month post-randomization. Lutzker JR, Campbell RV, Watson-Perczel M. Using the case study method to treat several problems in a family indicated for child neglect. Its time you got more. Before Fantuzzo JW, Jurecic L, Stovall A, Hightower AD, Goins C, Schachtel D. Effects of adult and peer social initiations on the social behavior of withdrawn, maltreated, preschool children. Overall follow-up rates were 76.4% (N = 55) for 6-month post-randomization, and 80.5% (N = 58) for 10-month post-randomization assessment. DFS = Department of Family Services; HIV = human immunodeficiency virus; RAB = Risk Assessment Battery; Drug Exposed = mothers whose children were exposed to drugs in utero; Other Neglect = Mothers founded for neglect of children living in the home. Similar intent to treat repeated measures analyses were conducted for secondary dependent measures (RAB total scale, TLFB hours employed, days intoxicated from alcohol, days incarcerated, days child spent in DFS custody). SafeCare (SC; Lutzker & Edwards, 2009) has perhaps received greatest investigative attention in child neglect treatment. Percentage of mothers below CAPI Abuse scale clinical cut-off scores (< 215)at baseline, 6- and 10-month-post randomization across treatment condition and neglect type (N=72). Indeed, the results indicate an incremental improvement associated with FBT over TAU, suggesting FBT is generally preferred over TAU. LaPota HB, Donohue B, Warren CS, Allen DN. The publisher will deposit to PubMed Central (PMC) author manuscripts reporting NIH funded research on specific request by the author. Cognitive problem solving training to improve the child-care judgment of child neglectful parents. This study was supported with a grant awarded to Brad Donohue from the National Institute on Drug Abuse (1R01DA20548-01A1). This journal is included in the JournalGuide whitelist of reputable titles. Child & Family Behavior Therapy is the ideal supplement to today"s growing psychological literature on children, adults, and their families. 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. At 10-month post-randomization both FBT and TAU participants demonstrated a small effect. Preliminary analyses were performed to determine if FBT providers demonstrated satisfactory intervention integrity, and to determine if participants in FBT and TAU were statistically different (p < .05) on demographic and baseline measures. Parentchild interaction therapy with physically-abusive parents: Efficacy for reducing future abuse reports. Therefore, a family-based behavioral therapy was evaluated in mothers referred from CPS for child neglect and drug abuse utilizing a controlled experimental design. Study inclusion criteria were: (a) mother reported to DFS for child neglect; (b) mother living with the child victim responsible for neglect referral (or it was the intention of the Court to return the child to the mother's home upon treatment assignment); (c) identified to use illicit drugs during the 4 months prior to referral; (d) displaying symptoms consistent with illicit Drug Abuse or Dependence at the time of referral according to the results of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Health Disorders (SCID; First, Spitzer, Gibbon, & Williams, 1996), (e) at least one adult individual willing to participate in the mother's treatment; and (f) primary reason for referral not due to sexual abuse perpetration or domestic violence. These effects were diminished from baseline to 10-month post-randomization, particularly in FBT participants. A.S. = Associate of Arts degree; B.A. Some caseworkers closed their cases with CPS immediately after the referral to FBT or made non-contingent recommendations to separate children from the homes of their mothers. This change probably resulted in the inclusion of mothers with a higher proportion of troublesome or superficial relationships. Personal acknowledgment from primary author: With the passing of Nathan H. Azrin, I am honored to be included in his last of many outcome studies. 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. Means and standard deviations for the primary measures for FBT and TAU participants by referral status across time are presented in Table 2. Human Services ACF. An examination of the reasons for child removal in Clark County, Nevada. 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. Maltreatment of children born to cocaine-dependent mothers. Dawson B, de Armas A, McGrath ML, Kelly JA. Your IP: Reliability and validity estimates of treatment integrity were derived from completed protocol checklists (see Intervention Fidelity in the Results section). This journal focuses on the practical applications of behavior therapy, sharing the latest developments, extensive case studies, and step-by-step instructions for using these methods in your own practice. Amirav I, Luder A, Viner Y, Finkel M. Decriminalization of cannabis-Potential risks for children? This peer reviewed/peer refereed journal offers original research, examples, and behavioral techniques for parents, teachers, mental health professionals, and counselors. In treating marijuana use, it appears that TAU and FBT are equally justified, although FBT demonstrated larger, albeit non-significant, effect sizes. It should be mentioned that the average number of sessions attended by participants in the Family Behavior Therapy condition was 15, whereas they were scheduled to receive up to 20 sessions. The pioneering contributions of John Lutzker and his colleagues in developing a comprehensive Eco-behavioral treatment approach for child neglect is notable (Lutzker, Wesch, & Rice, 1984). There were no significant effects in time for baseline to 6- and 10-month post-randomization in hours of employment. For instance, in this study, team meetings between participants, caseworkers, FBT providers and others were attempted to assist treatment planning. FBT was also more efficacious than TAU in hard drug use in mothers of non-drug exposed children from baseline to both 6- and 10-month post-randomization. It was further hypothesized that FBT, as compared with TAU, would be particularly effective in mothers who had neglected their children for reasons other than exposure of the child victim to illicit drugs. Dr. C.L. The effect of intervention and neglect type on child maltreatment potential was analyzed utilizing repeated measures analyses of variance (ANOVAs). Indeed, mothers often preferred to discuss these problem areas privately, leading FBT providers to emphasize treatment components to address these target goals when children were removed from the home by CPS and/or significant others were absent. useof impact factors of science journals easier. Drug endangered children: Examining children removed from methamphetamine laboratoriesChildren and Youth Services Review. post-randomization) as the within subject factor. Administration on Children, Youth and Families, Children's Bureau. Integrated programs for mothers with substance abuse issues and their children: A systematic review of studies reporting on child outcomes. Donohue B, Romero V, Hill H. Treatment of co-occurring child maltreatment and substance-abuse. Get full access to view your D&B business credit file now for just $39/month! Innovations in adolescent substance abuse intervention. Bethesda, MD 20894, Web Policies Note. | FAQs 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. Niccols A, Milligan K, Smith A, Sword W, Thabane L, Henderson J. Romero V, Donohue B, Allen DN. J Consult Clin Psychol. Specific to the RAB total scale, there was a significant main effect for time from baseline to 6-month post randomization, F(1, 68) = 6.010, p = .008, partial 2 = .081 and baseline to 10-month post-randomization, F(1, 68) = 8.480, p = .003, partial 2 = .111, demonstrating that HIV risk behaviors were significantly reduced across time. FOIA Thus, FBT to some extent may have assisted in preventing future incarceration.
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