Therefore, to enhance generalizability and assist in recruitment of participants, we relaxed this criterion at the onset of the study to specify that adult significant others were not required as residents in the mothers homes. 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. Galloway GP, Marinelli-Casey P, Stalcup J, Lord RH, Christian D, Cohen J, Reiber C, Vandersloot D. Treatment as usual in the Methamphetamine Treatment Project. Although these methods were not formally examined in the current study, our investigative team is attempting to empirically examine the effects of meal and cell phone provision contingent on therapy attendance in this population. Means and standard deviations for the primary measures for FBT and TAU participants by referral status across time are presented in Table 2. There were no significant effects in time for baseline to 6- and 10-month post-randomization in hours of employment. These results are consistent with the effect sizes indicated in Table 3. Wanda Boyer [email protected] View all authors and affiliations. 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. TAU services were consistent with referrals made by Child Protective Service agencies, including child placement (e.g., shelters), crisis intervention services, family services (e.g., family therapy, housing, legal services), caregiver services (e.g., individual counseling, marital counseling, inpatient and outpatient substance abuse counseling), child services (e.g., individual and group therapy), and other miscellaneous services (Kolko, Selelyo, & Brown, 1999). Click to reveal Remedying child neglect: Effectiveness of social network intervention. Cognitive problem solving training to improve the child-care judgment of child neglectful parents. Moreover, many of the separated children experienced instability in their living arrangements and emotional problems. Copyright 2023 Cactus Communications. Journal: Child and Adolescent Psychiatry. Administration on Children, Youth and Families, Children's Bureau. Carey KB. Caseworkers in child welfare protection systems have historically considered child neglect when the needs of children are insufficiently addressed, such as poor supervision, inadequate medical intervention, unsafe living environment, or lack of emotional, physical and educational care. 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. 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. Means and Standard Deviations of Primary Outcome Measures at Baseline, 6- and 10-Mo. . Thirty eight percent of children with parents who were found to abuse cocaine experienced some form of child maltreatment in their first year of life (Wasserman & Levanthal, 1993). We are with you every step of the way as you achieve your dreams - publication, everything that precedes it, and everything that comes after. = Bachelor of Arts degree; B.S. 72 mothers evidencing drug abuse or dependence and child neglect were randomly assigned to Family Behavior Therapy (FBT) or Treatment as Usual (TAU). In this approach, home visitors teach home safety, child health, and positive parent-child/infant interaction. This peer reviewed/peer refereed journal offers original research, examples, and behavioral techniques for parents, teachers, mental health professionals, and counselors. Family interventions with child physical abuse and neglect: A critical review. You can email the site owner to let them know you were blocked. In: Litten RZ, Allen J, editors. Indeed, HIV/STD risk behaviors were explicitly addressed in treatment planning, behavioral goals, contingency management, stimulus control, and self-control, which are hallmark behavioral interventions. Risk Assessment Battery (RAB). 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. (2007).Treating Somatization: A Cognitive-Behavioral Approach. SafeCare (SC; Lutzker & Edwards, 2009) has perhaps received greatest investigative attention in child neglect treatment. This peer reviewed/peer refereed journal offers original research, examples, and behavioral techniques for parents, teachers, mental health professionals, and counselors. You are much more than your last research project. Presented at the 6th Annual Meeting of the National Cooperative Vaccine Development Group for AIDS; Alexandria, Virginia. 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). 0.52 It is decreased by a factor of around 0.52, and the percentage change is -50% compared to the preceding year 2021, indicating a falling trend.The impact score (IS), also denoted as the Journal impact score (JIS), of an academic . and transmitted securely. Wells K. Substance abuse and child maltreatment. In this current study, FBT was adapted to accommodate the unique needs of families referred to treatment for substance abuse by child protective services. Validation of a new disorder in children and adolescents and their response to trauma-focused cognitive behavioral therapy. The CAPI is widely considered the most validated instrument to assess child maltreatment potential (see most recent review by Walker & Davies, 2010). Post-Randomization (N = 72). Researcher.Life is built on Editage's in-depth understanding of what researchers need during publication and beyond, accumulated over 20 years. These differences, however, were not significantly discrepant. Frequency of days using marijuana and hard drugs (illicit drugs other than marijuana) during the four months prior to assessment was examined using the Timeline Follow-back (TLFB; Sobell & Sobell, 1992) and urinalysis testing. Many of the available significant others transitioned in and out of the mother's residence. Sheidow AJ, Donohue B, Hill HH, Henggeler SW, Ford JD. Mothers demonstrated medium (TAU) to large (FBT) effects in significantly decreasing marijuana use. As can be seen in Figure 1, these results corroborate that FBT was particularly meaningful in mothers of non-drug exposed children. Regular features include extensive book reviews, case studies, and technique innovations. However, continued intervention development in this population is very much needed. As in our previous controlled trials, the TLFB was administered to both study participants and their primary adult significant others separately. Research Square is dedicated to improving the way new research and discoveries are shared. It is published in English. In trying to understand these findings it is important to indicate that the mothers who were found to neglect their children for reasons other than illicit drug exposure in this study were older than mothers who were found to expose their children to illicit drugs, and given their older age may have been particularly motivated to participate in behavioral treatment (Choi & Ryan, 2011). Child and Family Behavior Therapy is covered by a wide range of abstracting/indexing services including Scopus, Journal Citation Reports ( Clarivate ) and Research.com. No other significant interaction effects for hours employed were found. Erickson MF, Egeland B. Adherence to individual interventions ranged from 81% (Self-Control) to 99% (Child Management). official website and that any information you provide is encrypted 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. Assessors were not informed of the participants intervention assignment by study staff. 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. Specific to secondary measures, no differences between TAU and FBT were found for the number of days of alcohol intoxication, and days children were in DFS custody. Note. J.P.J.S. SCA Company Profile | ROUBAIX, HAUTS DE FRANCE, France Ethics; Peer Review; Open Access; Advertising; . HIV/AIDS Prevention Research Division, Department of Psychiatry Penn Behavioral Health, Psychometrics. 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). Hard drug use is especially influential in the development of child neglect due to its contribution to unsafe environmental conditions (Wang & Harding, 1999). Family Behavior Therapy for use in child welfare: Results of a case study involving an abused woman formally diagnosed with Alcohol Dependence, Bipolar Disorder, and several anxiety disorders. Qualifying participants were scheduled to obtain informed consent and complete the pre-treatment baseline assessment (drug abuse or dependence substantiated during baseline assessment). TAU reflected a variety of services that vary according to provider qualifications, duration, intensity, and type of services offered, thus reflecting best available options during the designated 6-month treatment dose (Galloway et al., 2000). Child & Family Behavior Therapy | Taylor & Francis Online These intervention components have collectively led to improvements in drug and alcohol abstinence, family functioning/satisfaction, days attending school and work, mood, and conduct in controlled trials with adults and adolescents (Azrin, Acierno et al., 1996; Azrin, Donohue et al., 2001; Azrin, Donohue et al., 1994; Azrin, McMahon et al., 1994; Donohue, Azrin et al., 1998). | Privacy policy of scholarly journals that accounts for both the number of citations Choi S, Ryan JP. Print Rates: $900 for the first page of color; $450 per page for the next three pages of color. 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. In the majority of these studies, however, parental involvement is synonymous with maternal involvement leaving the role of fathers unknown . Figure 1 depicts how participants entered and were retained or exited from the study. 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). | Call for Reviewers Mothers in FBT, compared to TAU, also decreased HIV risk from baseline to 6-month post-randomization. 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. 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). Silovsky JF, Bard D, Chaffin M, Hecht D, Burris L, Owora A, Beasley L, Doughty D, Lutzker J. Dawson B, de Armas A, McGrath ML, Kelly JA. A review of project 12-Ways: an ecobehavioral approach to the treatment and prevention of child abuse and neglect. A Standardized Method of Preventing & Managing Emergencies in Child Welfare within the Context of Evidenced-Based Therapy. Lutzker JR, Wesch D, Rice JM. Ells M, Sturgis B, Wright G. Behind the drug: The child victims of meth labs. American Journal of Diseases of Children. in other publications. Demographic Characteristics of the Mothers with Numbers Shown as Frequency (%), Note. Parents and Teachers as Raters of Children's Problem Behaviors, Assessing the Parents of Juvenile Offenders: A Preliminary Validation Study of the Juvenile Offender Parent Questionnaire, A Review of: "Woolfolk, R. L., & Allen, L. A. The first and last author would like to report that they have received financial compensation to conduct research involving FBT funded by the National Institutes of Health (including the current study), book royalties specific to FBT, and have conducted both pro bono and financially compensated training in FBT. Lutzker JR, Edwards A. SafeCare: Towards wide-scale implementation of a child maltreatment prevention program. Family behavior therapy. The examined FBT in this study incorporated empirically-supported methods of engagement and retention, including orientation and detailed session reminder telephone calls, consumer selection of intervention components, and integrated significant other support (Donohue, Azrin et al., 1998) that probably assisted in maintaining a relatively high number of sessions. The study was approved by the appropriate institutional review board, and a federal certificate of confidentiality was obtained prior to initiating the trial. Romero V, Donohue B, Hill HH, Powell S, Van Hasselt V, Azrin NH, Allen DN. Individual cognitive behavioral treatment and family therapy for physically abused children and their offending parents: A comparison of clinical outcomes. This result was not found pre- to 10-month post-randomization (p >.05). Two treatment providers were scheduled to implement FBT components during each home-based session. An approach to examining the proximal and intermediate outcomes of an intensive family preservation program. Treatment of Substance Dependence, child neglect, and domestic violence: A single case examination utilizing Family Behavior Therapy. 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. This study was supported with a grant awarded to Brad Donohue from the National Institute on Drug Abuse (1R01DA20548-01A1). US Department of Health and Human Services . CFF-CBT comprises four innovative aspects in the treatment of PBD. It has an SJR impact factor of 0,228. 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. Timeline followback: A technique for assessing self-reported alcohol consumption. The 24-item Total Risk Scale of the Risk Assessment Battery (RAB; Metzger et al., 1990) was examined to assess risk of HIV transmission. Lastly, time spent in crisis management competed with the implementation of prescribed treatments aimed at addressing underlying issues perpetuating child neglect and drug abuse. Dr. C.L. Performance & security by Cloudflare. The aim of the journal is to facilitate the work of psychologists, psychiatrists, teachers, social workers, school . 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. National Library of Medicine . Child & Family Behavior Therapy 2003-2011 - Archive.org 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). Kolko DJ, Selelyo J, Brown EJ. Although intent to treat analysis in the current study assisted in minimizing the influence of attrition, it also decreased power, thus limiting the number and type of analyses that could be reliably performed. Real-time trigger alerts. Along these lines, the psychometric development of innovative outcome measures are desperately needed in child neglect and drug abuse, including the development of measures to assess quality in the relationship between perpetrators of child neglect and their significant others, role-play performance that is specific to preventing dangerous and inappropriate scenarios, and measures of service utilization in TAU conditions. Reliability and validity for the latter method was demonstrated in an effectiveness trial of Multisystemic Therapy involving community providers (Sheidow et al., 2008), and this method of adherence assessment and training has been successfully utilized in previous controlled trials involving FBT (Azrin, Acierno et al., 1996; Azrin, Donohue et al., 1994; Azrin, Donohue et al., 2001; Azrin, McMahon et al., 1996), including a demonstration of its acceptable reliability (Azrin, Donohue et al., 2001). Kolko DJ. Innovations in adolescent substance abuse intervention. It is the first controlled outcome study to incorporate psychometrically validated clinical interviews, self-report measures, and biological testing to assist in formally examining and diagnosing substance use disorders in child maltreatment, and adheres to rigorous experimental methods (e.g., blind assessment technicians, intent to treat management of missing data, treatment integrity checks). Vinson DC, Reidinger C, Wilcosky T. Factors Affecting the Validity of a Timeline Follow-Back Interview. Participants were 72 mothers referred for treatment of substance abuse and child neglect by the County's Department of Family Services (DFS). Concurrent treatment of substance abuse, child neglect, Bipolar Disorder, Post-Traumatic Stress Disorder, and domestic violence: A case Examination involving Family Behavior Therapy. Researchers may also consider the practical aspect of a journal such as publication fees, acceptance rate, review speed. See other industries within the Health Care and Social Assistance sector: Child Care Services , Community Food and Housing, and Emergency and Other Relief Services , Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly , General Medical and Surgical Hospitals , Home Health Care Services , Individual and Family Services , Nursing Care Facilities (Skilled Nursing . Multisystemic Therapy (MST; Henggeler, 1982) is similar to SC in its utilization of multi-component family-based interventions. Waldron HB, Slesnick N, Turner CW, Turner Brody JL, Peterson TR. 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. Maltreatment of children born to cocaine-dependent mothers. In understanding these effects it is important to consider that examination of means in Table 4 shows TAU participants increased their incarceration. Prevention of child maltreatment in high-risk rural families: A randomized clinical trial with child welfare outcomes. Donohue B, Azrin NH, Lawson H, Friedlander J, Teichner G, Rindsberg J. Thus, FBT participants worked significantly more hours compared with TAU participants across time. Child and Family Behavior Therapy - SCI Journal Post-hoc analyses indicated that FBT mothers of non-drug exposed children reduced their child maltreatment potential more than FBT mothers of drug-exposed children, and TAU mothers (p < .05). Managing home adjustment issues is certainly appropriate within FBT, which incorporates specific intervention techniques to address common crisis situations and family emergencies as they arise (Urgelles, Donohue, Wilks, Van Hasselt, & Azrin, 2012). 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. In the interpretation of Hedges g absolute magnitude from zero demonstrates larger effect sizes: small = .2, medium = .5, and large = .8 (Cohen, 1988). Child and Family Behavior Therapy is a journal indexed in SJR in Social Sciences (miscellaneous) and Clinical Psychology with an H index of 34. In this intervention model, substance use is conceptualized as a primary reinforcer influenced by modeling, encouragement and physiological prompts, insufficient reinforcement for non-drug activities, and remoteness and uncertainty of the negative consequences of substance use. 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. There was no standard referral system, as caseworkers referred to various services according to their assessment of family needs and motivation, problem severity, availability of services, and relationship of caseworker with referral agencies. Garbarino J, Collins CC. Any impact factor or scientometric indicator alone will not give you the full picture of a science journal. Donohue B, Romero V, Herdzik K, Lapota H, Abdel Al, R., Allen DA, Azrin NH, Van Hasselt VB. There were no differences in outcome between FBT and TAU for number of days children were in CPS custody and alcohol intoxication, although FBT mothers demonstrated marginal decreases (p = .058) in incarceration from baseline to 6-month post-randomization relative to TAU mothers. 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. Fantuzzo JW, Stovall A, Schachtel D, Goins C, Hall R. The effects of peer social initiations on the social behavior of withdrawn maltreated preschool children. Do you know this journal by another common name or abbreviation? Careers, Unable to load your collection due to an error. Delinquency and Adolescent Psychopathology: A Family-Ecological Systems Approach. It has an SJR impact factor of 0,228. These intervention components included (1) teaching family members to identify home hazards and generate their own strategies to making their homes safer and more stimulating for children during tours of the home; (2) improving financial management skills of mothers by reviewing sources of income and expenses, and brainstorming methods of increasing income and decreasing expenses utilizing financial management worksheets to reduce stress that often triggers substance use and neglectful behavior through distraction, irritability and avoidance of educational and caretaking responsibilities; (3) teaching mothers to differentially reinforce their children for desired behaviors while ignoring undesired behaviors (Forehand & McMahon, 1981), and to discipline undesired behaviors of children by first explaining how environmental circumstances may have led to the undesired behavior and then instructing them to practice desired behaviors several times (Azrin & Besalel-Azrin, 1980); (4) teaching mothers to react to emergent conditions that affect their families (e.g., lack of food) with the aforementioned self-control method (emergency management; Urgelles, Donohue, Wilks, Van Hasselt, & Azrin, 2012); and (5) HIV and STD prevention utilizing the aforementioned stimulus control procedures to teach mothers to recognize and effectively manage antecedents to sexually transmitted diseases (e.g., unprotected sex, intravenous drug use, promiscuity, prostitution), self-control and communication skills training to encourage assertion in requesting safe sexual activity or refusal of substance use that involve needles.
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