Concurrent Treatment of Substance Abuse and Child Maltreatment

药物滥用和虐待儿童的同时治疗

基本信息

批准号：
8877468
负责人：
RONALD J PRINZ
金额：
$ 61.63万
依托单位：
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-07-15 至 2016-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8877468
关键词：
8 year old Abstinence Address Age Behavioral Caregivers Child Child Abuse Child Abuse and Neglect Child Rearing Child Welfare Combined Modality Therapy Communities Data Data Sources Drug usage Educational Background Evidence based treatment Family Family health status Goals Growth HIV HIV risk Household Income Individual Intercept Intervention Lead Legal Medical Modeling Outcome Outcome Measure Outcome Study Outpatients Parent-Child Relations Parenting Education Parents Participant Pathway interactions Patient Self-Report Perceived quality of life Pharmaceutical Preparations Procedures Process Public Health Quality of life Randomized Randomized Controlled Trials Records Regimen Reporting Research Design Risk Risk Behaviors Risk Reduction Sampling Severities Social Functioning Substance abuse problem System Testing Toxicology Treatment Protocols Treatment outcome addiction alcohol abuse therapy base child protective service contingency management cost design follow-up high risk improved indexing maltreatment psychological distress recidivism socioeconomic disadvantage substance abuse treatment teacher treatment as usual treatment duration treatment effect treatment response

项目摘要

DESCRIPTION (provided by applicant): The co-occurrence of child maltreatment and parental substance abuse is a major public health problem with serious consequences for children, parents, families, and the community at large. The need for effective dual treatment of caregiver substance abuse and child maltreatment is unquestionable, but there is a dearth of controlled treatment outcome studies with substance-abusing parents who have engaged in child maltreatment. This project examines two evidence-based treatments-Contingency Management for substance abuse and Pathways Triple P parenting intervention to improve parenting and address child maltreatment. The main study is a longitudinal, factorial, randomized controlled trial to gauge impact on outcome variables that include parental substance abuse, parenting-related functioning (parenting practices, child-maltreatment recidivism, observed parent-child interaction), child adjustment, parent's HIV behavioral risk, and parental quality of life. The sample includes parents in the child welfare system that is struggling with substance-abuse difficulties and has at least one child 2-8 years of age. The study design and implementation features are rigorous and build on adequate statistical power, careful randomization procedures preserving an intent-to-treat model, multiple sources of data (i.e., toxicology samples, self-report, observation, CPS data, treatment records, and teacher report), procedures for promoting and verifying treatment fidelity, an analytic framework centering on random-intercept linear growth models and inclusion of 12 and 18 month follow-up assessments. A second study draws on part of the first study and focuses on potential correlates or predictors of individual variabilty in outcome with the dual treatment, such as parent age and education, level of socioeconomic disadvantage, psychological distress, family difficulties, and legal difficulties. The results of tis project will inform the field about how well the combination of state-of-the-art treatments for substance abuse and child maltreatment impacts families in the child welfare system and move closer to reducing the misery and societal costs associated with these serious public health problems.

描述（由申请人提供）：虐待儿童和父母滥用药物的同时发生是一个重大的公共卫生问题，对儿童、父母、家庭和整个社区造成严重后果。毫无疑问，需要对看护者药物滥用和虐待儿童进行有效的双重治疗，但缺乏针对曾参与虐待儿童的药物滥用父母的对照治疗结果研究。该项目研究了两种基于证据的治疗方法——药物滥用应急管理和三P途径育儿干预，以改善育儿和解决儿童虐待问题。主要研究是一项纵向、析因、随机对照试验，旨在评估对结果变量的影响，包括父母药物滥用、养育相关功能（养育方式、儿童虐待累犯、观察到的亲子互动）、儿童适应、父母的艾滋病毒行为风险和父母的生活质量。该样本包括儿童福利系统中的父母，他们正在与药物滥用困难作斗争，并且至少有一名 2-8 岁的孩子。研究设计和实施特点是严格的，建立在足够的统计能力、谨慎的随机化程序（保留意向治疗模型）、多种数据源（即毒理学样本、自我报告、观察、CPS 数据、治疗记录和教师报告）、促进和验证治疗保真度的程序、以随机截取线性增长模型为中心的分析框架以及纳入 12 个月和 18 个月的随访评估。第二项研究借鉴了第一项研究的部分内容，重点关注双重治疗结果中个体差异的潜在相关因素或预测因素，例如父母年龄和教育程度、社会经济劣势水平、心理困扰、家庭困难和法律困难。该项目的结果将让业界了解最先进的药物滥用和虐待儿童治疗方法相结合对儿童福利系统中的家庭有何影响，并进一步减少与这些严重问题相关的痛苦和社会成本公共卫生问题。