Adolescent Involvement in Parental Substance Abuse Treatment
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 8 - Any |
| Updated: | 4/21/2016 |
| Start Date: | August 2009 |
| End Date: | April 2015 |
Adolescent Involvement in Parental Substance Abuse Treatment: Evaluation of EBFT
Given the reciprocal nature of parent-child interaction, involvement of the adolescent in
their mother's substance abuse treatment plan might be associated with reductions in adult
relapse and improvements in child functioning. These findings would support the assertion
that focus on family dynamics in substance abuse treatment programs is an effective use of
resources and an important target of intervention efforts. One hundred eighty-three
substance abusing mothers and their child (n=61 assigned to each condition) will receive
treatment as usual (TAU) and be randomly assigned to 1) Ecologically-based family therapy
(EBFT) conducted in the home or 2) Ecologically-based family therapy conducted at the
treatment center, or 3) an attention control, Women's Health Education (WHE). In order to
examine the endurance of treatment effects, this project will assess the parent and child at
3, 6, 12, and 18 months post-baseline.
Hypotheses
1. It is expected that 1) mothers and children assigned to home and office based family
therapy will show greater reductions in substance use and improvement in individual and
family functioning at post-treatment compared to those in the attention control, and 2)
those assigned to home-based family therapy will show greater reductions in substance
use and improved individual and family functioning at post-treatment compared to those
assigned to office-based family therapy.
2. It is expected that 1) those assigned to home or office based family therapy will
continue to maintain improvements in substance use, individual and family domains over
time (time by treatment interaction) compared to those assigned to the attention
control and 2) those assigned to home-based family therapy will continue to maintain
improvements in substance use, individual and family domains over time (time by
treatment interaction) compared to those assigned to office-based family therapy.
3. It is hypothesized that improved family interaction skills will mediate substance use,
individual and family outcomes.
4. It is expected that EBFT in the home and EBFT in the office will be more cost effective
than TAU, and that EBFT in the home will be more cost effective than EBFT in the office
their mother's substance abuse treatment plan might be associated with reductions in adult
relapse and improvements in child functioning. These findings would support the assertion
that focus on family dynamics in substance abuse treatment programs is an effective use of
resources and an important target of intervention efforts. One hundred eighty-three
substance abusing mothers and their child (n=61 assigned to each condition) will receive
treatment as usual (TAU) and be randomly assigned to 1) Ecologically-based family therapy
(EBFT) conducted in the home or 2) Ecologically-based family therapy conducted at the
treatment center, or 3) an attention control, Women's Health Education (WHE). In order to
examine the endurance of treatment effects, this project will assess the parent and child at
3, 6, 12, and 18 months post-baseline.
Hypotheses
1. It is expected that 1) mothers and children assigned to home and office based family
therapy will show greater reductions in substance use and improvement in individual and
family functioning at post-treatment compared to those in the attention control, and 2)
those assigned to home-based family therapy will show greater reductions in substance
use and improved individual and family functioning at post-treatment compared to those
assigned to office-based family therapy.
2. It is expected that 1) those assigned to home or office based family therapy will
continue to maintain improvements in substance use, individual and family domains over
time (time by treatment interaction) compared to those assigned to the attention
control and 2) those assigned to home-based family therapy will continue to maintain
improvements in substance use, individual and family domains over time (time by
treatment interaction) compared to those assigned to office-based family therapy.
3. It is hypothesized that improved family interaction skills will mediate substance use,
individual and family outcomes.
4. It is expected that EBFT in the home and EBFT in the office will be more cost effective
than TAU, and that EBFT in the home will be more cost effective than EBFT in the office
Many researchers have studied the effects of parental alcohol and drug use on child
outcomes. These studies conclude that parental substance use has the potential to negatively
impact children's psychosocial development by depriving them of adequate care and
supervision, impeding their socioemotional and cognitive development and/or influencing them
to become substance users as well. Considering a bidirectional, systemic model for
understanding the development, maintenance and recovery of substance use problems, it
follows that the child impacts parents' behaviors as well. Family therapy has consistently
shown that involvement of family members in the treatment of substance users is associated
with higher levels of engagement and retention in treatment. Many studies report pre to post
treatment reductions in substance use and related problems among those receiving couples and
family therapy. While randomized clinical trials of family therapy have involved adult
identified patients (IPs) in couples therapy and adolescent IPs in family therapy, this
study will evaluate a family systems intervention involving an 8-16 year old child in the
treatment plan of the adult treatment seeker. In the current study, alcohol and drug
treatment seeking adult mothers of a child (8-16) living in the home will be engaged. All
clients will be randomized to (1) ecologically-based family therapy (EBFT) in the home +
treatment as usual (TAU), (2) EBFT at the office + TAU, or (3) TAU + attention control. The
relative efficacy of this approach will be evaluated at 3, 6, 12, and 18 months
post-baseline. Proposed change mechanisms (mediators) for family therapy will be evaluated.
Differential treatment response as a function of gender, family history of alcohol or drug
use, and primary alcohol v. drug abuse (moderators) will be investigated to better
understand the intervention. The study will also examine how, if at all, treatment
engagement and retention impact parent and adolescent response to treatment. Information
gained through this project will help evaluate the utility of including adolescent family
members in the treatment plan of their adult parents. Finally, the study will include an
economic evaluation component to estimate the economic cost of each intervention and
determine which condition is most cost effective. Intervention that includes a focus on
parent-child interaction has the potential to enhance substance use reductions, reduce
parent relapse, and improve family and emotional health among adults. Involvement of the
child offers the opportunity to increase the potential protection of a positive parent-child
relationship which is shown to be associated with positive developmental outcomes.
outcomes. These studies conclude that parental substance use has the potential to negatively
impact children's psychosocial development by depriving them of adequate care and
supervision, impeding their socioemotional and cognitive development and/or influencing them
to become substance users as well. Considering a bidirectional, systemic model for
understanding the development, maintenance and recovery of substance use problems, it
follows that the child impacts parents' behaviors as well. Family therapy has consistently
shown that involvement of family members in the treatment of substance users is associated
with higher levels of engagement and retention in treatment. Many studies report pre to post
treatment reductions in substance use and related problems among those receiving couples and
family therapy. While randomized clinical trials of family therapy have involved adult
identified patients (IPs) in couples therapy and adolescent IPs in family therapy, this
study will evaluate a family systems intervention involving an 8-16 year old child in the
treatment plan of the adult treatment seeker. In the current study, alcohol and drug
treatment seeking adult mothers of a child (8-16) living in the home will be engaged. All
clients will be randomized to (1) ecologically-based family therapy (EBFT) in the home +
treatment as usual (TAU), (2) EBFT at the office + TAU, or (3) TAU + attention control. The
relative efficacy of this approach will be evaluated at 3, 6, 12, and 18 months
post-baseline. Proposed change mechanisms (mediators) for family therapy will be evaluated.
Differential treatment response as a function of gender, family history of alcohol or drug
use, and primary alcohol v. drug abuse (moderators) will be investigated to better
understand the intervention. The study will also examine how, if at all, treatment
engagement and retention impact parent and adolescent response to treatment. Information
gained through this project will help evaluate the utility of including adolescent family
members in the treatment plan of their adult parents. Finally, the study will include an
economic evaluation component to estimate the economic cost of each intervention and
determine which condition is most cost effective. Intervention that includes a focus on
parent-child interaction has the potential to enhance substance use reductions, reduce
parent relapse, and improve family and emotional health among adults. Involvement of the
child offers the opportunity to increase the potential protection of a positive parent-child
relationship which is shown to be associated with positive developmental outcomes.
Inclusion Criteria:
1. Adult mothers seeking outpatient treatment for alcohol or drug abuse or dependence as
measured using the computerized diagnostic interview schedule (CDIS; Shaffer, 1992),
and who report substance use within the past 90 days
2. A child, between the ages of 8 to 16, lives with the mother at least 50% time over
the prior 2 years or continuously for the 6 months prior to the assessment interview.
3. If more than one 8-16 year old lives in the home, the one with the greater problem
severity will be included in the study. Substance use will be probed ("Have you ever
used alcohol or drugs?"). If one youth answers yes, and the other answers no, the one
who answers yes will be included. If both child answer "yes", then the Form 90
substance use section [history and current pattern] will be administered to each. The
child who reports the more severe pattern and history of use [age of onset, type of
drug used, frequency of current use] will be included. If neither youth reports using
alcohol or drugs, then the Youth Self-Report (Achenbach & Edelbrock, 1982) will be
administered and the youth with the greater total problem score will be included.
4. Family lives within 60 miles of the treatment facility.
5. Child and adult agree to participate in the assessment and treatment intervention.
Exclusion Criteria:
1. Evidence of unremitted psychosis or other condition which would impair their ability to
understand and participate in the intervention or consent for research participation (as
determined by CDISC).
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