Although greater than half of parents involved in child family service agencies have evidenced drug abuse, no treatment outcome studies have explicitly been conducted in this population. Moreover, the lack of controlled treatment outcome research in child protective service settings, particularly within child neglect, is well documented. Of the very few outcome studies that have been conducted in child neglecting parents, almost exclusively mothers, the home-based behavioral therapies appear to be particularly promising.
The specific aims of this Stage IA/IB study are to: (1) develop the first family-based behavioral therapy treatment manual to explicitly address drug abuse within the context of child neglect, (2) develop accompanying protocol adherence measures, including video scenarios depicting effective implementation of the developed treatment procedures, (3) train program staff to effectively use the developed interventions, (4) examine the reliability, feasibility and clinical utility of the developed manual, as well as the developed method of protocol adherence in clinical case trials involving drug abusing mothers who have evidence child neglect, (5) conduct a controlled comparison of the developed behavior therapy and """"""""treatment as usual"""""""" (TAU) Family Services (random assignment of participants to experimental conditions), (6) utilize structured clinical interviews to formally diagnose mothers as drug abusing or drug dependent, as well as standardized methods to assess severity of child neglect, (7) maintain standardization and uniformity of treatments by incorporating treatment manuals, therapist protocol checklists, structured supervision of therapists, assessment of treatment protocol adherence via objective review by independent raters, standardized program introduction during all initial treatment sessions, and equal duration of treatments, (8) utilize objective assessment methods for both child maltreatment (e.g., safety assessment tours of participant homes), and presence of drug use (e.g., urine drug assay tests), as well as standardized measures in the assessment of illicit drug use frequency, child maltreatment, parenting behavior, conduct, and family functioning, (9) examine the initial efficacy of the developed behavioral therapy, as compared with TAU (pre/post assessment), as well as assess durability of study findings (pre/FU assessment).

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA020548-04
Application #
7641060
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Jones, Dionne
Project Start
2006-08-01
Project End
2012-06-30
Budget Start
2009-07-01
Budget End
2012-06-30
Support Year
4
Fiscal Year
2009
Total Cost
$327,440
Indirect Cost
Name
University of Nevada Las Vegas
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
098377336
City
Las Vegas
State
NV
Country
United States
Zip Code
89154
Donohue, Brad; Plant, Christopher P; Loughran, Travis A et al. (2017) Family Assisted Contingency Management within the Context of Evidence-Supported Treatment for Child Neglect and Drug Abuse. J Child Fam Stud 26:2224-2236
Donohue, Brad; Plant, Christopher P; Barchard, Kimberly A et al. (2017) Examination of the Extent to which Employment Factors are Associated with Reduced Child Maltreatment Potential and Drug Use. J Child Fam Stud 26:168-175
Donohue, Brad; Pitts, Michelle; Chow, Graig M et al. (2016) Development and initial psychometric examination of the Home Safety and Beautification Assessment in mothers referred to treatment by child welfare agents. Psychol Assess 28:523-38
Plant, Christopher P; Donohue, Brad; Holland, Jason M (2016) Examination of Life Satisfaction, Child Maltreatment Potential and Substance Use in Mothers Referred for Treatment by Child Protective Services for Child Neglect and Substance Abuse: Implications for Intervention Planning. Appl Res Qual Life 11:805-816
Donohue, Brad; Azrin, Nathan H; Bradshaw, Kelsey et al. (2014) A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse. J Consult Clin Psychol 82:706-20
Bradshaw, Kelsey M; Donohue, Brad; Wilks, Chelsey (2014) A Review of Quality Assurance Methods to Assist Professional Record Keeping: Implications for Providers of Interpersonal Violence Treatment. Aggress Violent Behav 19:242-250
Urgelles, Jessica; Donohue, Brad; Wilks, Chelsey et al. (2012) A standardized method of preventing and managing emergencies within the context of evidence-based therapy implementation. Behav Modif 36:558-79
Bradshaw, Kelsey Michael; Donohue, Brad; Cross, Chad et al. (2011) Examination of the Relationship Between Parental Satisfaction and Child Maltreatment Potential While Considering Social Desirability. J Fam Violence 26:545-549
Lapota, Holly B; Donohue, Brad; Warren, Cortney S et al. (2011) Incorporating a Healthy Living Curriculum within Family Behavior Therapy: A Clinical Case Example in a Woman with a History of Domestic Violence, Child Neglect, Drug Abuse, and Obesity. J Fam Violence 26:227-234
Romero, Valerie; Donohue, Brad C; Hill, Heather H et al. (2010) 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. Clin Case Stud 9:353-368

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