Objective: Approximately 50% of child protective service (CPS) referrals abuse drugs; yet, existing treatment studies in this population have been limited to case examinations. Therefore, a family-based behavioral therapy was evaluated in mothers referred from CPS for child neglect and drug abuse utilizing a controlled experimental design.
Method: Seventy-two mothers evidencing drug abuse or dependence and child neglect were randomly assigned to family behavior therapy (FBT) or treatment as usual (TAU).
Families served within child welfare settings evidence a wide range of emergencies or unexpected crises or circumstances that may lead to danger and make it difficult for them to focus on treatment planning. Mental health treatment providers are often unprepared to effectively manage emergencies during implementation of evidence-based prescribed therapy sessions. In this study, the authors empirically developed a standardized intervention to assist mental health providers in emergency prevention and management (EPM) with their clients.
View Article and Find Full Text PDFHigh rates of co-occurrence between substance abuse and child neglect have been well documented and especially difficult to treat. As a first step in developing a comprehensive evidence-based treatment for use in this population, the present case examination underscores Family Behavior Therapy (FBT) in the treatment of a mother who evidenced Substance Dependence, child neglect, Post-Traumatic Stress Disorder, Bipolar I Disorder, and domestic violence. Utilizing psychometrically validated self-report inventories and objective urinalysis, treatment was found to result in the cessation of substance use, lower risk of child maltreatment, improved parenting attitudes and practices, and reduced instances of violence in the home.
View Article and Find Full Text PDFLittle is known about the reliability and validity of self-and collateral reports of adolescent drug use frequency within adolescent treatment samples. Therefore, in the present study drug counselors systematically obtained contemporaneous reports of adolescent marijuana use frequency from 31 conduct-disordered and drug abusing youth, and separately, their parents, during each outpatient treatment session for 6 months. A urine drug screen was also scheduled to occur during each treatment session.
View Article and Find Full Text PDFStudies of self-induced vomiting of retarded persons have found that the rate of eating and the amount eaten alter this problem. The present study attempted to determine whether this same relation was exhibited by the nonretarded bulimic. A nonretarded bulimic woman provided her subjective ratings of her desire to vomit after eating her taboo foods at a fast versus slowed versus normal rate using a within participant experimental design.
View Article and Find Full Text PDFAge-appropriate reinforcers have been found to be effective in promoting attentiveness and calmness with children with attention deficit hyperactivity disorder (ADHD). The present study with a 4-year-old ADHD boy found attentive calmness was substantially increased from a mean of about 3 seconds per trial to the maximum scheduled duration of 60 seconds by using a scheduled period of physical activity as the reinforcer for the attentive-calmness. These results suggest the possible use of this type of reinforcer as an addition or substitution for the usual reinforcers in contingency management with ADHD children.
View Article and Find Full Text PDFOne hundred eighty-eight drug-abusing and conduct-disordered adolescents and their parents provided retrospective reports of the youths' frequency of alcohol and illicit drug use for each of the 6 months preceding their initial session in an outpatient treatment program. Youths' and parent reports of youths' drug and alcohol use for each month were similar. For marijuana and alcohol, frequency reports were related for each month, whereas hard drug reports were related only for the 4 months preceding intake.
View Article and Find Full Text PDFThe importance of assessing the parent-adolescent relationship has been stressed in the literature. However, an integration of studies that have been conducted to assess satisfaction in the parent-adolescent relationship is warranted, including evaluation of measures to assess their satisfaction with one another. Therefore, the purpose of this paper is to provide a critical examination of the clinical utility and psychometric properties of such measures.
View Article and Find Full Text PDFThe importance of assessing the parent-adolescent relationship has been stressed in the literature. However, an integration of studies that have been conducted to assess satisfaction in the parent-adolescent relationship is warranted, including evaluation of measures to assess their satisfaction with one another. Therefore, the purpose of this paper is to provide a critical examination of the clinical utility and psychometric properties of such measures.
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