Concurrent Treatment of Substance Abuse and Child Maltreatment

Not Applicable

Completed

• Conditions: Substance Use; Child Maltreatment
• Interventions: Behavioral: Reinforcement for drug & alcohol abstinence; Behavioral: Treatment as usual (TAU); Behavioral: Parenting intervention

• Registration Number: NCT02774525
• Lead Sponsor: University of South Carolina

Brief Summary

The co-occurrence of child maltreatment and parental substance-use problems 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-using parents who have engaged in child maltreatment. This project examines two evidence-based treatments-Contingency Management for substance-use problems and Pathways Triple P parenting intervention to improve parenting for prevention of child-maltreatment recurrence. These two systematic interventions are being tested in the context of traditional outpatient treatment for substance-use problems.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-04
• Study First Submitted: 2016-05-10
• Study First Submitted QC: 2016-05-12
• Study First Posted: 2016-05-17
• Primary Completion: 2019-12-31
• Study Completion: 2020-01-31
• Status Verified: 2021-05
• Last Update Submitted: 2021-05-11
• Last Update Posted: 2021-05-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• open child protective services case for child maltreatment
• beginning intensive outpatient treatment for drug or alcohol use problem
• at least one child 2-8 years of age

Exclusion Criteria

• not primary custodial parent for child 2-8 years of age
• serious mental illness
• residing outside the two participating counties

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Contingency Management	Treatment as usual (TAU)	Contingency management for drug and alcohol abstinence plus TAU
Treatment as Usual (TAU)	Treatment as usual (TAU)	Outpatient substance-abuse treatment plus drug and alcohol screening plus brief support for personal goal setting
Parenting Intervention + Contingency Management	Parenting intervention	Parenting intervention plus contingency management for drug and alcohol abstinence plus TAU
Contingency Management	Reinforcement for drug & alcohol abstinence	Contingency management for drug and alcohol abstinence plus TAU
Parenting Intervention	Parenting intervention	Parenting intervention plus TAU
Parenting Intervention	Treatment as usual (TAU)	Parenting intervention plus TAU
Parenting Intervention + Contingency Management	Reinforcement for drug & alcohol abstinence	Parenting intervention plus contingency management for drug and alcohol abstinence plus TAU
Parenting Intervention + Contingency Management	Treatment as usual (TAU)	Parenting intervention plus contingency management for drug and alcohol abstinence plus TAU

Primary Outcome Measures

Name	Time	Method
recurrence of child maltreatment--child protective services records	18 months after baseline
longest duration of negative urine and breath samples	13 weeks

Secondary Outcome Measures

Name	Time	Method
self-reported substance use--Addiction Severity Index-Lite	4 months after baseline; 12 months after baseline; 18 months after baseline	Drug and Alcohol Composite (severity)
parent report of child behavior problems--child behavior inventory	4 months after baseline; 12 months after baseline; 18 months after baseline	Intensity score for child behavior problems
self-reported parenting--Parenting Scale; Parenting Practices Interview	4 months after baseline; 12 months after baseline; 18 months after baseline	Parenting Scale: Overreactivity; Laxness Parenting Practices Interview: Appropriate Discipline; Harsh and Inconsistent Discipline

Trial Locations

Locations (1)

University of South Carolina Parenting & Family Res Center; 🇺🇸 Columbia, South Carolina, United States