Concurrent Treatment of Substance Abuse and Child Maltreatment

University of South Carolina

Status: Completed

Conditions: Substance Use; Child Maltreatment

Treatments: Behavioral: Treatment as usual (TAU); Behavioral: Reinforcement for drug & alcohol abstinence; Behavioral: Parenting intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT02774525

Pro00015175

Details and patient eligibility

About

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.

Enrollment: 200 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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200 participants in 4 patient groups

Treatment as Usual (TAU)

Active Comparator group

Description:

Outpatient substance-abuse treatment plus drug and alcohol screening plus brief support for personal goal setting

Treatment:

Behavioral: Treatment as usual (TAU)

Contingency Management

Experimental group

Description:

Contingency management for drug and alcohol abstinence plus TAU

Treatment:

Behavioral: Reinforcement for drug & alcohol abstinence

Behavioral: Treatment as usual (TAU)

Parenting Intervention

Experimental group

Description:

Parenting intervention plus TAU

Treatment:

Behavioral: Parenting intervention

Behavioral: Treatment as usual (TAU)

Parenting Intervention + Contingency Management

Experimental group

Description:

Parenting intervention plus contingency management for drug and alcohol abstinence plus TAU

Treatment:

Behavioral: Parenting intervention

Behavioral: Reinforcement for drug & alcohol abstinence

Behavioral: Treatment as usual (TAU)