Concurrent Treatment of Substance Abuse and Child Maltreatment

NCT02774525 | Completed

• 1 other identifier: Pro00015175
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

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.

Conditions

Substance Use; Child Maltreatment

Keywords

child welfare system; parental substance use problem; child maltreatment; parenting

Outcome Measures

Primary Outcomes (2)

• longest duration of negative urine and breath samples

  13 weeks

• recurrence of child maltreatment--child protective services records

  18 months after baseline

Secondary Outcomes (3)

• self-reported substance use--Addiction Severity Index-Lite

  4 months after baseline; 12 months after baseline; 18 months after baseline

• parent report of child behavior problems--child behavior inventory

  4 months after baseline; 12 months after baseline; 18 months after baseline

• self-reported parenting--Parenting Scale; Parenting Practices Interview

  4 months after baseline; 12 months after baseline; 18 months after baseline

Other Outcomes (2)

• self-reported quality of life--Quality of Life Inventory

  4 months after baseline; 12 months after baseline; 18 months after baseline

• self-reported HIV behavioral risk--HIV Risk Behavior Scale

  4 months after baseline; 12 months after baseline; 18 months after baseline

Study Arms (4)

Treatment as Usual (TAU)

ACTIVE COMPARATOR

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

Behavioral: Treatment as usual (TAU)

Contingency Management

EXPERIMENTAL

Contingency management for drug and alcohol abstinence plus TAU

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

Parenting Intervention

EXPERIMENTAL

Parenting intervention plus TAU

Behavioral: Parenting intervention; Behavioral: Treatment as usual (TAU)

Parenting Intervention + Contingency Management

EXPERIMENTAL

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

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

Interventions

Reinforcement for drug & alcohol abstinence BEHAVIORAL

Also known as: Contingency management for negative drug & alcohol samples

Contingency Management; Parenting Intervention + Contingency Management

Parenting intervention BEHAVIORAL

Also known as: Pathways Triple P

Parenting Intervention; Parenting Intervention + Contingency Management

Treatment as usual (TAU) BEHAVIORAL

Outpatient substance-abuse therapy plus drug \& alcohol screening plus support for personal goal setting

Contingency Management; Parenting Intervention; Parenting Intervention + Contingency Management; Treatment as Usual (TAU)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• University of South Carolina: lead

Study Sites (1)

University of South Carolina Parenting & Family Res Center

Columbia, South Carolina, 29208, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders

Interventions

Pharmaceutical Preparations; Ethanol; Therapeutics

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Alcohols; Organic Chemicals

Study Officials

• Ron Prinz, Ph.D.

  University of South Carolina

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Carolina Distinguished Professor

Study Record Dates

• First Submitted: May 10, 2016
• First Posted: May 17, 2016
• Study Start: April 1, 2013
• Primary Completion: December 31, 2019
• Study Completion: January 31, 2020
• Last Updated: May 12, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)