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Slesnick's Lab

Maryhaven

Adolescent Involvement in Parental Substance Abuse Treatment: Evaluation of EBFT

Overview

substance abuse

Parents' drug/alcohol use can negatively influence their children's developmental outcomes. Conversely, we know that children can impact their parents' alcohol/drug use and mental health. As such, involvement of the adolescent in the treatment plan of the adult substance user might be a powerful target of intervention with the potential to positively impact both child, adult, and family outcomes. If the inclusion of a parent-child component to the treatment plan of substance abusing parents reduces adult relapse and maintains greater substance use reductions, in addition to improving child functioning, this will provide support to the assertion that focus on family dynamics in substance abuse treatment programs is an effective use of resources and an important target of intervention effort.

Date of the Project

December 2008 through November 2013

The design of the study

  1. Participant Recruitment
  2. Screening
  3. Baseline Assessment
  4. Random Assignment to:
    • In-Office EBFT + TAU, N=61
    • In-Home EBFT + TAU, N=61
    • WHE + TAU, N=61
  5. 3, 6, 12, and 18 month Follow-up Interview

EBFT = Ecologically-Based Family Therapy; TAU = Treatment As Usual; WHE = Women's Health Education

The brief overview of the intervention

  1. Ecologically-Based Family Therapy (EBFT) - The therapist works with the adolescent and parent to address and resolve the interactional dynamics that lead up to and maintain the current situation. Individual, interpersonal, and extrafamilial systems are the focus of EBFT.
  2. Women's Health Education (WHE) - This treatment will be provided as an attention control treatment. The topic of the treatment includes pregnancy and childbirth, HIV, understanding of the woman's body, human sexual behavior, STDs, and AIDS.
  3. Treatment As Usual (TAU) -
    • Adult TAU: Maryhaven provides adult outpatient programs. The programs include crisis intervention, case management, individual and group counseling, relapse prevention, etc.
    • Adolescent TAU: The normal course of treatment for adolescent children of adults in the outpatient department is to be provided with referrals to Alateen.

Measures used in the study