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Concurrent Treatment of Substance Abuse and Child Maltreatment

Primary Purpose

Substance Use, Child Maltreatment

Status

Completed

Phase

Not Applicable

Locations

United States

Study Type

Interventional

Intervention

Reinforcement for drug & alcohol abstinence

Parenting intervention

Treatment as usual (TAU)

About this trial

This is an interventional treatment trial for Substance Use focused on measuring child welfare system, parental substance use problem, child maltreatment, parenting

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept 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

Sites / Locations

University of South Carolina Parenting & Family Res Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Arm Label

Treatment as Usual (TAU)

Contingency Management

Parenting Intervention

Parenting Intervention + Contingency Management

Arm Description

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

Contingency management for drug and alcohol abstinence plus TAU

Parenting intervention plus TAU

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

Outcomes

Primary Outcome Measures

longest duration of negative urine and breath samples

recurrence of child maltreatment--child protective services records

Secondary Outcome Measures

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

Drug and Alcohol Composite (severity)

parent report of child behavior problems--child behavior inventory

Intensity score for child behavior problems

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

Parenting Scale: Overreactivity; Laxness Parenting Practices Interview: Appropriate Discipline; Harsh and Inconsistent Discipline

Full Information

NCT ID

NCT02774525

First Posted

May 10, 2016

Last Updated

May 11, 2021

Sponsor

University of South Carolina

1. Study Identification

Unique Protocol Identification Number

NCT02774525

Brief Title

Concurrent Treatment of Substance Abuse and Child Maltreatment

Official Title

Concurrent Treatment of Substance Abuse and Child Maltreatment

Study Type

Interventional

2. Study Status

Record Verification Date

May 2021

Overall Recruitment Status

Completed

Study Start Date

April 2013 (undefined)

Primary Completion Date

December 31, 2019 (Actual)

Study Completion Date

January 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

University of South Carolina

4. Oversight

Data Monitoring Committee

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Substance Use, Child Maltreatment

Keywords

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

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Factorial Assignment

Masking

InvestigatorOutcomes Assessor

Allocation

Randomized

Enrollment

200 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Treatment as Usual (TAU)

Arm Type

Active Comparator

Arm Description

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

Arm Title

Contingency Management

Arm Type

Experimental

Arm Description

Contingency management for drug and alcohol abstinence plus TAU

Arm Title

Parenting Intervention

Arm Type

Experimental

Arm Description

Parenting intervention plus TAU

Arm Title

Parenting Intervention + Contingency Management

Arm Type

Experimental

Arm Description

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

Intervention Type

Behavioral

Intervention Name(s)

Reinforcement for drug & alcohol abstinence

Other Intervention Name(s)

Contingency management for negative drug & alcohol samples

Intervention Type

Behavioral

Intervention Name(s)

Parenting intervention

Other Intervention Name(s)

Pathways Triple P

Intervention Type

Behavioral

Intervention Name(s)

Treatment as usual (TAU)

Intervention Description

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

Primary Outcome Measure Information:

Title

longest duration of negative urine and breath samples

Time Frame

13 weeks

Title

recurrence of child maltreatment--child protective services records

Time Frame

18 months after baseline

Secondary Outcome Measure Information:

Title

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

Description

Drug and Alcohol Composite (severity)

Time Frame