"Engaging Moms." An Intervention for Family Drug Court

“参与的妈妈们。”

• 批准号: 6793707
• 负责人: Gayle Ann Dakof
• 金额: $ 37.27万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2007-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6793707
• 关键词: behavior therapy; behavioral /social science research tag; clinical research; court; drug abuse; drug abuse therapy; family therapy; human subject; human therapy evaluation; longitudinal human study; parent offspring interaction; parents; patient oriented research; substance abuse epidemiology; therapy compliance

DESCRIPTION (provided by applicant): During the last 15 years, there has been a dramatic increase in the incidence of both child abuse/neglect and drug abuse among women of childbearing age (Kandel, Warner, & Kessler, 1998; Reid, et al, 1999). Thus, the problem of child maltreatment and maternal substance abuse is a public health problem of the utmost significance (Magura & Laudet, 1996). Judicial and child welfare systems throughout the nation have turned to family drug courts as a possible solution to this problem. However, few scientifically rigorous investigations of drug courts have been done, and many questions remain regarding their effectiveness, essential features, and influence on drug and nondrug outcomes. In response to the growing need for effective family drug court interventions and empirical investigation of their outcomes, we propose a treatment development project exploring the use of a promising family-based intervention, the Engaging Moms Program, within the family drug court context. This application proposes a 4-year Stage 1a/1b Behavioral Therapies Development project with the overarching goal of further developing and pilot testing an innovative family drug court intervention designed to help drug abusing others succeed in family drug court. Initial studies of the Engaging Moms Program suggest that it holds sufficient promise to warrant further development and systematic testing (Dakof et al, in press; Dakof, Cohen & Quille, in preparation). This application has 4 primary aims: (1) develop a manualized, court-based family intervention, the Engaging Moms Program (EMP), as an alternative to standard family drug court case management services, (2) develop training manuals and materials, (3) develop adherence/competence measures, and (4) experimentally compare, in a randomized pilot study (N=60), acceptability and efficacy of the Engaging Moms Program (EMP) versus standard family drug court case management services (CMS). The pilot test of EMP will be carried out in the real-world setting of family drug court, using existing drug court staff to deliver the court-based interventions. Drug use outcomes and changes in psychosocial functioning (co-morbidity, parenting skills, family environment) will be assessed at 5 assessment points, beginning with intake, that coincide with the phases of drug court (3, 6, 9, and 12 months post-intake). Drug court outcomes of graduation status and reunification status will also be assessed. If funded, this project would be one of the first scientific investigations of family drug court. It has the potential to make a major contribution to the enhancement of family drug court programs, and can provide the foundation for a full-scale Stage II clinical trial in this understudied area focusing on an underserved population.

描述（由申请人提供）： 在过去15年中，育龄妇女中虐待/忽视儿童和滥用药物的发生率急剧增加（Kandel、Warner和Kessler，1998年; Reid等人，1999年）。因此，虐待儿童和母亲滥用药物的问题是一个极为重要的公共卫生问题（Magura和Laudet，1996年）。全国各地的司法和儿童福利系统已将家庭毒品法庭作为解决这一问题的可能办法。然而，很少有科学严谨的调查药物法庭已经做了，许多问题仍然存在关于其有效性，基本特征，药物和非药物的结果和影响。为了应对日益增长的需求，有效的家庭毒品法庭干预和实证调查的结果，我们提出了一个治疗开发项目，探索使用一个有前途的家庭为基础的干预，从事妈妈计划，在家庭毒品法庭的背景下。该申请提出了一个为期4年的阶段1a/1b行为疗法开发项目，其总体目标是进一步开发和试点测试一种创新的家庭毒品法庭干预措施，旨在帮助吸毒者在家庭毒品法庭取得成功。对“参与妈妈计划”的初步研究表明，它有足够的希望保证进一步的发展和系统的测试（Dakof等人，出版中; Dakof，Cohen & Quille，准备中）。该应用程序有4个主要目标：（1）开发一种手动的、以法院为基础的家庭干预措施，即“参与母亲计划”（EMP），作为标准家庭毒品法庭案件管理服务的替代方案，（2）开发培训手册和材料，（3）开发依从性/能力指标，（4）在一项随机试点研究（N=60）中进行实验性比较，参与妈妈计划（EMP）与标准家庭毒品法庭案件管理服务（CMS）的可接受性和有效性。EMP的试点测试将在家庭毒品法庭的现实环境中进行，利用现有的毒品法庭工作人员提供基于法庭的干预措施。将在5个评估点评估药物使用结局和心理社会功能变化（共病、育儿技能、家庭环境），从摄入开始，与药物法庭阶段（摄入后3、6、9和12个月）一致。还将评估毒品法庭毕业地位和重新统一地位的结果。如果获得资助，该项目将成为家庭毒品法庭的首批科学调查之一。它有可能为加强家庭药物法庭项目做出重大贡献，并为在这一未充分研究的领域开展全面的第二阶段临床试验奠定基础，重点是服务不足的人群。