Abstract
The deleterious impact of parental substance abuse on child development and family functioning is well established. However, evaluations of interventions designed to ameliorate such impacts are very limited. This paper presents the results of a service evaluation using a pre-post design of the Supporting Kids And Their Environment (SKATE) program; a child-focused group program run by Glastonbury Community Services from 2006 to 2010 in the Geelong region of Victoria, Australia. The intervention was an 8-week psycho-educative model that used family-based techniques. Outcomes are reported for child behavior problems, assessed on the Child Behavior Checklist, and family functioning, assessed on the Family Support Scale. A total of 89 children and families within 13 intervention groups were recruited via adult Drug and Alcohol Services (Mean age = 10.4 years; SD = 2.4). Results suggest reductions in emotional and behavioral problems in children as well as improving family functioning with small to moderate effect sizes after children’s participation in the SKATE program compared to pre-test. These preliminary findings suggest that children whose parents are substance abusing are a high-risk group but they may benefit from targeted intervention programs that are well integrated with the adult drug treatment system. Such interventions warrant further development and evaluation.
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Achenbach, T. M., & Rescorla, L. A. (Eds.). (2001). Manual for the ASEBA school-age forms & profiles. Burlington VT: University of Vermont, Research Center for Children, Youth, & Families.
Allison, P. D. (Ed.). (2001). Missing data. Thousand Oaks: Sage.
Baldwin, S. A., Murray, D. M., & Shadish, W. R. (2005). Empirically supported treatments or type I errors? Problems with the analysis of data from group-administered treatments. Journal of Consulting and Clinical Psychology, 73(5), 924–935.
Bertino, M. D., Richens, K., Knight, T., Toumbourou, J. W., Ricciardelli, L., & Lewis, A. J. (2013). Reducing parental anxiety using a family based intervention for youth mental health: A randomized controlled trial. Open Journal of Psychiatry, 3, 173–185.
Catalano, R. F., Gainey, R. R., Fleming, C. B., Haggerty, K. P., & Johnson, N. O. (1999). An experimental intervention with families of substance abusers: One-year follow-up of the focus on families project. Addiction, 94, 241–254.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 115–159.
Dawe, S., & Harnett, P. (2007). Reducing potential for child abuse among methadone-maintained parents: Results from a randomized controlled trial. Journal of Substance Abuse Treatment, 32, 381–390.
Dawe, S., Harnett, P. H., Staiger, P., & Dadds, M. R. (2000). Parent training skills and methadone maintenance: Clinical opportunities and challenges. Drug and Alcohol Dependence, 60, 1–11.
Dunst, C. J., Trivette, C. M., & Deal, A. G. (1988). Enabling and empowering families: Principles and guidelines for practice. Cambridge: Brookline Books.
Dutra, L., Campbell, L., & Westen, D. (2004). Quantifying clinical judgment in the assessment of adolescent psychopathology: Reliability, validity, and factor structure of the child behavior checklist for clinician report. Journal of Clinical Psychology, 60, 65–85.
Fiks, K. B., Johnson, H. L., & Rosen, T. S. (1985). Methadone-maintained mothers: 3-year follow-up of parental functioning. International Journal of the Addictions, 20, 651–660.
Hanley, B., Tassé, M., Aman, M., & Pace, P. (1998). Psychometric properties of the family support scale with head start families. Journal of Child and Family Studies, 7, 69–77.
Hans, S. L., Bernstein, V. J., & Henson, L. G. (1999). The role of psychopathology in the parenting of drug-dependent women. Developmental Psychopathology, 11, 957–977.
Hussong, A. M., Wirth, R. J., Edwards, M. C., Curran, P. J., Chassin, L. A., & Zucker, R. A. (2007). Externalizing symptoms among children of alcoholic parents: Entry points for an antisocial pathway to alcoholism. Journal of Abnormal Psychology, 116, 529–542.
Kazdin, A. E., & Weisz, J. R. (1998). Identifying and developing empirically supported child and adolescent treatments. Journal of Consulting and Clinical Psychology, 66(1), 19–36.
Lewis, A. J., Bertino, M. D., Robertson, N., Knight, T., & Toumbourou, J. W. (2012). Consumer Feedback following Participation in a Family-Based Intervention for Youth Mental Health. Depression Research and Treatment, Article ID 235646. doi:10.1155/2012/235646.
Lewis, A. J., Bertino, M., Skewes, J., Shand, L., Borojevic, N., Lubman, D., et al. (2013). The family options clinical trial: Engaging youth with depressive disorders using family based interventions: Study protocol for a randomised controlled trial. Trials, 14, 384–395.
Luthar, S. S., Cushing, G., Merikangas, K. R., & Rounsaville, B. J. (1998). Multiple jeopardy: Risk and protective factors among addicted mothers’ offspring. Developmental Psychopathology, 10, 117–136.
Moe, J., Johnson, J. L., & Wade, W. (2008). Evaluation of the betty ford children’s program. Journal of Social Work Practice in the Addictions, 8, 464–489.
Molenberghs, G., & Kenward, M. G. (2007). Missing data in clinical studies. UK: Sussex.
Morris, S. B., & DeShon, R. P. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7(1), 105–125.
Peleg-Oren, N. (2002). Group intervention for children of drug-addicted parents—using expressive techniques. Clinical Social Work Journal, 30, 403–418.
Roosa, M. W., Gensheimer, L. K., Short, J. L., Ayers, T. S., & Shell, R. (1989). A preventive intervention for children in alcoholic families: Results of a pilot study. Family Relations, 38, 295–300.
Rowan-Szal, G. A., Chatham, L. R., Joe, G. W., & Simpson, D. D. (2000). Services provided during methadone treatment: A gender comparison. Journal of Substance Abuse Treatment, 19, 7–14.
Suchman, N. E., & Luthar, S. S. (2000). Maternal addiction, child maladjustment and socio-demographic risks: Implications for parenting behaviors. Addiction, 95, 1417–1428.
Wilens, T. E., Biederman, J., Kiely, K., Bredin, E., & Spencer, T. J. (1995). Pilot study of behavioral and emotional disturbances in the high-risk children of parents with opioid dependence. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 779–785.
Winqvist, S., Jokelainen, J., Luukinen, H., & Hillbom, M. (2007). Parental alcohol misuse is a powerful predictor for the risk of traumatic brain injury in childhood. Brain Injury, 21, 1079–1085.
Acknowledgments
The SKATE program was delivered as a partnership between Glastonbury Child & Family Services, Barwon Health—Drug & Alcohol Services & Bethany Community Support. It was funded through the Department of Family & Community Services, National Illicit Drugs Strategy (Strengthening Families). We would also like to thank Annie Baker, Elizabeth Kinnane, Bernard Leavold and Sarah Leach for their assistance in the evaluation of the project. Finally, we would particularly like to thank the families who were so generous in their participation in this research and Henrik Haaland from the University of Ballarat for his role in the collection and collation of data.
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Lewis, A.J., Holmes, NM., Watkins, B. et al. Children Impacted by Parental Substance Abuse: An Evaluation of the Supporting Kids and Their Environment Program. J Child Fam Stud 24, 2398–2406 (2015). https://doi.org/10.1007/s10826-014-0043-0
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DOI: https://doi.org/10.1007/s10826-014-0043-0