Integrating Interventions for Maternal Substance Abuse

Study Overview
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Brief Summary
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This Research Plan proposes Stage 1 Research integrating evidence based practices to address the needs of mothers referred to child welfare for substance abuse. Mothers with a history of methamphetamine abuse and child neglect will be recruited. Using an intensive community based treatment, mothers will receive substance abuse treatment combined with parenting skills training and psychosocial support for basic needs (e.g., housing, employment). This project will include a feasibility study (n = 5), followed by a small randomized pilot (n = 24) to examine the efficacy of the Integrated Treatment for Substance Abuse and Neglect compared to treatment as usual, with a population of substance abusing neglectful mothers referred through the Department of Child Welfare.

Official Title
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Integrating Interventions for Maternal Substance Abuse and Child Neglect

Conditions
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Substance Abuse, Child Neglect

Intervention / Treatment
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* Behavioral: ITSAN
* Behavioral: Services as Usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Maternal Substance Abuse Child Welfare involvement Child Neglect English Speaking Child either remaining in the home or reunification plan in place Living in the county Exclusion Criteria: Current involvement in other substance abuse treatment Current involvement in other parenting skills training parental rights terminated active psychosis
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Integrated Behavioral Treatment<br>Combined substance abuse, parenting skills, and basic needs intervention | Behavioral: ITSAN<br>* integrated behavioral intervention for substance abuse, parenting skills, and basic needs<br>|
| Active Comparator: casework treatment as usual<br>services as usual as referred by child welfare | Behavioral: Services as Usual<br>* Services as usual referred by child welfare<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Addiction Severity Index | self report of all substances used | Baseline, 6 months, 12 months | 
| Service Utilization Survey | self report of social, medical, and mental health services received by parent and youth | monthly | 
| Parenting Measures | Assessment battery of parenting beliefs, expectations, and behaviors | Baseline, 6 months, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinalysis | 10 panel Urine Drug Screen Collection | monthly | 
| Archival data from the Child Welfare system | System level data of new reports to the child welfare system | annually | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Methamphetamine, Substance Abuse, Child Neglect, Child Welfare, Evidence Based Practice