Doctor of Philosophy in Psychology
Bradley Donohue, Committee Chair
First Committee Member
Second Committee Member
Graduate Faculty Representative
Number of Pages
The maltreatment of children is a devastating social problem in the United States. Many researchers and child welfare workers believe the recent increase in child neglect is directly correlated to an increase in parental substance abuse. There is a strong relationship between child neglect and parental substance abuse; however there are limited treatments that address both issues simultaneously. The present case studies evaluated the efficacy of a newly developed Family Behavior Therapy (FBT) program for child neglect and parental substance abuse utilizing controlled single case methodology. The Family Behavior Therapy (FBT) program is an integration of two published FBT interventions; one being specific to drug abuse (i.e., Azrin, Donohue et al., 2001), while the other is specific to child maltreatment (i.e., Donohue, Van Hasselt, 1999). The treatment included a manual with corresponding protocol adherence measures. Multiple baseline methodology was utilized to evaluate selected components of the FBT treatment program.
The results of controlled multiple baseline evaluations of home-based Family Behavior Therapy (FBT) is described for two participants with substance abuse or dependence and co-occurring child neglect. The case examples include relevant background information, substance abuse history, diagnostic impressions, behavioral conceptualization of presenting problems, and course of treatment. An overview of the FBT program and treatment plan, course of treatment, and special issues are provided. After baselines were gathered, the first phase of treatment was initiated. The first case involved examination of home safety tours aimed at reducing home hazards and cleanliness followed by treatment additionally targeting family relationships through communication skills training exercises, and a 3 rd phase of treatment involving administration of comprehensive FBT. The second case involved implementation of self control, stimulus control, and behavioral goal-setting to reduce drug urges, followed by a 2 nd phase of treatment additionally targeting family relationships through communication skills training exercises, and 3 rd phase of treatment involving administration of comprehensive FBT. Results demonstrated clear improvement in home safety, pronounced decrease in conflict in the family, and slight improvement in perceived family support and cohesion.
Child neglect; Family behavior therapy; Substance abuse; Treatment manual
Romero, Valeria, "Parental substance abuse and child neglect: A controlled trial of a developed treatment manual" (2009). UNLV Theses, Dissertations, Professional Papers, and Capstones. 41.