Concurrent Treatment of Substance Abuse and Child Maltreatment

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02774525

Enrollment

200

Registered

2016-05-17

Start date

2013-04-30

Completion date

2020-01-31

Last updated

2021-05-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Child Maltreatment, Substance Use

Keywords

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

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.

Interventions

BEHAVIORALReinforcement for drug & alcohol abstinence

BEHAVIORALParenting intervention

BEHAVIORALTreatment as usual (TAU)

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

Study design

Allocation

RANDOMIZED

Intervention model

FACTORIAL

Primary purpose

TREATMENT

Masking

DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

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

Design outcomes

Primary

Measure	Time frame
longest duration of negative urine and breath samples	13 weeks
recurrence of child maltreatment--child protective services records	18 months after baseline

Secondary

Measure	Time frame	Description
self-reported parenting--Parenting Scale; Parenting Practices Interview	4 months after baseline; 12 months after baseline; 18 months after baseline	Parenting Scale: Overreactivity; Laxness Parenting Practices Interview: Appropriate Discipline; Harsh and Inconsistent Discipline
parent report of child behavior problems--child behavior inventory	4 months after baseline; 12 months after baseline; 18 months after baseline	Intensity score for child behavior problems
self-reported substance use--Addiction Severity Index-Lite	4 months after baseline; 12 months after baseline; 18 months after baseline	Drug and Alcohol Composite (severity)

Other

Measure	Time frame
self-reported quality of life--Quality of Life Inventory	4 months after baseline; 12 months after baseline; 18 months after baseline
self-reported HIV behavioral risk--HIV Risk Behavior Scale	4 months after baseline; 12 months after baseline; 18 months after baseline

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026