Concurrent Treatment of Substance Abuse, Child Neglect, Bipolar Disorder, Post-Traumatic Stress Disorder, and Domestic Violence: A Case Examination Involving Family Behavior Therapy
Open accessAbstract
High rates of co-occurrence between substance abuse and child neglect have been well-documented and especially difficult to treat. As a first step in developing a comprehensive evidence-based treatment for use in this population, the present case examination underscores Family Behavior Therapy (FBT) in the treatment of a mother who evidenced Substance Dependence, child neglect, Post-Traumatic Stress Disorder, Bipolar I Disorder, and domestic violence. Utilizing psychometrically validated self-report inventories and objective urinalysis, treatment was found to result in the cessation of substance use, lower risk of child maltreatment, improved parenting attitudes and practices, and reduced instances of violence in the home. The importance of utilizing validity scales in the assessment of referrals from child welfare settings is discussed, and future directions are reported in light of the results.
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Case trials of FBT with CPS-referred mothers who neglected children and abused drugs showed improvements in several areas, including potential for child abuse, drug and alcohol use, family relationships, stress, domestic violence, and HIV risk.
“These case trials have demonstrated noticeable improvements in various undesired behaviors, including child abuse potential, illicit drug and alcohol use, family relationships, stress, domestic violence, and HIV risk behaviors (Donohue et al., 2010; LaPota, Donohue, Warren, & Allen, 2011; Romero, Donohue, & Allen, 2010; Romero et al., 2010).”
From A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse. (2014) · cites this paper as Donohue et al., 2010
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Experimental — accuracy not yet measuredThe adapted Family Behavior Therapy has shown early evidence of effectiveness in both controlled and uncontrolled case studies involving coexisting child neglect and drug abuse in home-based settings.
“This modified FBT has demonstrated preliminary efficacy in controlled and uncontrolled case trials specific to coexisting child neglect and drug abuse in home-based settings (Donohue, Romero et al., 2010; Donohue & Azrin, 2002; LaPota, Donohue, Warren, & Allen, 2011; Romero, Donohue, & Allen, 2010; Romero, Donohue et al., 2010).”
From A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse. (2014) · cites this paper as Donohue, Romero et al., 2010
The Abstract reports favorable outcomes from a single case involving substance dependence and child neglect, and the Case Presentation identifies the treatment as in-home FBT. However, Recommendations to Clinicians and Students describes the results as anecdotal and calls for controlled trials; this paper does not demonstrate efficacy in a controlled case trial. (LLM, conf=0.90)
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Cites
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Behavior therapy for drug abuse: A controlled treatment outcome study
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“In our earlier trials involving FBT (Azrin, Donohue, Besalel, Kogan, & Acierno, 1994; Azrin et al., 1996, 2001; Azrin, McMahon et al., 1994; Donohue et al., 1998), we attempted to utilize relatively lax study exclusionary criteria to assist us in developing behavioral therapies capable of…”
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Cited by
Sorted by citations
A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse.
Donohue, B., Azrin, N. H., Bradshaw, K., Van Hasselt, V. B., Cross, C. L., Urgelles, J., Romero, V., Hill, H. H., & Allen, D. N. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0036920 · Cited by 70 · see citing works
“These case trials have demonstrated noticeable improvements in various undesired behaviors, including child abuse potential, illicit drug and alcohol use, family relationships, stress, domestic violence, and HIV risk behaviors (Donohue et al., 2010; LaPota, Donohue, Warren, & Allen, 2011; Romero, Donohue, & Allen, 201…”
InfluentialSelf-citation
- Authors
- Donohue, B. C., Romero, V., Herdzik, K., Lapota, H., Abdel Al, R., Allen, D. N., Azrin, N. H., & Van Hasselt, V. B.
- Affiliations
- University of Nevada, Las Vegas (US)
- University of Nevada, Las Vegas
- Nova Southeastern University (US)
- Nova Southeastern University, Fort Lauderdale-Davie, FL
- Corresponding author
- Donohue, Brad C.
- Venue
- Clinical Case Studies
- Publisher
- SAGE Publications
- Published
- 2009-11-24
- Volume
- 9
- Issue
- 2
- Pages
- 106-124
- ISSN
- 1534-6501 (ISSN-L)
- 1552-3802
- PMC
- PMC3583562
- OpenAlex
- W1992211873
- Cited by
- 18
- References
- 4
- Citations by year
- 2026: 1 · 2021: 2 · 2020: 4 · 2018: 1 · 2017: 1 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Clinical Case Studies (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA020548)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Safety Research › Child Welfare and Adoption
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- substance abuse, child neglect, bipolar disorder, post-traumatic stress disorder, domestic violence, co-occurring disorders, parenting practices, validity scales
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