Family-Based Recovery: Home-based Treatment for Families Affected by Parental Substance Abuse. Managing Risk in the Best Interest of the Child. Presentation Collaborators. Yale Child Study Center Jean Adnopoz , M.P.H. Karen E. Hanson, L.C.S.W. Dale Saul, Ph.D.
Managing Risk in the Best Interest of the Child
Yale Child Study Center
Jean Adnopoz, M.P.H.
Karen E. Hanson, L.C.S.W.
Dale Saul, Ph.D.
Jeffrey J. Vanderploeg, Ph.D.
The State of Connecticut
Department of Children
Peter Panzarella, M.A.
Source: Peristats March of Dimes
(From: National Implementation Research Network) http://www.fpg.unc.edu/~nirn/resources/publications/Monograph/index.cfm
Family-Based Recovery (FBR) integrates two treatment modalities to focus on attachment, parenting, substance abuse recovery and psychotherapy.
Coordinated Intervention for Women and Infants (CIWI), an attachment-based parent-child therapeutic approach (Yale Child Study Center)
Reinforcement-Based Treatment (RBT), a contingency management substance abuse treatment model (John Hopkins University)
The mission of FBR is
1) to ensure that children develop optimally in drug-free, safe and stable homes with their parent/s
2) to develop a replicable, evidence-based practice model
FBR draws on the wish of most adults to be recognized as competent to engage them in substance abuse recovery and promote adequate parenting behaviors
FBR is more than a treatment for parents who are using substances: it is a way of engaging, treating and being with a client and his/her children. The FBR approach incorporates good clinical skills, motivational interviewing techniques with lessons learned about home-based work.
Once the risk for relapse and child neglect/abuse decreases, the work expands to address other client-identified goals. The FBR team supports and encourages the client’s efforts towards change in all aspects of their life: education, relationships, parenting. There are no limits to success for FBR clients.
Trust is an essential element of effective intervention: building trust requires a commitment to the process of engagement and a willingness to endure testing, rejection, frustration and hostility
Key values are:
FBR Teams is composed of:
Not parent education:
FBR uses everyday moments—feeding, bathing, reciprocal play, singing, talking, touch-- to help parents make connections between feelings, action, and consequences of acting on feelings in the parent-child relationship.
What behaviors frighten the parent or child, what brings them close?
The Functional Assessment (FA) is a clinical instrument that structures the gathering of information on a client’s drug use at intake and after each relapse. Information is organized into categories:
Contracts are used throughout treatment
A clinical tool that:
Congratulations to me!
Feedback is a technique that has been shown effective in getting clients to think about change.
A weekly group for clients and their children during which the clients:
Goals of Quality Assurance:
Paternal Risk Factors
Karen E. Hanson
Christian M. Connell
Jeffrey J. Vanderploeg
Johns Hopkins/U. of Maryland
Dept. of Children & Families
University of Connecticut