This paper reports research carried out in Italy designed to investigate the usability of Child Well-Being Scale (CWBS) for the outcome evaluation of home-care interventions for vulnerable families and children in need. Using a pre- and post-test design, the study traces the changes in 18 vulnerable families and 23 children in need included in a programme of home-care intervention over a period of 11 months. All the families and children were assessed twice: at intake and at the end of the intervention (after 6 months). Furthermore, 10 families and 11 children had a longer intervention and were assessed three times. Moreover, two focus groups involving 13 home-care workers and 11 face-to-face interviews were used to collect practitioners' points of views on CWBS. The results generally support the idea that families' and children's situation improved over time, as shown by an improvement in almost all of the considered dimensions after 6 months and after 11 months. Specifically, the families improved more on household adequacy in the long term while children on the child performance dimension improved in the short term. Practitioners reported that CWBS was an aid to multi-professional decision-making, as the systematic evaluation of the subscales was a practical base upon which to activate shared decision-making during the casework

Long-term abstinence and quality of life after a socio-ecological treatment program: an Italian experience RUNNING HEAD: Quality of life after a socio-ecological treatment 2 Long-term abstinence and quality of life after a socio-ecological treatment program: an Italian experience According to the recent report of the National Italian Institute of Statistics (2012), alcohol consumption involves 63.9% (77.5% of men and 51.2% of women) of the population aged 11 years or older and it is widespread in the north-eastern regions Italian such as Trentino-Alto Adige, Valle d'Aosta and Friuli-Venezia Giulia, and in some central regions such as Molise, Abruzzo, Sardinia, Basilicata and Tuscany, especially among men. The elderly (over 65) are the most at-risk for nonmoderated consumption, while the younger (18-24 years) are the most at risk for binge drinking. Nevertheless, in Italy there are no national and professional guidelines for alcoholdependence treatment (Rehm et al., 2013) and the number of published papers per million inhabitants in the field of addiction research is among the lowest in Europe (Bramness, Henriksen, Person & Mann, 2014). In most countries, alcohol dependence treatment -especially for the most severe cases-usually comprises a combination of psychotherapy (cognitive behavioral therapy, motivational interviewing, and social skills training being the most prevalent interventions) and pharmacotherapy. Psychotherapy alone is used for many therapeutic interventions as well (Martin & Rehm, 2011;Miller, Wilbourne & Hettema, 2003). Intensive transitional community residential care strongly emphasizes medical, dual diagnosis, and family treatment orientations (Moos, Pettit & Gruber, 1995). However, evidence for the effectiveness of opportunistic brief interventions in a general hospital setting for problem drinkers is still inconclusive (Emmen, Schippers, Bleijenberg &

Certaines familles sont caractérisées par un grand niveau de vulnérabilité en raison de différents facteurs tels que l’histoire personnelle et familiale, des situations de pauvreté, d’isolement social, etc. Dans ces situations, la capacité des parents à prendre soin de leur enfant peut se révéler plutôt limitée. En Italie, dans le but de soutenir ces familles vulnérables, et celles qui sont négligentes en particulier, les interventions éducatives à domicile en faveur de l’enfant et de sa famille sont fort répandues, mais elles ont très peu fait l’objet d’évaluations scientifiques rigoureuses. Dans cet article, nous présentons les résultats d’une démarche partenariale de recherche-formation-intervention d’une durée de 12 mois impliquant 12 éducateurs et 18 familles considérées comme négligentes. L’évaluation de cette démarche a ainsi permis d’identifier les facteurs clés favorables à l’adaptation de ces familles.

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