Group interventions for children of alcoholics: Preventionand treatment in the schools

Dies, Robert R.; Burghardt, Kimberly J.

doi:10.1007/bf00995308

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…They mainly focus on children aged 8–12 years since these children are old enough for cognitive teaching strategies while not yet in puberty where own substance consumption problems commence. Child-focused programs are frequently delivered in a peer-group format, for instance in a school setting, [17,44,45] so children can benefit from positive peer influence and mutual support.…”

Section: Introductionmentioning

confidence: 99%

Selective prevention programs for children from substance-affected families: a comprehensive systematic review

Bröning

Kumpfer

Kruse

et al. 2012

Subst Abuse Treat Prev Policy

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Children from substance-affected families show an elevated risk for developing own substance-related or other mental disorders. Therefore, they are an important target group for preventive efforts. So far, such programs for children of substance-involved parents have not been reviewed together. We conducted a comprehensive systematic review to identify and summarize evaluations of selective preventive interventions in childhood and adolescence targeted at this specific group. From the overall search result of 375 articles, 339 were excluded, 36 full texts were reviewed. From these, nine eligible programs documented in 13 studies were identified comprising four school-based interventions (study 1–6), one community-based intervention (study 7–8), and four family-based interventions (study 9–13). Studies’ levels of evidence were rated in accordance with the Scottish Intercollegiate Guidelines Network (SIGN) methodology, and their quality was ranked according to a score adapted from the area of meta-analytic family therapy research and consisting of 15 study design quality criteria. Studies varied in program format, structure, content, and participants. They also varied in outcome measures, results, and study design quality. We found seven RCT’s, two well designed controlled or quasi-experimental studies, three well-designed descriptive studies, and one qualitative study. There was preliminary evidence for the effectiveness of the programs, especially when their duration was longer than ten weeks and when they involved children’s, parenting, and family skills training components. Outcomes proximal to the intervention, such as program-related knowledge, coping-skills, and family relations, showed better results than more distal outcomes such as self-worth and substance use initiation, the latter due to the comparably young age of participants and sparse longitudinal data. However, because of the small overall number of studies found, all conclusions must remain tentative. More evaluations are needed and their quality must be improved. New research should focus on the differential impact of program components and delivery mechanisms. It should also explore long-term effects on children substance use, delinquency, mental health, physical health and school performance. To broaden the field, new approaches to prevention should be tested in diverse cultural and contextual settings.

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Section: Introductionmentioning

confidence: 99%

Selective prevention programs for children from substance-affected families: a comprehensive systematic review

Bröning

Kumpfer

Kruse

et al. 2012

Subst Abuse Treat Prev Policy

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“…Children living in this environment, therefore, are in need of specific intervention within a family context in order to disrupt the cycle of addiction. Consequently, interventions that espouse this philosophy will attempt to break down existing patterns of secrecy and isolation, often by providing education and knowledge to family members about the impacts that addiction has on children [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

A realist review of family-based interventions for children of substance abusing parents

2015

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BackgroundMillions of children across North America and Europe live in families with alcohol or drug abusing parents. These children are at risk for a number of negative social, emotional and developmental outcomes, including an increased likelihood of developing a substance use disorder later in life. Family-based intervention programs for children with substance abusing parents can yield positive outcomes. This study is a realist review of evaluations of family-based interventions aimed at improving psychosocial outcomes for children of substance abusing parents (COSAPs). The primary objectives were to uncover patterns of contextual factors and mechanisms that generate program outcomes, and advance program theory in this field.MethodsRealist review methodology was chosen as the most appropriate method of systematic review because it is a theory-driven approach that seeks to explore mechanisms underlying program effectiveness (or lack thereof). A systematic and comprehensive search of academic and grey literature uncovered 32 documents spanning 7 different intervention programs. Data was extracted from the included documents using abstraction templates designed to code for contexts, mechanisms and outcomes of each program. Two candidate program theories of family addiction were used to guide data analysis: the family disease model and the family prevention model. Data analysis was undertaken by a research team using an iterative process of comparison and checking with original documents to determine patterns within the data.ResultsPrograms originating in both the family disease model and the family prevention model were uncovered, along with hybrid programs that successfully included components from each candidate program theory. Four demi-regularities were found to account for the effectiveness of programs included in this review: (1) opportunities for positive parent-child interactions, (2) supportive peer-to-peer relationships, (3) the power of knowledge, and (4) engaging hard to reach families using strategies that are responsive to socio-economic needs and matching services to client lived experience.ConclusionsThis review yielded new findings that had not otherwise been explored in COSAP program research and are discussed in order to help expand program theory. Implications for practice and evaluation are further discussed.Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-015-0158-4) contains supplementary material, which is available to authorized users.

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Section: Scoping the Literature For Candidate Theoriesmentioning

confidence: 99%

Intervention Programs For Children of Substance Abusing Parents: Realist Review and Program Evaluation Study

Usher¹

2021

Preprint

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Substance abuse is a pervasive issue affecting Canadian families, and a substantial number of children are impacted by alcohol or drug abusing parents. Children exposed to parental substance misuse are at increased risk for negative psychological, emotional, developmental, and behavioural outcomes, and a substantial proportion will go on to experience substance use issues later in life. Early intervention is key to providing support for these children and ultimately disrupting the family cycle of addiction. However, few family-based programs for children of substance abusing families are reported in the literature and information on program theory is lacking. A 2-study dissertation was conducted in order to address these gaps. First, a realist review study was undertaken to systematically review existing evaluations of family-based interventions aimed at improving psychosocial outcomes for children of substance abusing parents. A systematic search of academic and grey literature uncovered over 30 documents spanning 7 different intervention programs. Data were extracted on contexts, mechanisms, and outcomes for each program. Four demi-regularities, or patterns of program functioning, were found to account for the effectiveness of programs included in this review: 1) opportunities for positive parent-child interactions, 2) supportive peer-to-peer relationships, 3) the power of knowledge, and 4) engaging hard to reach families using strategies that are responsive to socio-economic needs and matching services to client lived experience. Second, a program evaluation of the Renascent Children’s Program was conducted in order to determine effective implementation and program outcomes for participating children and parents. A repeated measures, mixed methods design was used with 19 families (26 parents and 26 children) who enrolled in the program over a 16 month period. Results indicate that the Children’s Program yields significant improvements in child emotional and depressive symptoms, child conduct behaviours, parenting skills, parent emotion regulation, family functioning, and family communication. High levels of implementation fidelity were also found. These two dissertation studies shed light on theoretical process of family-based interventions for children of substance abusing parents and provide preliminary evidence of effectiveness of the Children’s Program.

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Group interventions for children of alcoholics: Preventionand treatment in the schools

Cited by 13 publications

References 16 publications

Selective prevention programs for children from substance-affected families: a comprehensive systematic review

Selective prevention programs for children from substance-affected families: a comprehensive systematic review

A realist review of family-based interventions for children of substance abusing parents

Intervention Programs For Children of Substance Abusing Parents: Realist Review and Program Evaluation Study

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