Family Behavior Therapy for Use in Child Welfare: Results of a Case Study Involving an Abused Woman Formally Diagnosed With Alcohol Dependence,Bipolar Disorder,and Several Anxiety Disorders
Restricted accessResearch articleFirst published online October, 2010
Family Behavior Therapy for Use in Child Welfare: Results of a Case Study Involving an Abused Woman Formally Diagnosed With Alcohol Dependence,Bipolar Disorder,and Several Anxiety Disorders
The results of a multiple-baseline case study of family behavior therapy (FBT) is described in a woman formally diagnosed with alcohol dependence, bipolar disorder, generalized anxiety disorder, specific phobia, and panic disorder. She was referred to treatment from the local Department of Family Services for child neglect and domestic violence. After baseline measures were administered, the first phase of treatment involved home safety tours aimed at reducing home hazards and cleanliness. A second phase of treatment additionally targeted family relationships through communication skills training exercises, and a third phase involved administration of the remaining FBT components to assist in comprehensively addressing other problem areas. Results indicated most problem areas were substantially improved, but only after they were comprehensively targeted in therapy.
Abidin, R. ( 1995). Parenting stress index (3rd ed.). Lutz, FL: Psychological Assessment Resources.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author .
3.
Azrin, N., Acierno, R., Kogan, E.S., Donohue, B., Besalel, V., & McMahon, P.T. ( 1996). Follow-up results of supportive versus behavioral therapy for illicit drug use. Behaviour Research and Therapy, 34, 41-46.
4.
Azrin, N.H., Donohue, B., Besalel, V., Kogan, E., & Acierno, R. ( 1994). Youth drug abuse treatment: A controlled outcome study . Journal of Child & Adolescent Substance Abuse, 3, 1-16.
5.
Azrin, N.H., Donohue, B., Teichner, G., Crum, T., Howell, J., & DeCato, L. (2001). A controlled evaluation and description of individual-cognitive problem solving and family-behavioral therapies in conduct-disordered and substance dependent youth. Journal of Child & Adolescent Substance Abuse, 11, 1-43.
6.
Azrin, N.H., McMahon, P., Donohue, B., Besalel, V., Lapinski, K., Kogan, E., . . . Galloway, E. ( 1994). Behavior therapy of drug abuse: A controlled outcome study. Behaviour Research and Therapy, 32, 857-866.
7.
Bellack, A.S., Bennett, M.E., Gearon, J.S., Brown, C.H., & Ye Yang, M.S. ( 2004). A randomized clinical trial of a new behavioral treatment for drug abuse in people with severe and persistent mental illness. Archives of General Psychiatry, 63, 426-432.
8.
Bender, R.E., Griffin, M.L., Gallop, R.J., & Weiss, R.D. ( 2007). Assessing negative consequences in patients with substance use and bipolar disorders: Psychometric properties of the Short Inventory of Problems (SIP). American Journal on Addictions, 16, 503-509.
9.
Corrigan, P.W., & Watson, A.C. ( 2005). Findings from the National Comorbidity Survey on the frequency of violent behavior in individuals with psychiatric disorders. Psychiatry Research, 136, 153-162.
10.
Dalton, E.J., Cate-Carter, T.D., Mundo, E., Parikh, S.V., & Kennedy, J.L. ( 2003). Suicide risk in bipolar patients: The role of co-morbid substance use disorders. Bipolar Disorders, 5, 58-61.
11.
DeBernardo, G.L., Newcomb, M., Toth, A., Richey, G., & Mendoza, R. ( 2002). Comorbid psychiatric and alcohol abuse/dependence disorders: Psychosocial stress, abuse, and personal history factors of those in treatment . Journal of Addictive Diseases, 21, 43-59.
12.
Donohue, B., Romero, V., & Hill, H. ( 2006). Treatment of co-occurring child maltreatment and substance abuse. Aggression and Violent Behavior: A Review Journal, 11, 626-640.
13.
Donohue, B., & Van Hasselt, V.B. (1999). Development of an ecobehavioral treatment program for child maltreatment. Behavioral Interventions , 14, 55-82.
14.
Dunst, C.J., Jenkins, V., & Trivette, C.M. (1984). Family support scale: Reliability and validity. Journal of Individual, Family, and Community Wellness, 1, 42-52.
15.
Grant, B.F., Stinson, F.S., Hasin, D.S., Dawson, D.A., Chou, S.P., Ruan, W.J., & Huang, B. ( 2005). Prevalence, correlates, and comorbidity of bipolar I disorder and Axis I and II disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66, 1205-1215.
16.
Kuchner, M.G., Abrams, K., & Borchardt, C. ( 2000). The relationship between anxiety disorders and alcohol use disorders: A review of major perspectives and findings. Clinical Psychology Review, 20, 149-171.
17.
Lutzker, J., Frame, R.E., & Rice, J. ( 1982). Project 12-Ways: An ecobehavioral approach to the treatment and prevention of child abuse and neglect. Education & Treatment of Children, 5, 141-155.
18.
Meade, C.S., Graff, F.S., Griffin, M.L., & Weiss, R.D. ( 2008). HIV risk behavior among patients with co-occurring bipolar and substance use disorders: Associations with mania and drug abuse. Drug and Alcohol Dependence, 92, 296-300.
Moos, R., & Moos, B. ( 1984). Family Environment Scale. Palo Alto, CA: Consulting Psychologists Press.
21.
National Clearinghouse on Child Abuse and Neglect Information. (2003). Substance abuse and child maltreatment . Retrieved on May 14, 2005, from http://www.happinessonline.org/LoveAndHelpChildren/p7.htm
22.
Sobell, M.B., Sobell, L.C., Klajner, F., Pavan, D., & Basian, E. ( 1986). The reliability of the timeline method of assessing normal drinker college students’ recent drinking history: Utility for alcohol research. Addictive Behaviors, 2, 149-162.
23.
Spitzer, R.L., Williams, J.B., Gibbon, M., & First, M.B. ( 1992). The structured clinical interview for the DSM-III-R (SCID): I. History, rationale, and description. Archives of General Psychiatry, 49, 624-629.
24.
Stuart, G.L., Moore, T.M., Ramsey, S.E., & Kahler, C.W. ( 2003). Relationship aggression and substance use among women court-referred to domestic violence intervention programs. Interpersonal Violence and Substance Use, 28, 1603-1610.
25.
Tertinger, D.A., Greene, B.F., & Lutzker, J.R. ( 1984). Home safety: Development and validation of one component of an ecobehavioral treatment program for abused and neglected children. Journal of Applied Behavior Analysis, 17, 150-174.
26.
U.S. Department of Health and Human Services, Administration Children, Youth and Families. (2006). Child maltreatment 2004. Washington, DC: Government Printing Office.
