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Child Maltreatment
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Parent Training With Behavioral Couples Therapy for Fathers' Alcohol Abuse

Effects on Substance Use, Parental Relationship, Parenting, and CPS Involvement

Wendy K. K. Lam

University of Rochester, kk_lam{at}urmc.rochester.edu

William Fals-Stewart

University of Rochester

Michelle L. Kelley

Old Dominion University

This pilot study examined effects of Parent Skills with Behavioral Couples Therapy (PSBCT) on substance use, parenting, and relationship conflict among fathers with alcohol use disorders. Male participants (N = 30) entering outpatient alcohol treatment, their female partners, and a custodial child (8 to 12 years) were randomly assigned to (a) PSBCT; (b) Behavioral Couples Therapy (BCT); or (c) Individual-Based Treatment (IBT). Children were not actively involved in treatment. Parents completed measures of substance use, couples' dyadic adjustment, partner violence, parenting, and Child Protection Services (CPS) involvement at pretreatment, posttreatment, 6- and 12-month follow-up. PSBCT was comparable to BCT on substance use, dyadic adjustment, and partner violence; both groups showed clinically meaningful effects over IBT. Compared to BCT, PSBCT resulted in larger effect sizes on parenting and CPS involvement throughout follow-up. PSBCT for fathers may enhance parenting couple- or individual-based treatment, and warrant examination in a larger, randomized efficacy trial.

Key Words: children of alcoholics • paternal substance abuse • parent training • behavioral couples therapy • child maltreatment

This version was published on August 1, 2009

Child Maltreatment, Vol. 14, No. 3, 243-254 (2009)
DOI: 10.1177/1077559509334091
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 Child MaltreatHome page
H. Dubowitz
Commentary on Fathers and Children and Maltreatment: Relationships Matter Most
Child Maltreat, August 1, 2009; 14(3): 291 - 293.
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