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Child Maltreatment
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*Alcoholism
*Child Abuse
*Children's Health
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Article

Parent Training With Behavioral Couples Therapy for Fathers' Alcohol Abuse: Effects on Substance Use, Parental Relationship, Parenting, and CPS Involvement

Wendy K. K. Lam1*, William Fals-Stewart1, and Michelle L. Kelley2

1 University of Rochester
2 Old Dominion University

* To whom correspondence should be addressed. E-mail: KK_Lam{at}urmc.rochester.edu.


  Abstract
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.

First published on June 5, 2009, doi:10.1177/1077559509334091

Child Maltreatment 2009;14:243.

A more recent version of this article appeared on August 1, 2009

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Home page
 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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