MIO-CPP to Improve the Well-being, Permanency, and Safety Outcomes for Young Children at Risk of or in Out-of-home Placement in Philadelphia and Bucks Counties, and Affected by Maternal Substance Use
The purpose of the study is to evaluate the efficacy of a novel mother-child therapeutic model called MIO-CPP compared to CPP-only. The goal of MIO-CPP is to improve child well-being, permanency and safety, and reduce the risk for involvement in the child welfare system for children pre-birth to five who are affected by parental substance use disorders (SUD) and/or other mental health problems. The goal of the project is to improve child well-being, permanency and safety, and reduce the risk for involvement in the child welfare system for families with children pre-birth to five who are affected by parental substance use disorders (SUD) and/or other mental health problems. The project will integrate with SUD treatment programs for pregnant/parenting women and their children by providing two evidence based therapeutic models, Mothering from the Inside Out (MIO) and Child Parent Psychotherapy (CPP). MIO and CPP will promote the development of parental reflective functioning and strengthen parent/child attachment. The study will use a randomized control trial to test the effectiveness of MIO and CPP together (intervention) compared to CPP alone (controlled) on parent/caregiver well-being, child well-being, and family well-being. The study will assess and compare parental satisfaction as well as explore whether demographics, history of DHS involvement, and substance use treatment history affect the outcomes. MIO is an individual, 12-session, manualized, psychotherapeutic intervention. CPP is typically offered through weekly sessions with the mother-child dyad that last 1 to 1.5 hours. The MIO-CPP (intervention) model lasts 9 months and will begin with the standard 12 weeks of MIO for each mother, with the CPP assessment and engagement phase embedded during this time. This will be followed by the dyadic mother-child phase, the core intervention stage of CPP. The CPP (control) model will last for 9 months. The recruitment for study participants will stop when 170 mother-child dyads have enrolled in the study. Participants will be recruited from three substance use treatment facilities in Philadelphia and Bucks Counties: Caring Together at Drexel University, Interim House West, and Libertae, Inc. Data collection from participants will occur at four time points during the study: 1) when participants are enrolled; 2) 3 months following enrollment; 3) 6 months following enrollment; and 4) 9 months following enrollment or when the participant ends their participation in weekly therapy sessions if sooner than 9 months following enrollment. Study measures will include: 1) Parent/Caregiver Well-being: a) maternal reflective functioning, b) depression, anxiety, and trauma-related symptoms, c) parental substance use and move toward recovery; d) parenting stress; e) parent-child relationship; 2) Child Well-being: a) behavior problems, b) executive functions; c) socialization skills; 3) Family Well-being: a) child welfare involvement, b) reunifications. As part of this study, investigator will acquire administrative data about the safety and permanency of children and adult recovery for all study participants. The Primary Investigator will request substance use treatment data from the City of Philadelphia Department of Human Services, and Department of Behavioral Health and Department of Behavioral Health and Intellectual disAbilities. The requested data elements will include whether the study child has a child welfare record, the types of allegations of abuse or neglect, and when the allegations occurred (from birth to present day). Additionally, investigators will request all available substance use treatment records will be requested for adults who are a part of a study case for the year prior to enrollment in the study to one year following their enrollment in the study.
Start: January 2020
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