A Quantitative Exploratory Evaluation of the Circle of Security‐parenting Program With Mothers in Residential Substance‐abuse Treatment

Horton, Evette; Murray, Christine

doi:10.1002/imhj.21514

Cited by 32 publications

(17 citation statements)

References 94 publications

(139 reference statements)

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“…The generalisability of the COS‐P program has been evident in previous studies that have concluded its efficacy in a number of settings and populations. For example, COS‐P has been successfully delivered to low‐income families in Head Start program (Cassidy et al., ); parents with infants under two years (Kohlhoff, Stein, Ha, & Mejaha, ); mothers in residential substance‐abuse treatment (Horton & Murray, ); and mothers with depressive symptoms (Maupin et al., ).…”

Section: Resultsmentioning

confidence: 99%

Clinician Perspectives on the Circle of Security‐Parenting (COS‐P) Program: A Qualitative Study

Reay

Palfrey

Bragg

et al. 2019

ANZ J of Family Therapy

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This study examined the perspectives of clinicians who facilitate Circle of Security‐Parenting (COS‐P) groups in community health settings. The therapists were from two services: a specialist perinatal and infant mental health consultation service and a child at risk health service. In particular, we were interested in their perceptions of the strengths, weaknesses, challenges, and possible improvements to the model as applied to their clinical settings. Two focus group interviews, involving eight clinicians and clinical supervisors from a diverse range of professional backgrounds, were conducted by an independent interviewer. A discussion guide consisted of a series of open‐ended questions related to the participants’ experiences of delivering COS‐P. Therapists found COS‐P to be effective, feasible to deliver, user‐friendly, flexible, and generalisable to diverse client subgroups. The compassionate and non‐judgmental therapeutic stance was considered a strength of the model. Clinicians highlighted their adoption of the model across their professional and personal lives and the critical importance of supervision. In conclusion, COS‐P is a popular and promising intervention which targets the parent–child relationship that can be successfully delivered to mothers affected by moderate to severe mental health problems.

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Section: Resultsmentioning

confidence: 99%

Clinician Perspectives on the Circle of Security‐Parenting (COS‐P) Program: A Qualitative Study

Reay

Palfrey

Bragg

et al. 2019

ANZ J of Family Therapy

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“…They did find that mothers who participated in COS‐P reported fewer unsupportive responses to child distress than did control mothers, and intervention effects emerged for some child outcomes moderated by mothers’ attachment style or depressive symptoms, suggesting that further work should explore if COS‐P might benefit some dyads and not others. Two small studies ( n = 15 in each) have reported different benefits with different samples: increased parent reflective functioning, decreased caregiving helplessness and reduced anger and rejection toward the child in an Australian sample (Kohlhoff, Stein, Ha, & Mehaja, 2016), and improved emotion regulation and more positive parent attributions and discipline practices in American mothers with substance‐abuse problems (Horton & Murray, ). Limitations of these studies (with the exception of the studies by Cassidy et al., ; Cassidy et al., ) include very small sample sizes, no control conditions, and no follow‐up assessments to see if gains are maintained.…”

mentioning

confidence: 99%

Does Training in the Circle of Security Framework Increase Relational Understanding in Infant/Child and Family Workers?

McMahon

Huber

Kohlhoff

et al. 2017

Infant Mental Health Journal

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This article evaluated whether attendance at Circle of Security training workshops resulted in attendees showing greater empathy and attachment-related knowledge and understanding, and fewer judgmental responses to viewing a stressful parent-child interaction. Participants were 202 practitioners who attended and completed a 2-day (n = 70), 4-day (n = 105), or 10-day (n = 27) COS training workshop in Australia or New Zealand in 2015. In a pre/post design, participant reactions to a video clip of a challenging parent-child interaction were coded for empathic, judgmental, or attachment-focused language. Attachment understanding was coded in response to questions about the greatest challenge that the dyad faced. In all training conditions, participants provided significantly more attachment-focused descriptors and showed significantly greater attachment understanding after training, but significantly fewer empathic descriptors. While participants at the longer workshops provided significantly fewer judgmental/critical descriptors, there was no change for those attending the 2-day workshop. Irrespective of workshop duration or professional background, participants took a more relational perspective on the vignette after the training workshops. More detailed research is required to establish the extent to which this increased knowledge and understanding is retained and integrated into infant mental health practice with parents and young children.

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“…Pilot data on the 20-wk CoS program collected from 20 mothers and their infants who were participating in Tamar's Children program, a 15-mo jail diversion residential program for pregnant nonviolent women who were substance-involved, suggested that these mothers demonstrated higher levels of sensitivity and had infants who exhibited more secure attachment post-treatment (76). At this time, researchers also are examining the feasibility of the 8-wk digital video disk-based program for mothers in residential drug treatment facilities (77,78), with initial studies suggesting that this program can promote improved parenting locus of control (78), parenting attributions, discipline practices (77), and emotion regulation (77,78).…”

Section: Attachment-based Parenting Interventionsmentioning

confidence: 99%

The state of evidence-based parenting interventions for parents who are substance-involved

et al. 2015

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Approximately 70 million children and adolescents live with at least one parent who abuses or is dependent on alcohol or an illicit substance. Given the negative parenting practices that substance-involved mothers and fathers tend to exhibit as well as the poor outcomes that their children, particularly their young children, experience, evidence-based parenting interventions are an important complement to substance abuse treatments. At this time, there are few studies that compare the efficacy of parenting interventions for these parents, however. Nonetheless, research has begun to examine skillbased and attachment-based parenting interventions for substance-involved families with young children. These parenting interventions should be considered within the context of the neurobiology of substance abuse, which emphasizes the role of dopamine in the reward systems that promote substance use. In the context of these neurobiological connections, parenting interventions that engender repeated intense emotional experiences may stimulate this same reward system and, therefore, may be more efficacious. Attachment-based interventions are particularly promising when such connections are considered. More attention needs to be paid to bringing impactful parenting interventions to substance-involved parents with young children.

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A Quantitative Exploratory Evaluation of the Circle of Security‐parenting Program With Mothers in Residential Substance‐abuse Treatment

Cited by 32 publications

References 94 publications

Clinician Perspectives on the Circle of Security‐Parenting (COS‐P) Program: A Qualitative Study

Clinician Perspectives on the Circle of Security‐Parenting (COS‐P) Program: A Qualitative Study

Does Training in the Circle of Security Framework Increase Relational Understanding in Infant/Child and Family Workers?

The state of evidence-based parenting interventions for parents who are substance-involved

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