Treatment outcome for a maltreated population: benefits, procedural decisions, and challenges

Gothard, Shayna; Ryan, Barbara; Heinrich, Tricia

doi:10.1016/s0145-2134(00)00162-9

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Other outcome studies have reported mixed findings or documented very few benefits following routine community services (see National Academy of Sciences, 1997;Oates et al, 1994;U.S. Department of Health and Human Services Administration on Children Youth and Families, 2001) or have not formally evaluated child treatment per se (Bishop & Leadbetter, 1999;Donohue & Van Hasselt, 1999;Gothard et al, 2000). In contrast, clinical trials that incorporate abuse-specific cognitive-behavioral treatment procedures for use with child victims have reported gains on related child outcome measures with sexually or physically abused children (Cohen & Mannarino, 1998;Deblinger et al, 1996;Kolko, 1996aKolko, , 1996b.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies of service delivery in this area have examined predictors of overall service involvement without evaluating whether the predictors vary by type of service (Blumberg et al, 1996;Landsverk et al, 1996). Similarly, studies have focused on the outcomes of overall service involvement instead of evaluating how outcomes vary by service type (Donohue & Van Hasselt, 1999;Gothard, Ryan, & Heinrich, 2000). Based on prior work, certain demographic, maltreatment history, and clinical characteristics may influence these service parameters.…”

Section: Theincreasedavailabilityofcommunityagencyser-mentioning

confidence: 99%

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Child Abuse Victims' Involvement in Community Agency Treatment: Service Correlates, Short-Term Outcomes, and Relationship to Reabuse

2003

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This study examines the correlates and impacts of child treatment in 68 cases referred to community agency providers after reports of child physical or sexual abuse. Standardized clinical assessments were conducted with child victims and their caregivers at intake and short-term follow-up (FUP-1), supplemented by official record reviews at a long-term follow-up (FUP-2). Child treatment was received by 19% and 50% of the children at FUP-1 and FUP-2, respectively. There were few correlates of initial child treatment involvement (sexual abuse or parent and family services received concurrently). Initial child treatment was not associated with significant gains in child outcomes. Child improvement in abuse-related outcomes was associated with post-traumatic stress disorder and lower adjustment at intake. Initial child treatment was unrelated to reabuse or out-of-home placement by FUP-2. Additional studies are needed to more fully evaluate the process and outcome of referral of child abuse victims to community-based services.

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Section: Discussionmentioning

confidence: 99%

Section: Theincreasedavailabilityofcommunityagencyser-mentioning

confidence: 99%

Child Abuse Victims' Involvement in Community Agency Treatment: Service Correlates, Short-Term Outcomes, and Relationship to Reabuse

2003

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“…Intervention researchers often view practitioners' skepticism toward manuals as ignorance or intransigence (Tavris, 2003). This is unfortunate, as the support and trust of practitioners is essential to the dissemination and implementation of evidencebased interventions, many of which are being manualized (Gothard, Ryan, & Heinrich, 2000;Hemmelgarn, Glisson, & Lawrence, 2006;Schmidt & Taylor, 2002). Practitioners may play into researchers' prejudices by rejecting treatment manuals out of hand, as in the case of a recent president of a highly regarded mental health organization referring to the use of treatment manuals as "fundamentally insane" (Carey, 2004, p. 1).…”

Section: Theoretical and Research Basismentioning

confidence: 99%

Addressing Individual Client Needs in Manualized Treatment

Herman-Smith

Pearson

Cordiano

et al. 2008

Clinical Case Studies

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One consequence of the evidence-based practice movement is the proliferation of manualized interventions. Clinicians voice a number of concerns about the use of treatment manuals. These include concerns that manuals impede the therapeutic relationship and discourage flexibility in addressing the individual needs of clients. One manualized intervention called parent-child interaction therapy (PCIT) has shown exceptional promise in the treatment of child behavioral problems. PCIT is a parent-mediated behavioral intervention aimed at reducing externalizing behaviors in children by changing parenting practices. The manual includes session scripts for clinicians, a proscribed sequence of intervention activities, and checklists for clinicians and parents to document that intervention is completed in the prescribed manner. Three cases are presented in which clients vary by personal characteristics and individual needs. Case descriptions reveal how this manualized intervention was adapted successfully to address the needs of a variety of families. Implications for therapeutic relationship are also discussed.

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“…Overall, there is consensus on the positive outcome potential of models of intervention that attend to the maltreating caregiver's problems in the interpersonal domain, in regulating emotions, and in processing information effectively for optimizing goal achievement. Gothard, Ryan, and Heinrich (2000) provided a wellinformed discussion of the issues involved in implementing and managing a treatment outcome program for a maltreating population.…”

Section: Implications For Assessment Intervention and Researchmentioning

confidence: 99%

Nature and Consequences of Personality Problems in Maltreating Caregivers

Marziali¹,

Damianakis²,

Trocmé³

2003

Families in Society: The Journal of Contemporary Social Service

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From the authors' perspective and value-based assumptions, neglect and abuse occur not out of malice or intent to harm but rather out of an inability to cope with the demands of children whose developmental needs overwhelm the coping resources of parental caregivers. In this article the authors develop a theoretical model that views caregivers who repeatedly maltreat their children as limited in providing appropriate parenting responses to their offspring because of psychosocial problems that pervade most sectors of their functioning. The proposed theoretical model targets 3 interacting dimensions of personality functioning (interpersonal relationship capacity, emotion regulation, and self-esteem maintenance). Implications for the development of assessment and intervention strategies and for empirical testing of the model are outlined.

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Treatment outcome for a maltreated population: benefits, procedural decisions, and challenges

Cited by 5 publications

References 11 publications

Child Abuse Victims' Involvement in Community Agency Treatment: Service Correlates, Short-Term Outcomes, and Relationship to Reabuse

Child Abuse Victims' Involvement in Community Agency Treatment: Service Correlates, Short-Term Outcomes, and Relationship to Reabuse

Addressing Individual Client Needs in Manualized Treatment

Nature and Consequences of Personality Problems in Maltreating Caregivers

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