Working with children from substance-affected families: the community-based group intervention TRAMPOLINE
DOI:
https://doi.org/10.7179/PSRI_2013.21.04Keywords:
Children from substance-affected families, prevention program, resilience, parental substance abuse, group programAbstract
Introduction: Children from substance-affected families show an elevated risk for developing own substance-related or other mental disorders. Frequently, they experience violence, abuse and neglect in their families. Therefore, they are an important target group for preventive efforts. In Germany it is estimated that approx. 2.65 million children are affected by parental substance abuse or dependence. Only ten percent of them receive treatment when parents are treated. To date, no evaluated program for children from substance-affected families exists in Germany. Methods: A new group intervention for children from substance-affected families was developed and is currently being evaluated in a randomized-controlled multicenter study funded by the German Ministry of Health. The development process was simultaneously guided by theory, existing research knowledge and expert opinion. Promoting resilience in children affected by parental substance abuse is a key goal of the program. Results: The TRAMPOLINE manual describes a 9-session addiction-focused, modular group program for children aged 8 to 12 years with at least one substance-using parent. Weekly sessions last for 90 minutes and combine psychoeducational elements with exercises and role play. A two-session parent intervention component is also integrated in the program. Content, structure and theoretical background of the intervention are described. Discussion: TRAMPOLINE is a new interventive effort targeting children from substance-affected families. It is grounded in theory and practice. The results of the research in progress will provide fundamental information on the effectiveness of a structured group prevention program for German children from substance-abusing families. Thus, the study will contribute to creating a broader and more effective system of preventive help for this high-risk target group.References
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http://dx.doi.org/10.1111/j.1360-0443.2008.02360.x
Hill, S. Y., Shen, S., Lowers, L., Locke-Wellman, J., Matthews, A. G., & McDermott, M. (2008). Psychopathology in offspring from multiplex alcohol dependence families with and with-out parental alcohol dependence: A prospective study during childhood and adolescence. Psychiatry Research, 160, 155-166.
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http://dx.doi.org/10.1016/j.jpsychires.2010.08.005
Horn, K., & Kolbo, J. R. (2000). Application of a cumulative strategies model for drug abuse prevention: Exploring choices for high risk children. Journal of Drug Education, 30(3), 291-312. doi: 10.2190/udc0-6ect-eqca-wvtt
http://dx.doi.org/10.2190/UDC0-6ECT-EQCA-WVTT
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http://dx.doi.org/10.1016/j.addbeh.2011.01.028
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Klein, M., Moesgen, D., Bröning, S., & Thomasius, R. (submitted). Trampolin. Kinder aus suchtbelasteten Familien entdecken ihre Stärken. Manual. Göttingen: Hogrefe.
Küfner, H. (2010). Epidemiologie des Substanzkonsums und der Suchterkrankungen in Deutschland. Bundesgesundheitsblatt, 53, 271-283.
http://dx.doi.org/10.1007/s00103-010-1041-z
PMid:20232026
Kumpfer, K. L. (1999). Factors and processes contributing to resilience: the resilience framework. In M. D. Glantz & J. L. Johnson (Eds.), Resilience and development: positive life adaptions (pp. 179-224). New York: Kluwer Academic Plenum Publisher.
Kumpfer, K. L., Alvarado, R., & Whiteside, H. O. (2003). Family-based interventions for substance abuse prevention. Substance Use & Misuse, 38(11-13), 1759-1789.
http://dx.doi.org/10.1081/JA-120024240
Lam, W. K. K., Cance, J. D., Eke, A. N., Fishbein, D. H., Hawkins, S. R., & Wiliams, J. C. (2007). Children of African-American mothers who use crack cocaine: Parenting influences on youth substance use. Journal of Pediatric Psychology, 32, 877-887.
http://dx.doi.org/10.1093/jpepsy/jsm015
PMid:17522115
Lam, W. K. K., & O'Farrell, T. J. (2012). Dynamics of Substance-Abusing Families and Implications for Treatment. In S. L. Ashenberg Straussner & C. Huff Fewell (Eds.), Children of substance-abusing parents. Dynamics and treatment (pp. 49-75). New York: Springer Publishing Company.
PMid:22169756
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http://dx.doi.org/10.1017/S0033291708003085
McKenna, T., & Pickens, R. (1981). Alcoholic children of alcoholics. Journal of Studies on Alcohol, 42, 1021-1029.
PMid:7334802
Meyer, C., & John, U. (2008). Alkohol-Zahlen und Fakten zum Konsum. Jahrbuch Sucht 2008. Geesthacht: Neuland Verlagsgesellschaft.
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http://dx.doi.org/10.1111/j.1530-0277.2010.01287.x
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