Nurturing Program for Families in Substance Abuse Treatment and Recovery - Detailed Report

• Parents and group facilitators participating in this program are collaborators in the process; the model is both interactive and instructional.
• The focus throughout the program is on nurturing the parent, while expanding the parents' ability to transmit this nurturance to their children.
• Parents practice parenting skills in sessions, and then with their child(ren). There is a Family Activities Manual, published by Family Development Resources, Inc., which was designed to provide activities for parents and children to do together, and to be used as a complement to the Nurturing Program. In addition, one adaptation of the curriculum includes a curriculum designed for children's groups, covering similar topics as the parenting curriculum, to be completed at the same time as the parenting groups.
• Parents learn to see addiction as a disease affecting all family members, across generations, and that recovery is also a process, which affects all family members, across generations.
• The learning involved in this program, like the experience of recovery, involves re-working of tasks and stages of life, and re-evaluation and re-patterning of principles and actions.

Nurturing Program for Families in Substance Abuse Treatment and Recovery has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for scientific rating of 1 – 5 . Therefore, the program has been given the classification of "NR - Not able to be Rated. " It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR – Not able to be Rated" classification, please see the Scientific Rating Scale.

Camp, J. M., & Finkelstein, N. (1997). Parenting training for women in residential substance abuse treatment. Journal of Substance Abuse Treatment, 14(5), 411-422.

Type of Study: Pretest/Posttest
Number of participants: 170
Population:

Age Range: 27.3 years on average
Race/Ethnicity: 72% Black, 21% White, 4% Hispanic, 2% Native American, and 1% Other
Status (e.g., foster care, CW): Women enrolled in a residential program for substance-abusing mothers and their children.

Location/Institution: Boston, MA
Summary: (To include comparison groups, outcomes, measures, notable limitations) Women in two parenting program sites were assessed at intake using the Adult-Adolescent Parenting Inventory (AAPI), the Hudson Self-Esteem Index, and the Nursing Child Assessment Satellite Training Feeding Scale (NCAST). Women at site A showed improvement on all domains of the AAPI between baseline and follow-up and women at site B showed improvement on two domains: Lack of Empathy and Role Reversal. Women in the study had good parent-child interaction scores on the NCAST at baseline, but also showed improvement over time. For site A, the greatest improvement was seen in white women, while at site B, the biggest gains were seen for black women, the majority ethnic group at that site. Limitations include attrition rates and concerns regarding differences in program delivery between the two sites.
Length of post-intervention follow-up: None

Moore, J., & Finkelstein, N. (2001). Parenting services for families affected by substance abuse. Child Welfare, 80(2), 221-238.

Type of Study: Pretest/Posttest
Number of participants: 170
Population:

Age Range: 27.3 years on average
Race/Ethnicity: 72% Black, 21% White, 4% Hispanic, 2% Native American, and 1% Other
Status (e.g., foster care, CW): Women enrolled in a residential program for substance-abusing mothers and their children.

Location/Institution: Boston, MA
Summary: (To include comparison groups, outcomes, measures, notable limitations) Note: This publication uses the same sample as Camp and Finkelstein (1997). Women completing the Nurturing Program had longer average times to relapse than those who did not complete the program. (14.7 months versus 9.4 months.)
Length of post-intervention follow-up: None.

Alvorado, R., Kendall, K., Beesley, S., & Lee-Cavaness, C. (Eds.). (2000). Strengthening America's families: model family programs for substance abuse and deliquency prevention. Salt Lake City, UT: University of Utah.

Jablonski, B. (2001). The SAMHSA women co-occurring disorders and violence children's subset study. The Tapestry, Fall, 3-6.

Jablonski, B., & Moses, D. J. (2002). Innovations from the sites: Nurturing Families affected by substance abuse, mental illness and trauma: a parenting curriculum for women and children. Delmar, NY: Policy Research Associates.