Building resilience in children of mothers who have co-occurring disorders and histories of violence: intervention model and implementation issues

Historically, children of parents with co-occurring substance abuse and mental health disorders and histories of violence/trauma have been overlooked in behavioral health treatment systems. The Women, Co-occurring Disorders and Violence Study (WCDVS) was a 5-year initiative funded by the United Stat...

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Bibliographic Details
Published in:The journal of behavioral health services & research 2005-04, Vol.32 (2), p.141-154
Main Authors: Finkelstein, Norma, Rechberger, Elke, Russell, Lisa A, VanDeMark, Nancy R, Noether, Chanson D, O'Keefe, Maura, Gould, Karen, Mockus, Susan, Rael, Melissa
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Battered Women - psychology
Behavioral Medicine
Child
Child Health Services
Child of Impaired Parents - psychology
Child, Preschool
Children & youth
Diagnosis, Dual (Psychiatry)
Domestic Violence - psychology
Domestic Violence - statistics & numerical data
Drug abuse
Female
Health services
Humans
Intervention
Male
Mental disorders
Mental Disorders - complications
Mental health
Mental health care
Mental Health Services
Mothers
Mothers - psychology
Social services
Studies
Substance-Related Disorders - complications
United States
Violence
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Summary:Historically, children of parents with co-occurring substance abuse and mental health disorders and histories of violence/trauma have been overlooked in behavioral health treatment systems. The Women, Co-occurring Disorders and Violence Study (WCDVS) was a 5-year initiative funded by the United States Substance Abuse and Mental Health Services Administration (SAMHSA) that included a Children's Study that explored the treatment needs of children of women with these multiple disorders. This article describes the development of the Children's Study intervention that included clinical assessment, group intervention, and resource coordination/advocacy for children aged 5-10 to build resilience through increasing coping skills, improving interpersonal relationships, and helping coalesce positive identity and self-esteem. Innovative procedures, including the participation of consumer/survivor/recovering women and mothers, in the planning, implementation, and administrative applications of this intervention and study are also highlighted. It is recommended that programs begin to implement family-focused integrated treatment approaches that can potentially increase protective factors for children affected by parental mental illness, substance abuse, and violence.
ISSN:1094-3412
1556-3308
DOI:10.1007/BF02287263