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Original Papers/Research Reports

Implementing Reinforcement-Based Treatment (RBT) for Substance Use Disorders within child protective service systems in Europe

Authors:

Cindy M Schaeffer ,

Medical University of South Carolina, US
About Cindy

Child Protective Service Systems in Europe

Department of Psychiatry and Behavioral Sciences

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Cynthia C Swenson,

Medical University of South Carolina
About Cynthia

Department of Psychiatry and Behavioral Sciences

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Joanne E Penman,

Johns Hopkins University, US
About Joanne
Department ofPsychiatry
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L Michelle Tuten

Johns Hopkins University, US
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Department of Psychiatry
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Abstract

Parental substance misuse is a major concern internationally among child protective service systems charged with protecting children from maltreatment. Research in western countries indicates that substance misuse is a contributing factor in the vast majority of maltreatment cases that require child removal from the home. Unfortunately, parents involved in child protective services rarely access or complete treatment for substance misuse. A new approach to addressing the complex interrelated problems experienced by families in which child maltreatment has occurred known as Multi systemic Therapy for Child Abuse and Neglect (MST-CAN), is being implemented in numerous sites in the US and Europe. This article describes the provision of Reinforcement-Based Treatment (RBT), an intensive behavioural intervention for substance misuse developed in the US by MST-CAN service providers in Europe. Several challenges encountered in delivering RBT within the European context including balancing abstinence-only and harm reduction perspectives, making drug testing feasible, and implementing vocational interventions are discussed as well as how each challenge was managed. The authors conclude that the implementation of RBT in Europe with a child protective service system population has been successful and encourage further adoption of the model across different European contexts.

DOI: http://dx.doi.org/10.4038/ijptsud.v1i2.7692

International Journal of Prevention and Treatment of Substance Use Disorders 2014;1(2):38-52

 

How to Cite: Schaeffer, C.M. et al., (2014). Implementing Reinforcement-Based Treatment (RBT) for Substance Use Disorders within child protective service systems in Europe. International Journal of Prevention and Treatment of Substance Use Disorders. 1(2), pp.38–52. DOI: http://doi.org/10.4038/ijptsud.v1i2.7692
Published on 27 Nov 2014.
Peer Reviewed

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