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Gezin aan bod (The family’s turn): A study into the effects and implementation of the Strengthening Families Programme (SFP)

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Samenvatting van de aanvraag

Unfavourable circumstances in the family and in the neighbourhood are important risk factors for use of mental healthcare. The children of parents with a problematic use of alcohol and/or drugs often find themselves in such circumstances and run a high risk of developing serious mental problems: depression, behaviour problems, addiction, personality disorders, anxiety disorders, and antisocial behaviour. Both the size and the problems of this target group are large. Despite these clear risks, few interventions have been developed in the Netherlands for the children of addicted parents in the age group 11 years and older. The Strengthening Families Programme (SFP) from the United States is a promising intervention. The programme comprises 14 sessions for parents and their children (11 years and older). Each session will begin with a meal for everyone together, followed by separate meetings for the parents and the children lasting one hour, and then a final hour with all of the families together. The emphasis is on communicative and parenting skills. The approach of the programme is in agreement with the NIDA guidelines for the effective prevention of addiction. In the Netherlands, the programme has been assessed as a promising way of preventing addiction to alcohol and drugs (Cuijpers & Bolier, 2001). SFP comprises a systematic approach: both parents and young people are involved. Between April 2004 and September 2006, with funds from ZonMw, the SFP was translated and adapted to the Dutch situation. Subsequently, the programme was implemented on a trial basis (pilot study) under the name ‘Gezin aan bod’. The results of the programme were very promising and participants were highly enthusiastic and positive. We therefore wish to investigate the effects of the SFP in more detail in this new project. We also wish to expand the knowledge regarding the conditions for the implementation of the intervention. Objective of the study is to conduct a randomised trial to test the hypothesis that the experimental condition, i.e. the intervention ‘Gezin aan bod’, is superior to 'care-as-usual' in exerting a positive effect on a number of the risk factors for problematic substance use and problematic behaviour of children in families with problems of addiction. The risk factors concerned are: (A) family functioning and (B) parenting skills. The second goal is to obtain greater insight into the conditions for the implementation of ‘Gezin aan bod’(a process evaluation). Ten institutions for the prevention and treatment of addiction have agreed in principle to participate in the study. This proportion of participating institutions is necessary because the target group is difficult to engage. Therefore we opt for randomisation at institution-level, face-to-face interviewing and incentives for participants in both conditions.

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Projectnummer:
120610014
Looptijd: 100%
Looptijd: 100 %
2008
2009
Onderdeel van programma:
Projectleider en penvoerder:
Drs. M. Bool
Verantwoordelijke organisatie:
Trimbos-instituut