Children of drug-dependent parents: prevention programme outcomes

Abstract

Background: This paper is the result of our interest in preventing adaptation problems (delinquency, academic failure and absenteeism at school, drug use, etc.) in young children and adolescents at risk, as well as the need to develop effective programmes adapted to the population in the Balearic Islands (Spain). Purpose: The objective of this paper was to describe the characteristics and outcomes obtained in the Family Competence Programme (FCP), which is an adaptation of the Strengthening Families Programme (SFP) for the population of the Balearic Islands (Spain). Programme description: Like the SFP, the FCP is a multi-component programme that aims to reduce the influence of risk factors associated with alcohol and drug use while increasing children's resilience by reinforcing the main protective factors. The programme combines training in parenting skills, work with the entire family and children's social skills during 14 weekly sessions. The sessions were led by group leaders with long-standing experience in handling groups and working with populations undergoing treatment and who were also trained specifically to apply the programme. Sample: Two applications of the programme were implemented. The final sample was made up of 58 adult men and women (28 in experimental groups and 30 in control groups) who attended treatment or their partners; their average age was 39. A total of 35 children who were 10.6 years of age on average took part in the programme (19 in experimental groups and 16 in control groups). There were 31 families in all (15 in experimental groups and 16 in control groups). All the participants in the experimental groups live in Mallorca (Spain), while the control groups lived in other cities in Spain. Design and methods: We used a quasi-experimental design with an unmatched control group and pre- and post-treatment measures. The subjects were not randomly assigned to the experimental (EG) and control (CG) groups. The first application took place between 28 January 2005 and 13 May 2005. The second application began on 7 October 2005 and concluded on 27 January 2006. We used participant self-reports together with information supplied by the children's teachers. The instruments included those employed in the SFP and others that had been validated for the Spanish population. The ANOVA, t-test and Cohen's d were used to analyse the data obtained. In addition, we recorded the programme attendance. Results: Percentages for programme attendance were very high and remained high during all 14 sessions. Family relationships, parental education skills, children's behavior and their social skills all improved. Conclusions: Our study indicates that the FCP and its capacity to achieve its objectives are effective, although further research with a larger sample is needed.