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School-based Interventions
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1
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[65]
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Stress Management and Alcohol Awareness Program (SMAAP)
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School-based group program for 4th-, 5th- and 6th-grade students with problem-drinking parents. Focus: self-esteem, coping behaviors, alcohol expectancies, problem solving, social support. Didactics: theory, practical exercises, homework assignments, complementary “personal trainer component”
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8 weekly 90-min sessions
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Children identified their parents’ problems after watching a relevant video. Interested children were invited to participate in the program. Parental consent was obtained.
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2
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[66]
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Friends in Need
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School-based group program for primary school pupils from drug-involved families. Focus: self-esteem, coping behavior, perception of emotions, group affiliation, „4 C’s” (“you didn’t cause it, you can’t control it; you can’t cure it, you can be okay.”) Didactics: theory, practical exercises, structured sessions, rituals
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8 90-min sessions
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After a discussion group on feelings about drug use, teachers from three schools that were located in drug-involved neighborhoods identified children whom they believed to be affected by parental drug use. Parental consent was obtained.
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3
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[68]
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School-Based-Support-Groups (SBSG)
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School-based group program for students from grades 9 through 12. Focus: knowledge on substance abuse and its impact, family relations, coping strtegies. Didactics: theory, practical exercises, mutual support
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14 weekly 60-min sessions
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A school-based health center and/or a high school counselor identified students reporting substance use in their family (screening question: “Does anyone in your family drink or take drugs so much that it worries you?”). Parental consent was not obtained.
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4
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[67]
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SBSG
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See (3), slightly different format (see format)
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15 45-min sessions
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The program was introduced by school personnel; interested students were welcome to participate.
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5
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[69]
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Children Having Opportunities in Courage, Esteem and Success (CHOICES)
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School-based three-component program for 3rd- and 4th-grade students: 1. “School Support Group”: group meetings. 2. “Healthy Lifestyle Peer Mentors”: ongoing mentoring program for participants; peer mentors received training and attended group meeting. 3. private lessons / homework assistance. Focus: emotions identity and family, coping strategies. Didactics: discussions, videos, practical exercises
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11 weekly 60-min sessions, weekly individual 30-min sessions with mentors
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A drug related video was shown, children answered two screening questions, children screened positive were interviewed by a student counselor, who assessed program eligibility. Parental consent was obtained.
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6
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[70]
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CHOICES
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See (5)
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See (5)
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See (5)
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Community-based Interventions
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7
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[72]
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Teen-Club
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Group-program for female teenagers with drug-involved families and a lack of social and family support. Focus: problem solving, health education, social behavior, home visits for crisis intervention. Didactics: theory, motivational leisure activities
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Weekly 90-min meetings within two years
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Offered by a youth center with a high risk population, no accurate information regarding recruitment provided.
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8
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[71]
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Teen-Club
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See (7)
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See (7)
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See (7)
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Family-based Interventions
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9
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[73]
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Focus on Families (FOF)
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Family-based program for families with methadone treated parents, sessions with groups of families (partly with children, partly without), combined with home-based case management. Focus: relapse prevention, stabilization and improvement of family management practices. Didactics: motivational elements, discussion, practical exercises, periodical buffer calls for 9 months after program end
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32 biweekly 90-min sessions (12 with children) for 16 weeks
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Participating families were recruited at two methadone clinics in Seattle.
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10
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[74]
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FOF
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See (9)
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See (9)
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See (9)
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11
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[64]
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Strengthening Families Program (SFP, Utah-Version).
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Canadian adaption of the SFP 6–12 Year family based program, developed by Kumpfer & DeMarsh (1983) in 1982, tested with children aged 9 to 12 with at least one parent addicted to alcohol in Ontario and Buffalo, NY. Focus: Strengthening individuals as well as family structures. Didactics: theory, practical exercises, videos, session split into children’s / parent’s groups and joint family sessions
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14 weekly 2-3-hour sessions
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Recruited from multiple alcohol treatment agencies and community agencies for high-risk families in Ontario and Buffalo.
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12
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[63]
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Family Com-petence Pro-gram (FCP).
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Spanish adaptation of the SFP 6–12 Years, see (11). Family-based program for parents and children (aged 6 to 14).
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14 weekly 2–3 hour sessions
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Interested drug-using parents in the final phase of addiction treatment, and their children.
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13
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[75]
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Safe Haven Program
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Adaptation of the SFP (Utah version), see (11) for inner city African-American substance-using families with children aged 6 to 12. Focus: parent training, children’s and family skills training. Didactics: practical exercises, homework, theory
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12 weekly sessions
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Parents were recruited at a residential drug and alcohol treatment center. Potential participants were interviewed twice to assess their level of interest and potential commitment. Consent of all family members was obtained.
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