Research Departments & Organizations
These program models are designed to prevent removal of children from their homes and communities and reduce the likelihood of their placement in restrictive settings such as psychiatric hospitals, residential treatment facilities, dentention centers and unrelated foster homes. One such treatment program, the Intensive, In-Home Child and Adolescent Psychiatric Service (IICAPS), is being replicated at 14 sites within Connecticut and is recognized as a promising model of intervention for children with serious emotional disturbances and their families.
Extensive knowledge of the child welfare system and the elements of public/private collaboration necessary to maintain children's primary relationships and ensure their permanency and safety.
Specialized Terms: Primary area of expertise: development, supervision and support of intensive in-home interventions for children at high risk for placement outside of their homes and communities for reasons of serious psychiatric disorders, abuse, neglect, and/ or chronic parental illness or substance abuse. Current research interest is the Family Health and Development Project (FHDP) a randomized controlled trial of the Intensive In-Home-Child and Adolescent Psychiatric Service (IICAPS), developed at the Yale and now replicated at 20 locations in Connecticut. The effectiveness of IICAPS is being compared to the Home-Based Child Treatment Coordination Program (HCTC) a clinically informed, less intensive, child centered, parent focused intervention. Outcome variables include psychiatric hospitalization, service utilizations, behavioral and functional changes, parental perception and the attainment of treatment goals. A recent Service to Science award from SAMHSA will support the development of a pilot study of Family Based Recovery (FBR) an integrated in-home substance abuse and parent-child relationship-based treatment program also developed at Yale with the support of the Department of Children and Families and replicated at 5 additional sites in Connecticut.
Extensive Research Description
My clinical and research career has been devoted to the development of programs and policies that address the needs of children who are at substantial risk for disruption of their relationships with their primary caregivers and placement in facilities and systems other than their biologic families. Our work has focused on children in the child welfare, mental health and juvenile justice systems. Some of these children are vulnerable for abuse, neglect, and abandonment or affected by parental drug addiction, chronic physical or mental illness, mental retardation and homelessness. Others suffer from their own serious psychiatric and behavioral disorders, often the result of the interaction between their own genetic imprint and chronic and pervasive stress, secondary to continuous exposure to neglect, violence and deprivation. The intervention and treatment models we have developed at the Child Study Center offer intensive, home-based, family focused services that incorporate concepts derived from developmental psychopathology, psychoanalysis, transactional risk, cognitive-behavioral and systems theories.
- My colleagues and I are currently engaged in a randomized study of the Intensive In-Home Child and Adolescent Psychiatric Service (IICAPS) a standardized treatment model for children with serious emotional disturbances and their families that is now being replicated in 17 sites within Connecticut.
- We have also implemented two new models of treatment for children affected by parental substance abuse. Family Based Recovery, (FBR) is designed to address both the parent and child relationship in a developmental context and to provide reinforcement-based substance abuse treatment for parents who are active users. FBR has been replicated in 5 additional sites throughout the state. SAFE Families offers drug and mental health treatment for families from which a child has been removed. In collaboration with Advanced Behavioral Health it aims to promote reunification and permanency.