Safe Mothers, Safe Children Initiative

Purpose

The purpose of this study is to assess the efficacy of the combined interventions, Skills Training in Affective and Interpersonal Regulation (STAIR) and Parent-Child Interaction Therapy (PCIT) or P-STAIR, for treating maternal PTSD and reducing maltreatment recidivism.

Conditions

  • PTSD
  • Depression
  • Child Maltreatment

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Receiving preventive services - Meeting a severity score of 28 or higher OR probable DSM-5 diagnostic criteria for PTSD (PDS-5) - Having 1-8-year-old child - Being the legal guardian for the child with physical and legal custody - Being able to read, write, and speak English or Spanish

Exclusion Criteria

  • Having suicidal ideation present in the past month prior to pre-assessment or reports of a suicide attempt in the past year (SCID-5) - Meeting a diagnosis of severe substance or alcohol use disorder (≥ 6 symptoms on SCID) AND not in early remission (≥3 months without meeting any substance or alcohol use disorder criteria (except craving) - Having current or active symptoms of psychosis in the past month - Having a disability affecting communication, such as deafness - Having an index child with a developmental condition that impedes cognitive and/or physical functioning, e.g. autism - Having an index child with current symptoms or diagnosis of psychosis as defined by the DSM-5 in the past 3 months - Experiencing current or history of intimate partner violence (IPV) or family violence: If there is a history of IPV/family violence and the relationship is no longer active, the relationship must have ended for at least ninety days with no intention of restarting; If there is a history of IPV/family violence, but the relationship is ongoing, there must not have been an IPV/family violence event for at least one year

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
P-STAIR vs Supportive Counseling
Primary Purpose
Treatment
Masking
Single (Outcomes Assessor)
Masking Description
Assessors and preventive case planners are blind to treatment arm.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
P-STAIR
Participants will receive 23 weekly individual treatment sessions. Each session will last one hour. P-STAIR is a combination of STAIR and PCIT. STAIR focuses on reduction of PTSD symptoms through enhancement of emotion regulation skills. PCIT focuses on the reduction of negative parenting skills and the increase of positive parenting skills.
  • Behavioral: P-STAIR
    PCIT+ STAIR
Active Comparator
Supportive Counseling
Participants will receive 23 weekly individual treatment sessions. Each session will last one hour. Supportive counseling has been modified to permit non-trauma discussion of parenting problems. Each session is client-directed and clinicians take an unconditionally supportive role.
  • Behavioral: Supportive Counseling
    Non-trauma focused psychotherapy

Recruiting Locations

More Details

Status
Recruiting
Sponsor
New York University

Study Contact

Hanaan Osman
212-998-4296
ho2233@nyu.edu

Detailed Description

This study is a two-arm randomized controlled trial (RCT): P-STAIR (23 sessions) vs. supportive counseling (SC) (23 sessions). Eligible cases are randomized to P-STAIR and SC in a 1:1 ratio. Participants will be mothers receiving family preservation services (FPS), with a child in the age range of 1-8 years old, and PTSD (with/without depression). Symptom progress will be measured at pre-treatment, two in-treatment assessments (9 weeks and 16 weeks), post-treatment, and at a 6-month follow-up.