Psychological interventions for child maltreatment have predominately been limited to family-supported, multi-component behavioral therapies. Although these comprehensive programs have resulted in positive outcomes, they are relatively costly and there is limited information available as to how the components of these programs influence treatment outcomes. In this study, the CBT components of an evidence-based treatment for child neglect and drug abuse (Family Behavior Therapy) were examined in regards to consumer preferences, consumer engagement and treatment outcomes. Thirty-five mothers identified for child neglect and drug abuse were administered various CBT components successively and cumulatively based on their preferences. Repeated measure ANOVAs indicated that participants chose to receive components that were specific to managing antecedents to drug abuse and child neglect most frequently, followed by parenting skills training, communication skills training, and job/financial skills training. No differences were found in treatment providers’ ratings of the participants’ engagement across intervention components throughout treatment. Participants rated the intervention components as similarly helpful. Partial correlations revealed that participants’ ratings of helpfulness and provider ratings of participants’ engagement were not associated with improved drug use outcomes at 6- and 10-months post baseline. Participants’ ratings of helpfulness were associated with child maltreatment outcomes at 10-month post baseline, and provider ratings of participants’ engagement were associated with child maltreatment outcomes at both 6- and 10-month post baseline. Participants identified for neglect not related to drug exposure in utero improved at a higher percentage than did participants identified for in utero drug exposure, and receiving behavioral intervention components more frequently led to greater percentages of participants improving in both drug use and child maltreatment outcomes.

针对虐待儿童的心理干预主要限于家庭支持的多成分行为疗法。尽管这些综合性计划产生了积极的结果，但它们的成本相对较高，而且关于这些计划的组成部分如何影响治疗结果的信息有限。在这项研究中，针对儿童忽视和药物滥用的循证治疗（家庭行为疗法）的 CBT 组成部分在消费者偏好、消费者参与和治疗结果方面进行了检查。35 名被认定为忽视儿童和滥用药物的母亲根据她们的偏好连续和累积地接受了各种 CBT 成分。重复测量方差分析表明，参与者选择接受最常用于管理吸毒和忽视儿童的前因的组件，其次是育儿技能培训、沟通技巧培训和工作/财务技能培训。治疗提供者对参与者在整个治疗过程中跨干预组成部分的参与度的评分没有发现差异。参与者将干预组件评为同样有帮助。部分相关性表明，参与者的乐于助人评级和参与者参与的提供者评级与基线后 6 个月和 10 个月的药物使用结果改善无关。在基线后 10 个月，参与者的乐于助人等级与虐待儿童的结果相关，参与者参与度的提供者评级与基线后 6 个月和 10 个月的儿童虐待结果相关。被确定为与子宫内药物暴露无关的忽视的参与者的改善百分比高于确定为子宫内药物暴露的参与者，并且更频繁地接受行为干预组件导致更大百分比的参与者在吸毒和虐待儿童结果方面得到改善。