A Regional Partnership to Improve Outcomes Through Fatherhood Engagement

Summary

Montefiore will engage fathers in families at risk of substance misuse in the Bronx and neighboring communities. Families will be referred from Bronx and neighboring community-based child welfare systems, substance use disorder (SUD) treatment providers, and medical providers if identified at risk of substance use concerns and will be randomly assigned to receive services as usual as part of the comparison group, or to receive enhanced services as part of the program group.

Enhanced services include: (1) Motivational Enhancement; (2) referral to Healthy, Empowered, Resilient, and Open (HERO) Dads fatherhood engagement program; (3) Contingency Management; and (4) Case Management.

Conditions

• Substance Use
• Child Abuse
• Child Neglect
• Fathers
• Father-Child Relations

Interventions

BEHAVIORAL

Motivational Enhancement

Evidence-based adaptation of Motivational Interviewing (MI), designed to target ambivalence to change and create internal motivation to engage in substance abuse treatment

BEHAVIORAL

HERO Dads Fatherhood Program

Use the 24/7 Dad fatherhood curriculum, delivered by Montefiore HERO Dads, with an additional 4-session employment education curriculum and 3-session parent coaching to reinforce individual skills learned in fatherhood curriculum. Curriculum designed to increase awareness, knowledge, and skills for parenting and co-parenting.

BEHAVIORAL

Contingency Management

To improve attendance at services and abstinence outcomes.

BEHAVIORAL

Case Management

Referrals to substance use disorder (SUD) treatment and engagement, mental health resources, public assistance resources, connection to the Office of Childhood Services and other case management needs.

Sponsors & Collaborators

• Albert Einstein College of Medicine

  collaborator OTHER

• Mathematica Policy Research, Inc.

  collaborator OTHER

• New York State Office of Children and Family Services

  collaborator UNKNOWN

• New York State Office of Addiction Services and Supports

  collaborator UNKNOWN

• New York City Human Resources Administration (HRA)

  collaborator UNKNOWN

• Children's Bureau - Administration for Children and Families

  collaborator OTHER

• New York City Administration for Children's Services

  collaborator UNKNOWN

• Montefiore Medical Center

  lead OTHER

Principal Investigators

• Scott Wetzler, PhD · Montefiore Medical Center

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

MALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2023-05-09

Primary Completion

2027-09-30

Completion

2027-09-30

Countries

• United States

Study Locations