Multidimensional Family Recovery (MDFR)
Description

This is a community and home-based intervention aimed at families with a history of drug abuse and child maltreatment, under the supervision of administrative or judicial child protection institutions.
The objective is to reduce drug abuse through treatment, strengthen the bond between parents and children, promote the safety and protection of children by teaching parenting skills, and assistance services to prevent future involvement with child protection institutions or the criminal justice system.
The program includes six components:
1) Parent-centeredness;
2) Parenting and co-parenting;
3) Child safety;
4) Family relationships;
5) Intimate relationships; and
6) Basic needs and demands.
The intervention is carried out in individual meetings between a counselor and each of the parents, focusing on the adult caregiver who presents drug abuse, meetings with grandparents and other family members, and joint sessions with the entire family involved in the process, including the children.

Impact evaluations

Impact evaluation studies have shown that beneficiaries of the program reported a significant increase in substance use treatment [1].
Around 72% of beneficiary mothers graduated from the drug treatment court intervention and 70% regained legal custody of their children [2].
After 18 months of enrollment in drug treatment court, 77% of the program’s beneficiary mothers reported positive dispositions regarding their children’s well-being [3].

Bibliographic reference

[1] Dakof, G. A., Quille, T. J., Tejeda, M. J., Alberga, L. R., Bandstra, E., & Szapocznik, J. (2003). Enrolling and retaining mothers of substance-exposed infants into drug abuse treatment. Journal of Consulting and Clinical Psychology, 71(4), 764–772. https://doi.org/10.1037/0022-006X.71.4.764

[2] Dakof, G. A., Cohen, J. B., & Duarte, E. (2009). Increasing family reunification for substance-abusing mothers and their children: Comparing two drug court interventions in Miami. Juvenile and Family Court Journal, 60(4), 11–23. https://doi.org/10.1111/j.1755-6988.2009.01033.x

[3] Dakof, G. A., Cohen, J. B., Henderson, C. E., Duarte, E., Boustani, M., Blackburn, A., Venzer, S. E., & Hawes, S. (2010). A randomized pilot study of the Engaging Moms Program for family drug court. Journal of Substance Abuse Treatment, 38(2), 263–274. https://doi.org/10.1016/j.jsat.2010.01.002