Substance Abuse & Mental Health Services Administration

The Substance Abuse and Mental Health Services Administration (SAMHSA)

Yale University: Family-Based Recovery

Family-Based Recovery is an in-home parent-child attachment program for mothers and fathers who are actively parenting a child younger than 36 months and are (1) either currently abusing substances or (2) have used substances in the 30 days prior to referral. The program aims to eliminate drug use among parents, prevent the risk of child neglect and disruption of primary relationships, and promote healthy child development. Specifically, the program focuses on preventing the intergenerational transmission of substance abuse and related behavioral health problems by focusing on parent-child attachment, competent parenting, and social support.

A three-person team, comprising two clinicians and a family-support specialist, deliver all services, which include, among other components, in-home parent-child interventions, and supportive case management. One clinician takes the lead role in working with individuals to address substance abuse issues, while the other uses an infant mental health approach to help parents better understand and attend to their child’s physical, emotional, and developmental needs.

With funding from SAMHSA’s Service to Science Subcontract to Build Evaluation Capacity of Evidence-Based Interventions, program staff will conduct two sets of evaluation enhancements. First, Family-Based Recovery will field-test two measures—Parental Reflective Functioning Questionnaire-1 and the Devereaux Early Childhood Assessment for Infants and Toddlers—to determine the program’s effectiveness in improving child well-being and parental capacity to understand and relate to their child. Program staff will also pilot an adherence measure developed during participation in the Service to Science technical assistance phase. Second, Family-Based Recovery will refine a more rigorous prospective research design, develop a comprehensive pre-screening measure, and identify other potential funding sources.


Jean Adnopoz
Program Director
Yale University, Child Study Center
230 South Frontage Road
New Haven, Connecticut 06519-1124
Phone: (203) 785-4947