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9 J. Fam. Violence 1 (1994)

handle is hein.journals/jfamv9 and id is 1 raw text is: Journal of Family Violence, Vol. 9, No. 1, 1994 Treatment Adherence of Maltreating Families: A Survey of Professionals Regarding Prevalence and Enhancement Strategies David J. Hansen1 and Jody E. Warner2 Maltreating parents often do not identify themselves as having a problem and are usually not self-referred for evaluation or treatment. As a result, treatment adherence problems are believed to be common. Unfortunately, the literature to date about the extent of the problem and what to do about it is sparse. The present investigation focuses on two types of treatment adherence by maltreating families: session attendance and homework completion. The goals of the study were the following: (a) provide information on the extent of the problem of nonadherence; (b) examine the relationship between nonadherence and client, treatment, and professional factors; and (c) provide information on the use and effectiveness of strategies to facilitate adherence. A survey was sent to 300 mental health and social service agencies nationwide and completed by 105 professionals. The survey requested specific data on three randomly selected maltreating parents from each respondent's current caseload. Data were obtained on 303 maltreating parents. Implications of the results for intervention and future research are discussed. KEY WORDS: child maltreatment; child abuse; child neglect; treatment adherence. INTRODUCTION Terms such as no shows, drop outs, and resistance are com- monly used by mental health professionals who work with physically abu- sive and neglectful families. Clinical lore as well as the limited available literature indicate that participation in treatment is a significant problem 'University of Nebraska-Lincoln, Lincoln, Nebraska 68588-0308. 2West Virginia University, Morgantown, West Virginia 26506. 0885-7482/940300-0001$07.0/0 0 1994 Plenum Pubisiing Corporation

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