Parental Substance Abuse: Implications for Children, the Child Welfare System, and Foster Care Outcomes

1997 ◽  
Author(s):  
Jane L. Ross
Keyword(s):  
Substance Abuse ◽  
Foster Care ◽  
Child Welfare ◽  
Child Welfare System ◽  
Welfare System ◽  
Parental Substance Abuse ◽  
Care Outcomes

scholarly journals Meeting the Needs of Families Involved in the Child Welfare System for Parental Substance Abuse: Outcomes From an Effectiveness Trial of the Families Actively Improving Relationships Program

2021 ◽  
Vol 12 ◽  
Author(s):  
Lisa Saldana ◽  
Jason E. Chapman ◽  
Mark Campbell ◽  
Zoe Alley ◽  
Holle Schaper ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Child Welfare ◽  
Skills Training ◽  
Child Welfare System ◽  
Welfare System ◽  
Evidence Based ◽  
Treatment Needs ◽  
Parental Substance Abuse ◽  
Program Costs

Limited evidence-based practices exist to address the unique treatment needs of families involved in the child welfare system with parental substance abuse. Specifically, parental opioid and methamphetamine abuse have increased over the last decade, with associated increases of families reported to the child welfare system. The Families Actively Improving Relationships (FAIR) program was developed to address the complexities of these families. Evidence-based strategies to address the interrelated needs of parents—including substance abuse and mental health treatment, parent skills training, and supportive case management to improve access to ancillary needs—are integrated in an intensive community outpatient program. This study examined the clinical effectiveness of FAIR when delivered in a Medicaid billable outpatient clinic. Parents (n = 99) were randomized either to the immediate FAIR condition or to the Waitlist (WL) condition, using a dynamic wait-listed design, with all parents provided the opportunity to eventually receive FAIR. Outcomes show statistically and clinically significant reductions in parental opioid and methamphetamine use, mental health symptoms, and parenting risk, and improvements in stability in parents receiving FAIR. Providing services to families who require travel in excess of 20 miles for sessions has challenging implications for program costs under a Medicaid structure. Study outcomes highlight the need for policies to support funding of intensive family-based programs.

scholarly journals Enhancing Permanency in Children and Families (EPIC): a child welfare intervention for parental substance abuse

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bridget Freisthler ◽  
Kathryn Maguire-Jack ◽  
Susan Yoon ◽  
Elinam Dellor ◽  
Jennifer Price Wolf
Keyword(s):  
Substance Abuse ◽  
Child Welfare ◽  
Behavioral Health ◽  
Child Welfare System ◽  
Welfare System ◽  
Evidence Based ◽  
Children And Families ◽  
Juvenile Courts ◽  
Parental Substance Abuse ◽  
Addiction Severity

Abstract Background Across Ohio, parental substance abuse has contributed to a marked increase in the number of children in foster care. Children exposed to parental substance use have a higher likelihood of physical abuse and neglect, and consequently a variety of physical, psychological and cognitive problems. The Enhancing Permanency in Children and Families (EPIC) program is a collaborative effort between the Ohio State University College of Social Work, two county offices of the Ohio Department of Job and Family Services, two juvenile courts and local behavioral health agencies. The goal of EPIC is to use three evidence-based and evidence-informed practices to reduce abusive and neglectful parenting, reduce addiction severity in parents, and improve permanency outcomes for families involved with the child welfare system due to substance abuse. Methods EPIC is a quasi-experimental study. Under the program, child welfare-involved adults who screen positive for substances are matched with a peer recovery supporter. Participants are also incentivized to participate in family treatment drug court, medications for opioid use disorders and home-based parenting supports. Participating adults (N = 250) are matched with comparison groups from counties participating in a separate intervention (Ohio START) and to those receiving treatment as usual, resulting in a final sample of 750 adults. Primary outcomes including addiction severity, child trauma symptoms, resilience, and attachment are assessed at baseline and at program completion. Additional outcomes include timely access to treatment services, length of placement in out-of-home care and recidivism into the child welfare system. Discussion This intervention formalizes cross-system collaboration between child welfare, behavioral health and juvenile courts to support families affected by addiction. The use of three evidence-based or evidence-informed strategies presents the opportunity to determine specific strategies that are most effective for reducing addiction severity. Lastly, the intervention combines several sources of funding to bolster sustainability beyond the life of the Regional Partnership Grant (RPG). Trial registration NCT04700696. Registered January 7, 2021-retrospectively registered.

Substance Abuse-Affected Families in the Child Welfare System: New Challenges, New Alliances

Social Work ◽  
1996 ◽  
Vol 41 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Lenette Azzi-Lessing ◽  
Lenore J. Olsen
Keyword(s):  
Substance Abuse ◽  
Child Welfare ◽  
Child Welfare System ◽  
Welfare System ◽  
New Challenges

Integrating Substance Abuse Competency within a Statewide Child Welfare System

2007 ◽  
Author(s):  
Kim Bishop-Stevens ◽  
Loretta Butehorn
Keyword(s):  
Substance Abuse ◽  
Child Welfare ◽  
Child Welfare System ◽  
Welfare System

Trauma and Children

2020 ◽  
pp. 168-187
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
At Risk ◽  
Foster Care ◽  
Child Welfare ◽  
Child Welfare System ◽  
Welfare System ◽  
Trauma Survivors ◽  
Duration Of Stay ◽  
Case Examples ◽  
Family Approach ◽  
Biological Family

Trauma and children placed in foster care is examined. Statistics related to foster care placement, duration of stay, and number of disrupted placements are offered. How these factors exacerbate the problems of trauma survivors in the child welfare system is explored. A family to family approach is described. Several case examples are offered covering numerous treatment issues including how to stabilize at-risk foster placements, how to recruit and include biological family of children placed in foster care, and how to enlist therapeutic help from biological family members when their child is placed in foster care.

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