Parental Methamphetamine Use and Implications for Child Welfare Intervention: A Review of the Literature

2010 ◽  
Vol 4 (1) ◽  
pp. 25-60 ◽  
Author(s):  
R. Anna Hayward ◽  
Diane DePanfilis ◽  
Kristen Woodruff
2021 ◽  
Vol 12 ◽  
Author(s):  
Gracelyn Cruden ◽  
Shelley Crawford ◽  
Lisa Saldana

Background: Parental substance use, especially opioid misuse and/or methamphetamine use, is a key driver for recent increases in family involvement with child welfare and foster care placements in the United States. There is an urgent need for programs that prevent parental substance use disorders, yet few prevention programs exist that target parents’ unique needs and strengths. Adapting evidence-based treatment approaches for prevention might be an efficient, effective way to address this gap. The current study informed the rigorous adaptation of an evidence-based treatment that supports families involved with child welfare due to substance use, Families Actively Improving Relationships (FAIR), to a prevention-oriented intervention: “PRE-FAIR.” FAIR entails four treatment domains: substance use, parenting, mental health, and ancillary services (e.g., housing, medical care, and food). FAIR significantly improved parenting and reduced parental substance use in three rigorous treatment trials, but FAIR’s effectiveness in preventing the initiation or escalation of opioid misuse and/or methamphetamine use is untested. To inform adaptation, particular attention was paid to operationalizing strategies underlying a key hypothesized mediator of successful parent outcomes—engagement.Methods: Graduated FAIR parents (n = 9) and FAIR administrators, clinical supervisors, and clinicians (n = 11) participated in semi-structured interviews. Content analysis was used to identify key variables driving FAIR engagement and parent outcomes. Causal loop diagramming, a qualitative systems science method, was employed to operationalize emergent themes, and describe how causal links between key variables interrelated dynamically over time.Results: Themes reinforced the value of FAIR’s treatment domains for supporting parent’s sobriety and parenting skills within a prevention orientation. Ancillary supports and strong relationships were particularly crucial for helping parents cope with stressors leading to substance use. Five engagement strategies were identified as essential to parent success: 24/7 clinician availability, in-person clinician advocacy, in-home delivery, strengths-based interactions, and urinalysis. Implications for PRE-FAIR engagement strategies and dosage were identified.Discussion: Traditional qualitative analyses and qualitative analyses based in systems science can inform rigorous adaptations of evidence-based treatment programs for prevention. Future research will explore additional required, fidelity-consistent prevention adaptations to FAIR, and the impact of PRE-FAIR on parental substance use and child welfare case outcomes.


2021 ◽  
Vol 51 (4) ◽  
pp. 189-197
Author(s):  
Alyssa Hickert ◽  
Benjamin Rowley ◽  
Marley Doyle

2007 ◽  
Vol 32 (3) ◽  
pp. 13-20 ◽  
Author(s):  
Joe Fleming

This article looks at the area of father absence in child welfare, which is a growing topic of interest in Australia and elsewhere. Based on the author’s PhD research undertaken so far, the article provides a brief overview of the literature surrounding the area of father absence in child welfare. This literature review is an attempt to highlight current key practice issues that workers and managers may face when delivering services to families.


1984 ◽  
Vol 9 (2) ◽  
pp. 3-5 ◽  
Author(s):  
Anthony N. Maluccio ◽  
Edith Fein

As a practice method, permanency planning has been on the scene long enough to require re-evaluation of its underlying theory and implications for social work. The authors therefore offer a comprehensive definition of permanency planning and describe its major features in detail.Concern about the phenomenon of drift in foster care has given rise to the practice called permanency planning — the process of taking prompt, decisive action to maintain children in their own homes or place them permanently with other families. This is an important movement in child welfare, and there is a continuing need to clarify its meaning so as to promote its development in theory and practice. Following a brief review of the literature, we therefore propose a comprehensive definition of permanency planning and delineate its major components.


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