Barth Richard P, Gibbons Claire, Guo Shenyang
University of North Carolina, Chapel Hill, USA.
J Subst Abuse Treat. 2006 Mar;30(2):93-104. doi: 10.1016/j.jsat.2005.10.008.
Policy and programmatic initiatives of the last decade have focused on increased coordination of services and expansion of prompt substance abuse treatment for mothers initially involved with child welfare services (CWS). Yet, little evidence has been amassed concerning the implications of this approach on the recurrent need for CWS. Data are from a large national probability sample of children and their caregivers involved with CWS following an allegation of maltreatment. Data include the recurrence of maltreatment reports for this group of children who remain at home. Selected from 1,101 caregivers with an indicated substance abuse problem, a group of 224 clients who did not receive services were compared with 224 treated clients. Event history analyses showed that clients who received substance abuse treatment were nearly twice as likely to have another child abuse report within 18 months. Reasons why participation in substance abuse treatment may result in greater involvement with CWS are posited.
过去十年的政策和项目举措侧重于加强服务协调，并为最初涉及儿童福利服务（CWS）的母亲扩大及时的药物滥用治疗。然而，关于这种方法对儿童福利服务反复需求的影响，几乎没有积累任何证据。数据来自一个大型全国概率样本，该样本涉及因虐待指控而与儿童福利服务相关的儿童及其照顾者。数据包括对仍在家中的这组儿童虐待报告的复发情况。从1101名有药物滥用问题迹象的照顾者中选出，将一组未接受服务的224名客户与224名接受治疗的客户进行了比较。事件史分析表明，接受药物滥用治疗的客户在18个月内再次出现虐待儿童报告的可能性几乎是未接受治疗客户的两倍。文中提出了参与药物滥用治疗可能导致更多地涉及儿童福利服务的原因。
