Ryan Joseph P, Perron Brian E, Moore Andrew, Victor Bryan G, Park Keunhye
University of Michigan School of Social Work, 1080 S. University, Ann Arbor, MI 48109, United States.
University of Michigan School of Social Work, 1080 S. University, Ann Arbor, MI 48109, United States.
J Subst Abuse Treat. 2017 Jun;77:178-184. doi: 10.1016/j.jsat.2017.02.006. Epub 2017 Feb 21.
Substance use disorders are a major problem for child welfare systems. The abuse of and dependence on alcohol and drugs by parents increases the risk of child maltreatment and interferes with efforts to locate a permanent home for children in foster care. The current study focuses on an intervention designed to increase the probability of reunification for foster children associated with substance using families. We focus specific attention on the timing of the intervention, in particular the timing of comprehensive screening and access to substance abuse services in relation to the temporary custody hearing. A diverse group of children (n=3440) that were placed in foster care and associated with a parent diagnosed with a substance use disorder were randomly assigned to either a control (services as usual) or experimental group (services as usual plus a recovery coach for parents). Binomial logistic regression models indicated that early access to substance use services matters (within two months of the temporary custody hearing) but only when parents were connected with a recovery coach. Additional findings indicated that the recovery coach model eliminated racial disparities in reunification. The implications of these findings are discussed.
物质使用障碍是儿童福利系统面临的一个重大问题。父母对酒精和药物的滥用及依赖增加了儿童受虐待的风险，并干扰了为寄养儿童寻找永久家庭的努力。当前的研究聚焦于一项干预措施，旨在提高与有物质使用问题家庭相关的寄养儿童与家人团聚的可能性。我们特别关注干预的时机，尤其是综合筛查的时机以及与临时监护听证会相关的物质滥用服务的获取时机。一组多样化的儿童（n = 3440）被安置在寄养机构，且其父母被诊断患有物质使用障碍，这些儿童被随机分配到对照组（照常提供服务）或实验组（照常提供服务外加为父母配备一名康复教练）。二项逻辑回归模型表明，尽早获得物质使用服务很重要（在临时监护听证会的两个月内），但前提是父母要与一名康复教练取得联系。其他研究结果表明，康复教练模式消除了团聚方面的种族差异。本文将讨论这些研究结果的意义。
