Identifying substance abuse in maltreating families: a child welfare challenge.

Studies of the link between parental substance abuse and child maltreatment suggest that chemical dependence is present in at least half of the families who come to the attention of child welfare authorities for child abuse and neglect. Parental substance abuse is thought to be a primary factor in greatly increased rates of children entering foster care over the past decade. It is also a clear risk factor for child mental health problems and poor developmental outcomes in children. At the same time, however, minimal attention is often given to training child protective services workers and other child welfare personnel in identifying and confronting substance abuse in families on their caseloads. The authors explore standardized methods developed for screening for substance abuse among various populations and suggest ways of adapting these screening devices for families reported for child maltreatment. They identify assessment and treatment considerations in substance abusing families as well.