IDENTIFYING SUBSTANCE ABUSE AMONG CHILD WELFARE CARETAKERS: AN AMERICAN NATIONAL STUDY
DOI:
https://doi.org/10.25128/2520-6230.18.2.6Keywords:
social work, substance abuse, child welfare, caretakers.Abstract
American Child welfare staff has long recognized that substance abuse is common in families they serve. The unanswered questions are how well do child welfare social workers identify substance abuse in caretakers; and, what client and agency variables complicate this assessment? Chaos theory has much to offer social work in dealing with the uncertainty and complexity that characterize families who experience child abuse, neglect, and substance abuse. This exploratory study analyzed the National Study of Protective, Preventive and Reunification Services Delivered to Children and Their Families dataset. This dataset was a national sample of 2,109 opened child welfare cases (National Data Archive on Child Abuse and Neglect). Caretakers included birth mothers and fathers, stepparents, extended family members; such as aunts, uncles, and grandparents, and adoptive parents. Analysis explored the frequency of abuse and neglect substantiation, mental health problems and substance abuse problems identified by caseworkers. Three multivariate logistic regression models were developed to predict whether independent variables were associated with; the dichotomous dependent variable was identified caretaker substance abuse. Twenty-nine percent of caretakers were identified as substance abusers. This study found child welfare cases with identified substance abuse were significantly more chaotic than other families. Identified caretakers’ problems were twice that of non-identified caretakers. Substance abusing cases are opened more than twice the number of years and have twice as many caseworkers. This study found that neglect cases are fifty percent less likely to be identified and abandonment are more than ninety percent less likely to be identified.References
Amodeo, M., & Jones, L. K. (1997). Viewing alcohol and other drug use cross culturally: a cultural framework for clinical practice. Families in Society, 78(3), 240-254.
Besinger, B. A., Garland, A. F., Litrownik, A. J., & Landsverk, J. A. (1999). Caregiver substance abuse among maltreated children placed in out-of-home care. Child Welfare, 78(2), 221-239.
Bolland, K. A. (1999). Chaos theory: an alternative approach to social work practice and research. Families in Society, 80(4), 367-373.
Carten, A. J. (1996). Mothers in recovery: rebuilding families in the aftermath of addiction. Social Work, 41(2), 214-223.
Canfield, M., Radcliffe, P., Marlow, S., Boreham, M., & Gilchrist, G. (2017). Maternal substance use and child protection: a rapid evidence assessment of factors associated with loss of child care. Child Abuse & Neglect. 70, August, 11-27.
Clark, D. B., Pollock, N. K., Mezzich, A., Cornelius, J., & Martin, C. (2001). Diachronic substance use assessment and the emergence of substance use disorders. Journal of Child and Adolescent Substance Abuse, 10(4), 13-22.
Dunn, M. G., Mezzich, A., Janiszewski, S., Kirisci, L., & Tarter, R. E. (2001). Transmission of neglect in substance abuse families: the role of child dysregulation and parental SUD. Journal of Child and Adolescent Substance Abuse, 10(4), 123-132.
English, D. J., Marshall, D. B., Coghlan, L., Brummel, S., & Orme, M. (2002). Causes and consequences of the substantiation decision in Washington State Child Protective Services. Children and Youth Services Review, 24(11), 817-851.
Gomez, M. B., Primm, A. B., Tzolova Iontchev, I., Perry, W., Vu, H. T., & Crum, R. M. (2000). A description of precipitants of drug use among dually diagnosed patients with chronic mental illness. Community Mental Health Journal, 36(4), 351-362.
He, A.S. (2017). Interagency collaboration and receipt of substance abuse treatment services for child welfare-involved caregivers. Journal of Substance Abuse Treatment, 79.
Hudson, C. G. (2000). At the edge of chaos: a new paradigm for social work? Journal of Social Work Education, 36(2), 215-230.
Kaufman, E. (1980). Myth and reality in the family patterns and treatment of substance abusers. American Journal of Drug and Alcohol Abuse, 7(3 & 4), 257-279.
Kirisci, L., & Tarter, R. E. (2001). Psychometric validation of a multidimensional schema of substance use topology: discrimination of high and low risk youth and prediction of substance use disorder. Journal of Child and Adolescent Substance Abuse, 10(4), 23-33.
Manteuffel, B., Stephens, R. L., & Santiago, R. (2002). Overview of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program and summary of current findings. Children's Services, 5(1), 3-20.
Marcenko, M. O., Kemp, S. P., & Larson, N. C. (2000). Childhood experiences of abuse, later substance use, and parenting outcomes among low-income mothers. American Journal of Orthopsychiatry, 70(3), 316-326.
Marcenko, M. O., & Spence, M. (1995). Social and psychological correlates of substance abuse among pregnant women. Social Work Research, 19(2), 107-113.
Markward, M., Dozier, C., Hooks, K., & Markward, N. (2000). Culture and the intergenerational transmission of substance abuse, woman abuse, and child abuse: a diathesis-stress perspective. Children and Youth Services Review, 22(3/4), 237-250.
Marsha, J.C., Smith, B.D., & Brunic, M. (2011). Integrated substance abuse and child welfare services for women: A progress review. Children and Youth Services Review. 33, 3, March, Pages 466-472.
Olsen, L. J. (1995). Services for substance abuse-affected families: The Project Connect experience. Child and Adolescent Social Work Journal, 12(3), 183-196.
Sanguineti, V. R., & Samuel, S. E. (1993). Comorbid substance abuse and recovery from acute psychiatric relapse. Hospital and Community Psychiatry, 44(11), 1073-1076.
Semidei, Joseph; Laura Feig Radel; Nolan, Catherine. (2001) Child Welfare. 80, 2, (Mar/Apr): 109-28.
Sun, A. P. (2000). Direct practice with substance abusing mothers in the child welfare system: a system perspective. Smith College Studies in Social Work, 70(3), 441-457.
Washington, D. C. U. S. G. P. O. (1999). Blending Perspectives and Building Common Ground. A Report to Congress on Substance Abuse and Child Protection. U.S. Department of Health and Human Services.
Weinman, M. L., Smith, P. B., & Buzi, R. S. (2002). Young fathers: an analysis of risk behaviors and service needs. Child and Adolescent Social Work Journal, 19(6), 437-453.
Windle, M. (1997). Mate similarity, heavy substance use and family history of problem drinking among young adult women. Journal of Studies on Alcohol, 58(6), 573-580.
Wolock, I., Sherman, P., Feldman, L. H., & Metzger, B. (2001). Child abuse and neglect referral patterns: a longitudinal study. Children and Youth Services Review, 23(1), 21-47.
Young, N. (2003). A Preliminary Review of Alcohol and Other Drug Issues in the States' Children and Family Service Reviews and Program Improvement Plans. Prepared for the Center for Substance Abuse Treatment, SAMHSA and Office on Child Abuse and Neglect, Children's Bureau, ACYF.
Zelenko, M., Lock, J., Kraemer, H. C., & Steiner, H. (2000). Perinatal complications and child abuse in a poverty sample. Child Abuse and Neglect, 24(7), 939-950.
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