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Innovations in child welfare interventions for caregivers with substance use disorders and their children

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  • Bosk, Emily A.
  • Paris, Ruth
  • Hanson, Karen E.
  • Ruisard, Debra
  • Suchman, Nancy E.

Abstract

Families who enter the Child Welfare System (CWS) as a result of a caregiver's substance use fare worse at every stage from investigation to removal to reunification (Marsh, Smith, & Bruni, 2011). Intervening with caregivers with Substance Use Disorders (SUDs) and their children poses unique challenges related to the structure and focus of the current CWS. Research demonstrates that caregivers with SUDs are at a greater risk for maladaptive parenting practices, including patterns of insecure attachment and difficulties with attunement and responsiveness (Suchman, Paulo, DeCoste, & Mayes, 2006). Caregivers with SUDs have also often experienced early adversity and trauma. However, traditional addiction services generally offer limited opportunities to focus on parenting or trauma, and traditional parenting programs rarely address the special needs of parents with SUDs. This article details four innovative interventions that integrate trauma-informed addiction treatments with parenting for families involved in the child welfare system. Common mechanisms for change across programs are identified as critical components for intervention. This work suggests the need for a paradigm shift in how cases involving caregivers with substance use disorders are approached in the child welfare system.

Suggested Citation

  • Bosk, Emily A. & Paris, Ruth & Hanson, Karen E. & Ruisard, Debra & Suchman, Nancy E., 2019. "Innovations in child welfare interventions for caregivers with substance use disorders and their children," Children and Youth Services Review, Elsevier, vol. 101(C), pages 99-112.
  • Handle: RePEc:eee:cysrev:v:101:y:2019:i:c:p:99-112
    DOI: 10.1016/j.childyouth.2019.03.040
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    Cited by:

    1. El Assli, Hicham & Merzouki, Mohamed & Chigr, Fatiha & Aimrane, Abdelmohcine & Najimi, Mohamed, 2020. "Status of addictions to psychoactive substances among students in the province of Béni Mellal, Morocco," Children and Youth Services Review, Elsevier, vol. 117(C).
    2. Elizabeth Eggins & David B. Wilson & Joseph Betts & Sara Roetman & Ned Chandler‐Mather & Bronwyn Theroux & Sharon Dawe, 2024. "Psychosocial, pharmacological, and legal interventions for improving the psychosocial outcomes of children with substance misusing parents: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(3), September.
    3. Seekamp, Sarah & Ey, Lesley-Anne & Wright, Shelley & Herbert, James & Tsiros, Margarita D, 2022. "Service delivery goals and underlying interprofessional practices: A scoping review to support interprofessional collaboration in the field of child protection," Children and Youth Services Review, Elsevier, vol. 143(C).
    4. Lin, Yu-An & Hedeker, Donald & Ryan, Joseph P. & Marsh, Jeanne C., 2020. "Longitudinal analysis of need-service matching for substance-involved parents in the child welfare system," Children and Youth Services Review, Elsevier, vol. 114(C).
    5. Colvin, Marianna L. & Howard, Heather, 2022. "Hard to succeed: A call for social change from mothers with substance use in the child welfare system," Children and Youth Services Review, Elsevier, vol. 140(C).

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