Accessing child developmental services predicts in-home placement of substance- and HIV-affected children

Intake and termination data from two samples of substance-using and/or HIV-positive mothers of minor children were collected from 17 projects across the U.S. Service utilization data collected from the initial sample was modeled using hierarchical classes (HICLAS) analysis. HICLAS identified three basic classes of service utilization: Services to Meet Basic Needs, Treatment and Support Services, and Pediatric and Developmental Services. After computing propensity score adjustments, we evaluated whether these service classes predicted child placement at termination: living with biological mother without Child Protective Service (CPS) involvement, living with biological mother with CPS involvement, or not living with biological mother. In both the initial and the replication samples, participating mothers who received Services to Meet Basic Needs and/or Pediatric and Developmental Services were more likely to be living with their index children without CPS involvement. Pediatric and Developmental Services was the only significant predictor of this outcome for the subsample of biological mothers who were not living with their index children at program intake. Findings are discussed in terms of the possible benefits derived from the process of receiving services in the Pediatric and Developmental Services category.