A prospective longitudinal study of child custody status among homeless population mothers.
A prospective longitudinal study of child custody status among homeless population mothers.
复制标题
无家可归人口母亲儿童监护状况的前瞻性纵向研究。
DOI：
10.1080/10530789.2021.2002633
复制
发表时间：
2023
影响因子：
1.4
通讯作者：
Pollio,DavidE
中科院分区：
文献类型：
--
作者：
North,CarolS;Williams,Errett;Lee,MinHyung;Pollio,DavidE
无家可归人口中的大多数妇女是母亲，其中大多数是单身母亲。在无家可归的情况下，保留儿童监护权是一项挑战。前瞻性的纵向研究，需要遵循住房和儿童监护的移动件的背景下，仔细评估精神和物质使用障碍随着时间的推移。一项为期2年的前瞻性纵向研究的流行病学样本的个人与文字无家可归者包括59名母亲。年度评估包括结构化的诊断访谈，无家可归的情况，尿液药物检测和服务使用记录的自我报告和数据从机构为这些人服务的详细评估。在整个研究过程中，超过三分之一的母亲一直缺乏子女监护权，而拥有子女监护权的母亲的比例并没有显著增加。近一半的母亲在基线时有当年的药物使用障碍，主要包括可卡因障碍。随着时间的推移，持续缺乏儿童监护与纵向缺乏住房和使用毒品有关。药物使用障碍在儿童监护纵向过程中的重要性表明，迫切需要正式的药物滥用治疗，而不仅仅是减少药物使用的举措，以帮助母亲重新获得和保持对子女的监护权。
Most women in homeless populations are mothers, the majority being single mothers. Retaining child custody is challenging in homeless circumstances. Prospective longitudinal studies are needed to follow the moving pieces of housing and child custody in the context of carefully-assessed psychiatric and substance use disorders over time. A 2-year prospective longitudinal study of an epidemiologic sample of individuals with literal homelessness included 59 mothers. Annual assessments included structured diagnostic interviews, detailed assessment of homeless circumstances, urine drug testing, and service use documented by both self report and data from agencies serving these individuals. More than one-third of the mothers consistently lacked child custody throughout the course of the study and the proportions of mothers with child custody did not increase significantly. Nearly one-half of the mothers had a current year drug use disorder at baseline, mostly including cocaine disorder. Continuing lack of child custody over time was associated with longitudinal lack of housing and use of drugs. The importance of drug use disorders in the longitudinal course of child custody points to a critical need for formal substance abuse treatment, not just initiatives to decrease drug use, in helping mothers regain and maintain custody of their children.