Meeting the Needs of Families Involved in the Child Welfare System for Parental Substance Abuse: Outcomes From an Effectiveness Trial of the Families Actively Improving Relationships Program.
Meeting the Needs of Families Involved in the Child Welfare System for Parental Substance Abuse: Outcomes From an Effectiveness Trial of the Families Actively Improving Relationships Program.
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DOI：
10.3389/fpsyg.2021.689483
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发表时间：
2021
影响因子：
3.8
通讯作者：
Padgett C
中科院分区：
文献类型：
--
作者：
Saldana L;Chapman JE;Campbell M;Alley Z;Schaper H;Padgett C
存在有限的循证做法，以满足儿童福利系统中有父母滥用药物的家庭的独特治疗需要。具体地说，在过去十年中，父母滥用阿片类药物和甲基苯丙胺的情况有所增加，向儿童福利系统报告的家庭也相应增加。家庭积极改善关系(FIRE)计划是为了解决这些家庭的复杂性而制定的。解决父母相互关联的需求的循证战略--包括药物滥用和精神健康治疗、父母技能培训和支持性病例管理以改善获得辅助需求的机会--被整合到一个密集的社区门诊计划中。这项研究测试了在医疗补助付费门诊提供的FIRE的临床效果。父母(n=99)被随机分为立即公平条件或等待名单(WL)条件，采用动态等待名单设计，所有父母都有机会最终获得公平。结果显示，在统计和临床上，父母阿片类药物和甲基苯丙胺的使用、精神健康症状和育儿风险显著减少，接受公平治疗的父母的稳定性有所改善。为需要出差超过20英里的家庭提供服务，对医疗补助结构下的计划成本具有挑战性。研究结果突出表明，需要制定政策支持密集的以家庭为基础的方案的资助。
Limited evidence-based practices exist to address the unique treatment needs of families involved in the child welfare system with parental substance abuse. Specifically, parental opioid and methamphetamine abuse have increased over the last decade, with associated increases of families reported to the child welfare system. The Families Actively Improving Relationships (FAIR) program was developed to address the complexities of these families. Evidence-based strategies to address the interrelated needs of parents—including substance abuse and mental health treatment, parent skills training, and supportive case management to improve access to ancillary needs—are integrated in an intensive community outpatient program. This study examined the clinical effectiveness of FAIR when delivered in a Medicaid billable outpatient clinic. Parents (n = 99) were randomized either to the immediate FAIR condition or to the Waitlist (WL) condition, using a dynamic wait-listed design, with all parents provided the opportunity to eventually receive FAIR. Outcomes show statistically and clinically significant reductions in parental opioid and methamphetamine use, mental health symptoms, and parenting risk, and improvements in stability in parents receiving FAIR. Providing services to families who require travel in excess of 20 miles for sessions has challenging implications for program costs under a Medicaid structure. Study outcomes highlight the need for policies to support funding of intensive family-based programs.
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影响因子：
3.9
作者：
Grella CE;Needell B;Shi Y;Hser YI
通讯作者：
Hser YI
DOI：
10.1207/s15374424jccp3402_9
发表时间：
2005-06-01
影响因子：
4.2
作者：
Ondersma, SJ;Chaffin, MJ;LeBreton, JM
通讯作者：
LeBreton, JM
影响因子：
3.3
作者：
Akin, Becci A.;Brook, Jody;Lloyd, Margaret H.
通讯作者：
Lloyd, Margaret H.
影响因子：
4.2
作者：
Jones, HE;Wong, CJ;Stitzer, ML
通讯作者：
Stitzer, ML
影响因子：
2.7
作者：
Brown, C. Hendricks;Wyman, Peter A.;Pena, Juan
通讯作者：
Pena, Juan