Do drug treatment services predict reunification outcomes of mothers and their children in child welfare?
Do drug treatment services predict reunification outcomes of mothers and their children in child welfare?
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DOI：
10.1016/j.jsat.2008.06.010
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发表时间：
2009-04
影响因子：
3.9
通讯作者：
Hser YI
中科院分区：
文献类型：
--
作者：
Grella CE;Needell B;Shi Y;Hser YI
母亲参与药物滥用治疗对与接受家庭外护理的孩子团聚的影响是一个重要的政策问题。本文探讨了预测谁参加了全州范围内的治疗结果研究的母亲之间的儿童团聚。从多个来源整合数据，以确定母亲（n = 1，115），他们的孩子（n = 2，299）和治疗方案（n = 43）的特点对团聚结果的贡献。分层线性模型被用来确定固定和随机效应的母亲，孩子和程序的特点。有更多就业和精神问题的母亲与子女团聚的可能性较小;完成90天或90天以上的治疗后，她们与子女团聚的可能性大约增加一倍。在提供“高”水平家庭相关或教育/就业服务的方案中接受治疗的母亲与子女团聚的可能性大约是在这些服务“低”水平方案中接受治疗的母亲的两倍。
The effect of mothers’ participation in substance abuse treatment on reunification with their children who are in out-of-home care is an important policy issue. This article examines the predictors of child reunification among mothers who participated in a statewide treatment outcome study. Data were integrated from multiple sources to determine the contributions of characteristics of mothers (n = 1,115), their children (n = 2,299), and treatment programs (n = 43) on reunification outcomes. Hierarchical linear modeling was used to determine the fixed and random effects of mother, child, and program characteristics. Mothers with more employment and psychiatric problems were less likely to be reunified with their children; completion of 90 or more days in treatment approximately doubled their likelihood of reunification. Mothers who were treated in programs providing a “high” level of family-related or education/employment services were approximately twice as likely to reunify with their children as those who were treated in programs with “low” levels of these services.