Examining the Role of Methamphetamine in Permanency: A Competing Risks Analysis of Reunification, Guardianship, and Adoption
Examining the Role of Methamphetamine in Permanency: A Competing Risks Analysis of Reunification, Guardianship, and Adoption
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DOI：
10.1037/ort0000052
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发表时间：
2015-03-01
影响因子：
3.3
通讯作者：
Lloyd, Margaret H.
中科院分区：
文献类型：
--
作者：
Akin, Becci A.;Brook, Jody;Lloyd, Margaret H.
近年来，父母使用甲基苯丙胺引起了极大的关注。尽管先前的研究表明，父母滥用药物是长期寄养的一个风险因素，但人们对特定类型的物质使用对永久性的影响知之甚少。本研究旨在比较父母使用甲基苯丙胺对酒精使用，其他药物使用和多种物质使用对3种类型的永久性时间的影响：统一，监护和收养。使用一个进入队列的16,620名儿童谁进入寄养在5年期间，竞争风险事件历史模型进行了每一个永久性类型。研究结果表明，在控制了几个案件的特点，父母非法药物的使用显着影响的3种类型的永久性的时间，但酒精的使用没有。甲基苯丙胺，其他药物，与甲基苯丙胺使用的多物质与较低的团聚率和较高的通过率。监护也预测其他药物和多种物质的使用没有甲基苯丙胺，但是，甲基苯丙胺的使用与监护无关。值得注意的是，甲基苯丙胺群体包括最年幼的儿童，收养的中位数时间最短。结果表明，父母的物质使用的类型是预测的永久性出口和父母非法药物的使用可能需要量身定制的策略，以改善永久性的结果。研究结果的进一步影响进行了讨论。
Parental methamphetamine use has drawn significant attention in recent years. Despite prior research that shows that parental substance abuse is a risk factor for lengthy foster care stay, little is known about the effect of specific types of substance use on permanency. This study sought to compare the impact of parental methamphetamine use to alcohol use, other drug use, and polysubstance use on the timing of 3 types of permanency: reunification, guardianship, and adoption. Using an entry cohort of 16,620 children who had entered foster care during a 5-year period, competing risks event history models were conducted for each permanency type. Findings showed that, after controlling for several case characteristics, parent illicit drug use significantly impacted the timing of the 3 types of permanency, but alcohol use did not. Methamphetamine, other drug, and polysubstance with methamphetamine use were associated with lower rates of reunification and higher rates of adoption. Guardianship was also predicted by other drug and polysubstance use without methamphetamine; however, methamphetamine use was not associated with guardianship. Notably, the methamphetamine groups comprised the youngest children and had the shortest median time to adoption. Results suggest that type of parental substance use is predictive of permanency exits and that parental illicit drug use may require tailored strategies for improving permanency outcomes. Further implications of the findings are discussed.