Maternal substance abuse and disrupted parenting: Distinguishing mothers who keep their children from those who do not
Maternal substance abuse and disrupted parenting: Distinguishing mothers who keep their children from those who do not
复制标题
DOI：
10.1016/j.childyouth.2011.07.001
复制
发表时间：
2011-11-01
影响因子：
3.3
通讯作者：
Wilson, Dee
中科院分区：
文献类型：
--
作者：
Grant, Therese;Huggins, Janet;Wilson, Dee
患有药物滥用障碍的女性通常具有心理社会特征，这使她们面临着父母教养中断的风险。先前的研究表明，为母亲的需要量身定做的全面、可获得的服务有助于家庭稳定。这项研究进一步探索了母亲风险和保护性特征以及服务要素与团聚之间的复杂相互作用。这项研究对现有文献作出了贡献，对母亲进行了三年的跟踪调查；检查了母亲自己确定的服务需求；使用汇总比例分数反映了与确定的匹配服务需求所获得的服务的总数；并使用逻辑回归来检查所获得的服务与关键的母亲特征之间的相互作用。样本包括458名在怀孕或产后登记参加华盛顿州亲子援助计划(PCAP)的药物滥用母亲，PCAP是一种基于证据的病例管理干预措施。根据父母教养方式的连续性，受试者的监护权状况在四个类别中分布均匀。调查结果表明，在项目结束时，60%的母亲正在照顾她们的索引孩子。这些母亲得到了更多的治疗和心理健康服务需求的满足，有更多的时间戒酒和戒毒，有保障的住房，更高的收入，以及对保持清洁和清醒的支持。在有多项精神疾病诊断的女性中，当她们完成药物滥用治疗并有一个支持性伴侣时，重新获得监护权的可能性会增加。失去和没有重新获得监护权的母亲有更严重的精神问题，得到的服务需求更少。我们讨论了我们的发现对儿童福利政策和实践的影响。(C)2011爱思唯尔有限公司。保留所有权利。
Women with substance abuse disorders typically have psychosocial characteristics that put them at risk for disrupted parenting. Prior research indicates that comprehensive, accessible services tailored to the mothers' needs can contribute to family stability. This study further explores the complicated interplay of how maternal risk and protective characteristics and service elements are associated with reunification. The study contributes to existing literature by following mothers for three years; examining service needs as identified by the mother herself; using a summary proportion score to reflect the totality of services received to matched service needs identified; and using logistic regression to examine interactions of services received with critical maternal characteristics. The sample is comprised of 458 substance-abusing mothers enrolled during pregnancy or postpartum in the Washington State Parent-Child Assistance Program (PCAP), an evidence-based case management intervention. Participants' custody status was well distributed among four categories based on continuity of parenting. Findings indicate that at program exit 60% of the mothers were caring for their index child. These mothers had more treatment and mental health service needs met, had more time abstinent from alcohol and drugs, secure housing, higher income, and support for staying clean and sober. Among women with multiple psychiatric diagnoses, the odds of regaining custody were increased when they completed substance abuse treatment and also had a supportive partner. Mothers who lost and did not regain custody had more serious psychiatric problems and had fewer service needs met. We discuss implications of our findings for child welfare policy and practices. (C) 2011 Elsevier Ltd. All rights reserved.