Improving outcomes for substance-affected families in the child welfare system
Improving outcomes for substance-affected families in the child welfare system
批准号:
10734742
负责人:
Stephen W Patrick
金额:
$64.89万
依托单位国家:
美国
项目类别:
财政年份:
2023
资助国家:
美国
项目状态:
未结题
起止时间:
2023-08-01 至 2028-06-30
关键词:
1 year oldAccountingAddressAffectAlcohol consumptionAlcoholsAnthropologyAttentionBiometryBirthCaregiversCaringCategoriesCharacteristicsChildChild PsychiatryChild WelfareChild abuse preventionCommunitiesComplexCongressesCountyDiagnosisDisparityDrug usageEffectivenessElementsEmergency department visitEquityEthnic OriginEthnic equityEvaluationFamilyFosteringGoalsGovernmentHarm ReductionHealthIndividualInequalityInfantInjuryInterventionInterviewKnowledgeLawsLegalMethodologyMothersNeonatal Abstinence SyndromeNonprofit OrganizationsOutcomeParentsPediatricsPersonal SatisfactionPersonsPharmaceutical PreparationsPoliciesPolicy AnalysisPolicy MakerPregnancyPregnant WomenPrevalencePublic HealthPublicationsRaceRacial EquityRegulationResearchServicesSexual abuseSocial WorkSubstance Use DisorderSurveysSyndromeSystemUnited StatesWomanWorkaddictionadverse outcomeage groupbattered childblack womencare systemschild neglectdesignexperiencefederal policyfoster carehealth equityillicit drug useimprovedimproved outcomeinfant outcomematernal opioid usemultidisciplinaryopioid epidemicopioid use disorderphysical abusepostnatalpregnantpreventracial disparityresponsesubstance usesubstance use treatment
中文摘要
项目总结
英文摘要
PROJECT SUMMARY
Substance use in pregnancy, including illicit substances and alcohol, is a critical public health problem,
affecting 1 in 10 pregnancies. Because of the opioid crisis, there were recent exponential increases in
diagnoses of maternal opioid use disorder and neonatal opioid withdrawal syndrome. In parallel, the rate of
infants entering foster care nationwide grew 25% from 2011 to 2017; infants now account for one fifth of
annual foster placements. At present, infants are the fastest growing group entering foster care, most due to
parental substance use. The rise of infants in the US foster system garnered public attention leading to recent
federal policy changes that aimed to prevent foster placement where possible by connecting caregivers to
treatment for substance use disorder and mitigating postnatal adverse outcomes by providing wrap-around
services through Plans of Safe Care (POSC). However, state responses to changes in federal policy have
been disjointed, and research to date remains unclear as to whether these policies achieved their stated goal
or had unintended consequences such as exacerbating underlying racial disproportionality in the system. This
study aims to evaluate child welfare policy interventions and local factors to improve the wellbeing of pregnant
people with substance use disorder and their infants by: 1) conducting a rigorous analysis of state statutes,
regulations, and guidance related to POSC and categorizing POSC components likely to influence the
implementation of services (e.g., treatment, postnatal supports); 2) determining if state POSC policies were
associated with reductions in infant foster placements and emergency department visits for injury from abuse
and whether implementation of POSC was associated with changes to racial and ethnic disproportionality in
infant foster placement; and 3) qualitatively investigating the contextual barriers and facilitators influencing the
implementation of POSC and exploring elements of POSC implementation associated with improving or
worsening racial and ethnic equity through interviews with key stakeholders (e.g., frontline case workers,
judges, clinicians, policymakers).
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会议论文
Leveraging Data Science to Understand Outcomes for Mothers and Children Affected by Opioids
-
批准号:10480929
-
项目类别:
-
资助金额:$35.86万
-
财政年份:2021
-
负责人:Stephen W Patrick
-
依托单位:
Leveraging Data Science to Understand Outcomes for Mothers and Children Affected by Opioids
-
批准号:10674901
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项目类别:
-
资助金额:$35.86万
-
财政年份:2021
-
负责人:Stephen W Patrick
-
依托单位:
Improving Access to Treatment for Women with Opioid Use Disorder
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批准号:10442184
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项目类别:
-
资助金额:$13.76万
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财政年份:2021
-
负责人:Stephen W Patrick
-
依托单位:
Leveraging Data Science to Understand Outcomes for Mothers and Children Affected by Opioids
-
批准号:10309017
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项目类别:
-
资助金额:$34.55万
-
财政年份:2021
-
负责人:Stephen W Patrick
-
依托单位:
Improving Access to Treatment for Women with Opioid Use Disorder
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批准号:10088429
-
项目类别:
-
资助金额:$26.68万
-
财政年份:2018
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负责人:Stephen W Patrick
-
依托单位:
Neonatal Abstinence Syndrome: Risk of Drug Withdrawal in Opioid-Exposed Infants
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批准号:9000144
-
项目类别:
-
资助金额:$3.07万
-
财政年份:2015
-
负责人:Stephen W Patrick
-
依托单位:
Neonatal Abstinence Syndrome: Risk of Drug Withdrawal in Opioid-Exposed Infants
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批准号:9250249
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项目类别:
-
资助金额:$13.07万
-
财政年份:2015
-
负责人:Stephen W Patrick
-
依托单位:
海外基金