Pathways from Caregiver Substance Abuse to Child Harm

描述(申请人提供)：2010年，儿童保护服务机构(CPS)评估了超过150万起虐待儿童的报告，高达80%的儿童福利家庭经历了照顾者滥用药物的情况，我们必须充分了解照顾者滥用药物与遭受伤害的儿童之间的广泛关系，以便制定有效的干预措施，以解决涉及儿童福利系统的照顾者滥用药物和虐待儿童的问题。1，2通过使用二级数据分析，本提案旨在加深我们对儿童福利系统中照顾者药物滥用与儿童受到伤害之间关系的理解。使用安全、永久和幸福的儿童福利目标，儿童伤害将作为CPS转介服务和随后关于虐待(安全)、将儿童从家里带走(永久)、儿童经历抑郁、创伤、情绪问题或行为问题(幸福)的报告来实施。4次级数据分析将利用来自全国儿童和青少年福祉调查II(NSCAW II)的数据，这是一项里程碑式的纵向全国儿童和家庭受虐待概率研究，以检查从照料者滥用药物到安全、永久、6除开展研究外，拟议的培训计划还将加强研究金申请者在以下领域的研究技能：先进的统计方法、药物和酒精病因学、流行病学和合并症的知识，在药物滥用和儿童福利政策、实践和研究方面提供指导，并加强她的学术写作和传播技能。在作为NIDA博士前研究员(T32)所获得的技能的基础上，这项研究和培训计划将为申请人未来的目标做好准备，即为参与CPS的照顾者开发有效的药物滥用干预措施。

DESCRIPTION (provided by applicant): With over 1.5 million reports of child maltreatment assessed by child protective services (CPS) in 2010 and up to 80% of child welfare families experiencing substance abuse by a caregiver, it is imperative that we fully understand the extensive relationship between caregiver substance abuse and children experiencing harm in order to develop effective interventions targeted to address both substance abuse and child maltreatment in caregivers involved with the child welfare system.1,2 Through the use of secondary data analysis, this proposal aims to deepen our understanding of the relationship between caregiver substance abuse and harm to children within the child welfare system. Using the child welfare goals of safety, permanency, and well-being, child harm will be operationalized as CPS referrals for services and subsequent reports of maltreatment (safety), having children removed from the home (permanency), and children experiencing depression, trauma, emotional problems, or behavior problems (well-being).4 Secondary data analysis will utilize data from the National Survey of Child and Adolescent Well-Being II (NSCAW II), a landmark, longitudinal national probability study of children and families investigated for child maltreatment, in order to examine the direct and indirect relationships from caregiver substance abuse to safety, permanency, and well-being indicators of child harm.6 In addition to conducting research, the proposed training plan will strengthen the fellowship applicant's research skills in the areas of advanced statistical methods, knowledge of drug and alcohol nosology, epidemiology, and comorbidity, provide mentorship in substance abuse and child welfare policy, practice, and research, and enhance her skills in scholarly writing and dissemination. Building upon the skills gained as a NIDA predoctoral fellow (T32), this research and training plan will prepare the applicant for her future goal of developing an effective substance abuse intervention for caregivers involved with CPS.