205504 Substance abusing mothers in child welfare- who gets treatment?

Tuesday, November 10, 2009

Claire B. Gibbons, PhD, MPH , Robert Wood Johnson Foundation, Princeton, NJ
Richard Barth, PhD , School Of Social Work, University of Maryland, Baltimore, MD
Sandra L. Martin, PhD , Department of Maternal and Child Health, University of North Carolina, Chapel Hill, NC
Objectives. To determine the proportion of substance-abusing mothers involved with child welfare services receive substance abuse treatment and characteristics associated with receipt of treatment at baseline and 18 month follow-up.

Methods: Data from the National Survey of Child and Adolescent Well-Being, a nationally representative sample of children whose families were investigated by child protective services for child maltreatment, were analyzed using logistic regression to determine characteristics are associated with receipt of substance abuse treatment.

Results. Less than one-fifth of the women who had a substance abuse problem received treatment at baseline and about one-third of the women received substance abuse treatment by the 18 month follow-up. Women who work full- or part-time were significantly less likely to receive treatment. High family stress, having an open child welfare case, having a serious mental health problem, and actively experiencing domestic violence are significantly more likely to receive services.

Conclusions. Treatment enrollment for mothers with substance abuse problems is likely to be increased with responses that better engage women who work and who are experiencing domestic violence.

Learning Objectives:
Describe what mothers whose children are involved in the child welfare system are likely to receive substance abuse treatment.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This paper is one of my dissertation papers. I have completed this dissertation and earned my doctorate in Maternal and Child Health from the School of Public Health at University of North Carolina Chapel Hill in 2005. I periodically review submissions for the journal "Child Maltreatment".
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.