Parental Substance Use Disorders and Child Maltreatment: Overlap, Gaps, and Opportunities
Abstract
There are relatively few empirically sound studies or nationally representative data on the number of children in Child Welfare Services (CWS) who are affected by their parents' substance abuse or dependence. The two systems that could systematically monitor this population, CWS and substance abuse treatment, are not required to capture the data elements that would identify families in both systems. The studies that are based on CWS populations or parents in treatment indicate that there is a substantial overlap in client populations. This review provides a summary of the available data; provides estimates of the overlap between populations, including the number of infants born each year with prenatal substance exposure; and suggests important opportunities to close the data gap between the systems. The findings underscore both the need for obtaining accurate data within the systems and the opportunities for states to improve their cross-system data efforts as part of their outcome monitoring.
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Poor coordination between child welfare agencies and substance abuse treatment providers has hindered the creation of evidence-based programs for this population.
“Unfortunately, lack of integration between child welfare services and substance abuse treatment providers has restricted the development of evidence-based programming for this group (Young, Boles, & Otero, 2007).”
From A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse. (2014) · cites this paper as Young, Boles, & Otero, 2007
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Gifford, E. J., Sloan, F. A., Eldred, L. M., & Evans, K. E. (2015) · American Journal of Orthopsychiatry · doi:10.1037/ort0000087 · Cited by 16 · see citing works
O’Brien, J. E., Ermentrout, D. M., Rizo, C. F., Li, W., Macy, R. J., & Dababnah, S. (2015) · Journal of Family Violence · doi:10.1007/s10896-015-9747-1 · Cited by 16 · see citing works
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Services used by perinatal substance-users with child welfare involvement: a descriptive study
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Care Experiences of Women Who Used Opioids and Experienced Fetal or Infant Loss
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Gifford, E. J., Evans, K. E., Eldred, L. M., & Sloan, F. A. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104306 · Cited by 12 · see citing works
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- Authors
- Young, N. K., Boles, S. M., & Otero, C.
- Affiliations
- Children and Family Futures,
- Children and Family Futures
- Corresponding author
- Young, Nancy K.
- Venue
- Child Maltreatment
- Publisher
- SAGE Publications
- Published
- 2007-05
- Volume
- 12
- Issue
- 2
- Pages
- 137-149
- ISSN
- 1077-5595 (ISSN-L)
- 1552-6119
- OpenAlex
- W2042881614
- Cited by
- 220
- References
- 28
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 11 · 2021: 16 · 2020: 13 · 2019: 12 · 2018: 13 · 2017: 19 · 2016: 20 · 2015: 15 · 2014: 18 · 2013: 15 · 2012: 14
- FWCI
- 21.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Maltreatment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- parental substance use disorder, child welfare services, addiction treatment, prenatal drug exposure, infants, outcome monitoring, child welfare caseloads
- MeSH terms
- Adult, Child, Child Abuse, Child Welfare, Humans, Parents, Randomized Controlled Trials as Topic, Child of Impaired Parents, Substance-Related Disorders
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