Recovery coaches and substance exposed births: an experiment in child welfare.

Abstract:

OBJECTIVES:Substance exposed infants present a major challenge to child welfare and public health systems. Prenatal substance exposure and continued substance abuse in the home are associated with a wide range of adverse social, emotional, and developmental outcomes. The objective of the current study is to evaluate the use of recovery coaches in child welfare. METHODS:The current study is longitudinal and utilizes an experimental design. The sample includes 931 substance abusing women enrolled in a Title IV-E Waiver Demonstration, 261 in the control group, and 670 in the experimental group. Women in the experimental group received traditional services plus the services of a recovery coach. Administrative records are used to indicate substance exposure at birth. RESULTS:Of the 931 women enrolled in the waiver demonstration, 21% of the control group and 15% of the experimental group were associated with a subsequent substantiated allegation indicating substance exposure at birth. Cox proportional hazards modeling indicates that women in the experimental group were significantly less likely to be associated with a new substance exposed birth. CONCLUSIONS:The use of recovery coaches in child welfare significantly decreases the risk of substance exposure at birth. Integrated and comprehensive approaches are necessary for addressing the complex and co-occurring needs of families involved with child protection.

journal_name

Child Abuse Negl

journal_title

Child abuse & neglect

authors

Ryan JP,Choi S,Hong JS,Hernandez P,Larrison CR

doi

10.1016/j.chiabu.2007.12.011

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1072-9

issue

11

eissn

0145-2134

issn

1873-7757

pii

S0145-2134(08)00172-5

journal_volume

32

pub_type

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