Abstract：
:Parents who use opioids and are involved in the child welfare system are less likely to retain custody of their children than parents who use other drugs. No previous studies have described medication-assisted treatment (MAT) utilization and child permanency outcomes for this population. The Sobriety Treatment and Recovery Team (START) model is a child welfare-based intervention focused on families with co-occurring substance use and child abuse / neglect issues. This study examined the prevalence and correlates of MAT utilization among parents in the START program with a history of opioid use, and compared child outcomes for families who received MAT services to those who did not. Of the 596 individuals with a history of opioid use in the START program, 55 (9.2%) received MAT. Receipt of MAT services did not differ by gender, age, county of residence, or drug use, though individuals who identified as White were more likely to participate in MAT. In a multiple logistic regression model, additional months of MAT increased the odds of parents retaining custody of their children. To address barriers to MAT, results-focused educational interventions may be needed for the child welfare workforce, as well as programs to improve collaboration and decision-making between the child welfare workforce, court personnel, and drug addiction treatment providers.
journal_name
J Subst Abuse Treatjournal_title
Journal of substance abuse treatmentauthors
Hall MT,Wilfong J,Huebner RA,Posze L,Willauer Tdoi
10.1016/j.jsat.2016.09.006subject
Has Abstractpub_date
2016-12-01 00:00:00pages
63-67eissn
0740-5472issn
1873-6483pii
S0740-5472(16)30153-2journal_volume
71pub_type
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journal_title：Journal of substance abuse treatment
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journal_title：Journal of substance abuse treatment
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journal_title：Journal of substance abuse treatment
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journal_title：Journal of substance abuse treatment
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