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Recovery coaches and the stability of reunification for substance abusing families in child welfare
Institution:1. School of Social Work, University of Michigan, Ann Arbor, MI, USA;2. School of Social Work, Wayne State University, Detroit, MI, USA;3. School of Social Work, University of Georgia, Athens, GA, USA;1. University of Illinois at Chicago, College of Medicine, Department of Medicine, Center for Dissemination and Implementation Science, 1603 W. Taylor St., Chicago, IL 60612, United States of America;2. Indiana University School of Medicine, Department of Emergency Medicine, 720 Eskenazi Ave., Indianapolis, IN 46202, United States of America;3. Richard L. Roudebush VAMC, Health Services Research and Development, 1481 W. 10th St (11H) Rm. C8108, Indianapolis, IN 46202, United States of America;4. Indiana University Richard M. Fairbanks School of Public Health, Department of Social and Behavioral Sciences, 1050 Wishard Blvd., Indianapolis, IN 46202, United States of America;5. Indiana University Richard M. Fairbanks School of Public Health, Department of Biostatistics, 1050 Wishard Blvd., Indianapolis, IN 46202, United States of America;6. Richard M. Fairbanks Foundation, 211 N. Pennsylvania St., Suite 2500, Indianapolis, IN 46204, United States of America;7. Oregon Social Learning Center, 10 Shelton Mcmurphey Blvd., Eugene, OR 97401, United States of America;8. Indiana University, Public Policy Institute, Center for Health and Justice Research, 334 N. Senate Ave., #300, Indianapolis, IN 46204, United States of America;9. Indiana Family and Social Services Administration, Division of Mental Health and Addiction, 402 W. Washington St., Indianapolis, IN 46204, United States of America;1. Institut universitaire Jeunes en difficulté, Integrated University Health and Social Services Centre of Centre-sud-de-l''ile-de Montréal, 1001 Maisonneuve est, Montréal H2L 4R5, (QC), Canada;2. University of Montreal, 3150, Jean-Brillant, Montreal H3C 3J7, (QC), Canada;1. George Mason University, Department of Social Work, 4400 University Drive – MSN 1F8, Fairfax, VA 22030, United States;2. University of Washington, School of Social Work, Box 354900, Seattle, WA 98195-4500, United States;3. University of Southern California, Department of Sociology, 851 Downey Way, Hazel Stanley Hall 314, Los Angeles, CA 90089-1059, United States
Abstract:Substance abuse is a long-standing challenge for child welfare systems. Parental substance abuse disrupts family stability, family cohesion, and jeopardizes the well-being of children. In the current study we test an intervention to improve child welfare outcomes for substance abusing families, specifically the probability of families achieving a stable (at least 12 months) reunification. The intervention was an integrated case management model where recovery coaches were appointed to substance abusing parents associated with an open foster care placement. A diverse group of families (n = 1623) were randomly assigned to either a control group (services as usual) or an experimental group (services as usual plus a recovery coach). Multinomial logistic regression indicated that substance abusing parents associated with a recovery coach were significantly more likely to achieve a stable reunification as compared with similar families in the control group.
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