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首页> 外文期刊>Journal of substance abuse treatment >Timing matters: A randomized control trial of recovery coaches in foster care
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Timing matters: A randomized control trial of recovery coaches in foster care

机译：时序问题：寄养恢复教练的随机控制试验

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Abstract Substance use disorders are a major problem for child welfare systems. The abuse of and dependence on alcohol and drugs by parents increases the risk of child maltreatment and interferes with efforts to locate a permanent home for children in foster care. The current study focuses on an intervention designed to increase the probability of reunification for foster children associated with substance using families. We focus specific attention on the timing of the intervention, in particular the timing of comprehensive screening and access to substance abuse services in relation to the temporary custody hearing. A diverse group of children ( n = 3440) that were placed in foster care and associated with a parent diagnosed with a substance use disorder were randomly assigned to either a control (services as usual) or experimental group (services as usual plus a recovery coach for parents). Binomial logistic regression models indicated that early access to substance use services matters (within two months of the temporary custody hearing) but only when parents were connected with a recovery coach. Additional findings indicated that the recovery coach model eliminated racial disparities in reunification. The implications of these findings are discussed. Highlights ? The current study focuses on an intervention designed to increase the probability of reunification for substance abusing families associated with foster care. ? We focus specific attention on the timing of the intervention, in particular the timing of comprehensive screening and access to substance abuse services in relation to the temporary custody hearing. ? A diverse group of children ( n = 3440) that were placed in foster care and associated with a substance abusing parent were randomly assigned to either a control (services as usual) or experimental group (services as usual plus a recovery coach for parents). ? Binomial logistic regression models indicated that early access to substance abuse services matters (within two months) but only when parents were connected with a recovery coach. ? The experimental intervention eliminated racial disparities in reunification.
机译：摘要物质使用障碍是儿童福利系统的主要问题。虐待和依赖父母的酒精和药物增加了儿童虐待的风险，并干扰了为养育儿童找到永久性的家庭的努力。目前的研究侧重于旨在提高与使用家庭相关的物质相关的寄养儿童统一的概率的干预。我们对干预的时机专注于特别关注，特别是全面筛选的时间和获取与临时保管听证有关的药物滥用服务。被随机分配给寄养和患有物质使用障碍的母儿的各种儿童（n = 3440）被随机分配给控制（通常是常规）或实验组的控制（像往常和恢复教练的服务对于父母）。二项式逻辑回归模型表明，早期获得物质使用服务事项（临时保管听力的两个月内），但只有父母与恢复教练有关时。其他调查结果表明，恢复教练模型在统一中消除了种族差异。讨论了这些发现的含义。强调 ？目前的研究侧重于旨在提高与寄养关怀相关的物质滥用家庭统一的概率的干预。还我们对干预的时机专注于特别关注，特别是全面筛选的时间和获取与临时保管听证有关的药物滥用服务。还随机分配给寄养和物质滥用父母的不同儿童（n = 3440），被随机分配给控制（常规服务）或实验组（作为常见的服务加上父母的恢复教练）。还二项式逻辑回归模型表明，早期获得物质滥用服务事项（两个月内），但只有父母与恢复教练有关时。还实验干预在统一中消除了种族差异。

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