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Journal ArticleDOI

Collocation: Integrating Child Welfare and Substance Abuse Services

21 Feb 2009-Journal of Social Work Practice in The Addictions (Taylor & Francis Group)-Vol. 9, Iss: 1, pp 55-70
TL;DR: Findings suggest that clearly defined procedures and sufficient staffing of qualified substance abuse counselors could lead to better programs.
Abstract: This article presents findings from a process evaluation of a pilot program to address parental substance abuse in the child welfare system. By placing substance abuse counselors in a local child welfare office, the collocation program was designed to facilitate early identification, timely referral to treatment, and improved treatment engagement of substance-abusing parents. Frontline child welfare workers in 6 of the 7 pilot sites endorsed the program as they found that the collocated substance abuse counselors provided additional resources and facilitated case processing. Findings suggest that clearly defined procedures and sufficient staffing of qualified substance abuse counselors could lead to better programs.

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Citations
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Journal ArticleDOI
TL;DR: A review of empirical literature reveals improvements in service utilization and outcomes for women when substance abuse and child welfare services are integrated, and strategies developed provide useful guidelines for developing components of effective, evidence-based programs for substance-involved women in the child welfare system.

97 citations


Cites background from "Collocation: Integrating Child Welf..."

  • ...Whereas collocation initiatives are still early in an evaluation process, initial evaluation findings suggest that the approach can lead to increased understanding among child welfare and substance abuse staff, improved relationships among service providers, and better coordination of services for clients (Lee et al., 2009; McAlpine et al., 2001)....

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Journal ArticleDOI
TL;DR: Preliminary outcomes from a pilot study of Multisystemic Therapy-Building Stronger Families support the viability of a more rigorous (i.e., randomized) evaluation of the MST-BSF model.

59 citations

Journal ArticleDOI
TL;DR: Analysis of data from a national, longitudinal study of families involved with the U.S. child welfare system suggests that child welfare agency collaboration with schools has a significant effect on children's use of both school-based and outpatient mental health services.
Abstract: This article uses data from a national, longitudinal study of families involved with the U.S. child welfare system to examine how collaboration between local child welfare agencies, schools, and co...

31 citations


Cites background from "Collocation: Integrating Child Welf..."

  • ...Co-location of staff ensures that staff in different agencies are operating in the same physical space, which inherently provides staff with increased opportunities for communication and can help reduce service fragmentation (Ginsburg, 2008; Lee et al, 2009)....

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Journal ArticleDOI
TL;DR: The Sobriety Treatment and Recovery Teams (START) as discussed by the authors is an integrated model that pairs child protective service workers with family mentors and partners with treatment providers, and the results support START as an effective integrated program.
Abstract: Families with child maltreatment and parental substance use disorders are a growing population with complex needs. The Sobriety Treatment and Recovery Teams (START) is an integrated model that pairs child protective service workers with family mentors and partners with treatment providers. This is a prospective naturalistic evaluation comparing rates of adult sobriety and child placement in state custody using provider-collected data merged with state administrative data sets. All families in the served and comparison groups had equal risks to child safety. Mothers achieved sobriety at 1.8 times the rate of typical treatment; children were placed in state custody at half the rate expected. These results support START as an effective integrated program.

31 citations

Journal ArticleDOI
TL;DR: In this article, the authors explore factors that facilitate or impede collaboration in a Canadian context and highlight the importance of examining cross-system collaboration specific to regional policy contexts, such as British Columbia's harm reduction approach to substance use and addiction.
Abstract: The aim of this study was to explore factors that facilitate or impede collaboration in a Canadian context. Qualitative in-depth interviews were conducted with a purposive sample of 24 managers and direct service staff from substance use treatment and the child welfare fields in different regions of a Canadian province. Findings underscore the importance of examining cross-system collaboration specific to regional policy contexts, such as British Columbia's harm reduction approach to substance use and addiction. At the same time, many of the barriers and driving forces for collaboration found in this study echo the experiences of other countries.

23 citations

References
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Journal ArticleDOI
TL;DR: The study indicates that services that enhance access to treatment and respond to the range of social service needs of women are important for effective substance abuse treatment for women with children.
Abstract: Aims. To assess the impact of a substance abuse treatment program for women with children designed to increase access to treatment through transportation, outreach and child-care services. Also, to assess the impact of using access services on the use of other services and on treatment effectiveness. Design. A quasi-experimental non-equivalent control group design was used with path analysis to examine the impact of participation in an enhanced services program that provided transportation, outreach and child-care services on the use of other social services and on the use of alcohol and illicit drugs. Setting. Treatment clients were interviewed in- person at enhanced treatment programs and regular substance abuse programs. Participants. Study participants included a randomly selected sample of women with children who were clients of the Illinois Department of Children and Family Services. Participants were enrolled in enhanced or regular substance abuse treatment programs. Measurements. Study participants completed in-person interviews about their characteristics, services use and past and current substance use. Findings. Participation in the enhanced program was negatively related to substance use. Further, use of access services was related to use of social services which in turn, was negatively related to substance use. Conclusion. The study indicates that services that enhance access to treatment and respond to the range of social service needs of women are important for effective substance abuse treatment for women with children.

198 citations


"Collocation: Integrating Child Welf..." refers background in this paper

  • ...For women with children, improved access to treatment, specifically the provision of transportation, outreach, and child-care services, showed a negative relationship with continued substance abuse (Marsh et al., 2000)....

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Journal Article
TL;DR: How both the Adoption and Safe Families Act of 1997 and welfare reform legislation intensify the need to address parental substance abuse effectively is examined.
Abstract: Parental substance abuse is a significant factor in many of the families served in the child welfare system. This article examines: (1) the prevalence of substance abuse among families involved with the child welfare system; (2) the impact of substance abuse on child welfare practice; (3) how both the Adoption and Safe Families Act of 1997 and welfare reform legislation intensify the need to address parental substance abuse effectively; and (4) promising strategies for addressing these families' needs.

189 citations


"Collocation: Integrating Child Welf..." refers background in this paper

  • ...First, child welfare staff lacks the training and experience to accurately assess the extent of substance abuse problems of parents investigated for child maltreatment (Semidei et al., 2001; Tracy, 1994; Young et al., 1998)....

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  • ...…between substance abuse and child welfare systems can be more effective in engaging the parents in treatment (Colby and Murrell, 1998; Cornerstone Consulting Group, 2002; McAlpine et al., 2001; Peterson, Gable, & Saldana, 1996; Ryan et al., 2006; Semidei et al., 2001; Young & Gardner, 2002)....

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  • ...However, more recently, policymakers, practitioners, and scholars have come to believe that collaboration between substance abuse and child welfare systems can be more effective in engaging the parents in treatment (Colby and Murrell, 1998; Cornerstone Consulting Group, 2002; McAlpine et al., 2001; Peterson, Gable, & Saldana, 1996; Ryan et al., 2006; Semidei et al., 2001; Young & Gardner, 2002)....

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  • ...Child welfare workers whose primary focus is the safety of children are also not experienced in helping parents with substance problems (Marsh & Cao, 2005; Tracy & Farkas, 1994) and view substance-abusing parents as difficult to treat (Semidei et al., 2001)....

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Journal ArticleDOI
TL;DR: Human services integration (SI) refers to the quest for the development of systems that are responsive to the multiple needs of persons at-risk: victims of the most severe social problems as discussed by the authors.
Abstract: perspective. Human services integration (SI) refers to the quest for the development of systems that are responsive to the multiple needs of persons at-risk: victims of the most severe social problems. Integration appears under many different labels; for example, community integration, comprehensive services, coherent services, broad spectrum of services, and coordinated services. Interest in services integration dates to the middle 1960s, when social programs expanded and a wide range of professionals and advocates recognized the efficacy of dealing with multiple causes and responses to problems. Because social program growth was largely a publicsector phenomenon, public administration became increasingly interested in how to "manage" the range of social programs for the best results. An SI "movement" began during the 1960s, and although it sometimes appears under different names, the quest continues. This article attempts to capture the essence of the SI movement-historical and contemporary-and explain why it is such an enduring problem and challenge to public administration. The intractability of SI lies in the need for public managers to develop approaches and techniques for the management of transorganizational systems.

189 citations


"Collocation: Integrating Child Welf..." refers background in this paper

  • ...It has been suggested as a strategy for integrating different service systems for clients with multiple service needs (Agranoff, 1991; Austin, 1997)....

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Journal ArticleDOI
TL;DR: The findings support the hypothesis that parental substance abuse would have a negative impact on family functioning, which would result in a higher rate of re- reports and substance abuse also had a direct impact on re-reports.

188 citations


"Collocation: Integrating Child Welf..." refers background in this paper

  • ...…cases involving parental substance abuse often result in recurring maltreatment allegations, longer stays in foster care, and reduced likelihood of family reunification (Ryan et al., 2006; Smith & Testa, 2002; USDHHS, 1999; U.S. Government Accounting Office, 1998; Wolock & Magura, 1996)....

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Journal ArticleDOI
TL;DR: In this article, the authors focus on families in the child welfare system with co-occurring problems and examine whether it is necessary to go beyond assessment and service access to insure families make progress in each cooccurring problem area to achieve reunification.

176 citations


"Collocation: Integrating Child Welf..." refers background or result in this paper

  • ...Although some show promising results (Cornerstone Consulting Group, 2002; Maluccio & Ainsworth, 2003; Young & Gardner, 2002), there has been limited empirical evidence to demonstrate the impact of these collaborative efforts on child welfare outcomes (Barth, Gibbons, & Guo, 2006; Marsh et al., 2006)....

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  • ..., 2001), remains inconclusive regarding longer term child welfare outcomes (Marsh et al., 2006)....

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  • ...Similarly, research regarding the collocation of substance abuse specialists in child protective services (CPS) is sparse, and although encouraging regarding intermediate outcomes (McAlpine et al., 2001), remains inconclusive regarding longer term child welfare outcomes (Marsh et al., 2006)....

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  • ...As a result, they are less likely to receive needed services and more likely to experience poor outcomes (Marsh et al., 2006)....

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  • ...…some show promising results (Cornerstone Consulting Group, 2002; Maluccio & Ainsworth, 2003; Young & Gardner, 2002), there has been limited empirical evidence to demonstrate the impact of these collaborative efforts on child welfare outcomes (Barth, Gibbons, & Guo, 2006; Marsh et al., 2006)....

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Findings suggest that clearly defined procedures and sufficient staffing of qualified substance abuse counselors could lead to better programs.