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Examining family factors, children’s mental health, and service complexity in children of parents with problematic substance use

Author

Listed:
  • Oldenhof, Macall
  • Withers, Abigail
  • Lapshina, Natalia
  • Stewart, Shannon L.

Abstract

Children and youth of parents with histories of problematic substance use are at heightened risk for a variety of problems that impact family functioning, child mental health and service use. However, there is limited research examining service complexity for children of parents with histories of problematic substance use who are receiving mental health treatment. To address this gap in literature, data was obtained from 18,701 clinically referred children and youth (4 to 18 −years) across the Province of Ontario using the interRAI Child and Youth Mental Health Assessment. Findings revealed that treatment-seeking children of parents with histories of problematic substance use were rated higher on externalizing behaviours, school disengagement, family dysfunction, parenting issues, and service complexity than children of parents without histories of problematic substance use. Implications and recommendations for service professionals to support families with mental health concerns and problematic substance use are discussed.

Suggested Citation

  • Oldenhof, Macall & Withers, Abigail & Lapshina, Natalia & Stewart, Shannon L., 2026. "Examining family factors, children’s mental health, and service complexity in children of parents with problematic substance use," Children and Youth Services Review, Elsevier, vol. 188(C).
  • Handle: RePEc:eee:cysrev:v:188:y:2026:i:c:s0190740926003269
    DOI: 10.1016/j.childyouth.2026.109073
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