Impact of intensive case management on child welfare system involvement for substance-dependent parenting women on public assistance
This study examined the impact of intensive case management (ICM) on decreasing child welfare system involvement in a sample of substance-dependent parenting women who participated in a welfare demonstration study comparing ICM to usual screen-and-refer models employed in welfare settings. Previous research established the effectiveness of ICM in both increasing engagement in substance abuse treatment and in promoting abstinence, and the current study tested whether ICM had downstream impacts on child welfare outcomes not directly targeted by the intervention. The sample included 302 mothers recruited from welfare offices and their 888 minor children. Child welfare outcomes were available from administrative records for 4years following study entry and included incident reports and out-of-home child placements. An initial positive effect of ICM was found on child placements, but its impact lessened over time and was likely due to the increased contact with case managers that occurred early in the study. Overall, minimal benefits of ICM were found, suggesting that while ICM was effective in the areas of treatment engagement and abstinence, there were no downstream benefits for child welfare outcomes. Implications of findings in terms of increased need for cross-system collaboration are discussed.
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- Choi, Sam & Ryan, Joseph P., 2007. "Co-occurring problems for substance abusing mothers in child welfare: Matching services to improve family reunification," Children and Youth Services Review, Elsevier, vol. 29(11), pages 1395-1410, November.
- Marsh, Jeanne C. & Cao, Dingcai, 2005. "Parents in substance abuse treatment: Implications for child welfare practice," Children and Youth Services Review, Elsevier, vol. 27(12), pages 1259-1278, December.
- Fuller, Tamara L. & Wells, Susan J., 2003. "Predicting Maltreatment Recurrence among CPS Cases with Alcohol and Other Drug Involvement," Children and Youth Services Review, Elsevier, vol. 25(7), pages 553-569, July.
- Brook, Jody & McDonald, Tom, 2009. "The impact of parental substance abuse on the stability of family reunifications from foster care," Children and Youth Services Review, Elsevier, vol. 31(2), pages 193-198, February.
- Marsh, Jeanne C. & Ryan, Joseph P. & Choi, Sam & Testa, Mark F., 2006. "Integrated services for families with multiple problems: Obstacles to family reunification," Children and Youth Services Review, Elsevier, vol. 28(9), pages 1074-1087, September.
- Maluccio, Anthony N. & Ainsworth, Frank, 2003. "Drug Use by Parents: A Challenge for Family Reunification Practice," Children and Youth Services Review, Elsevier, vol. 25(7), pages 511-533, July.
- Green, Beth L. & Rockhill, Anna & Furrer, Carrie, 2007. "Does substance abuse treatment make a difference for child welfare case outcomes? A statewide longitudinal analysis," Children and Youth Services Review, Elsevier, vol. 29(4), pages 460-473, April.
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