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Physical abuse after child protective services investigation and adolescent substance use

Author

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  • Kobulsky, Julia M.
  • Holmes, Megan R.
  • Yoon, Susan
  • Perzynski, Adam T.

Abstract

The longitudinal pathways connecting physical abuse and substance use in child welfare-involved adolescents, a population with multiple risk factors for substance use problems, remain unclear. This study examined the relation between self-reported physical abuse among adolescents investigated by Child Protective Services (CPS) and later substance use, with a particular focus on exposure to physical abuse after CPS investigation as a potential contributing factor to this relation. Using data from the first National Survey of Child and Adolescent Well-being (NSCAW-I), a path analysis was conducted on a sample of 1079 adolescents aged 11–15years who had recently been investigated by CPS. At baseline and 18-month follow-up, youths self-reported past-year physical abuse using the Parent-Child Conflicts Tactic Scale and past 30-day substance use frequency. At baseline, youths self-reported current internalizing and externalizing problems to the Youth Self Report. Path analysis revealed no significant relation between physical abuse at baseline and substance use at 18months. Physical abuse at baseline was associated with higher levels of concurrent substance use and externalizing problems, which in turn predicted higher substance use at 18months. Furthermore, physical abuse and externalizing problems at baseline predicted physical abuse at 18months, which in turn was related to higher substance use at 18months. The findings suggest that physical abuse after CPS investigation contributes to the development of adolescent substance use behaviors. Results indicate a need for innovative efforts to prevent physical abuse after CPS investigation, as well as assessment and treatment of substance use and externalizing problems at the point of investigation, to reduce future substance use in child welfare-involved adolescents.

Suggested Citation

  • Kobulsky, Julia M. & Holmes, Megan R. & Yoon, Susan & Perzynski, Adam T., 2016. "Physical abuse after child protective services investigation and adolescent substance use," Children and Youth Services Review, Elsevier, vol. 71(C), pages 36-44.
  • Handle: RePEc:eee:cysrev:v:71:y:2016:i:c:p:36-44
    DOI: 10.1016/j.childyouth.2016.10.033
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    References listed on IDEAS

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    1. Cheng, Tyrone C. & Lo, Celia C., 2010. "Drug use among maltreated adolescents receiving child welfare services," Children and Youth Services Review, Elsevier, vol. 32(12), pages 1735-1739, December.
    2. Narendorf, Sarah Carter & McMillen, J. Curtis, 2010. "Substance use and substance use disorders as foster youth transition to adulthood," Children and Youth Services Review, Elsevier, vol. 32(1), pages 113-119, January.
    3. Cheng, Tyrone C. & Lo, Celia C., 2011. "A longitudinal analysis of some risk and protective factors in marijuana use by adolescents receiving child welfare services," Children and Youth Services Review, Elsevier, vol. 33(9), pages 1667-1672, September.
    4. Cheng, Tyrone C. & Lo, Celia C., 2012. "Nonmedical use of prescription medications: A longitudinal analysis with adolescents involved in child welfare," Children and Youth Services Review, Elsevier, vol. 34(4), pages 859-864.
    5. Cheng, Tyrone C. & Lo, Celia C., 2010. "The roles of parenting and child welfare services in alcohol use by adolescents," Children and Youth Services Review, Elsevier, vol. 32(1), pages 38-43, January.
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    Cited by:

    1. Kobulsky, Julia M., 2017. "Gender differences in pathways from physical and sexual abuse to early substance use," Children and Youth Services Review, Elsevier, vol. 83(C), pages 25-32.
    2. Cheng, Tyrone C. & Lo, Celia C., 2018. "Racial disparities in the proportion of needed services maltreated children received," Children and Youth Services Review, Elsevier, vol. 94(C), pages 72-81.
    3. Yoon, Susan & Kobulsky, Julia M. & Yoon, Dalhee & Kim, Wonhee, 2017. "Developmental pathways from child maltreatment to adolescent substance use: The roles of posttraumatic stress symptoms and mother-child relationships," Children and Youth Services Review, Elsevier, vol. 82(C), pages 271-279.

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