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Enhancing Family Stability: Child Removal and CPS Re-Referral Outcomes Through the Family-Based Recovery Program.

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This summary is machine-generated.

Family-Based Recovery (FBR) significantly reduced out-of-home placements for parents with substance use disorders. This in-home therapy model proved effective in child welfare cases, delaying child removals and improving family stability.

Keywords:
caregiverschild protective servicesevidence-based treatmentparent-infant dyadssubstance abusesubstance use in-home treatmentsurvival analysis

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Area of Science:

  • Social Sciences
  • Psychology
  • Public Health

Background:

  • Child welfare-involved parents often experience substance use disorders (SUDs).
  • Effective interventions are needed to support these families and prevent child maltreatment.
  • Dyadic therapy models show promise for addressing parental SUDs within the child welfare system.

Purpose of the Study:

  • To evaluate the effectiveness of an in-home substance use and dyadic therapy model, Family-Based Recovery (FBR).
  • To examine the impact of FBR on child welfare outcomes, specifically out-of-home placements (OOHP) and child protective service (CPS) re-referrals.
  • To compare FBR with treatment-as-usual (TAU) among parents involved with child welfare services.

Main Methods:

  • A randomized controlled trial subset involving 388 parent-child dyads.
  • Random assignment to either Family-Based Recovery (FBR) or treatment-as-usual (TAU).
  • Assessment of OOHP and CPS re-referrals at 18 months post-randomization using Cox Proportional Regression and survival analyses.

Main Results:

  • FBR significantly reduced the likelihood of out-of-home placements (OOHP) by 50% compared to TAU.
  • The incidence of OOHP was statistically delayed in the FBR group.
  • No significant differences were observed between FBR and TAU for child protective service (CPS) re-referrals.

Conclusions:

  • Family-Based Recovery (FBR) is an effective intervention for caregivers with SUDs involved in child welfare.
  • FBR demonstrates a significant positive impact on reducing out-of-home placements.
  • Further research may explore enhancing FBR to address CPS re-referrals.