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Associations Between Medication for Opioid Use Disorder and Family Functioning in Child Welfare-Involved Families.
Martin T Hall1, Garrett C Hardy1, Amelia J Brooks1
1Kent School of Social Work & Family Science, University of Louisville, Louisville, KY, USA.
Medication for opioid use disorder (MOUD) significantly improves family functioning in child welfare cases. Parents receiving MOUD for 6-12 months showed over double the odds of positive family outcomes.
Area of Science:
- Addiction Medicine
- Family Studies
- Child Welfare Research
Background:
- Medication for opioid use disorder (MOUD) is linked to better child welfare results.
- No prior research explored MOUD's impact on family functioning.
- Opioid use remains a significant concern in child welfare cases.
Purpose of the Study:
- To investigate the relationship between MOUD and family functioning.
- To analyze trends in MOUD receipt over a 12-year period.
- To assess MOUD's association with eight family functioning domains at child welfare case closure.
Main Methods:
- Observational retrospective cohort study.
- Sample: 1310 parents from 951 families in Kentucky (2008-2019).
- Analysis: Multiple logistic regression models examining MOUD duration (within 1 year of service entry) and family functioning.
Main Results:
- MOUD rates increased but remained low.
- Parents receiving 6-12 months of MOUD had >2x odds of adequate/strong functioning in 7 domains compared to no MOUD.
- Significant positive associations found between parental MOUD duration and family functioning.
Conclusions:
- Parental MOUD is associated with improved family functioning in child welfare.
- Findings support integrating MOUD into child welfare services.
- Further research is needed to confirm these associations and explore mechanisms.
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