在儿童福利中对母亲物质使用障碍的流行和治疗
Ezra G Goldstein1, Sarah A Font2
1Georgia Institute of Technology, Atlanta.
JAMA health forum
|March 7, 2025
概括
正式的儿童福利服务显著增加了母亲获得物质使用障碍 (SUD) 治疗的机会. 这强调了系统在促进护理方面的作用,同时也强调了需要采用替代参与策略的必要性.
科学领域:
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
- 医疗保健服务研究 医疗服务研究
背景情况:
- 父母吸毒是儿童福利系统参与的主要原因之一.
- 儿童福利服务旨在支持照顾者,通常通过将他们与治疗联系起来.
- 关于儿童福利系统如何影响家长的物质使用障碍 (SUD) 治疗参与的研究有限.
研究的目的:
- 为了确定宾夕法尼亚州儿童福利系统中母亲SUD的流行率.
- 分析正式儿童福利系统干预措施与母亲接受SUD治疗之间的关联.
主要方法:
- 一项队列研究将宾夕法尼亚州 (2015-2018) 的母亲的医疗补助申请和儿童福利记录联系起来.
- 一个差异差异框架评估了儿童福利干预措施 (没有服务,在家,寄养) 对SUD治疗利用的影响.
- 通过ICD代码识别母亲SUD;使用程序和服务代码跟踪治疗使用.
主要成果:
- 在儿童福利系统中的母亲中,母亲SUD患病率为62%,阿片类药物和多重物质使用率高.
- 与没有正式服务相比,干预与更高的SUD治疗使用有关:家庭服务增加了门诊SUD治疗24%和住院治疗36%.
- 寄养护理服务的增加甚至更大:门诊SUD治疗为63%和住院SUD治疗为130%.
结论:
- 正式的儿童福利服务似乎为参与该系统的母亲提供了物质使用障碍治疗的便利.
- 随着系统的发展,替代策略对于吸引和保留父母参与SUD治疗至关重要.
- 这些发现强调了儿童福利系统在将照顾者与必不可少的物质使用治疗服务联系起来的潜在作用.
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