The impacts of family treatment drug court on child welfare core outcomes: A meta-analysis

Substance abuse has been prevalent among caregivers involved in child welfare and is a major barrier to their achieving favorable outcomes. Family Treatment Drug Courts (FTDCs) have been viewed as one of the most promising interventions but research has reported mixed effects on child welfare outcom...

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Veröffentlicht in:Child abuse & neglect Jg. 88; S. 1 - 14
Hauptverfasser: Zhang, Saijun, Huang, Hui, Wu, Qi, Li, Yong, Liu, Meirong
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Elsevier Ltd 01.02.2019
Elsevier Science Ltd
Schlagworte:
Analysis
Caregiver substance abuse treatment
Caregivers
Child
Child abuse & neglect
Child Abuse - legislation & jurisprudence
Child Abuse - psychology
Child Welfare
Children
Courts
Delivery of Health Care
Drug abuse
Drug courts
Drugs
Families & family life
Family Health
Family law
Family reunification
Family treatment drug court
Foster care
Foster care reentry
Foster Home Care
Humans
Intervention
Jurisprudence
Maltreatment recurrence
Meta Analysis
Reentry
Research design
Reunification
Safety
Substance abuse
Substance-Related Disorders - rehabilitation
Systematic review
Caregiver substance abuse treatment
Family treatment drug court
Foster care reentry
Reunification
Maltreatment recurrence
Meta-analysis
ISSN:0145-2134, 1873-7757, 1873-7757
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Zusammenfassung:Substance abuse has been prevalent among caregivers involved in child welfare and is a major barrier to their achieving favorable outcomes. Family Treatment Drug Courts (FTDCs) have been viewed as one of the most promising interventions but research has reported mixed effects on child welfare outcomes. No meta-analysis was conducted to synthesize the findings to reach a more generalizable conclusion. The meta-analysis synthesized findings from existing evaluations to examine whether and to what extent FTDC participants achieved better reunification and safety outcomes than non-participants. Among 17 identified studies dated from 2004 to 2018, the pooled sample subjects in the intervention and comparison groups were 3402 and 3683 for the 16 studies on reunification outcomes, and 842 and 632 for the eight studies on child safety outcomes. We first estimated the FTDCs’ pooled effects on child reunification and safety outcomes. Furthermore, we conducted a series of subgroup meta-analysis to compare FTDCs’ effects across study and program characteristics. Subjects participating in FTDCs were substantially more likely to achieve reunification (OR = 1.75, 95% CI = 1.38, 2.22) without increasing the risk of subsequent foster care reentry or maltreatment re-report. Subgroup meta-analysis suggests factors such as research design, FTDC model, observation length, publication type and period may contribute to FTDCs’ disparities on reunification outcomes. The synthesized findings strengthen evidence for the implementation and expansion of FTDCs for serving substance abusing caregivers in the child welfare system.
Bibliographie:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ObjectType-Evidence Based Healthcare-1
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ISSN:0145-2134
1873-7757
1873-7757
DOI:10.1016/j.chiabu.2018.10.014