Case Management and Matched Services for Substance Abusing Mothers With Co -Occurring Problems in Child Welfare: A Study of Service Effectiveness With a Randomized Trial
Choi, Sam
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https://hdl.handle.net/2142/87330
Description
Title
Case Management and Matched Services for Substance Abusing Mothers With Co -Occurring Problems in Child Welfare: A Study of Service Effectiveness With a Randomized Trial
Author(s)
Choi, Sam
Issue Date
2006
Doctoral Committee Chair(s)
Mark Testa
Department of Study
Social Work
Discipline
Social Work
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Social Work
Language
eng
Abstract
The findings indicate that matched services to address mothers' co-occurring problems improved the likelihood of family reunification and substance abuse treatment completion. The significance of matched services in several problem areas was found: matched services in mental health, housing, family counseling, substance abuse treatment, and parenting skills significantly improved the likelihood of family reunification; and matched services in transportation, housing, job training, parenting skills, family counseling, and mental health significantly improved the likelihood of substance abuse treatment completion. Substance abuse treatment completion was positively associated with the likelihood of family reunification: mothers who completed treatment were 4.26 times more likely to achieve family reunification compared to mothers who did not. In addition, the use of recovery coaches significantly improved the likelihood of family reunification, but recovery coaches were not related to the provision of matched services. On the downside, it was found that the current child welfare system is still struggling with low rates of service utilization and treatment completion, and in turn, low rates of family reunification. Implications for social work practice, intervention, and policy are discussed.
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