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Browsing by Subject "Child maltreatment"
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Item Predictors of Substance Use in a Clinical Sample of Youth Seeking Treatment for Trauma-Related Mental Health Problems(Elsevier, 2021) Adams, Zachary W.; Hahn, Austin M.; McCart, Michael R.; Chapman, Jason E.; Sheidow, Ashli J.; Walker, Jesse; de Arellano, Michael; Kmett Danielson, Carla; Psychiatry, School of MedicineChild maltreatment and traumatic events are well established risk factors for adolescent substance use problems, but little is known about the unique contributions of etiological factors on trauma-exposed youths' pre-treatment substance use in clinical settings. This study examined associations between substance use and risk and protective factors measured across multiple ecological levels among a unique sample of youth seeking treatment for trauma-related mental health problems in child advocacy centers. Participants were adolescents (N = 135; 85% female; 60% white, 31% black) aged 13-17 years (M = 15.4) with ≥ 1 experience of child maltreatment or other interpersonal violence, current substance use, and ≥5 PTSD symptoms. Youth and caregivers completed validated questionnaires and clinical interviews at a pre-treatment assessment in a randomized controlled trial of a treatment for co-occurring traumatic stress and substance use. Negative binomial regression models identified different patterns of risk and protective factors for alcohol and cannabis. Clinical implications of these results are discussed, including the potential targets for integrated psychotherapies that address co-occurring substance use and traumatic stress in youth.Item Strengthening Indiana Families Impact Profile(2023) Mariscal, E. Susana; Victor, Bryan G.Strengthening Indiana Families (SIF) improved family support, resilience, and wellbeing, and decreased risk factors for foster care entry through the implementation of Family Resource Centers (FRC) and cross-system collaboration, which may ultimately translate in decreased child maltreatment and foster care entry so that all children can fulfill their promise.Item Strengthening Indiana Families Mid Project Report 2019-2022(2022) Mariscal, Susana; Victor, Bryan G.In 2019, we embarked on a collaborative journey with the Indiana Department of Child Services and the Indiana Department of Health to prevent child maltreatment by supporting families, building on family strengths and protective factors, reducing risk factors, and engaging community resources and connections. We received a $2.74 million five-year grant from the U.S. Children’s Bureau (Administration for Children and Families, USDHHS) in October 2019 and began engaging state and local partners, including individuals with lived experiences, in this transformative venture. We allowed ourselves to dream of strong and caring communities throughout Indiana where families have equitable access to the resources they need to be connected and safe. Working together with our partners to fulfill this vision and guided by our values and principles, we are implementing four family resource centers in Delaware, Grant, Madison, and Tipton Counties.Item The Importance of a Trauma-Informed Child Welfare System(U.S. Department of Health and Human Services, Administration for Children and Families, Children's Bureau, 2020) Child Welfare Information GatewayTrauma refers to a deeply stressful experience or its short and long-term impacts. Because exposure to trauma can cause a host of problems with lifelong consequences, early screening and intervention is essential. Child maltreatment can cause traumatic stress in some children, while others are more resilient and show few, if any, lasting effects. Widespread recognition of trauma's harmful impacts and the related consequences for children, families, and society has resulted in Federal, State, and local initiatives over the last decade to promote trauma-informed care. This issue brief outlines the essential components of a trauma-informed child welfare system and features examples from State and local programs that are incorporating trauma-informed practice. After providing a brief overview of trauma and its effects, the brief explores trauma-informed practice and the importance of strengthening families and communities to help them develop resilience and heal. The brief concludes by highlighting the importance of cross-systems collaboration in creating a trauma-informed child welfare system that improves child and family well-being.Item Types of child maltreatment and child welfare involvement among opioid-using mothers involved in substance use treatment(Elsevier, 2021) Moreland, Angela; Newman, Carla; Crum, Kat; Are, Funlola; Psychiatry, School of MedicineAlthough there is a significant link between maternal substance use and child maltreatment risk, extant literature has not investigated this link specifically among the growing number of parents abusing opioids. Underreporting of opioid use within child welfare presents further challenges in elucidating relations between maternal opioid use and child maltreatment. The purpose of the current study is to examine the link between maternal opioid use in women in substance use treatment and self-reported rates of child maltreatment and child welfare involvement of their children. We examined maternal substance use, severity of substance use, severity and type of child maltreatment of their children, and child welfare involvement across mothers who misuse opioids and misuse other substances using self-report surveys with 89 mothers. Results suggest similarities and differences among mothers who use opioids and other substances. Mothers who use opioids endorsed more significant and prolonged involvement with child welfare than mothers who use other substances. Participants did not endorse significant differences between rates of child maltreatment, and treatment engagement across groups. Given increased awareness of significant risks associated with opioid abuse, including greater risk for child maltreatment, a better understanding of its intersection with child welfare is necessary.