Mental Health Services for Children of Substance Abusing Parents: Voices from the Community

Contractor, Laila F. M.; Celedonia, Karen L.; Cruz, Mario; Douaihy, Antoine; Kogan, Jane N.; Marin, Robert S.; Stein, Bradley D.

doi:10.1007/s10597-010-9357-6

Cited by 13 publications

(10 citation statements)

References 39 publications

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“…12 Our data suggest the need for early intervention in high-risk families with methamphetamineusing parents. As suggested by Contractor et al, 29 family-based programs should include comprehensive substance use treatment for parents, family counseling, peer support, and after-school activities for the children of parents with substance use disorders.…”

Section: Discussionmentioning

confidence: 99%

Correlates of Drug Dealing in Female Methamphetamine Users

et al. 2012

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Female drug dealers have been a neglected population despite their potentially elevated risk for social, legal, family, and psychological health problems. This study examined correlates of drug-dealing behavior in a sample of 209 female methamphetamine users in San Diego, CA. Twenty-five percent of the sample reported dealing methamphetamine in the past 2 months. Women who dealt methamphetamine were significantly more likely than their nondealing counterparts to have started using illicit drugs before the age of 13 years (68 % versus 44.7 %, p = .003); to have been introduced to methamphetamine by a parent (15.1 % versus 5.8 %, p = .037); and to report currently using methamphetamine to stay awake (84.9 % versus 64.7 %, p = .004), enhance self-confidence (62.3 % versus 45.5 %, p = .025), and feel more attractive (54.7 % versus 38.5 %, p = .029). In a multivariate logistic regression, factors independently associated with methamphetamine dealing were: having a spouse or live-in partner (Adjusted Odds Ratio, AOR = 2.89), using methamphetamine with a broader range of types of person (AOR = 1.46), and reporting lower levels of emotional support (AOR = 0.57). These findings suggest that female methamphetamine dealers are in urgent need of access to substance use treatment, therapies to enhance self-worth and emotional support, and family-based substance use prevention interventions for dependent children and those at risk.

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Section: Discussionmentioning

confidence: 99%

Correlates of Drug Dealing in Female Methamphetamine Users

et al. 2012

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“…Negative perceptions of providers and treatment (e.g. mistrust of mental health professionals, concerns about violations in confidentiality; Contractor et al., ; McKay & Bannon, ), the perceived relevance and helpfulness of therapeutic approaches (Eapen & Ghubash, ; Kazdin, Holland, Crowley, & Breton, ; Morrissey‐Kane & Prinz, ; Nock & Kazdin, ) and their acceptability (Choi & Kovshoff, ; Stevens, Kelleher, Ward‐Estes, & Hayes, ), are powerful drivers of service utilization and underuse. Expectancies such as the perceived usefulness of treatment (Graf, Grumm, Hein, & Fingerle, ) and its acceptability (MacKenzie, Fite, & Bates, ) are also associated with child treatment outcomes, including reductions in child problem behaviors, although this literature is considerably thinner than the association between these factors and engagement in care.…”

Section: Introductionmentioning

confidence: 99%

The impact of caregiver treatment satisfaction upon child and parent outcomes

Acri

Bornheimer

Jessell

et al. 2016

Child Adoles Ment Health

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Background Parental perceptions about treatment influence their child’s engagement in and ongoing utilization of mental health services, but less is known about the association between caregiver expectancies and family outcomes. The literature is particularly lacking with families of color, who are at high risk for the onset and perpetuation of disruptive behaviors. Methods The purpose of this study was to examine caregiver treatment satisfaction amongst 320 youth of color aged 7 to 11 and their families who were assigned to either a Multiple Family Group intervention or services as usual condition. Caregiver stress was measured by the Parenting Stress Index Short-Form full scale and child oppositional defiant behaviors were measured using the Iowa Connors Rating Scale–Oppositional/Defiant subscale both at baseline and post-test. Satisfaction with treatment was measured using the Metropolitan Area Child Study process measures program satisfaction subscale at post-test. Results The two main effects models that focused on satisfaction with treatment was predictive of parental stress and child oppositional defiant behaviors independently. Satisfaction with treatment accounted for 31% of the variance in child oppositional behavior and 24% of parental stress improvements across time holding all covariates constant. Conclusions Our findings support previous research that shows parental expectancies, including treatment satisfaction, are powerful mechanisms of treatment outcomes for children with DBDs as well as parental emotional health. Further, parental expectancies may be enhanced by the involvement of families in the development of treatment approaches for children and a greater focus on caregiver emotional health for the benefit of the family as a whole.

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“…For example, numerous factors across different studies have been associated with service utilization, making it a complex task to discern patterns from these data. Previous studies have demonstrated the importance of parental attitudes towards mental health services service engagement, where dissatisfaction and lack of trust in the system (Baker-Ericzén et al 2013;Contractor et al 2012), and negative help-seeking (Logan and King 2001;McKay et al 2001) are shown to be consistent contributors to lower rates of service utilization among families. Further, perceptions of stigma around mental health services may decrease parental help-seeking and, therefore, service utilization (Dempster et al 2013;Gronholm et al 2015).…”

Section: Introductionmentioning

confidence: 98%

Patterns of Caregiver Factors Predicting Participation in Trauma-Focused Cognitive Behavioral Therapy

Lai

Tiwari

Self-Brown

et al. 2017

Journ Child Adol Trauma

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This study examined patterns of caregiver factors associated with Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) utilization among trauma-exposed youth. This study included 41 caregivers (caregiver age M = 36.1, SD = 9.88; 93% African American) of youth referred for TF-CBT, following a substantiated forensic assessment of youth trauma exposure. Prior to enrolling in TF-CBT, caregivers reported on measures for parenting stress, attitudes towards treatment, functional impairment, caregiver mental health diagnosis, and caregiver trauma experiences. Classification and regression tree methodology were used to address study aims. Predictors of enrollment and completion included: attitudes towards treatment, caregiver trauma experiences, and parenting stress. Several caregiver factors predicting youth service utilization were identified. Findings suggest screening for caregivers' attitudes towards therapy, parenting stress, and trauma history is warranted to guide providers in offering caregiver-youth dyads appropriate resources at intake that can lead to increased engagement in treatment services.

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Mental Health Services for Children of Substance Abusing Parents: Voices from the Community

Cited by 13 publications

References 39 publications

Correlates of Drug Dealing in Female Methamphetamine Users

Correlates of Drug Dealing in Female Methamphetamine Users

The impact of caregiver treatment satisfaction upon child and parent outcomes

Patterns of Caregiver Factors Predicting Participation in Trauma-Focused Cognitive Behavioral Therapy

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