It is not surprising that significant predictors of out-of-home placement or reunification did not emerge from these analyses. These child welfare outcomes are quite complex (Courtney, 1995; Harris & Courtney, 2003; Mason, et al., 2003). Although in this evaluation the call for multivariate analyses was answered (Nash, Kupper, & Fraser, 2004), it is not completely un- usual for data captured to be insufficient to the task of predicting complex child welfare out- comes (Courtney & Collins, 1994). Additionally, when AOD abuse becomes part of the child welfare equation one can expect that other factors, such as parents’ own histories of abuse and mental health, also can assert a strong influence (Roberts, Nishimoto, & Kirk, 2003).
Two findings that may have programmatic implications are that participants who had previous substantiated CPS referrals were far less likely to enter treatment after SAL services, and that participants found to need inpatient treatment were 97% less likely to enter AOD treatment at all. Both findings suggest the need for additional resources to focus on clients with problem- atic histories and extreme needs in substance abuse treatment.
CHAPTER 5. SUMMARY, RECOMMENDATIONS, AND FUTURE DIRECTIONS
The purpose of this study was to test the efficacy of SAL services through the PTP for parents with substance issues in Regions I, III, and IV in the IDHW. The underlying assumption was providing CPS-referred clients with pre-treatment educational and support services will increase the number of clients who enroll and complete treat- ment, decrease subsequent child protection substantiated referrals, and increase reuni- fication. This report focuses on the objectives specified in the Logic Model (Appen- dix A) of building collaborations between IDHW Children and Family Services and substance abuse treatment providers; implementation objectives; immediate outcomes of training SALs and engaging clients; intermediate objectives of treatment entry and improving client motivation for treatment; and long-term outcomes of child safety, child permanence, and family well-being as indicated by treatment completion.
In spite of start-up obstacles (e.g., hiring, changes in leadership, change in evalua- tor, unclear grant expectation) and external fluctuations in treatment availability and funding, the PTP was exceptionally successful with IDHW staff and clients. Results indicate that in the areas of collaborating with substance abuse treatment providers, educating staff about problems of substance abuse, particularly the phenomenon of methamphetamine addiction, and engaging participants in recognizing their DOA problems and increasing their motivation to take concrete steps to resolve them, IDHW staff at all levels saw vast improvements over the prior system. Participant feedback indicated it was helpful to have SALs help them find treatment, track the stage of change they were in, and set weekly goals. While in the program, participants were able to significantly increase their recognition of their DOA problems and initiate steps to alleviate them.
Idaho Pre-Treatment Program