Parenting stress and child maltreatment in drug-exposed children

Kelley, Susan J.

doi:10.1016/0145-2134(92)90042-p

Cited by 154 publications

(101 citation statements)

References 13 publications

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“…There is an extensive extant literature describing deleterious macro-and microenvironmental aspects of families in which substance abuse is a significant problem. Among the variables commonly described as less optimal for drug/alcohol-using families are: physical disease/disability, economic resources, abuse/neglect, psychopathology, stress, and social support (Chaffin, Kelleher, & Hollenberg, 1996;Fitzgerald, Sullivan, Ham, Zucker, Bruckel, & Schneider, 1993;Fullilove et al, 1993;Jaudes, Ekwo, & Van Voorhis, 1995;Kelley, 1992;Mayes, 1995;Nyberg, Allebeck, Eklund, & Jacobsen, 1992;Schuler, Black, & Starr, 1995;Singer, Arendt, Farkas, Minnes, Huang, & Yamshita, 1997;Smith, Dent, Coles, & Falek, 1992;Tronick & Beeghly, 1999).…”

mentioning

confidence: 97%

Assessment of the caregiving environment and infant functioning in polydrug families: Use of a Structured Clinical Interview

Platzman

Coles

Lynch

et al. 2001

Infant Mental Health Journal

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A Structured Clinical Interview (SCI) was used to assess both proximal characteristics of the rearing environments of prenatally polydrug exposed infants in a low SES sample and infant behavioral characteristics (e.g., feeding, sleeping, self-regulation). The 95-item questionnaire systematized collection of developmental history and caregiving environment for 132 infant-caregiver dyads who were seen for follow-up at 6, 12, and 24 months. Outcome data were indexed in five theoretically based areas: Caregiving Instability, Problems with Social Routine, Dysregulation, Infant Feeding Problems and Infant Sleeping Problems. Main effects were found in the Caregiving Instability and Sleeping Problems Index scores for drug exposure but not gestational age. Chronological age and drug interactions were found for Feeding Problems and Sleeping Problems Index scores, with those in the drug group having persistent difficulties in these areas. Additionally, there was a term and drug interaction effect in the Problems with Social Routine Index. In all of these areas, prenatal drug exposure was associated with less optimal scores. The SCI proved to be a useful tool in studying this high-risk population and may be useful in research and clinical settings. Future instrument development is planned.RESUMEN: Una Entrevista Clínica Estructurada (SCI) se usó para evaluar las más cercanas características de los ambientes de crianza de infantes expuestos a una variedad de drogas antes del nacimiento, en un grupo-muestra de bajo SES y las características de conductas del infante (proceso de alimentación, de dormir, y la autoregulación). El cuestionario de 95 puntos sistematizó la recolección de la historia del desarrollo y del ambiente donde se prestaba el cuidado en 132 díadas de infantes y personas que les cuidaban, quienes fueron observados nuevamente, como forma de seguimiento, a los 6, 12 y 24 meses. La resultante información fue clasificada en cinco áreas basadas en la teoría: la inestabilidad de la atención al infante, los problemas con la rutina social, falta de regulación, problemas del infante en el proceso de alimentación, y problemas del infante en el proceso de dormir. Los principales efectos fueron hallados en los puntajes de la clasificación en la inestabilidad de la atención y en los problemas en el proceso de dormir, en cuanto a la exposición a la droga, pero no en cuanto a la edad gestacional. La edad cronológica y las interacciones de la droga fueron señaladas en cuanto a los puntajes de clasificación de los problemas en el proceso de alimentación y en el proceso de dormir, siendo notable el hecho de que los niños del grupo expuesto a la droga presentaban persistentes dificultades en estas áreas. Adicionalmente, hubo un efecto de plazo e interacción de droga en cuanto a los puntajes relacionados con la rutina social. En todas estas áreas, la exposición a drogas en el período prenatal se asoció con puntajes menos óptimos. La SCI demostró ser una herramienta efectiva para estudiar esta población de alto riesgo y p...

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mentioning

confidence: 97%

Assessment of the caregiving environment and infant functioning in polydrug families: Use of a Structured Clinical Interview

Platzman

Coles

Lynch

et al. 2001

Infant Mental Health Journal

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“…Their age may also contribute to a number of problems that may be less prevalent among foster family providers. For example, one study found maternal foster grandmothers reporting high levels of depression and poor health (Kelley, 1992). These grandmothers also expressed some concerns about their abilities to continue parenting young children.…”

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confidence: 99%

A comparison of kinship foster homes and foster family homes: Implications for kinship foster care as family preservation

Berrick

Barth

Needell

1994

Children and Youth Services Review

337

227

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“…Following an initial maltreatment investigation, children of AOD-involved parents are more likely to be re-reported for maltreatment (Connell, Bergeron, Katz, Saunders, & Tebes, in press;English, Marshall, Brummel, & Orme, 1999), and the reports are more likely to be substantiated (Fuller & Wells, 2000;Wolock & Magura, 1996;Wolock, Sherman, Feldman, & Metzger, 2001). Children of AOD-involved parents also are more likely to be removed from the home (Kelley, 1992), and are more likely to reenter foster care following reunification (Frame, Berrick, & Brodowski, 2000;Miller, Fisher, Fetrow, & Jordan, 2006;Terling, 1999).…”

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confidence: 99%

The Impact of Parental Alcohol or Drug Removals on Foster Care Placement Experiences: A Matched Comparison Group Study

et al. 2007

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Research has established the coincidence of parental alcohol and other drug (AOD) use and child maltreatment, but few studies have examined the placement experiences and outcomes of children removed due to parental AOD use. The present study examines the demographic characteristics and placement experiences of a sample of children removed from their homes as a result of parental AOD use (n=1,333), first in comparison to the remaining sample of children in foster care (n=4554), then to a matched comparison group of children in foster care who were removed for other reasons (n=1333). Relative to the comparison sample, children removed for parental AOD use are less likely to experience co-occurring removal due to neglect and physical or sexual abuse, and are more likely to be placed in relative foster care. In addition, these children remain in care longer, experience similar rates of reunification, and have significantly higher rates of adoption.

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Parenting stress and child maltreatment in drug-exposed children

Cited by 154 publications

References 13 publications

Assessment of the caregiving environment and infant functioning in polydrug families: Use of a Structured Clinical Interview

Assessment of the caregiving environment and infant functioning in polydrug families: Use of a Structured Clinical Interview

A comparison of kinship foster homes and foster family homes: Implications for kinship foster care as family preservation

The Impact of Parental Alcohol or Drug Removals on Foster Care Placement Experiences: A Matched Comparison Group Study

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