The impacts of family treatment drug court on child welfare core outcomes: A meta-analysis

Saijun Zhang, Hui Huang, Qi Wu, Yong Li, Meirong Liu

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Substance abuse has been prevalent among caregivers involved in child welfare and is a major barrier to their achieving favorable outcomes. Family Treatment Drug Courts (FTDCs) have been viewed as one of the most promising interventions but research has reported mixed effects on child welfare outcomes. No meta-analysis was conducted to synthesize the findings to reach a more generalizable conclusion. Objective: The meta-analysis synthesized findings from existing evaluations to examine whether and to what extent FTDC participants achieved better reunification and safety outcomes than non-participants. Participants and Setting: Among 17 identified studies dated from 2004 to 2018, the pooled sample subjects in the intervention and comparison groups were 3402 and 3683 for the 16 studies on reunification outcomes, and 842 and 632 for the eight studies on child safety outcomes. Methods: We first estimated the FTDCs’ pooled effects on child reunification and safety outcomes. Furthermore, we conducted a series of subgroup meta-analysis to compare FTDCs’ effects across study and program characteristics. Results: Subjects participating in FTDCs were substantially more likely to achieve reunification (OR = 1.75, 95% CI = 1.38, 2.22) without increasing the risk of subsequent foster care reentry or maltreatment re-report. Subgroup meta-analysis suggests factors such as research design, FTDC model, observation length, publication type and period may contribute to FTDCs’ disparities on reunification outcomes. Conclusions: The synthesized findings strengthen evidence for the implementation and expansion of FTDCs for serving substance abusing caregivers in the child welfare system.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalChild Abuse and Neglect
Volume88
DOIs
StatePublished - Feb 1 2019

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Child Welfare
Meta-Analysis
Pharmaceutical Preparations
Therapeutics
Safety
Caregivers
Substance-Related Disorders
Publications
Research Design
Observation
Research

Keywords

  • Caregiver substance abuse treatment
  • Family treatment drug court
  • Foster care reentry
  • Maltreatment recurrence
  • Meta-analysis
  • Reunification

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

The impacts of family treatment drug court on child welfare core outcomes : A meta-analysis. / Zhang, Saijun; Huang, Hui; Wu, Qi; Li, Yong; Liu, Meirong.

In: Child Abuse and Neglect, Vol. 88, 01.02.2019, p. 1-14.

Research output: Contribution to journalArticle

Zhang, Saijun ; Huang, Hui ; Wu, Qi ; Li, Yong ; Liu, Meirong. / The impacts of family treatment drug court on child welfare core outcomes : A meta-analysis. In: Child Abuse and Neglect. 2019 ; Vol. 88. pp. 1-14.
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abstract = "Background: Substance abuse has been prevalent among caregivers involved in child welfare and is a major barrier to their achieving favorable outcomes. Family Treatment Drug Courts (FTDCs) have been viewed as one of the most promising interventions but research has reported mixed effects on child welfare outcomes. No meta-analysis was conducted to synthesize the findings to reach a more generalizable conclusion. Objective: The meta-analysis synthesized findings from existing evaluations to examine whether and to what extent FTDC participants achieved better reunification and safety outcomes than non-participants. Participants and Setting: Among 17 identified studies dated from 2004 to 2018, the pooled sample subjects in the intervention and comparison groups were 3402 and 3683 for the 16 studies on reunification outcomes, and 842 and 632 for the eight studies on child safety outcomes. Methods: We first estimated the FTDCs’ pooled effects on child reunification and safety outcomes. Furthermore, we conducted a series of subgroup meta-analysis to compare FTDCs’ effects across study and program characteristics. Results: Subjects participating in FTDCs were substantially more likely to achieve reunification (OR = 1.75, 95{\%} CI = 1.38, 2.22) without increasing the risk of subsequent foster care reentry or maltreatment re-report. Subgroup meta-analysis suggests factors such as research design, FTDC model, observation length, publication type and period may contribute to FTDCs’ disparities on reunification outcomes. Conclusions: The synthesized findings strengthen evidence for the implementation and expansion of FTDCs for serving substance abusing caregivers in the child welfare system.",
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