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ACWA Conference August 2010. Substance use, women and parenting: preliminary results from a NSW study with women in substance use treatment. Stephanie TAPLIN, Richard Mattick & Melissa De Vel Palumbo National Drug & Alcohol Research Centre University of NSW. Background to study.

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slide1

ACWA Conference August 2010

Substance use, women and parenting: preliminary results from a NSW study with women in substance use treatment

Stephanie TAPLIN, Richard Mattick &

Melissa De Vel Palumbo

National Drug & Alcohol Research Centre

University of NSW

background to study
Background to study
  • Three year study of Child protection and women in substance abuse treatment
  • Funded by NSW Community Services, NDARC & UNSW
  • Concerns about when & how to intervene where parental substance use a child protection concern
  • Lack of research in area, particularly large scale & with women themselves
  • Study aims
why women on the otp
Why women on the OTP?
  • Opioid Treatment Program (OTP): methadone (majority) & buprenorphine
  • Heroin a child protection concern; polydrug use common
  • 50% (est.) heroin users are on OTP
  • OTP one of most effective treatments
  • Large numbers of women on OTP are caring for children; not all known to CP
  • Attention re take-aways & kids
methods
Methods
  • Recruited through 9 OTP clinics
  • Sydney metropolitan area
  • Interviewed: May 2009 to May 2010
  • Ethics approvals and permissions for each clinic
  • Interviews were 1 hour in duration and had qualitative and quantitative components
  • Consent to access OTP and Community Services records at conclusion of interview
data collected
Data collected
  • Large amount of data collected from women, treatment, child protection records
  • Covers participants’ substance use and treatment histories, their demographic characteristics, children and parenting, and any parenting-related interventions, particularly those from child protection services
sample
Sample
  • Women on the NSW Opioid Treatment Program with children under 16 years
  • Number of study participants: 175
  • Response rate: 60% (estimate)
  • Participants from private clinics (n= 111) and public clinics (n = 64)
risk factors examined
Risk factors examined

Maternal: age; age first child born; single parent; mental health issues; substance misuse; domestic violence; lack of social supports; community violence; own abuse history; poor parenting; low income; low educational attainment

Child:premature birth; disability or chronic illness; behaviour or learning difficulties

age of women in sample
Age of women in sample

Mean age at interview: 35.8 years.

Min: 21; Max: 52 years. N= 172.

NB: Preliminary data only

indigenous status
Indigenous status

39 of the study participants were Aboriginal

i.e. 22.7% of sample

N = 172. NB: Preliminary data only

country of birth
Country of birth

N = 171. NB: Preliminary data only

highest level of school completed
Highest level of school completed

N = 171. NB: Preliminary data only

current type of residence
Current type of residence

N = 171. NB: Preliminary data only

current employment status
Current employment status

144

(84%)

N = 171. NB: Preliminary data only

recent financial difficulties
Recent financial difficulties

N = 171. NB: Preliminary data only

relationship status
Relationship status

Not in a relationship 72 (42%)

Married/de facto 54

99

In a relationship (58%)

(not living together) 45

N = 171. NB: Preliminary data only

age when first child born
Age when first child born

N = 172. NB: Preliminary data only

number of children
Number of children

N = 172. NB: Preliminary data only

ages of children
Ages of children

N = 172. NB: Preliminary data only

child protection involvement
Child protection involvement

N = 175. NB: Preliminary data only

how often can t get help
How often can’t get help

N = 165. NB: Preliminary data only

first person turn to
First person turn to

N = 167. NB: Preliminary data only

data yet to be analysed
Data yet to be analysed
  • Brief Child Abuse Potential Inventory (BCAP)
  • Kessler Psychological Distress Scale (K10)
  • Current substance use and history
  • Services received and need – especially, parenting related & support services
  • Child protection reports, interventions, OOHC history
  • Drug treatment interventions/services
  • Parenting efficacy; impact of substance use on parenting & caring for children
  • And lots more
slide23

Dr Stephanie Taplin *

Research Fellow

National Drug & Alcohol Research Centre

University of NSW

Sydney NSW 2052

s.taplin@unsw.edu.au

Post-doctoral research fellowship funding for 2008-2010 under a collaborative research scheme between

NSW Community Services, NDARC and UNSW.