title: Drug dependent parents: childcare responsibilities, involvement with treatment services, and treatment outcomes.
abstract: Relatively little is known about the treatment of drug dependent parents. This study of drug misusers (n=1075) investigates the involvement of parents with treatment services, childcare arrangements before and during treatment, and outcomes at 1-year follow up. Almost half the sample (46%) were parents. Women were more likely to be responsible for the care of children. Parents, and especially women, who looked after children, were less likely to receive residential treatment. Illicit drug use and psychiatric symptoms were reduced at 1 year. Outcomes did not differ by gender or parenting status, but there was an interaction effect for psychiatric symptoms: for women, looking after children during treatment was associated with less improvement in psychiatric symptoms at follow up. Such women face special difficulties in access to services and would benefit if treatment services were able to offer improved access and childcare support.
authors.affiliation: Research Development and Statistics, Home Office, 2 Marsham Street, London SW1P 4DF, UK. duncan.stewart@homeoffice.gsi.gov.uk
authors.forename: Duncan
authors.initials: D
authors.lastname: Stewart
authors.forename: Michael
authors.initials: M
authors.lastname: Gossop
authors.forename: Katia
authors.initials: K
authors.lastname: Trakada
mesh_terms: D000328:Adult; D002648:Child; D002654:Child Care; D016241:Child of Impaired Parents; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010290:Parents / Q000523:psychology*; D011446:Prospective Studies; D012941:Social Responsibility; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome