title: Child welfare agency ties to providers and schools and substance abuse treatment use by adolescents.
abstract: Policy makers and advocates are increasingly encouraging child-serving organizations to work together. This study examined how child welfare agency ties with substance abuse treatment providers and schools correlated with substance abuse treatment for adolescents receiving child protective services. A sample of adolescents with substance use risk was extracted from a national survey of families engaged with child welfare. Logistic regressions with adjustments for complex survey design used child welfare agency ties to substance abuse treatment providers and schools to predict treatment. As expected, adolescents were more likely to report treatment when child protective services and substance abuse treatment were in the same agency and when child welfare agency directors reported joint planning with schools. However, child welfare agency agreements with substance abuse treatment providers were negatively associated with treatment. This unexpected finding implies that agencies may sometimes cooperate to address problems and to improve service utilization.
authors.affiliation: Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411, USA. rswells@email.unc.edu
authors.forename: Rebecca
authors.initials: R
authors.lastname: Wells
authors.forename: Emmeline
authors.initials: E
authors.lastname: Chuang
authors.forename: Lindsey E
authors.initials: LE
authors.lastname: Haynes
authors.forename: I-Heng
authors.initials: IH
authors.lastname: Lee
authors.forename: Yu
authors.initials: Y
authors.lastname: Bai
mesh_terms: D000293:Adolescent; D002648:Child; D002669:Child Welfare / Q000523:psychology*; D003376:Counseling; D005190:Family; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008605:Mental Health Services; D020379:Risk Adjustment; D012574:Schools; D019966:Substance-Related Disorders / Q000534:rehabilitation*