title: Sobriety Treatment and Recovery Teams in Rural Appalachia: Implementation and Outcomes.
abstract: The Sobriety Treatment and Recovery Teams (START) model is designed for families with co-occurring substance use and child maltreatment. This study describes the implementation and outcomes of START in a rural Appalachian county with high rates of poverty, non-medical prescription drug use, and child maltreatment. Despite a severely limited addiction treatment infrastructure at baseline, children served by START were less likely to experience recurrence of child abuse or neglect within 6 months or re-enter foster care at 12 months compared with a matched control group.
authors.forename: Martin T
authors.initials: MT
authors.lastname: Hall
authors.forename: Ruth A
authors.initials: RA
authors.lastname: Huebner
authors.forename: Jeanelle S
authors.initials: JS
authors.lastname: Sears
authors.forename: Lynn
authors.initials: L
authors.lastname: Posze
authors.forename: Tina
authors.initials: T
authors.lastname: Willauer
authors.forename: Janell
authors.initials: J
authors.lastname: Oliver
mesh_terms: D000328:Adult; D001061:Appalachian Region; D002648:Child; D002649:Child Abuse / Q000628:therapy*; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D012424:Rural Population; D019966:Substance-Related Disorders / Q000628:therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome