Strengthening Communities: A Qualitative Assessment of Opportunities for the Prevention of Adverse Childhood Experiences in the Wake of the Opioid Crisis
The opioid crisis is a significant challenge for health and human service systems that serve children, youth, and families across the United States. Between 2000 and 2017, the number of foster care entries, a type of adverse childhood experience (ACE), attributable to parental drug use increased by...
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description | The opioid crisis is a significant challenge for health and human service systems that serve children, youth, and families across the United States. Between 2000 and 2017, the number of foster care entries, a type of adverse childhood experience (ACE), attributable to parental drug use increased by 147%. Nevertheless, there is variation in the burden of opioid overdose and foster care rates across the U.S., suggesting community supports and systems to support families affected by substance use also vary. This qualitative study sampled communities experiencing high and low rates of overdose mortality and foster care entries (i.e., a qualitative comparison group) to better understand what might protect some counties from high overdose mortality and foster care entries. The sample included six counties from three states that were selected based on their rates of opioid overdose mortality and foster care entries. Using purposive sampling within counties, interview and discussion group participants included multi-sector community partners, parents whose children had been removed due to parental substance use, and caregivers caring for children who had been removed from their homes. Across all counties, prevention was not front-of-mind. Yet, participants from communities experiencing high rates of overdose mortality and foster care entries identified several factors that might help lessen exposure to substance use and ACEs including more community-based prevention services for children and youth. Both parents and caregivers across all communities also described the need for additional supports and services. Participants also described the impact of COVID-19 on services, including greater utilization of mental health and substance use treatment services and the challenges with engaging children and youth on virtual platforms. The implications for prevention are discussed, including the need to encourage primary prevention programs in communities.
Highlights
This study aimed to identify possible supports to prevent parental opioid misuse and adverse childhood experiences.
Communities experiencing high and low rates of overdose mortality and foster care entries were sampled to understand multi-level risk and protective factors.
Findings support the importance of prevention such as following opioid prescription guidelines and community youth programs.
Parents discussed the importance of peer mentors and family-friendly substance use treatment as critical supports in |
doi_str_mv | 10.1007/s10826-021-02202-z |
format | Article |
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Highlights
This study aimed to identify possible supports to prevent parental opioid misuse and adverse childhood experiences.
Communities experiencing high and low rates of overdose mortality and foster care entries were sampled to understand multi-level risk and protective factors.
Findings support the importance of prevention such as following opioid prescription guidelines and community youth programs.
Parents discussed the importance of peer mentors and family-friendly substance use treatment as critical supports in their recovery.
Additional research is needed on the support that caregivers need to effectively care for themselves and their children.</description><identifier>ISSN: 1062-1024</identifier><identifier>EISSN: 1573-2843</identifier><identifier>DOI: 10.1007/s10826-021-02202-z</identifier><identifier>PMID: 35002194</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adverse childhood experiences ; Attrition (Research Studies) ; Behavioral Science and Psychology ; Caregivers ; Child and School Psychology ; Childhood experiences ; Childhood factors ; Children ; Children & youth ; Community ; Community Relations ; Counties ; COVID-19 ; Crises ; Drug abuse ; Drug overdose ; Drug use ; Families & family life ; Foster care ; Medical treatment ; Mental health services ; Mortality ; Mortality rates ; Narcotics ; Opioids ; Original Paper ; Parents ; Parents & parenting ; Prevention ; Prevention programs ; Protective factors ; Psychology ; Qualitative research ; Rehabilitation ; Risk factors ; Social programs ; Social Sciences ; Sociology ; Substance abuse ; Substance abuse treatment ; Youth</subject><ispartof>Journal of child and family studies, 2022, Vol.31 (4), p.1145-1157</ispartof><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022</rights><rights>This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-9a41b3f33c1245ba64d15a80db572bfda948cc0ba44678e0906bc466988ebd343</citedby><cites>FETCH-LOGICAL-c474t-9a41b3f33c1245ba64d15a80db572bfda948cc0ba44678e0906bc466988ebd343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10826-021-02202-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10826-021-02202-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,12825,27321,27901,27902,30976,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35002194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matjasko, Jennifer L.</creatorcontrib><creatorcontrib>Chovnick, Gary</creatorcontrib><creatorcontrib>Bradford, Joivita</creatorcontrib><creatorcontrib>Treves-Kagan, Sarah</creatorcontrib><creatorcontrib>Usher, Kristen</creatorcontrib><creatorcontrib>Vaughn, Elizabeth</creatorcontrib><creatorcontrib>Ingoldsby, Erin</creatorcontrib><title>Strengthening Communities: A Qualitative Assessment of Opportunities for the Prevention of Adverse Childhood Experiences in the Wake of the Opioid Crisis</title><title>Journal of child and family studies</title><addtitle>J Child Fam Stud</addtitle><addtitle>J Child Fam Stud</addtitle><description>The opioid crisis is a significant challenge for health and human service systems that serve children, youth, and families across the United States. Between 2000 and 2017, the number of foster care entries, a type of adverse childhood experience (ACE), attributable to parental drug use increased by 147%. Nevertheless, there is variation in the burden of opioid overdose and foster care rates across the U.S., suggesting community supports and systems to support families affected by substance use also vary. This qualitative study sampled communities experiencing high and low rates of overdose mortality and foster care entries (i.e., a qualitative comparison group) to better understand what might protect some counties from high overdose mortality and foster care entries. The sample included six counties from three states that were selected based on their rates of opioid overdose mortality and foster care entries. Using purposive sampling within counties, interview and discussion group participants included multi-sector community partners, parents whose children had been removed due to parental substance use, and caregivers caring for children who had been removed from their homes. Across all counties, prevention was not front-of-mind. Yet, participants from communities experiencing high rates of overdose mortality and foster care entries identified several factors that might help lessen exposure to substance use and ACEs including more community-based prevention services for children and youth. Both parents and caregivers across all communities also described the need for additional supports and services. Participants also described the impact of COVID-19 on services, including greater utilization of mental health and substance use treatment services and the challenges with engaging children and youth on virtual platforms. The implications for prevention are discussed, including the need to encourage primary prevention programs in communities.
Highlights
This study aimed to identify possible supports to prevent parental opioid misuse and adverse childhood experiences.
Communities experiencing high and low rates of overdose mortality and foster care entries were sampled to understand multi-level risk and protective factors.
Findings support the importance of prevention such as following opioid prescription guidelines and community youth programs.
Parents discussed the importance of peer mentors and family-friendly substance use treatment as critical supports in their recovery.
Additional research is needed on the support that caregivers need to effectively care for themselves and their children.</description><subject>Adverse childhood experiences</subject><subject>Attrition (Research Studies)</subject><subject>Behavioral Science and Psychology</subject><subject>Caregivers</subject><subject>Child and School Psychology</subject><subject>Childhood experiences</subject><subject>Childhood factors</subject><subject>Children</subject><subject>Children & youth</subject><subject>Community</subject><subject>Community Relations</subject><subject>Counties</subject><subject>COVID-19</subject><subject>Crises</subject><subject>Drug abuse</subject><subject>Drug overdose</subject><subject>Drug use</subject><subject>Families & family life</subject><subject>Foster care</subject><subject>Medical treatment</subject><subject>Mental health services</subject><subject>Mortality</subject><subject>Mortality rates</subject><subject>Narcotics</subject><subject>Opioids</subject><subject>Original Paper</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Protective factors</subject><subject>Psychology</subject><subject>Qualitative research</subject><subject>Rehabilitation</subject><subject>Risk factors</subject><subject>Social programs</subject><subject>Social Sciences</subject><subject>Sociology</subject><subject>Substance abuse</subject><subject>Substance abuse treatment</subject><subject>Youth</subject><issn>1062-1024</issn><issn>1573-2843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kcuO1DAQRSMEYoaBH2CBLLFhEyg_4jgskFrR8JBGahAglpaTVLo9JHbGTlowf8Lf4p5uhseCheWS6txbVbpZ9pjCcwpQvogUFJM5MJoeA5Zf38lOaVHynCnB76YaJMspMHGSPYjxEgAqxar72QkvIKkqcZr9-DgHdJt5i866Dan9OC7OzhbjS7IiHxYz2NnMdodkFSPGOKKbie_Jepp8mI8o6X0gyYK8D7hLgPVuz6y6HYaIpN7aodt635HzbxMGi65NGutuJF_MV9zD-3o9WW87UgcbbXyY3evNEPHR8T_LPr8-_1S_zS_Wb97Vq4u8FaWY88oI2vCe85YyUTRGio4WRkHXFCVr-s5UQrUtNEYIWSqECmTTCikrpbDpuOBn2auD77Q0I3Zt2j-YQU_BjiZ8195Y_XfH2a3e-J1WJWNSqGTw7GgQ_NWCcdajjS0Og3Hol6iZpKqgvIQioU__QS_9Elw6L1FCMKpAykSxA9UGH2PA_nYZCnqfvD4kr1OG-iZ5fZ1ET_4841byK-oE8AMQU8ttMPye_R_bn84YvSI</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Matjasko, 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Communities: A Qualitative Assessment of Opportunities for the Prevention of Adverse Childhood Experiences in the Wake of the Opioid Crisis</title><author>Matjasko, Jennifer L. ; Chovnick, Gary ; Bradford, Joivita ; Treves-Kagan, Sarah ; Usher, Kristen ; Vaughn, Elizabeth ; Ingoldsby, Erin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-9a41b3f33c1245ba64d15a80db572bfda948cc0ba44678e0906bc466988ebd343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adverse childhood experiences</topic><topic>Attrition (Research Studies)</topic><topic>Behavioral Science and Psychology</topic><topic>Caregivers</topic><topic>Child and School Psychology</topic><topic>Childhood experiences</topic><topic>Childhood factors</topic><topic>Children</topic><topic>Children & youth</topic><topic>Community</topic><topic>Community 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L.</creatorcontrib><creatorcontrib>Chovnick, Gary</creatorcontrib><creatorcontrib>Bradford, Joivita</creatorcontrib><creatorcontrib>Treves-Kagan, Sarah</creatorcontrib><creatorcontrib>Usher, Kristen</creatorcontrib><creatorcontrib>Vaughn, Elizabeth</creatorcontrib><creatorcontrib>Ingoldsby, Erin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>Criminal Justice Database (Alumni 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Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of child and family studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matjasko, Jennifer L.</au><au>Chovnick, Gary</au><au>Bradford, Joivita</au><au>Treves-Kagan, Sarah</au><au>Usher, Kristen</au><au>Vaughn, Elizabeth</au><au>Ingoldsby, Erin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strengthening Communities: A Qualitative Assessment of Opportunities for the Prevention of Adverse Childhood Experiences in the Wake of the Opioid Crisis</atitle><jtitle>Journal of child and family studies</jtitle><stitle>J Child Fam Stud</stitle><addtitle>J Child Fam Stud</addtitle><date>2022</date><risdate>2022</risdate><volume>31</volume><issue>4</issue><spage>1145</spage><epage>1157</epage><pages>1145-1157</pages><issn>1062-1024</issn><eissn>1573-2843</eissn><abstract>The opioid crisis is a significant challenge for health and human service systems that serve children, youth, and families across the United States. Between 2000 and 2017, the number of foster care entries, a type of adverse childhood experience (ACE), attributable to parental drug use increased by 147%. Nevertheless, there is variation in the burden of opioid overdose and foster care rates across the U.S., suggesting community supports and systems to support families affected by substance use also vary. This qualitative study sampled communities experiencing high and low rates of overdose mortality and foster care entries (i.e., a qualitative comparison group) to better understand what might protect some counties from high overdose mortality and foster care entries. The sample included six counties from three states that were selected based on their rates of opioid overdose mortality and foster care entries. Using purposive sampling within counties, interview and discussion group participants included multi-sector community partners, parents whose children had been removed due to parental substance use, and caregivers caring for children who had been removed from their homes. Across all counties, prevention was not front-of-mind. Yet, participants from communities experiencing high rates of overdose mortality and foster care entries identified several factors that might help lessen exposure to substance use and ACEs including more community-based prevention services for children and youth. Both parents and caregivers across all communities also described the need for additional supports and services. Participants also described the impact of COVID-19 on services, including greater utilization of mental health and substance use treatment services and the challenges with engaging children and youth on virtual platforms. The implications for prevention are discussed, including the need to encourage primary prevention programs in communities.
Highlights
This study aimed to identify possible supports to prevent parental opioid misuse and adverse childhood experiences.
Communities experiencing high and low rates of overdose mortality and foster care entries were sampled to understand multi-level risk and protective factors.
Findings support the importance of prevention such as following opioid prescription guidelines and community youth programs.
Parents discussed the importance of peer mentors and family-friendly substance use treatment as critical supports in their recovery.
Additional research is needed on the support that caregivers need to effectively care for themselves and their children.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35002194</pmid><doi>10.1007/s10826-021-02202-z</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); Education Source; Sociological Abstracts; SpringerLink Journals - AutoHoldings |
subjects | Adverse childhood experiences Attrition (Research Studies) Behavioral Science and Psychology Caregivers Child and School Psychology Childhood experiences Childhood factors Children Children & youth Community Community Relations Counties COVID-19 Crises Drug abuse Drug overdose Drug use Families & family life Foster care Medical treatment Mental health services Mortality Mortality rates Narcotics Opioids Original Paper Parents Parents & parenting Prevention Prevention programs Protective factors Psychology Qualitative research Rehabilitation Risk factors Social programs Social Sciences Sociology Substance abuse Substance abuse treatment Youth |
title | Strengthening Communities: A Qualitative Assessment of Opportunities for the Prevention of Adverse Childhood Experiences in the Wake of the Opioid Crisis |
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