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* * * * * * * * * * * * * * * * * * * * * * * * * * * * * Parental Substance Abuse Less parental monitoring More child… Substance use Sexual risk behavior Early traumatic events Juvenile delinquency Richards et al., 2004; Robertson et al., 2008; Grellla, 2005; Robertson Hussain, 2001 Parental Substance Abuse Child abuse and neglect 40%-80% of child welfare cases Child abuse and neglect result in: Drug and alcohol use Sexual risk behaviors Juvenile delinquency Violent crime Semidei et al., 2001; Young et al., 1998; Bensley et al., 2000; Robertson et al., 2008; Young et al., 2007 People Who Need Substance Abuse Treatment are Usually Uninsured 1999 SAMHSA Treatment Episode Data Set. Available at: /2k2/insuranceTX/insuranceTX.htm Parental Substance Abuse Policy implications: Prevention through decreased life stressors and use of mental health services Early treatment Need for continuous insurance, must cover substance abuse treatment Model of how parental drug and alcohol abuse and depression lead to child problem behaviors. Parental Characteristics Risk Factors Youth Problem Behaviors Parental Alcohol Drug Abuse Parental Depression Lack of Parental Monitoring Physical Abuse of Child Sexual Abuse of Child Academic Problems Alcohol Drug Use Delinquency Behaviors Sexual Risk Behavior Compiled from multiple literatures; see Robertson et al. 2008 for lit review and an example model So, to most effectively support families… You want policies programs that address: Parental monitoring Continuous health insurance Parental stress Parental substance abuse and depression Families During Economic Downturns Family stress Parental substance abuse Parental depression Parental monitoring Children will be at risk What can a policy maker do? Health insurance for adults and children Access to substance abuse and mental health services Programs that support parental monitoring and family cohesion Programs That Support Parental Monitoring and Family Co
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