Factors Associated with Child Removal Among American Indian and Alaska Native People in an Alcohol Intervention Study

被引:3
作者
Lyons, Abram J. [1 ,2 ,3 ]
Hirchak, Katherine A. [1 ,2 ]
Kordas, Gordon [1 ,2 ]
Herron, Jalene L. [4 ,5 ]
Jansen, Kelley [6 ]
Alcover, Karl C. [7 ]
Bergerson, Dustin [6 ]
Avey, Jaedon P. [6 ]
Shaw, Jennifer [6 ]
Roll, John [1 ,2 ]
Buchwald, Dedra [1 ,8 ]
McDonell, Michael G. [1 ,2 ,8 ]
机构
[1] Washington State Univ, Elson S Floyd Coll Med, Dept Med Educ & Clin Sci, Behav Hlth Innovat, Spokane, WA 99210 USA
[2] Washington State Univ, Inst Res & Educ Adv Community Hlth, Partnerships Nat Hlth, Spokane, WA 99210 USA
[3] Univ Penn, Sch Social Policy & Practice, Philadelphia, PA USA
[4] Univ New Mexico, Ctr Alcoholism Subst Abuse & Addict, Albuquerque, NM USA
[5] Univ New Mexico, Dept Psychol, Albuquerque, NM 87131 USA
[6] Southcent Fdn, Anchorage, AK USA
[7] Uniformed Serv Univ Hlth Sci, Dept Med, Room A3060, Bethesda, MD 20814 USA
[8] Washington State Univ, Inst Res & Educ Adv Community Hlth, Spokane, WA 99210 USA
基金
美国国家卫生研究院;
关键词
cultural; ethnic issues; ethnic minority populations; treatment; trauma; parents; adults; HISTORICAL TRAUMA; CONTINGENCY MANAGEMENT; ETHYL GLUCURONIDE; INDIAN/ALASKAN NATIVES; USE DISORDERS; SUBSTANCE USE; FOSTER-CARE; PLACEMENT; WELFARE; TRANSMISSION;
D O I
10.1177/10775595221134689
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
This study was a secondary data analysis of factors associated with alcohol-related child removal among American Indian/Alaska Native (AI/AN) adults enrolled in a clinical trial of an alcohol intervention. Among 326 parent participants, 40% reported ever having a child removed from their care in part because of the parent's alcohol use, defined here as alcohol-related child removal. Seventy-five percent of parents reported at least one separation during their own childhood (M = 1.3, SD = 1.0). In a multivariable analysis, alcohol-related child removal was associated with parental boarding school attendance. No relationship was found between alcohol-related child removal and alcohol intervention outcomes. Results may provide evidence of multigenerational child removal impacts of boarding schools on AI/AN adults receiving an alcohol use disorder intervention. Assessment of parental history of child removal by practitioners, strategies to prevent alcohol-related separation and to support reunification should be integrated into addiction treatment in AI/AN communities.
引用
收藏
页码:599 / 607
页数:9
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