Substance misuse, mental health problems and recurrent child maltreatment
2014 (English)In: Advances in Dual Diagnosis, ISSN 1757-0972, Vol. 7, no 1, 15-23 p.Article in journal, Editorial material (Refereed) Published
Purpose – The purpose of this paper is to determine whether the diagnosis of both carers’ mental healthproblems and substance misuse increase the likelihood of recurrent child maltreatment over and above theindividual effects of these factors.
Design/methodology/approach – Retrospective secondary data analysis of 29,455 children where childmaltreatment was confirmed in the Victorian child protection system between 2001 and 2005. Recordedmental health, alcohol misuse and other drug misuse variables were entered into multivariate logisticregression models predicting repeated child maltreatment. Interactions and a range of other child, carer andsocio-economic factors were included in these models.
Findings – Carer alcohol misuse, other drug misuse and mental ill health all independently predictedrecurrent child maltreatment. The presence of both other drug misuse and mental ill health increased thelikelihood that recurrent child abuse was recorded over the likelihood that mental health alone predictedrecurrent child maltreatment, and while alcohol misuse had an effect when there was no mental healthcondition recorded it did not have an additional effect when there was evidence of mental health problems.
Research limitations/implications – Children in families where there is both mental health problems andother drug use problems are at greater risk of repeated maltreatment than where there is evidence of mentalhealth problems or other drug use alone. Where there was evidence of carer mental health problems,alcohol misuse did not add to this likelihood. However, the effect of mental health and other drug use wassimilar in size to the effect of alcohol misuse alone.
Originality/value – These findings add to understandings of the effects of co-occurring mental healthproblems and substance misuse on recurrent child maltreatment and differentiate between cases thatinvolve alcohol and other drug misuse.
Place, publisher, year, edition, pages
2014. Vol. 7, no 1, 15-23 p.
Dual diagnosis, substance use disorders, alcohol, mental disorder
IdentifiersURN: urn:nbn:se:su:diva-109781DOI: 10.1108/ADD-11-2013-0026OAI: oai:DiVA.org:su-109781DiVA: diva2:767365