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<p>Approximately 1 in 4 children in the United States have at least one caregiver with a substance use disorder (SUD). Caregiver SUD can result in adverse outcomes for families, including removal of children from the home. Supporting caregivers through recovery with team-based, enhanced care coordination and family-centered programming is a promising strategy. However, we know very little about this population’s engagement in family programs. We aimed to explore perspectives of caregivers, referral and service partners, and program staff using a mixed method design on factors that support and hinder family engagement in Wraparound. Our adapted Wraparound for parent SUD enhanced care coordination model uses a strengths-based, family-centered approach coupled with natural supports over 12–15 months. We conducted semi-structured interviews with parent participants (<i>n</i> = 23), service and referral partners (<i>n</i> = 14) and Wraparound program staff (<i>n</i> = 3) to elucidate factors underlying program participation, such as reasons for missed appointments and early attrition among the 52 enrolled cases. Of the 291 cases referred to Wraparound, 133 met inclusion criteria, 56 cases enrolled, and 22 sustained participation through at least 2 of the 4 stages of Wraparound. The three groups of interviewees shared many overlapping themes related to facilitators and barriers to family engagement. By identifying facilitators to engagement in interventions for this high-need yet difficult-to-engage population, Wraparound, and other family-based interventions will be able to better serve families, support caregiver recovery, and keep children in their homes when possible.</p>

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Multiple Perspectives on Engagement in a Wraparound Intervention for Families Affected by Parental Substance Use Disorder: A Mixed-Methods Study

  • 期刊论文

  • 发表日期：

    2025年12月15日

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  • Julia A. Najm,
  • Sidra A. Sheikh,
  • Rebecca L. Butcher,
  • Charlotte E. Bau,
  • Logan V. Paluch,
  • Erin R. Barnett

摘要

Approximately 1 in 4 children in the United States have at least one caregiver with a substance use disorder (SUD). Caregiver SUD can result in adverse outcomes for families, including removal of children from the home. Supporting caregivers through recovery with team-based, enhanced care coordination and family-centered programming is a promising strategy. However, we know very little about this population’s engagement in family programs. We aimed to explore perspectives of caregivers, referral and service partners, and program staff using a mixed method design on factors that support and hinder family engagement in Wraparound. Our adapted Wraparound for parent SUD enhanced care coordination model uses a strengths-based, family-centered approach coupled with natural supports over 12–15 months. We conducted semi-structured interviews with parent participants (n = 23), service and referral partners (n = 14) and Wraparound program staff (n = 3) to elucidate factors underlying program participation, such as reasons for missed appointments and early attrition among the 52 enrolled cases. Of the 291 cases referred to Wraparound, 133 met inclusion criteria, 56 cases enrolled, and 22 sustained participation through at least 2 of the 4 stages of Wraparound. The three groups of interviewees shared many overlapping themes related to facilitators and barriers to family engagement. By identifying facilitators to engagement in interventions for this high-need yet difficult-to-engage population, Wraparound, and other family-based interventions will be able to better serve families, support caregiver recovery, and keep children in their homes when possible.