Advisability of substance abuse testing in parents who severely maltreat their children: the issue of drug testing before the juvenile/family courts

The authors discuss the advisability of juvenile courts requiring urine testing for parents who severely maltreat (abuse and/or neglect) their children. While urine testing for substance abuse is not sufficient to ensure adequate treatment, it is important as part of the overall substance abuse treatment in a selected group of parents. An objective of this article is to offer specific urine testing guidelines in the context of child maltreatment cases in which the court considers removing children from parental custody to state custody. Although potentially useful, urinalysis to detect abused substances has limitations and is appropriate only in well-defined situations. Effective treatment of the substance-abusing, child-maltreating parent must be multimodal, with treatment of substance abuse as the first and most important step.     

WHEN IT HAPPENS IN A FAMILY: AIDING PARENTS OF SUBSTANCE‐ABUSING ADOLESCENTS*

This article first summarizes key data on the scope of teen substance abuse and the lack of teen access to needed treatment services. It then describes how and why attorneys may be helpful to parents who discover their teen's drug or alcohol problem and seek advice and counsel about the legal implications of various actions that can or may be taken. The article explores such issues as parents finding illegal drugs in the house or on their teen's person, various modalities of treatment and how family members are involved, how parents might secure residential evaluations for their youth without the necessity of juvenile court involvement (and why this is important), concerns about placing youth in unlicensed residential treatment facilities, health insurance coverage issues, home drug testing, and how past American Bar Association (ABA) policy on youth drug and alcohol abuse is being followed up with a new ABA project to aid parents of substance‐abusing teenagers and their families.     

III. Assessment,Referral and Treatment

Each court must have access to a complete range of services for effective screening, identification, assessment, evaluation, treatment, and rehabilitation. Such services may be developed within the court operation or in cooperation with related agencies or through contracted service providers. Many jurisdictions will use a combination of these basic approaches for provision of services. However they are organized, the key is that they must be in place and consistently used.     

Healing Families: An Outcome Evaluation of a Community Family Court

In this paper, a model community family court program that seeks to break the intergenerational cycle of crime and substance abuse by treating families holistically will be presented. This model court seeks to reduce crime and provide safe and permanent homes for children of substance‐abusing parents. In this community family court, the prototypical problem‐solving court has been both focused and expanded. The community family court provides a focused response designed to address the unique combination of problems facing families on a family‐by‐family basis. At the same time, supervision and treatment services have been expanded to include every family member and all open court cases including criminal charges, juvenile delinquency, dependency, and civil cases. An overview of the court's evolution and discussion of integrated services designed to provide a wraparound style intervention will be highlighted as key contributors to the largely positive results of this community family court's evaluation.     

UNIFIED FAMILY COURTS

Fragmented court systems are especially problematic for domestic violence victims because they typically are involved in more than one proceeding that stems from the same pattern of abuse. The proceedings are handled in different courts and before different judges, who are often unaware of these orders being issued in other proceedings. Consequently, conflicting orders are prevalent and the protection and needs of victims are often not met. A unified family court, on the other hand, provides one court with the subject-matter jurisdiction to handle all family-related matters and one judge to hear all cases that involve a single family, resulting in conflicting orders being issued less frequently. Additionally, the needs of victims are better served as a result of the services component. Given the fragmented state of the court systems in New York and Pennsylvania, United States; Alberta, Canada; and Australia, unified family courts should be implemented in each locality.     

Collaborations between drug courts and service providers: Characteristics and challenges

Addressing the multiple treatment needs of drug-involved offenders can enhance outcomes including sobriety and recidivism. Meeting drug court offenders' needs requires collaborative linkages between courts and providers of treatment and other services; however, there has been limited research on linkages. Using semi-structured interview data collected from administrators of fourteen drug courts and providers of services to offenders in those drug courts, this study described collaborative linkages and the challenges involved in fostering them. Although results suggest a moderate to strong level of linkage as perceived by both drug court administrators and service providers, services other than substance abuse treatment were sparsely provided through the drug courts. Limitations in funding, management information systems, and staffing were perceived as barriers to linkage. Results offer directions for enhancing linkages between drug courts and service providers and should be of value in improving quality of drug court treatment and offender outcomes.     

Judicial Perspectives on Family Drug Treatment Courts

Family Drug Treatment Courts are a specialized calendar or docket that operates within the juvenile dependency court. These courts provide the setting for a collaborative effort by the court and all the participants in the child protection system to come together in a non‐adversarial setting to determine the individual treatment needs of substance‐abusing parents whose children are under the jurisdiction of the dependency court. This article is intended to give judges and others a judicial perspective on FDTCs, and to offer some assistance for those who are operating or who are considering creating one.     

PRO SE DIVORCE LITIGANTS

With the increased number of divorce litigants appearing pro se in the past century, trial court judges and court personnel are forced to deal with their conflicting obligations with more frequency. It is virtually impossible for a trial court judge to ensure all litigants have a fair and meaningful trial without compromising their neutrality. Likewise, court personnel are allowed to give out legal information but not legal advice, with the definition of legal information and advice not neatly packaged into two separate and distinct categories. Consequently, changes must be made. This note suggests various solutions that can be imposed to either reevaluate the role of trial court judges and court personnel so that they no longer have conflicting obligations and are able to accommodate the needs of the pro se litigants or implement services that can provide pro se litigants with other avenues of obtaining information and assistance.     

An At‐Risk Profile of Probation Supervised Youthful Offenders in a Rural,Midwest County: Significant Gender and Race Differences

There have been multiple risk factors identified that lead to youth delinquent behaviors and activities. These risks are family, school, peer, disability, and neighborhood related, though the studies to date have primarily focused on larger urban juvenile court jurisdictions. This exploratory study of one rural juvenile court (in Ashtabula County, Ohio) furthers these risk factor investigations through the evaluation of 91 randomly selected, adjudicated delinquent youth (supervised in 2008 and 2009). Data on 23 risk factors was collected, with further analysis of significant gender and race differences. Key results were that a majority of youth experienced poverty and lived in a one‐parent family; 40% had a mental health or substance abuse problem; 25% were in need of special education disability services; males were much more likely to have school‐related difficulties and to commit felony offenses; females had significantly more mental health and substance abuse problems; and minority youth successfully completed probation more often.     

Holistic Representation: A Randomized Pilot Study of Wraparound Services for First‐Time Juvenile Offenders to Improve Functioning,Decrease Motions for Review,and Lower Recidivism

Mental health diagnoses, substance abuse issues, and school problems are often cited as contributors to adolescents’ involvement with the juvenile justice system. Yet, few youth receive assessment, evaluation, or intervention prior to their involvement with the juvenile courts. This pilot study evaluated whether providing a randomized trial of wraparound forensic social work services in addition to court‐appointed legal services would improve functioning, decrease motions for review, and lower recidivism for first‐time juvenile offenders. Findings indicate statistically significant improvement for youth receiving wraparound services on six out of eight measures. A case study example is provided and implications for service provision are explored.     

Health care policy issues in the drug abuser treatment field

As we enter the 1990s drug abuse has once again become a major health concern, and for the first time the drug treatment field has had to address many of the policy, regulation, and planning issues resulting from cost inflation that have become commonplace in other parts of the health care field. To avoid serious errors and confusion, drug abuse health policies must recognize the very different needs of the public and private sectors. The public sector, where poor addicts receive drug treatment provided or purchased by the government, has long suffered from chronically inadequate funding. Although responses to several epidemics (heroin, crack, and AIDS) have produced periods of increased allocations for drug abuse treatment, more often than not long waiting lists at programs have rationed treatment to lower-income addicts seeking care. Low salary levels have limited the quality of public treatment services, and the absence of resources has hindered the development of programs that respond to new technical developments and drug abuse problems, such as the crack epidemic. Despite severe resource shortages, the public drug treatment system has sometimes used resources inefficiently, with little attention to appropriateness of admissions, lengths of stay, ambulatory treatment modalities, or varying levels of care. Public sector goals for the 1990s should include filling current shortages in drug treatment services, developing adequate long-term funding for treating addicts who lack third-party coverage, modernizing the treatment system, developing new patterns of practice that use existing resources more efficiently, and developing a plan for treating intravenous drug users infected with the AIDS virus. In the private sector, the advent of working- and middle-class demand for drug treatment in the 1970s and 1980s has produced a new drug treatment system that suffers from many of the policy problems common to the rest of health care. Drug abuse in the workplace has resulted in much wider coverage of substance abuse services by insurance companies and HMOs. The availability of third-party funds has spawned a for-profit chemical dependency treatment industry. The high cost of private residential treatment services has caused significant cost inflation. Cost-containment measures, which are a new phenomenon for this field and are inappropriate for the public sector, have led to the same confusion and debates that they have produced in other areas of health care.(ABSTRACT TRUNCATED AT 400 WORDS)     

DIVORCE AND THE FAMILY COURT: WHAT CAN BE DONE ABOUT DOMESTIC VIOLENCE?

Approximately 50% of couples who have separated report being victims of violence and/or emotional abuse by their former intimate partners. Family courts can make an important contribution toward reducing the number of intimate partners who report being victims of domestic violence and abuse during and following their participation in divorce proceedings in three ways. First, increase opportunities for participation in nonadversarial procedures. Second, implement mandatory assessment/screening for domestic violence using field‐tested instruments that link subscores on sets of items (e.g., control motivated violence, conflict instigated violence/abuse, substance abuse associated violence/abuse) with appropriate community‐based treatments and/or resources. Third, educate family court judges, lawyers, mediators, and other court personnel in the dynamics of domestic violence generally, as well as the dynamics associated with separation/divorce.     

Helping at-risk youth overcome trauma and substance abuse through animal-assisted therapy

Animal-assisted therapy is a goal-oriented adjunct to traditional therapy programs. This type of therapy has benefitted many populations, including children, adolescents, and adults, in their recovery from a wide variety of physical and psychological traumas. Examples include patients who are undergoing rehabilitation related to major surgery, serious illness, or debilitating injury and patients who are receiving treatment to overcome substance abuse, physical abuse, and behavioral problems. The purpose of this article is to show how animal-assisted therapy has been used with at-risk youths who participate in a treatment program for a variety of traumatic experiences, including abuse and neglect, as well as criminality and substance abuse. In the therapy program, the youths work through a structured, goal-oriented curriculum with certified therapy dogs and volunteer handlers. Together they complete progressively advanced tasks in which the youths transfer skills learned about dog handling to understanding and modifying their own behavior. The overall aim is to help the youths develop positive life skills and facilitate positive social interactions to help break the cycle of crime, violence, or substance abuse.     

A Coordinated Approach to Improving Outcomes for Substance‐Abusing Families in Juvenile Dependency Court

This paper describes a coordinated approach to providing enhanced services for substance‐abusing families in the juvenile dependency court. The enhanced services consisted of an interagency collaborative model including the Department of Social Services, Court Appointed Special Advocates, Public Health Nurses, and Family Support Specialists. The purpose of the intervention was to increase the likelihood of family reunification. Families were randomly assigned to either the enhanced services (N=48) or to a regular services group (N=41). Variables included social background factors, data related to court hearings and court orders, and final court outcomes regarding placement and custody. Significant factors predicting final placement of the child were completion of court ordered programs, a stable home, and mothers' cooperation and motivation. Families who received the enhanced services had significantly higher rates of reunification of children with parents.     

Another permanency perspective:Family Drug Court

Because a staggering percentage of criminal court caseloads are intrinsically related to drug or alcohol abuse, general jurisdiction courts with rehabilitative “Drug Court” programs have experienced notable success. A similarly large number of juvenile and family court cases also involve substance abuse. The establishment of a “Family Drug Court” is allowing parents involved in abuse and neglect litigation to benefit from the juvenile justice system's social service mode of rehabilitation.     

STATE CHILD EMOTIONAL ABUSE LAWS: THEIR FAILURE TO PROTECT CHILDREN WITH GENDER IDENTITY DISORDER

Emotional abuse of children with Gender Identity Disorder by parents is very difficult to identify and prevent. State investigators of abuse and neglect often have a hard time determining if the reasons for mental illness and psychological harm in children are due to the actions of their parents, or if they stem from other sources. Once identified, it becomes even harder to prove in court for purposes of ordering services or removing the child from the home if the abuse is severe enough. With children who are gender non‐conforming, this task becomes exponentially more difficult due to the low prevalence rate, discrimination, stereotypes, and a parent's right to bring up their child as they choose. These youth face discrimination and violence in school, work, their communities, and also within their own families. Emotional abuse statutes are too vague to protect youth who are gender non‐conforming. The vague and unclear laws lead to inconsistency in the application of the law and lack of protection of the children because judges and investigators are not aware of how parent's actions harms youth with gender identity disorder. Therefore, states should adopt the model statute within this Note which defines specific actions by parents which would not qualify as abuse when involving gender conforming youth but qualifies as abuse for children with gender identity disorder. Many states already have statutes which define physical abuse, sexual abuse and abandonment by specific actions by parents towards their children. This proposal will enable both the state and the judges to properly identify victims with gender identity disorder of emotional abuse and provide for their protection.     

Service Contact and Delivery of a Shelter Outreach Project

An experimental outreach program offered shelter-based support groups or phone counseling to battered women in the criminal and civil courts. The outreach project attempted to contact 1,895 eligible women drawn from the court dockets. Nearly 50% of these women could not be reached, another third refused services, and about a fifth of the women accepted either the shelter-based counseling or phone counseling. However, only 19% (n = 71) of those who accepted service (or less than 4% of the total eligible women) actually participated in the service. The women refused services primarily because they did not feel they needed them; they accepted service mainly to get help with their emotions. The women who participated in the shelter-based counseling tended to be of a higher social economic status than women who generally contacted the courts. The main problems for the women in phone counseling was recurring abuse from their partners and getting help for their children. The findings may suggest different types of battered women that warrant different strategies to reach them. The outreach efforts might be further developed, as well, to more actively recruit and engage women in general.     

SUBSTANCE-ABUSING FATHERS IN FAMILY COURT

Although all forms of substance abuse disproportionately affect men during early to middle adulthood, when many are fathering children, the status of substance-abusing men as parents is largely ignored in public policy, service delivery, and research exploring the consequences of chronic drug and alcohol abuse. In this review, the authors highlight issues of potential concern to professionals working with this poorly understood, negatively stereotyped population of fathers in family court settings. After reviewing the existing literature on substance-abusing fathers and their children, the authors challenge family court personnel to use (a) awareness of stereotyping, (b) clinical assessment, (c) the principles of therapeutic jurisprudence, and (d) treatment resources to minimize, as much as possible, the risk for poor developmental outcomes incurred by children with a substance-abusing father.     

Social Support and Disclosure of Abuse: Comparing South Asian, African American, and Hispanic Battered Women

Sixty-two battered women who had accessed domestic violence services were asked to whom they disclosed the partner abuse, the responses they received, and how supported they felt by kin and nonkin network members. The findings showed that older women and those who had resided in the United States longer were more likely to make disclosures to kin members. Older women, those who had higher levels of perceived social support, and those who reported lower frequency of physical violence were more likely to disclose to nonkin members. The findings suggest that those women experiencing more severe abuse may be the least likely to disclose to others. As a group, the South Asian women were older and more educated, and greater proportions were or had been married to the abuser. In contrast to the other groups, a greater proportion reported having been burned or scalded and fewer reported being sexually coerced. In greater proportions, they disclosed the abuse to brothers and fathers and were advised to stay in their marriages. Service providers working with minority battered women must be knowledgeable of cross-cultural differences in the experience of abuse and disclosure patterns. Culturally appropriate and aggressive outreach within specific ethnic communities may be required to reach battered women in the community. Service providers must consider working with members of women's informal support network to provide both emotional and instrumental support.