Factors Associated with Child Removal Among American Indian and Alaska Native People in an Alcohol Intervention Study.
Abram J LyonsKatherine A HirchakGordon KordasJalene L HerronKelley JansenKarl C AlcoverDustin BergersonJaedon P AveyJennifer ShawJohn RollDedra BuchwaldMichael Gerard McDonellnull nullPublished in: Child maltreatment (2022)
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.
Keyphrases
- mental health
- randomized controlled trial
- alcohol consumption
- clinical trial
- artificial intelligence
- healthcare
- physical activity
- primary care
- type diabetes
- machine learning
- alcohol use disorder
- metabolic syndrome
- palliative care
- quality improvement
- electronic health record
- weight loss
- skeletal muscle
- combination therapy
- health insurance
- liquid chromatography
- glycemic control
- early life
- childhood cancer