Saturday, 15 January 2005 - 10:00 AM

This presentation is part of: Effects of Service Integration on Substance Abuse, Child Welfare and Mental Health Outcomes

Service Matching, Number and Access: Aspects of Service Integration in Substance Abuse and Child Welfare

Purpose: To assess the impact of needs-service matching on substance abuse and child welfare outcomes. Design: The study used cross-sectional data collected for an evaluation of an integrated services program for clients involved in both child welfare and substance abuse treatment services. Sample: In-person surveys were conducted with 185 women who were currently attending or who had recently completed substance abuse treatment. Analysis: Logistic and OLS regression models were conducted to assess factors associated with ongoing substance use, having a child maltreatment allegation after starting treatment, and service use. Findings: The number of services received was more consistently associated with both substance abuse and child welfare outcomes than were needs-service matches. However, the majority of service needs were unmatched. Access services, including transportation and outreach, were strong predictors of the number of services received. Implications: Results point to a series of steps leading to better outcomes. When ancillary services are integrated into substance abuse treatment, access services promote the use of such services. The use of more integrated services, in turn, promotes better substance abuse and child welfare outcomes.

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