Recurrent care proceedings and use of services for substance use disorder: A retrospective linked data cohort study of mothers in South London.
Background and aims: In public family law cases ('care proceedings'), many mothers return to proceedings after having a child removed. Substance use disorder (SUD) is a common feature in these cases. We used a linked dataset between SUD treatment services and family court to identify: i) the prevale...
| Publicado en: | Addiction Vol. 121; no. 1; pp. 163 - 173 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190304754&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190304754 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Jan2026 vid: 121 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 190304754 187547042 190304754 190304754 10.1111/add.70179 190304754 ppf: 163 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Recurrent care proceedings and use of services for substance use disorder: A retrospective linked data cohort study of mothers in South London. aug: au: Canfield, Martha Gilchrist, Gail Downs, Johnny Norton, Sam affil: Department of Psychology, Glasgow Caledonian University, Glasgow, UK sug: subj: Substance Use Disorders Rehabilitation Persons with Substance Use Disorders Legislation and Jurisprudence Mothers Psychosocial Factors Health Resource Utilization Courts Human England Female Male Adult Retrospective Design Prospective Studies Prevalence Ethnic Groups Treatment Outcomes Kaplan-Meier Estimator Cox Proportional Hazards Model Regression Log-Rank Test Data Analysis Software Confidence Intervals Descriptive Statistics Funding Source Adult: 19-44 years Female Male ab: Background and aims: In public family law cases ('care proceedings'), many mothers return to proceedings after having a child removed. Substance use disorder (SUD) is a common feature in these cases. We used a linked dataset between SUD treatment services and family court to identify: i) the prevalence and estimated time for returning to care proceedings, ii) the characteristics of mothers who returned, and iii) differences in SUD treatment service use between mothers who returned to care proceedings and those who did not. Design: Retrospective study. Setting: South London and Maudsley NHS Mental Health Trust (SLaM) catchment area, UK. Participants: 480 mothers involved in care proceedings with SUD between 2007 and 2019. Measurements Substance use treatment records were linked to family court records. Kaplan Meier's time‐to‐event analysis was used to estimate the probability of returning to court and the recurrence rate. Hazard ratios (95% confidence intervals) were estimated to identify factors using Cox proportional regression analysis. Findings Following the completion of the first care proceeding case, one‐quarter of the cohort returned to proceedings (n = 119). Of returning mothers, 58.0% returned with a new baby and 52.0% had not received SUD treatment during the first proceedings. The risk of returning was highest within five years and was positively associated with younger maternal age [adjusted hazard ratio (aHR) 0.26, 95% confidence interval (CI) = 0.11–0.61], multiple children in initial proceedings (aHR 2.07, 95% CI = 1.36–3.18) and not receiving SUD treatment during initial proceedings (aHR 0.42, 95% CI = 0.29–0.61). The number of contact events with SUD treatment was not statistically significantly associated with returning to proceedings. Conclusion: Among mothers receiving treatment for substance use disorder and involved in care proceedings in England, nearly one in four were likely to appear in a subsequent care proceeding case. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|