Sobriety Treatment and Recovery Teams (START)
Effectiveness

Promising

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Promising

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Description

This is an intensive child protection program to monitor families with substance use problems and a history of child maltreatment.
The intervention seeks:
1) To ensure the child’s safety;
2) To keep children at home with their parents whenever safe and possible;
3) Permanence of the child preferably with one or both parents, or, if this is not possible, with a family member;
4) Parents’ sobriety in time to meet program requirements;
5) To improve parents’ ability to care for their children and perform essential life tasks;
6) To reduce abuse and maltreatment;
7) To improve the quality of medical care for children and adults with substance use;
8) To improve collaboration between child care providers and mental health treatment services.

Impact evaluations

An impact evaluation found that, after six months, children who attended the program were less likely to experience recurrence of child abuse or neglect, and, after 12 months, less likely to re-enter foster care [1].
The study had a quasi-experimental design with a sample of 1,354 children from 839 families residing in a rural Appalachian county with high rates of poverty, drug abuse, and child abuse. Of this total, 451 children (from 322 families) were in the intervention group and received START treatment, and 359 children (from 150 families) were in the corresponding comparison group, receiving no treatment [1].

Bibliographic reference

[1] Hall, M. T., Huebner, R. A., Sears, J. S., Posze, L., Willauer, T. y et al. (2015). Sobriety Treatment and Recovery Teams in Rural Appalachia: Implementation and Outcomes. Child Welfare, 94(4), 119–138. https://www.proquest.com/docview/1804471357