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Home > Protecting Children in Substance-Abusing Families > Protecting Children in Substance-Abusing Families: Table 4: Assessment/Intervention Guide: Relative Caregiver

Protecting Children in Substance-Abusing Families
Author(s):   U.S. Department of Health and Human Services Kropenske, V., Howard, J., Breitenbach, C., Dembo, R.
Year Published:  1994
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Table 4: Assessment/Intervention Guide: Relative Caregiver

Relative Family Assessment/Intervention Guide
The assessment factors for the child are described on the BIOLOGIC FAMILY ASSESSMENT/INTERVENTION GUIDE. Please refer to that Guide for specific information on assessment of the prenatally substance-exposed infant.
  Factor (a) Low
Risk
(b) Intermediate
Risk
(c) High
Risk
R
E
L
A
T
I
V
E
1. Relative's drug/alcohol Not known to currently be using drugs or allowing drug use in the home   Known use of drugs or alcoholism
2. Relative's history of abuse/neglect/
violence
No known history of abuse/neglect or violence in the home   Prior involvement with DCS or law enforcement or a history of abuse/neglect or violence in the home
3. Relative's physical/
intellectual or emotional abilities
No intellectual/
physical limitations; realistic expectations of child; in full control of mental faculties
Mild physical/
emotional handicap; mild intellectual limitations which would not significantly impact ability to care for child
Mod. to severely handicapped; poor perception of reality; unrealistic expectations/
perceptions of child's behavior, severe intellectual limitations; incapacity due to alcohol/drug intoxication; past criminal/mental illness; poor impulse control (i.e., demonstrated evidence of violence in home)
4. Relative's level of cooperation Willingness to work with agency, to follow case plan, and provide for child's special medical and physical needs Overtly compliant or appears to give "lip service" only; superficial understanding of their role and responsibility Disinterested or evasive, doesn't believe there is a problem with parent or child
5. Relative's parenting skills and responsiveness to infant Evidence of prior successful parenting No prior experience with parenting but indicates willingness to acquire necessary skills Evidence of inadequate prior parenting; unrealistic expectations
6. Quality of relationship between relative and parent Relative supportive of parent/child relationship but able to set limits; acknowledges parent's problem   Unable to set limits with parent and/or denies problem; conflict that will interfere with parent/child relationship or is unable to support parent/child relationship
E
N
V
I
R
O
N
M
E
N
T
P
h
y
s
i
c
a
l

&

S
o
c
i
a
l
7. Relative's ability to protect child Parent's behavior would not compromise safety of child   Parent is violent or disruptive and threatens the safety of the child or caretaker
8. Relative's success to medical resources Has own transportation, own phone; close to medical resources Access to transportation and a phone No transportation of phone; substantial distance from medical resources
9. Relative's living environment (furnishings/
health/safety)
Home relatively clean w/no apparent safety or health hazards; utilities operable; no infestation of rodents & vermin; evidence of preparation for infant's arrival (clothing, furnishings, formula) Home rel. clean [see (a)] but no evid. or prep. for infant's arrival Home unclean w/safety or health hazards, no evidence of prep. for infant's arrival

UCLA Department of Pediatrics
HCEEP Outreach Training Project



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