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Protecting Children in Substance-Abusing Families
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Author(s):
U.S. Department of Health and Human Services
Kropenske, V., Howard, J., Breitenbach, C., Dembo, R. |
| Year Published: 1994 |
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. |
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| 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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