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International evidence on treatment outcomes for opiate use clearly demonstrates that treatment improves outcomes for drug
use, crime committal and social functioning. However, recent evidence in an Irish setting identified a failure to demonstrate
any significant improvements in the physical and psychological wellbeing of users, across different treatment modalities for opiate
use. Furthermore, many opiate users are parents who are either caring for their child in the home or have children in foster care.
This study addresses the identified gap in knowledge in relation to the physical and mental health outcomes of a population of
opiate users and their children, and provides evidence for policy recommendations for service. A sample of 173 adult opiate users
in treatment (substitute maintenance) or not in treatment (using needle exchange services) were recruited through a number
of out-patient treatment settings. The sample was assessed using a number of measures, including the SF-12, Beck Depression
Inventory (BDI) and Beck Anxiety Inventory (BAI). Those who were parents completed the Kidscreen-27 tool and Strengths
and Difficulties Questionnaire (SDQ) in relation to their youngest childs wellbeing. Family history of substance misuse was also
assessed. Participants self-rated health was fair to poor with high rates of moderate to severe levels of symptoms of anxiety and
depression reported. A third of the sample provided data on their youngest childs health and wellbeing. The results indicate
borderline emotional and conduct problems. These findings raise important questions for the adequacy of drug treatment policy
and practice and child and family health services
Biography
Maeve Daly is pursuing her Ph.D degree in the School of Nursing and Midwifery, Trinity College Dublin. Her research interests are addiction, substance misuse and quantitative methods in modelling health outcomes
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