Families with substance use histories were found to disproportionately experience additional risk factors, many of which were evident at the time of a child’s birth and could provide opportunity for intervention. This project was part of a multi-method approach that included an environmental scan, interviews with parents who had substance use (include key findings of economic vulnerability, social isolation, trauma etc), quantitative analysis to test these findings, and included a Data Discovery & Design Thinking workshop to disseminate the findings. These families were also less likely to complete home visiting programs, and more likely to have children removed from their custody than families without substance use histories. Opportunities for expanded interventions for children identified as experiencing early risk are being explored as a result of this work, as well as a pilot project to support home visiting interventions immediately following parent’s release from substance use treatment centers. The ongoing use of an integrated data system for monitoring of substance use is under consideration at IDPH.
IDPH Lead and Contract Director
ISU Analysis Lead
Kelly Davydov, Iowa Department of Human Rights
Gerd Clabaugh, IDPH
Janet Horras, IDPH State Home Visitation Director
DeAnn Decker, IDPH
Julie Jones, IDPH
Kevin Gabbert, IDPH
Monica Wilke-Brown, IDPH
Joe Caldwell, IDPH
Richard Nesselroad, IDPH
Bill Brand, IDHR
Lori Easterly, IDHR
Jay Hanson, Prairie Ridge Treatment Center
Becky Falck, SEIDA
Suzette Van Vark, SEIDA
Deb Shubat, SIEDA
Sarah Ziegenhorn, IHRC
Nick Sparr, IHRC
Tiffany Carter, IHRC
DAISEY home visiting records
Vital Statistics birth records
This work was supported by federal funding from the Center for Disease Control to the Iowa Department of Public Health for support of studying the impact of substance use on families and the Iowa State University College of Human Sciences to faculty investigators Cassandra Dorius, Heather Rouse, and Shawn Dorius.
Dorius, C., Dorius, S., Rouse, H., Talbert, E., Ku, S.*, Bartel, M.*, Voorhees, T.*, Van Selous, K.*, Denlinger, M.*, Bahe, D.*, Burdick, D.*, Manful, G.*, & McInroy, K.* (September, 2019). Substance Use Among Iowa Families: An Intergenerational Mixed Method Approach for Informing Policy and Practice. Iowa Substance Use Surveillance Project, Iowa State University. Report prepared for the Iowa Department of Public Health. Des Moines, IA.