Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect

Background. The potential negative effects of caregivers’ substance use disorders (SUDs) on their parenting are well documented, but the intervention of healthcare professionals treating these disorders in cases of child abuse and neglect (CAN) is constrained by ethical dilemmas and mistrust of chil...

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Autores: Padilla Petry, Paulo, Fuentes-Peláez, Núria, Fantova-Romero, Anna
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/225745
Acceso en línea:https://hdl.handle.net/2445/225745
Access Level:acceso abierto
Palabra clave:Abús de substàncies
Personal sanitari
Maltractament infantil
Substance abuse
Medical personnel
Child abuse
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spelling Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglectPadilla Petry, PauloFuentes-Peláez, NúriaFantova-Romero, AnnaAbús de substànciesPersonal sanitariMaltractament infantilSubstance abuseMedical personnelChild abuseBackground. The potential negative effects of caregivers’ substance use disorders (SUDs) on their parenting are well documented, but the intervention of healthcare professionals treating these disorders in cases of child abuse and neglect (CAN) is constrained by ethical dilemmas and mistrust of child welfare services (CWS). Many studies have explored the synergies between SUD treatments and developing parenting skills, but few studies have explored these professionals' diverse perceptions and experiences – ranging from doubts and challenges to constructive ideas and practices that address parenting and treatment needs. Objective. This study aimed to explore healthcare professionals' perceptions and experiences regarding the tensions, obstacles, opportunities and good practices related to detecting potential CAN and promoting changes in their patients’ parenting. Participants and setting. Twenty healthcare professionals from various services within the Catalan Drug Abuse Care Centre Network (Spain) participated in the study. Methods. Two focus groups discussed the issues and good practices surrounding the detection and intervention in possible cases of CAN. The transcriptions underwent reflexive thematic analysis building 7 themes. Findings. The participants cited reasons for not intervening in their patients' parenting. They discussed the importance and fragility of the therapeutic bond, structural deficiencies in their services, and the challenges of working with CWS. They also described conditions and practices that help improve caregivers’ parenting such as restoring damaged bonds. Conclusion. The full range of healthcare professionals' experiences and perceptions regarding their patients’ parenting and child welfare must be contemplated in programs aimed at integrating family support with the treatment of SUDs.Elsevier2026202620252026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion9 p.application/pdfhttps://hdl.handle.net/2445/225745Articles publicats en revistes (Mètodes d'Investigació i Diagnòstic en Educació)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1016/j.chipro.2025.100164Child Protection and Practice, 2025, num.5, 100164https://doi.org/10.1016/j.chipro.2025.100164cc-by (c) Padilla Petry, Paulo et al., 2025http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2257452026-05-29T05:05:01Z
dc.title.none.fl_str_mv Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
title Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
spellingShingle Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
Padilla Petry, Paulo
Abús de substàncies
Personal sanitari
Maltractament infantil
Substance abuse
Medical personnel
Child abuse
title_short Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
title_full Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
title_fullStr Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
title_full_unstemmed Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
title_sort Navigating relationships and tensions: how professionals who treat substance use disorders view their role in preventing child abuse and neglect
dc.creator.none.fl_str_mv Padilla Petry, Paulo
Fuentes-Peláez, Núria
Fantova-Romero, Anna
author Padilla Petry, Paulo
author_facet Padilla Petry, Paulo
Fuentes-Peláez, Núria
Fantova-Romero, Anna
author_role author
author2 Fuentes-Peláez, Núria
Fantova-Romero, Anna
author2_role author
author
dc.subject.none.fl_str_mv Abús de substàncies
Personal sanitari
Maltractament infantil
Substance abuse
Medical personnel
Child abuse
topic Abús de substàncies
Personal sanitari
Maltractament infantil
Substance abuse
Medical personnel
Child abuse
description Background. The potential negative effects of caregivers’ substance use disorders (SUDs) on their parenting are well documented, but the intervention of healthcare professionals treating these disorders in cases of child abuse and neglect (CAN) is constrained by ethical dilemmas and mistrust of child welfare services (CWS). Many studies have explored the synergies between SUD treatments and developing parenting skills, but few studies have explored these professionals' diverse perceptions and experiences – ranging from doubts and challenges to constructive ideas and practices that address parenting and treatment needs. Objective. This study aimed to explore healthcare professionals' perceptions and experiences regarding the tensions, obstacles, opportunities and good practices related to detecting potential CAN and promoting changes in their patients’ parenting. Participants and setting. Twenty healthcare professionals from various services within the Catalan Drug Abuse Care Centre Network (Spain) participated in the study. Methods. Two focus groups discussed the issues and good practices surrounding the detection and intervention in possible cases of CAN. The transcriptions underwent reflexive thematic analysis building 7 themes. Findings. The participants cited reasons for not intervening in their patients' parenting. They discussed the importance and fragility of the therapeutic bond, structural deficiencies in their services, and the challenges of working with CWS. They also described conditions and practices that help improve caregivers’ parenting such as restoring damaged bonds. Conclusion. The full range of healthcare professionals' experiences and perceptions regarding their patients’ parenting and child welfare must be contemplated in programs aimed at integrating family support with the treatment of SUDs.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/225745
url https://hdl.handle.net/2445/225745
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.chipro.2025.100164
Child Protection and Practice, 2025, num.5, 100164
https://doi.org/10.1016/j.chipro.2025.100164
dc.rights.none.fl_str_mv cc-by (c) Padilla Petry, Paulo et al., 2025
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Padilla Petry, Paulo et al., 2025
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 9 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Articles publicats en revistes (Mètodes d'Investigació i Diagnòstic en Educació)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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