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Methamphetamine not only destroys the lives of those who become addicted to it, but affects all corners of society, including innocent children. This important book follows the case of rural Illinois, where in the mid-1990s methamphetamine production and misuse became a significant problem and, as a result, child welfare professionals saw an influx onto their caseloads of children whose parents were involved with the drug. The authors' account of the problems the children face, and of the efforts to help them, sheds useful light on possibilities for many other situations.
Applying a case-based, mixed-methods approach that capitalizes on rich qualitative data, the book examines parental methamphetamine misuse from a sociocultural perspective. Using extensive child welfare investigation data, participant observation, and in-depth interviews, the authors describe the perilous home lives of rural children whose parents misuse methamphetamine, where they are exposed to maltreatment, criminal behavior, and environmental danger. Many children end up with significant emotional and behavioral problems, especially posttraumatic symptoms, that will stay with them for years. Based on this descriptive information and the existing clinical literature, the authors designed a relationship- and narrative-based mental health program, "Life Story Intervention," that draws on rural communities' strengths, such as their storytelling traditions. Pilot data from the program, shared here, suggests some positive results of the intervention on children's psychological functioning.
Eradication of the problems caused by methamphetamine abuse will require years more of concerted effort and collaboration such as that described in this book. Social work and child welfare professors and students, researchers, practitioners, and policy-makers will find inspiration in this account of the success that can result, with this issue and others, when practitioners and researchers join forces to understand complex social phenomena and design, implement, and assess effective interventions.
Part 1. Methamphetamine misuse in a sociocultural context
2. History and epidemiology
3. Research program overview
4. Narrative of a rural child welfare professional
Part 2. Methamphetamine-involved families
5. Recovering mothers' experiences and perspectives
6. Knowledgeable professionals' experiences and perspectives
7. Children's experiences and perspectives
8. Children's psychological functioning
9. Narrative of a Midwestern psychiatrist
Part 3. Meeting the mental health needs of rural children in foster families
10. Conceptual and empirical basis for Life Story Intervention
11. Implementing Life Story Intervention
12. Children's responses to Life Story Intervention
13. Narrative of a community clinician
Part 4. Conclusion
14. The value of the case in evidence-based social work