Supporting Family Recovery: How Local Behavioral Health Boards Coordinate Child Welfare and Behavioral Health Systems for Parents and Caregivers With Substance Use Disorder.

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Title: Supporting Family Recovery: How Local Behavioral Health Boards Coordinate Child Welfare and Behavioral Health Systems for Parents and Caregivers With Substance Use Disorder.
Authors: Davis, Jill A., Chuang, Emmeline, Gadel, Fawn, Henrich, Liz, McClellan, Jen, Bunger, Alicia C.
Source: American Journal of Public Health. 2026 Suppl 3, Vol. 116, pS202-S209. 8p.
Subjects: Health services administration, Child welfare, Children of people with mental illness, Substance abuse, Executives, Interprofessional relations, Qualitative research, Human services programs, Endowments, Detoxification (Alternative medicine), Suburbs, Social services, Government agencies, Substance abuse treatment, Leadership, Interviewing, Private sector, Population geography, Descriptive statistics, Public health administration, Public relations, Institutional cooperation, Thematic analysis, Group decision making, Convalescence, Communication, Research, Rural conditions, Metropolitan areas, Family support, Psychology of caregivers, Treatment programs, Case studies, Public health, Resource-limited settings, Transportation of patients
Geographic Terms: Ohio
Abstract: Objectives. To examine (1) the strategies regional public behavioral health boards employ to align county-based public social service agencies with private substance use treatment organizations, (2) regional variations in strategies, and (3) factors that affect community–board relationships. Methods. We conducted a multiple case study of 17 Ohio county-based systems implementing a cross-sector model to support parental substance use disorder (Ohio START). We applied template analyses to 48 small group interviews conducted in 2020–2021 with 104 staff from child welfare and behavioral health organizations and community boards. Results. Participants described direct and indirect ways that boards supported system alignment, funding, brokering of information and relationships, and planning. Reasons for boards not being involved included perceived needlessness and a lack of connection between the board and the community. Rural and Appalachian communities reported various forms of close integration of boards and communities. Conclusions. Behavioral health boards can support cross-system integration by reducing barriers to collaboration and enhancing community capacity to address complex public health issues, especially in resource-limited regions. Public Health Implications. Incorporating a centralized organization could mitigate implementation barriers and promote effectiveness in community collaborations, especially under resource constraints. (Am J Public Health. 2026;116(S3): S202–S209. https://doi.org/10.2105/AJPH.2026.308579) [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Supporting Family Recovery: How Local Behavioral Health Boards Coordinate Child Welfare and Behavioral Health Systems for Parents and Caregivers With Substance Use Disorder.
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  Data: Objectives. To examine (1) the strategies regional public behavioral health boards employ to align county-based public social service agencies with private substance use treatment organizations, (2) regional variations in strategies, and (3) factors that affect community–board relationships. Methods. We conducted a multiple case study of 17 Ohio county-based systems implementing a cross-sector model to support parental substance use disorder (Ohio START). We applied template analyses to 48 small group interviews conducted in 2020–2021 with 104 staff from child welfare and behavioral health organizations and community boards. Results. Participants described direct and indirect ways that boards supported system alignment, funding, brokering of information and relationships, and planning. Reasons for boards not being involved included perceived needlessness and a lack of connection between the board and the community. Rural and Appalachian communities reported various forms of close integration of boards and communities. Conclusions. Behavioral health boards can support cross-system integration by reducing barriers to collaboration and enhancing community capacity to address complex public health issues, especially in resource-limited regions. Public Health Implications. Incorporating a centralized organization could mitigate implementation barriers and promote effectiveness in community collaborations, especially under resource constraints. (Am J Public Health. 2026;116(S3): S202–S209. https://doi.org/10.2105/AJPH.2026.308579) [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2026.308579
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: S202
    Subjects:
      – SubjectFull: Health services administration
        Type: general
      – SubjectFull: Child welfare
        Type: general
      – SubjectFull: Children of people with mental illness
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Executives
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Endowments
        Type: general
      – SubjectFull: Detoxification (Alternative medicine)
        Type: general
      – SubjectFull: Suburbs
        Type: general
      – SubjectFull: Social services
        Type: general
      – SubjectFull: Government agencies
        Type: general
      – SubjectFull: Substance abuse treatment
        Type: general
      – SubjectFull: Leadership
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Private sector
        Type: general
      – SubjectFull: Population geography
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Public health administration
        Type: general
      – SubjectFull: Public relations
        Type: general
      – SubjectFull: Institutional cooperation
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Group decision making
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Metropolitan areas
        Type: general
      – SubjectFull: Family support
        Type: general
      – SubjectFull: Psychology of caregivers
        Type: general
      – SubjectFull: Treatment programs
        Type: general
      – SubjectFull: Case studies
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Resource-limited settings
        Type: general
      – SubjectFull: Transportation of patients
        Type: general
      – SubjectFull: Ohio
        Type: general
    Titles:
      – TitleFull: Supporting Family Recovery: How Local Behavioral Health Boards Coordinate Child Welfare and Behavioral Health Systems for Parents and Caregivers With Substance Use Disorder.
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              Text: 2026 Suppl 3
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