Logistic regression found the factors associated with children remaining at home were parental heroin misuse violence and one or more parents being a first generation immigrant factors associated with children moving were the child being a baby identified as at risk of harm and particular combinations who misused and family structure a rating of welfare outcome was made based on educational emotional behavioural and health development at follow up 47 of children had no problems 31 . Many families receiving child welfare services are affected by parental substance use identifying substance abuse and meeting the complex needs of parents with substance use disorders and those of their children can be challenging over the past two decades innovative approaches coupled with new research and program evaluation have helped point to new directions for more effective collaborative and holistic service. Brynna kroll is a senior consultant at artec enterprises ltd an independent research consultancy and training agency specializing in parental substance misuse and child welfare she has recently. Brynna kroll is a senior consultant at artec enterprises ltd an independent research consultancy and training agency specializing in parental substance misuse and child welfare she has recently