The emotional and psychiatric problems of adolescents on parole whose parents are substance users: a Brazilian cross-sectional study

Research output: Contribution to journalArticle


  • Ludmila Gonçalves Perruci
  • Alessandra Diehl
  • Belisa Vieira Da Silveira
  • Jessica Adrielle Teixeira
  • Jacqueline Souza
  • And 6 others
  • Adriana Inocenti Miasso
  • Patricia Leila Dos Santos
  • Manoel Antônio Dos Santos
  • Roberto Molina De Souza
  • Sandra Cristina Pillon
  • Christopher Wagstaff

Colleges, School and Institutes

External organisations

  • PAHO/WHO Collaborating Centre for Nursing Research Development, Department of Psychiatric Nursing and Human Science, Faculty of Nursing at Ribeirão Preto (EERP), University of São Paulo (USP), São Paulo, Brazil
  • Department of Psychiatry, Federal University of São Paulo (UNIFESP), São Paulo, Brazil
  • Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
  • Academic Department of Mathematics (DAMAT), Federal Technological University of Paraná, Paraná, Brazil


The aim of this study is to evaluate the associations between having parents with substance use problems, and having suffered neglect within the family, and behavioural problems (psychological and drug use) amongst adolescents. All the participants were enrolled on the socio-educational parole scheme, ‘Assisted Freedom’ (AF). A crosssectional study of 150 adolescents were interviewed using the Drug Abuse Screening Test, Teen Addiction Severity Index and Childhood Trauma Questionnaire. Ninety-five percentof the participants were male [n =143], aged 13-17. Thirty percent of adolescents had a parent who used substances and had experienced neglect from their families. Those adolescents who were living with both parents (Odds Ratio Adjusted [ORA] 2.7 95% CI 1.13;6.37), from a low income family (6.7 ORA 95%CI 1.85;24.22), experienced hallucinations (ORA 2.8 95%CI 1.25;6.14), had problems controlling violent behaviour (ORA 2.6 95%CI 1.12;5.87) and were physically neglected (3.0 ORA 95%CI 1.24;7.49) were more likely to have parents who used substances and to have experienced parental neglect. This paper concludes that adolescents, who are on parole, come from families with high level of psychosocial vulnerabilities, including substance use, experience neglect by their families leading to adverse emotional and psychological states.


Original languageEnglish
Pages (from-to)136749352092566
JournalJournal of Child Health Care
Early online date12 May 2020
Publication statusE-pub ahead of print - 12 May 2020


  • adolescent, child abuse, substance-related disorders, parents, juvenile deliquency