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Mandated by the Adoption and Safe Families Act, this report to the United States Congress by the Department of Health and Human Services provides an overview of the relationship between substance abuse and child maltreatment and the effectiveness of services designed to meet the needs of child welfare clients affected by addiction. The report explains the nature of addiction and substance abuse treatment and describes the impact of substance abuse on parenting and child development. Emphasis is placed on the complexity of the problems of parents and children in the child welfare system and the necessity of collaboration between substance...