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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Children younger than 4 years and their substance-dependent mothers in the child welfare clinic
E Savonlahi1, M Pajulo, H Helenius
1Department of Child Psychiatry, University of Turku, Turku, Finland. elina.savonlahti@tyks.fi
Insights
Substance dependency affects 5.8% of mothers with young children, linked to caregiving challenges and low social support. Maternal reports on child health history were not differentiating factors.
Area of Science:
- Public Health
- Maternal Health
- Substance Abuse Research
Background:
- Substance dependency in mothers of young children is a significant public health concern.
- Early identification of maternal substance dependency is crucial for child welfare.
- Routine assessments in child welfare settings can aid in identifying at-risk families.
Purpose of the Study:
- To determine the prevalence of substance dependency among mothers of children under four.
- To assess the utility of maternal self-report measures (social support, child's health, caregiving experiences) in distinguishing substance-dependent mothers.
- To identify key factors associated with maternal substance dependency.
Main Methods:
- A cross-sectional study involving 413 mothers of children under four attending child welfare clinics.
- Administration of the Substance Abuse Subtle Screening Inventory (SASSI).
- Collection of data on social support, child's somatic health history, and caregiving experiences via questionnaires.
Main Results:
- The prevalence of substance dependency was found to be 5.8%.
- Mothers with substance dependency reported more child caregiving difficulties.
- Low social support and difficulties in the social environment were significantly associated with substance dependency and use.
Conclusions:
- Maternal substance dependency is prevalent and linked to caregiving difficulties and reduced social support.
- Child's somatic health history, as perceived by mothers, did not differentiate dependent from non-dependent mothers.
- Integrating maternal well-being and caregiving experiences into routine child welfare check-ups can help identify at-risk mother-child pairs.
Aim:
To explore the prevalence of substance dependency among mothers of small children and to evaluate the value of a routine-style maternal report on social support, child's somatic health history and child caregiving experiences to differentiate the substance-dependent group from the non-dependent group.
Methods:
Mothers (n = 413) of children less than 4 y in the child welfare clinics filled in the Substance Abuse Subtle Screening Inventory (SASSI, Miller 1985) and questionnaires concerning social support, somatic history of the child, difficulties in social environment and in caring for the child.
Results:
The prevalence of substance dependency was 5.8%. The maternal perceptions of the child's somatic history could not differentiate the dependent from the non-dependent group, while the child caregiving difficulties were more often present in the group of substance-dependent mothers. The combined group of substance dependency and substance use was significantly associated with low social support and difficulties in social environment.
Conclusions:
The prevalence of substance dependency among mothers of small children is considerable and significantly associated with child caregiving difficulties and low social support, while the perceptions on the somatic health of the child did not differentiate the dependent from the non-dependent group. This suggests the value of considering the maternal experiences in caring for the child and well-being of the mother during check-ups in the child welfare clinic in order to identify the mother-child pairs at risk.
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