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Related Experiment Video

Updated: Nov 28, 2025

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A Promising Approach in Home Visiting to Support Families Affected by Maternal Substance Use.

Donna O'Malley1, Danielle F Chiang2, Emily A Siedlik3

  • 1Community Programs, Department of Social Work, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA. domalley@cmh.edu.

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PubMed
Summary

The Team for Infants Exposed to Substance abuse (TIES) Program effectively supports pregnant and postpartum women with substance use histories. This home-based intervention improves maternal-child relationships and family well-being.

Keywords:
Goal attainmentHome visitingParent–child interactionSubstance use

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Area of Science:

  • Perinatal mental health
  • Maternal substance use interventions
  • Child development and trauma

Background:

  • Maternal substance use significantly impacts the critical neonatal period and the maternal-child relationship.
  • Early development is foundational for lifelong health, presenting a key opportunity to mitigate intergenerational trauma.
  • Pregnant and postpartum women with substance use histories require specialized, integrated support services.

Purpose of the Study:

  • To describe the Team for Infants Exposed to Substance abuse (TIES) Program, a holistic model for families affected by maternal substance use.
  • To highlight the effectiveness of a community-based, home-visiting intervention for this population.
  • To identify key elements contributing to program success, including high retention and family goal achievement.

Main Methods:

  • Implementation study of a multi-disciplinary, community-based model (TIES Program).
  • Home-based family support intervention focusing on maternal-child dyad.
  • Utilized a family-centered, culturally competent, trauma-informed approach with interagency partnerships.

Main Results:

  • The TIES Program demonstrated effectiveness in a multi-year implementation study.
  • Intervention successfully reduced maternal substance use and increased positive parenting.
  • Improvements observed in child and maternal health, family income, and housing stability.

Conclusions:

  • The TIES Program's holistic, family-centered approach fosters high retention and goal attainment.
  • Building trusting relationships between home visitors and families is crucial for success.
  • This model offers a viable pathway to support families impacted by maternal substance use.