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Parental substance use and home visiting programs: Implementation considerations for relationship-based treatment.

Amanda F Lowell1,2, Nancy E Suchman1,2, Nancy Byatt3

  • 1Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.

Infant Mental Health Journal
|March 2, 2023
PubMed
Summary

Home visiting programs can be adapted to better support mothers recovering from substance use disorders (SUDs). Tailored, relationship-based interventions improve engagement and overcome barriers for these families.

Keywords:
Barrieren und ErleichterungenHausbesuchImplementierungTrouble lié à l'usage d'une substancebarreras y aspectos que facilitanbarriers and facilitatorsbarrières et facteurs de facilitationbeziehungsbasierte Elterninterventionelterliche Substanzkonsumstörunghome visitingimplementaciónimplementationintervención de crianza con base en la relaciónintervention relationnelle de parentagemise en placeparental substance use disorderrelationship-based parenting interventiontrastorno de uso de sustancia por parte del progenitorvisita a casavisite à domicileالكلمات الرئيسية: اضطراب تعاطي المخدرات لدى الوالدين، التدخل التربوي القائم على العلاقة، والزيارة المنزلية، والتنفيذ، والحواجز، والعوامل الميسرة关键词:父母药物使用障碍基于关系的育儿干预实施家访親の薬物使用障害、関係性に基づく子育て介入、家庭訪問、実施、障壁と促進要因障碍和促进因素

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Area of Science:

  • Public Health
  • Psychology
  • Social Work

Background:

  • Home visiting programs offer vital support for mothers in recovery from substance use disorders (SUDs) and their children.
  • Families affected by maternal SUDs may require modified services compared to traditional child-focused approaches.
  • Tailored interventions are needed to effectively integrate services for families impacted by SUDs within home visiting settings.

Purpose of the Study:

  • To identify barriers and facilitators for implementing a relationship-based parenting intervention (Mothering from the Inside Out) for parents with SUDs into home visiting programs.
  • To inform the adaptation and integration of specialized services for families affected by SUDs.

Main Methods:

  • Conducted nine interviews and five focus groups with a diverse sample of 38 parents and providers serving families affected by SUDs in the USA.
  • Utilized qualitative content analysis to identify key implementation themes.

Main Results:

  • Three primary themes emerged: engagement, training, and sustainability.
  • The home visiting setting can reduce logistical barriers to access for families affected by SUDs.
  • Relationship-based services can address emotional barriers experienced by parents with SUDs.

Conclusions:

  • Home visiting programs can be optimized for families impacted by maternal SUDs.
  • Adapting services to be relationship-based can enhance engagement and mitigate barriers for parents with SUDs.
  • Successful implementation hinges on addressing engagement, training, and sustainability factors.