A randomized controlled trial and economic evaluation of the Parents Under Pressure program for parents in substance abuse treatment

Barlow, Jane; Sembi, Sukhdev; Parsons, Helen; Kim, Sung Wook; Petrou, Stavros; Harnett, Paul; Dawe, Sharon

doi:10.1016/j.drugalcdep.2018.08.044

Cited by 43 publications

(88 citation statements)

References 40 publications

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“…Improved understanding of intergenerational trauma transmission in substance using mothers and their children would be an important step toward supporting women at risk of developing substance use disorders arising from traumatic childhood experiences. This study will thereby try to add knowledge on the emerging literature exploring potential applications of attachment-theory informed interventions in individuals with SUDs (94), especially in mothers.…”

Section: Introductionmentioning

confidence: 99%

Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective

2019

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Background: A growing body of research underlines that interpersonal trauma in childhood leads to heightened susceptibility for substance use disorders (SUDs) in later life. Little research has been conducted on parenting experiences of mothers in recovery from substance use, taking into account their own upbringing as a child and the potential aftermath of interpersonal childhood trauma. Methods: Through in-depth qualitative interviews, 23 mothers with SUDs reflected on parenting experiences and parent-child bonding, related to both their children and parents. Interviews were transcribed verbatim and data were analyzed adopting thematic analysis. Results: Throughout the narratives, consequences of trauma on mothers’ sense of self and its subsequent impact on parenting arose as salient themes. Five latent mechanisms of intergenerational trauma transmission were identified: 1) early interpersonal childhood trauma experiences in mothers; 2) trauma as a precursor of substance use; 3) substance use as a (self-fooling) enabler of parental functioning; 4) continued substance use impacting parental functioning; and 5) dysfunctional parental functioning and its relational impact upon offspring. Discussion: Findings suggest disruptive attachment can increase the vulnerability for SUDs on the one hand, but can be an expression of underlying trauma on the other, hence serving as a covert mechanism by which trauma can be transmitted across generations. Results indicate the need for preventive, attachment-based and trauma-sensitive interventions targeted at disruptive intergenerational patterns.

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Section: Introductionmentioning

confidence: 99%

Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective

2019

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“…While varied in terms of specific services offered, these programs aim to provide women and their children with comprehensive and coordinated support to address maternal substance use and well-being, parenting, and child well-being often at a single location (Milligan et al, 2010). Importantly, they also address frequently occurring barriers to intervention, including fear of child welfare involvement (Andrews, Motz, Pepler, Jeong, & Khoury, 2018; Barlow et al, 2019) and stigma (Andrews et al, 2018;Stringer & Baker, 2018) as well as practical barriers to treatment such as childcare and transportation (Poole & Issac, 2001). Meta-analytic data support the positive impact of these programs.…”

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confidence: 99%

Parenting Interventions for Mothers With Problematic Substance Use: A Systematic Review of Research and Community Practice

et al. 2019

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Women with problematic substance use are frequently referred to interventions to promote positive parenting. Parenting interventions that attend to the unique risks faced by this population may enhance engagement and outcomes. While reviews of extant parenting interventions in the research literature have been undertaken, no studies have examined parenting interventions being implemented in community practice and the extent to which these are informed by current research. We systematically compared parenting interventions offered in 12 maternal substance use treatment programs in one Canadian province with those described in the research literature ( K = 21). Few parenting interventions were replicated, either within or across the two samples. However, parenting interventions within both samples were largely similar in their objectives. Across both research and community samples, approximately half of the interventions were developed or adapted for a problematic substance use population. Parenting knowledge, psychosocial risk, and maternal emotional regulation were most commonly addressed. Risks pertaining to the impact of drug craving and substance-related changes in neurobiology associted with parenting were less commonly addressed. Findings highlight current strengths and limitations of parenting interventions within research and community settings, with recommendations offered for future research and knowledge translation.

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“…Barlow et al (2019) conducted a multi‐center, randomized controlled trial to compare the effectiveness of a one‐to‐one intensive parenting program for parents with substance use disorders to traditional treatment in the United Kingdom on child abuse potential and secondary outcomes. The study included a prospective economic evaluation.…”

Section: Discussionmentioning

confidence: 99%

Economic impact of faith‐based residential addiction recovery for the homeless

Lashley

2020

Public Health Nursing

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Objective To examine the economic and fiscal impact of a faith‐based long‐term residential addiction recovery program for homeless men on the state and local economy. Design This descriptive study used entry, within‐program, and exit data to determine the program's fiscal and economic impact. Sample The population consisted of 5,122 homeless men at an inner‐city mission in Baltimore City from 2006 to 2019. Measurements To compare costs and savings at different program intervals, economists examined program data before, during, and following completion of the program. Data were analyzed using the IMPLAN input‐output model. Results The study revealed that each man who participates in the residential recovery program for 1 year produces a total savings of $14,263 to state and county governments. Each man who successfully completes the program saves state and county governments over $5,000 per year post graduation. Each man who works for 1 year following graduation and reallocates his spending from illicit drugs to goods and services in the economy supports 1.5 jobs and generates over $240,000 in additional revenue and economic output. Conclusion The findings from this study support the value of this faith‐based residential program in promoting economic productivity in the surrounding state and region.

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A randomized controlled trial and economic evaluation of the Parents Under Pressure program for parents in substance abuse treatment

Cited by 43 publications

References 40 publications

Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective

Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective

Parenting Interventions for Mothers With Problematic Substance Use: A Systematic Review of Research and Community Practice

Economic impact of faith‐based residential addiction recovery for the homeless

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