Cultural and Social Predictors of Substance Abuse Recovery among American Indian and Non-American Indian Pregnant and Parenting Women

McCarron, Hayley R; Griese, Emily R.; Dippel, Elizabeth A.; McMahon, Tracey R.

doi:10.1080/02791072.2018.1481546

Cited by 9 publications

(21 citation statements)

References 39 publications

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“…Hser et al 57 drew attention to how women are more likely to have coexisting complexities related to gender-specific social determinants of health when thinking about trauma. McCarron et al 58 recognized that in the context of Indigenous women, program developers and staff must recognize the historical and intergenerational trauma experienced by individuals, families, and their collective communities.…”

Section: Resultsmentioning

confidence: 99%

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Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches

Ninomiya

Almomani

Winsor

et al. 2023

Womens Health (Lond Engl)

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Alcohol is legalized and used for a variety of reasons, including socially or as self-medication for trauma in the absence of accessible and safe supports. Trauma-informed approaches can help address the root causes of alcohol use, as well as the stigma around women’s alcohol use during pregnancy. However, it is unclear how these approaches are used in contexts where pregnant and/or parenting women access care. Our objective was to synthesize existing literature and identify promising trauma-informed approaches to working with pregnant and/or parenting women who use alcohol. A multidisciplinary team of scholars with complementary expertise worked collaboratively to conduct a rigorous scoping review. All screening, extraction, and analysis was independently conducted by at least two authors before any differences were discussed and resolved through team consensus. The Joanna Briggs Institute method was used to map existing evidence from peer-reviewed articles found in PubMed, CINAHL, PsycINFO, Social Work Abstracts, and Web of Science. Data were extracted to describe study demographics, articulate trauma-informed principles in practice, and gather practice recommendations. Thirty-six studies, mostly from the United States and Canada, were included for analysis. Studies reported on findings of trauma-informed practice in different models of care, including live-in treatment centers, case coordination/management, integrated and wraparound supports, and outreach—for pregnant women, mothers, or both. We report on how the following four principles of trauma-informed practices were applied and articulated in the included studies: (1) trauma awareness; (2) safety and trustworthiness; (3) choice, collaboration, and connection; and (4) strengths-based approach and skill building. This review advances and highlights the importance of understanding trauma and applying trauma-informed practice and principles to better support women who use alcohol to reduce the risk of alcohol-exposed pregnancies. Relationships and trust are central to trauma-informed care. Moreover, when applying trauma-informed practices with pregnant and parenting women who use alcohol, we must consider the unique stigma attached to alcohol use.

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Section: Resultsmentioning

confidence: 99%

“… 57 Similarly, several studies with Indigenous women and/or in Indigenous communities highlighted the importance of having cultural programming, Indigenous staff, and cultural safety practices when fostering a sense of safety and trust. 48 , 58 , 81…”

Section: Resultsmentioning

confidence: 99%

Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches

Ninomiya

Almomani

Winsor

et al. 2023

Womens Health (Lond Engl)

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“…Given this population’s lived experience and astute understanding of their own needs and perceptions of effective recovery pathways, these suggestions should be integrated into treatment settings serving urban AI/ANs with AUDs. Prior research has also supported the importance and effectiveness of these named patient-driven recovery pathways in promoting AUD recovery in various marginalized populations: fulfilling basic needs (Henwood et al, 2015), providing culturally appropriate treatment (Venner et al, 2012), creating access to patient-led meaningful activities (Clifasefi et al, 2020; Collins, Goldstein, et al, 2021), valuing community connections (McCarron et al, 2018; Spear et al, 2013), and ensuring patient-driven goal-setting (Collins, Clifasefi, et al, 2019; Collins, Duncan, et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Content Analysis of Preferred Recovery Pathways Among Urban American Indians and Alaska Natives Experiencing Alcohol Use Disorders

Nelson

Collins

Birch

et al. 2022

Journal of Cross-Cultural Psychology

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Approximately three fourths of the American Indian and Alaska Native (AI/AN) population lives in urban areas, and urban AI/ANs are disproportionately affected by alcohol-related morbidity and mortality. Although no studies have documented alcohol use disorder (AUD) treatment outcomes specific to urban AI/ANs, studies in other Native communities highlight concerns about the cultural acceptability of directive, abstinence-based approaches, such as cognitive behavioral therapy and 12-step programs. Understanding this population’s desired recovery pathways in their own words may help providers create more culturally appropriate, patient-centered, and effective approaches. Participants ( N = 31) were urban AI/ANs who screened positive for AUD using the AUDIT-C. They participated in semi-structured interviews eliciting their experiences in AUD treatment to date and suggestions for redesigning AUD treatment in their own vision. Conventional content analysis was used to create a thematic description. Findings indicated that intrinsic motivation and not extrinsic pressure (e.g., mandated treatment) was associated with positive treatment engagement and outcomes. Participants appreciated feeling safe and supported in AUD treatment, but also felt AUD treatment could be institutional and oppressive. Participants preferred compassionate counselors with lived experience who could provide insights into recovery; they largely did not appreciate a “tough love” approach or power struggles with counselors. Native-led treatment centers providing access to cultural practices were preferred. Moving forward, participants suggested AUD treatment providers should help patients meet basic needs, prioritize patient-driven versus provider-driven goal-setting, support patients’ reconnection with meaningful activities, facilitate access to a supportive community network, and recognize cultural activities as important recovery pathways.

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“…The lack of 12-step involvement among study participants is consistent with literature reporting unique barriers toward mutual aid groups for MEM, often related to cultural differences [ 56 ]. Several authors have pointed out the importance of cultural sensitivity in mutual aid groups to overcome these barriers [ 7 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

Recovery Capital among Migrants and Ethnic Minorities in Recovery from Problem Substance Use: An Analysis of Lived Experiences

Pouille

Bellaert

Laenen

et al. 2021

IJERPH

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Migrants and ethnic minorities (MEM) are known to be disadvantaged concerning risk factors for problem substance use and resources to initiate and sustain recovery (i.e., recovery capital). Yet, the voices of MEM are largely overlooked in recovery literature. This study explores recovery capital through 34 semi-structured interviews with a diverse sample of MEM in recovery in two ethnically diverse cities in Belgium. A Qualitative Content Analysis using recovery capital theory allowed us to identify various recovery resources on a personal, social, and community level. While physical and human recovery resources play a central role in participants’ narratives, personal recovery capital is closely intertwined with meaningful social networks (i.e., social recovery capital) and recovery-supportive environments that maximize opportunities for building culturally sensitive recovery capital (i.e., community recovery capital). Though MEM-specific elements such as culture, migration background, stigma, and structural inequalities play a significant role in the recovery resources of MEM, the largely “universal” nature of recovery capital became clear. The narratives disclose a distinction between “essential” and “acquired” recovery capital, as well as the duality of some recovery resources. The need for developing recovery-oriented systems of care that are culturally responsive, diminish structural inequalities, and facilitate building recovery capital that is sensitive to the needs of MEM is emphasized.

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Cultural and Social Predictors of Substance Abuse Recovery among American Indian and Non-American Indian Pregnant and Parenting Women

Cited by 9 publications

References 39 publications

Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches

Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches

Content Analysis of Preferred Recovery Pathways Among Urban American Indians and Alaska Natives Experiencing Alcohol Use Disorders

Recovery Capital among Migrants and Ethnic Minorities in Recovery from Problem Substance Use: An Analysis of Lived Experiences

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