“…The fact that MEM 'cultural communities' may also hinder recovery has been documented previously (De Kock, 2020;Murphy, Sales, & Averill, 2015), as well as the stigma that surrounds problem substance use within communities and increases barriers towards substance use treatment (Ashford et al, 2019;Westermeyer, 1995). Some elements were mentioned as specifically helpful for initiating recovery, namely (reflecting on) harmful consequences of substance use and the experience of having children and motherhood (Cloud & Granfield, 2008;Tracy & Martin, 2007).…”