Parental status and characteristics of women in substance use treatment services: Analysis of electronic patient records

Canfield, Martha; Norton, Sam; Downs, Johnny; Gilchrist, Gail

doi:10.1016/j.jsat.2021.108365

Cited by 17 publications

(22 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Parental substance misuse can directly impact the capacity of parents to use sensitive and developmentally appropriate parenting (Seay, 2020;Slesnick et al, 2014). Yet parental substance misuse is commonly comorbid with other mental health difficulties and psychosocial stressors (Canfield et al, 2021;Nair et al, 2003) which can also undermine parenting capacity (Seay & Kohl, 2015;Siqveland & Moe, 2014). This, in turn, reduces parental emotional availability and the overall quality of the parent-child relationship (Biringen et al, 2014;Hyysalo et al, 2021), often leading to poor child and family outcomes (Hser et al, 2015;Stith et al, 2009).…”

mentioning

confidence: 99%

Therapeutic Process of Change During Participation in the Parents Under Pressure Program for a Cohort of Parents Who Misuse Substances

et al. 2022

View full text Add to dashboard Cite

Objectives Despite a large evaluation literature for interventions aiming to improve the lives of families affected by parent substance misuse, very few studies have examined how families change when engaged with treatment. This study examines the interactive process of change in parent psychopathology and mindful parenting during participation in the Parents under Pressure (PuP) program for parents engaged in community addiction services. Methods Parents (n = 164) provided baseline, mid- and end-treatment measures of parent psychopathology and mindful parenting. Cross-lagged modelling was used to examine therapeutic process of change. Results Parent psychopathology decreased, and mindful parenting increased from baseline to end-treatment (ps < .001). Less psychopathology at mid-treatment predicted higher levels of overall mindful parenting upon completion of the PuP program (p = .005). Examination of the mindful parenting dimensions revealed variation in the therapeutic process of change. While higher levels of Non-Judgemental Acceptance of Parental Functioning (NJAPF) at baseline predicted lower psychopathology at mid-treatment (p = .03), higher levels of Compassion for Child (CC) at baseline predicted greater psychopathology at mid-treatment (p = 0.004). Higher levels of NJAPF mid-treatment predicted lower psychopathology upon treatment completion (p = .023), yet higher levels of Emotional Awareness of Child (EAC) at mid-treatment predicted greater psychopathology upon treatment completion (p = .023). Lower parent psychopathology at mid-treatment predicted higher levels of LFA, EAC, Self-Regulation in Parenting and NJAPF upon completion of the PuP program (ps < .05). Conclusions The findings highlight the importance of reducing parent psychopathology as a precursor to more mindful parenting and also provide new evidence regarding the way in which variation in mindful parenting dimensions influences the therapeutic process of change.

show abstract

mentioning

confidence: 99%

Therapeutic Process of Change During Participation in the Parents Under Pressure Program for a Cohort of Parents Who Misuse Substances

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Although children of parents with SUDs experience need for connectedness and receiving social support from trusted adults (97,111), which has been shown to be protective in this group of children at-risk (112), feelings of shame and self-blame related to the upbringing may hamper help-seeking in children, with implications for long-term mental and physical health (104,113,114). Previous studies showed that also among parents with SUDs, other mental health difficulties often co-occur (115). Our study supports the need for systemic and stigma-reducing interventions to support children of parents with SUDs (60,116,117).…”

Section: Discussionmentioning

confidence: 99%

“I Grew Up Amidst Alcohol and Drugs:” a Qualitative Study on the Lived Experiences of Parental Substance Use Among Adults Who Developed Substance Use Disorders Themselves

et al. 2022

View full text Add to dashboard Cite

Experiencing parental substance use (PSU) has been associated with a heightened risk of developing substance use disorders (SUDs) in offspring. The primary goal of this study was to explore perspectives of adult children with lived experience of PSU who also developed SUDs themselves through first-hand experience. This study was conducted in Flanders (Belgium). A qualitative exploratory research design was applied. Seventeen semi-structured interviews were conducted with adult children of parents with SUDs (range: 29–48 years) who themselves had developed SUDs. All interviews were audio-taped and transcribed verbatim. Three overarching themes emerged through thematic analysis: 1) loneliness and neglect in childhood; 2) stigma and the self; and 3) the role of social connection in substance use and recovery. The narratives highlighted the central role of feelings of loneliness, isolation and belonging among children of parents with SUDs in childhood and adulthood. Increasing public awareness on the impact of PSU on children and accessible support is needed to overcome stigma and remove barriers to social inclusion for children of parents with SUDs. Findings may prove valuable in informing policy, program and treatment development aimed at breaking maladaptive intergenerational cycles.

show abstract

“…These victims, mainly women, were more than twice as likely to misuse alcohol, and eight times more likely to be drug dependent than women who had little experience of violence and abuse. Focusing on a comparison of mothers and women without children, a study of the electronic health records of women attending addiction services found that mothers were almost five times more likely to have experienced DA over their lifetime than women without children ( 47 ). Mothers with children in care were more likely to report DA than those who were still living with their children.…”

Section: What Is Known About the Inter-relationship Between Parental ...mentioning

confidence: 99%

The co-occurrence of substance misuse, domestic abuse, and child maltreatment: Can Family Drug and Alcohol Courts play a part?

Harwin

Barlow²

2022

Front. Psychiatry

View full text Add to dashboard Cite

This review article focuses on the inter-relationship between substance misuse, domestic abuse, and child maltreatment, especially in the context of care (child protection) proceedings. It reviews what is known about the prevalence and impact of co-occurring domestic abuse and substance misuse on adult and child victims, and the response of criminal and family law and intervention programmes in supporting families to address these problems holistically. Special attention is paid to the role of Family Drug and Alcohol Courts (FDACs), a radical problem-solving approach to care proceedings, which provide integrated interventions to the range of co-occurring problems that trigger the proceedings. Despite clear evidence of the greater harm to children when exposed to these two parental difficulties, the review has found a lack of systematic information on the prevalence of co-occurrence and a lack of effective integrated interventions, including within care proceedings. It argues that the FDAC approach is well suited to respond to co-occurring substance misuse and domestic abuse in care proceedings and it has the potential to break down silos across sectors. However, in the absence of empirical evidence, this premise would need testing. A particular focus of the review has been on efforts to overcome silos in practice, law and policy. Promising initiatives are described in criminal and family law to improve the response to domestic abuse that build on the Domestic Abuse Act 2021, the first dedicated domestic abuse legislation in England and Wales. All of them are based on problem-solving approaches used in other jurisdictions. Despite these initiatives, the review concludes that there remain significant barriers to effectively align law, policy and practice to ensure that domestic abuse strategy recognizes and responds to the overlaps with substance misuse.

show abstract

Parental status and characteristics of women in substance use treatment services: Analysis of electronic patient records

Cited by 17 publications

References 49 publications

Therapeutic Process of Change During Participation in the Parents Under Pressure Program for a Cohort of Parents Who Misuse Substances

Therapeutic Process of Change During Participation in the Parents Under Pressure Program for a Cohort of Parents Who Misuse Substances

“I Grew Up Amidst Alcohol and Drugs:” a Qualitative Study on the Lived Experiences of Parental Substance Use Among Adults Who Developed Substance Use Disorders Themselves

The co-occurrence of substance misuse, domestic abuse, and child maltreatment: Can Family Drug and Alcohol Courts play a part?

Contact Info

Product

Resources

About