Substance abuse and childhood maltreatment

Millar, Golden M.; Stermac, Lana

doi:10.1016/s0740-5472(00)00117-3

Cited by 42 publications

(2 citation statements)

References 12 publications

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“…In a study of women in recovery, "breaking the silence" by discussing abuse experiences assisted them in reshaping their sense of self and connecting to others [67]. Altering one's concept of self and committing to a newly established sense of identify was seen as integral to the process of recovery.…”

Section: Discussionmentioning

confidence: 99%

Integrated programs for women with substance use issues and their children: a qualitative meta-synthesis of processes and outcomes

et al. 2009

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BackgroundThere is a need for services that effectively and comprehensively address the complex needs of women with substance use issues and their children. A growing body of literature supports the relevance of integrated treatment programs that offer a wide range of services in centralized settings. Quantitative studies suggest that these programs are associated with positive outcomes. A qualitative meta-synthesis was conducted to provide insight into the processes that contribute to recovery in integrated programs and women's perceptions of benefits for themselves and their children.MethodsA comprehensive search of published and unpublished literature to August 2009 was carried out for narrative reports of women's experiences and perceptions of integrated treatment programs. Eligibility for inclusion in the meta-synthesis was determined using defined criteria. Quality assessment was then conducted. Qualitative data and interpretations were extracted from studies of adequate quality, and were synthesized using a systematic and iterative process to create themes and overarching concepts.ResultsA total of 15 documents were included in the meta-synthesis. Women experienced a number of psychosocial processes during treatment that played a role in their recovery and contributed to favourable outcomes. These included: development of a sense of self; development of personal agency; giving and receiving of social support; engagement with program staff; self-disclosure of challenges, feelings, and past experiences; recognizing patterns of destructive behaviour; and goal setting. A final process, the motivating presence of children, sustained women in their recovery journeys. Perceived outcomes included benefits for maternal and child well-being, and enhanced parenting capacity.ConclusionA number of distinct but interconnected processes emerged as being important to women's addiction recovery. Women experienced individual growth and transformative learning that led to a higher quality of life and improved interactions with their children. The findings support the need for programs to adopt practices that focus on improving maternal health and social functioning in an environment characterized by empowerment, safety, and connections. Women's relationships with their children require particular attention as positive parenting practices and family relationships can alter predispositions toward substance use later in life, thereby impacting favourably on the cycle of addiction and dysfunctional parenting.

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Section: Discussionmentioning

confidence: 99%

Integrated programs for women with substance use issues and their children: a qualitative meta-synthesis of processes and outcomes

et al. 2009

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“…Due to the prevalence of child maltreatment, there is a large body of literature studying the effects of child maltreatment on mental-health outcomes in adulthood. There exists a wealth of knowledge about the many potential negative outcomes for adult survivors of child maltreatment, which include various substance-abuse and mental-health disorders (Millar & Stermac, 2000;Kendler et al, 2000;Bendall, Jackson, Hulbert, & McGorry, 2008;Kendall-Tackett, 2002). Historically, research done on adult outcomes of child maltreatment has focused on a single type of abuse (i.e., physical, emotional, sexual, or neglect).…”

Section: Limitation Of Single Trauma Studiesmentioning

confidence: 99%

Implications of discrimination and child maltreatment

Parker¹

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who are my lifelong friends and with whom I have shared so many adventures and misadventures. Bretagne, you have been an incredible friend to me. Thank you to Rachel, the best editor and friend a girl could ask for. Your generosity with your time and talent has blown me away. Many thanks to Spenser, whose friendship knows no bounds. His ability to listen and remember is unparalleled (and that's something coming from a family therapist). Rachel and Spenser helped me get through three Iowa winters. That alone deserves some acknowledgment. And finally, thank you to my Chris, who has accepted my dreams as his own.

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