The Adverse Effects of Motherhood on Substance Use Treatment Program Outcomes Among Adolescent Women

Savage, Rebekah J.; Durant, Nefertiti; Clark, C. Brendan; Nair, Parvathy; Cropsey, Karen L.

doi:10.1097/adm.0000000000000165

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…Conversely, negative associations occur between motherhood and SUD recovery as women get overwhelmed by children's needs. 31 The women seemed to be aided by support and emotional connection from family members, but needed to focus on meeting their own emotional and physical needs during early stages of recovery. It is possible, that at times, the women accessed more controlling regulations (such as guilt), rather than autonomous self-regulation resulting in unsatisfying experiences and behaviors, but further study is needed to understand this.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Analysis of Family Dynamics and Motivation in Sessions With 15 Women in Drug Treatment Court

et al. 2019

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Women with substance use disorders (SUDs) often experience inadequate health care, mental and physical health problems, trauma, lack of social support, and undermining of support for psychological needs of autonomy, competence, and relatedness needed for motivation and well-being. For women with SUD trying to reclaim sobriety and a healthy life, family can present both barriers and support. The aim of this study is to gain a deeper understanding of the intersection of family relationships with motivation of women in Drug Treatment Court (DTC) to attain their health goals. Data consist of transcribed intervention sessions between trained peer interventionists and 15 DTC participants from The Women’s Initiative Supporting Health DTC Intervention Study. This analysis uses a qualitative framework approach to analyze the data. The Self-determination Theory of human motivation and Family Systems Theory provide the conceptual framework to understand how participants’ expressions of motivation-related basic needs of autonomy, competence, and relatedness and change-related behaviors interfaced with family support. Analysis revealed more mentions of family in motivation-supportive contexts than in motivation-thwarting contexts, but highlighted complex roles families can play in health of women in recovery from SUD. Providers may be able to incorporate this knowledge to address the needs of this challenging population.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Analysis of Family Dynamics and Motivation in Sessions With 15 Women in Drug Treatment Court

et al. 2019

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“…In fact, the studies that examined the effects of key demographic, social, and substance use constructs provided the most conclusive evidence. These studies consistently found that diversion programming did not improve outcomes among individuals who were male, frequent drug users, members of racial and ethnic minority groups, had lower educational attainment, or experienced a lack of social stability (Broussard, 2012;Butzin et al, 2002;Clark et al, 2013;Kretschmar et al, 2016;Savage et al, 2015). A few studies showed that participant treatment completion was associated with positive outcomes (Evans et al, 2009;Mendoza et al, 2018;Patra et al, 2010), but many programs struggled with maintaining participant involvement in treatment over time.…”

Section: Discussionmentioning

confidence: 99%

Diversion Programs for Individuals Who Use Substances: A Review of the Literature

Lindquist-Grantz

Mallow

Dean

et al. 2021

Journal of Drug Issues

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Diversion programs connect individuals to treatment instead of criminal sanctions and are used more frequently to address substance use. This systematic scoping review included 31 published empirical studies to examine evaluations of diversion programs that address substance use and misuse. We assessed the program characteristics and implementation settings, as well as the outcomes measured and study methods used. We identified five prevalent study outcomes categories: (a) Service utilization (program retention and completion), (b) Recidivism/criminality, (c) Substance use, (d) Psychosocial functioning, and (e) Other outcomes (e.g., trauma, quality of life, and housing). Findings demonstrated limited but promising evidence for improvements in recidivism, substance use, and psychosocial outcomes. The limited evidence may be partly due to heterogeneity in diversion program implementation, study designs used, and differences among subpopulations. Most studies examined postbooking diversion programs; therefore, further examination of alternative approaches such as prebooking diversion programs is needed to fully understand diversion program impacts.

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“…Women with substance use disorders are less likely to enter treatment than men ( 14 , 15 ). This is often due to a lack of services tailored to accommodate mothers and their children or the absence of specialist services, particularly in rural regions ( 115 , 116 ). Furthermore, most women in need of treatment feel they don't need it ( 14 , 15 ).…”

Section: Introductionmentioning

confidence: 99%

Evidence for the Effectiveness and Acceptability of e-SBI or e-SBIRT in the Management of Alcohol and Illicit Substance Use in Pregnant and Post-partum Women

et al. 2021

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Alcohol and illicit psychoactive drug use during pregnancy have increased worldwide, putting women and their children's health and development at risk. Multiple drug use, comorbid psychiatric disorders, sexual and physical abuse are common in women who use alcohol and drugs during pregnancy. The effects on the mother include poor reproductive and life-long health, legal, family, and social problems. Additionally, the exposed child is at increased risk of long-term physical health, mental health, and developmental problems. The stigma associated with substance use during pregnancy and some clinicians' reticence to inquire about substance use means many women are not receiving adequate prenatal, substance abuse, and mental health care. Evidence for mHealth apps to provide health care for pregnant and post-partum women reveal the usability and effectiveness of these apps to reduce gestational weight gain, improve nutrition, promote smoking cessation and manage gestational diabetes mellitus, and treat depression and anxiety. Emerging evidence suggests mHealth technology using a public health approach of electronic screening, brief intervention, or referral to treatment (e-SBIRT) for substance use or abuse can overcome the typical barriers preventing women from receiving treatment for alcohol and drug use during pregnancy. This brief intervention delivered through a mobile device may be equally effective as SBIRT delivered by a health care professional in preventing maternal drug use, minimizing the effects to the exposed child, and providing a pathway to therapeutic options for a substance use disorder. However, larger studies in more diverse settings with women who have co-morbid mental illness and a constellation of social risk factors that are frequently associated with substance use disorders are needed.

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The Adverse Effects of Motherhood on Substance Use Treatment Program Outcomes Among Adolescent Women

Abstract: Childbirth and parenting adversely affect substance use treatment outcomes for adolescent women in the criminal justice system. Future research should explore tailored substance use treatments for adolescents with children. Job training and educational support may improve outcomes.

Cited by 5 publications

References 7 publications

A Qualitative Analysis of Family Dynamics and Motivation in Sessions With 15 Women in Drug Treatment Court

A Qualitative Analysis of Family Dynamics and Motivation in Sessions With 15 Women in Drug Treatment Court

Diversion Programs for Individuals Who Use Substances: A Review of the Literature

Evidence for the Effectiveness and Acceptability of e-SBI or e-SBIRT in the Management of Alcohol and Illicit Substance Use in Pregnant and Post-partum Women

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