The mothers and toddlers program, an attachment-based parenting intervention for substance-using women: results at 6-week follow-up in a randomized clinical pilot.

Suchman, Nancy E.; Decoste, Cindy; Mcmahon, Thomas J.; Rounsaville, Bruce; Mayes, Linda

doi:10.1002/imhj.20303

Cited by 172Psychoanalysis and Psychopathology ResearchAttachment and Relationship DynamicsPsychotherapy Techniques and Applications

The mothers and toddlers program, an attachment-based parenting intervention for substance-using women: results at 6-week follow-up in a randomized clinical pilot.

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Suchman, Nancy E., Decoste, Cindy, Mcmahon, Thomas J., Rounsaville, Bruce, Mayes, Linda·2011·Infant Mental Health Journal

DOI 10.1002/imhj.20303PMC PMC3370691

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Abstract

Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment-based parenting intervention for mothers enrolled in substance-use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, & L. Mayes, 2010). The Mothers and Toddlers Program (MTP) is a 12-session, weekly individual parenting therapy that aims to enhance maternal capacity for reflective functioning and soften harsh and distorted mental representations of parenting. In a randomized pilot study, 47 mothers who were enrolled in outpatient substance-abuse treatment and caring for children between birth and 3 years of age were randomized to the MTP versus the Parent Education Program (PE), a comparison intervention that provided individual case management and developmental guidance. At the end of treatment, mothers in the MTP condition demonstrated better reflective functioning, representation quality, and caregiving behavior than did mothers in the PE condition. In this investigation, we examined whether the benefits of MTP at posttreatment were sustained at the 6-week follow-up. Recently, we also identified two components of parental reflective functioning: (a) a self-focused component representing the parent's capacity to mentalize about strong personal emotions (e.g., anger, guilt, or pain) and their impact on the child and (b) a child-focused component representing the parent's capacity to mentalize about the child's emotions and their impact on the mother (N. Suchman, C. DeCoste, D. Leigh, & J. Borelli, 2010). In this study, we reexamined posttreatment outcomes using these two related, but distinct, constructs.

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At the 6-week follow-up visit, mothers enrolled in the MTP showed a more adequate caregiving behavior and their children were more able to communicate with them.
“At the 6-week follow-up visit, mothers enrolled in the MTP showed a more adequate caregiving behavior and their children were more able to communicate with them.”
From Mentalizing makes parenting work: a review about parental reflective functioning and clinical interventions to improve it (2017) · cites this paper as Suchman et al., 2011
The improvement was maintained, although to a lesser extent, even after a 6-week follow-up.
“The improvement was maintained, although to a lesser extent, even after a 6-week follow-up.”
From Mentalizing makes parenting work: a review about parental reflective functioning and clinical interventions to improve it (2017) · cites this paper as Suchman et al., 2011
At post-treatment only self-focused RF, and not child-focused RF, significantly improved in mothers who took part in the MTP compared to women who followed the PE.
“Results showed that at post-treatment only self-focused RF, and not child-focused RF, significantly improved in mothers who took part in the MTP compared to women who followed the PE.”
From Mentalizing makes parenting work: a review about parental reflective functioning and clinical interventions to improve it (2017) · cites this paper as Suchman et al., 2011

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Authors: Suchman, N. E., Decoste, C., Mcmahon, T. J., Rounsaville, B., & Mayes, L.
Affiliations: Yale University (US)
Corresponding author: Suchman, Nancy E.
ORCID: Suchman, Nancy E.
Mcmahon, Thomas J.
Venue: Infant Mental Health Journal
Publisher: Wiley
Published: 2011-06-14
Volume: 32
Issue: 4
Pages: 427-449
ISSN: 0163-9641 (ISSN-L)
1097-0355
DOI: 10.1002/imhj.20303
PMC: PMC3370691
OpenAlex: W2010376763
Cited by: 172
References: 41
Citations by year: 2026: 7 · 2025: 5 · 2024: 10 · 2023: 18 · 2022: 9 · 2021: 19 · 2020: 8 · 2019: 15 · 2018: 16 · 2017: 19 · 2016: 9 · 2015: 12 · 2014: 7 · 2013: 9 · 2012: 6
FWCI: 7.92
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Infant Mental Health Journal (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01DA017294, K02DA023504)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: maternal substance use, reflective functioning, mentalization, toddlers, treatment retention

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The mothers and toddlers program, an attachment-based parenting intervention for substance-using women: results at 6-week follow-up in a randomized clinical pilot.

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