PROMOTING SUPPORTIVE PARENTING IN NEW MOTHERS WITH SUBSTANCE-USE PROBLEMS: A PILOT RANDOMIZED TRIAL OF RESIDENTIAL TREATMENT PLUS AN ATTACHMENT-BASED PARENTING PROGRAM: Residential Treatment and Attachment
Open accessAbstract
This pilot randomized trial tested the feasibility and efficacy of supplementing residential substance-abuse treatment for new mothers with a brief, yet rigorous, attachment-based parenting program. Twenty-one predominantly (86%) White mothers and their infants living together in residential substance-abuse treatment were randomly assigned to the program (n = 11) or control (n = 10) group. Program mothers received 10 home-based sessions of Dozier's Attachment and Biobehavioral Catch-up (ABC) intervention. Postintervention observations revealed more supportive parenting behaviors among the randomly assigned ABC mothers.
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Few of the EBPs potentially promising for mothers with SUDs have been successfully integrated into systems serving families with infants and young children.
“Of this handful of EBPs that are potentially promising for mothers with SUDs, few have been successfully integrated into systems serving families with infants and young children (Berlin et al., 2014; Paris et al., 2015; Suchman, DeCoste, et al., 2017)”
From Home‐based family recovery supports: Feasibility, acceptability, and adoption of training home visitors in “Mothering from the Inside Out” (2025) · cites this paper as Berlin et al., 2014
The paper says attachment-focused care was typically absent from residential treatment and describes its own integration of an established program as a preliminary pilot (Discussion; page unavailable). It does not establish that few promising evidence-based programs have been successfully integrated across systems serving families with infants and young children; it says integration of substance-use and parenting services was becoming more prevalent (opening section labeled Abstract in our copy; page unavailable). (LLM, conf=0.85)
Experimental — accuracy not yet measuredAn RCT involving mothers with substance abuse found that ABC mothers were more sensitive than controls (d=.67).
“Results from an RCT with substance abusing mothers found that mothers who received ABC demonstrated greater sensitivity than mothers in a control condition of the same length that inquired about mother-child wellbeing and provided age-appropriate books (d = .67; Berlin, Shanahan, & Appleyard Carmody, 2014).”
From Relational Interventions for Maltreated Children (2017) · cites this paper as Berlin, Shanahan, & Appleyard Carmody, 2014
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- Authors
- Berlin, L. J., Shanahan, M., & Appleyard Carmody, K.
- Affiliations
- University of Maryland, College Park (US)
- University of North Carolina at Chapel Hill (US)
- Duke University
- Corresponding author
- Berlin, Lisa J.
- Venue
- Infant Mental Health Journal
- Publisher
- Wiley
- Published
- 2013-12-09
- Volume
- 35
- Issue
- 1
- Pages
- 81-85
- ISSN
- 0163-9641 (ISSN-L)
- PMC
- PMC4461036
- OpenAlex
- W1519741888
- Cited by
- 67
- References
- 20
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 9 · 2022: 6 · 2021: 5 · 2020: 7 · 2019: 3 · 2018: 7 · 2017: 8 · 2016: 9 · 2015: 4 · 2014: 2
- FWCI
- 5.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Infant Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p20da017589-05)
- National Institute of Mental Health (K01MH70378, K01MH070378)
- National Institute on Drug Abuse (P20- DA017589, P30DA023026)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Safety Research › Child Welfare and Adoption
- Keywords
- Attachment and Biobehavioral Catch-up, maternal substance use, postpartum women, residential addiction treatment, supportive parenting, infant development, home-based intervention, feasibility
- MeSH terms
- Adult, Education, Nonprofessional, Feasibility Studies, Female, Humans, Infant, Male, Mothers, Pilot Projects, Psychiatric Status Rating Scales, Surveys and Questionnaires, Residential Treatment, Parenting, Treatment Outcome, Substance-Related Disorders, Young Adult
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