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Cited by 14Health Policy Implementation ScienceSubstance Abuse Treatment and OutcomesPrenatal Substance Exposure Effects

Parental substance use and home visiting programs: Implementation considerations for relationship‐based treatment

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Lowell, Amanda F., Suchman, Nancy E., Byatt, Nancy, Feinberg, Emily, Friedmann, Peter D., Peacock‐Chambers, Elizabeth·2023·Infant Mental Health Journal
DOI 10.1002/imhj.22041PMC PMC10050092
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Abstract

Home visiting programs can provide critical support to mothers in recovery from substance use disorders (SUDs) and young children prenatally exposed to substances. However, families impacted by maternal SUDs may not benefit from traditional child‐focused developmental home visiting services as much as families not impacted by SUDs, suggesting the need to adjust service provision for this population. Given the need to implement tailored services within home visiting programs for families impacted by SUDs, we sought to investigate the implementation barriers and facilitators to inform future integration of a relationship‐based parenting intervention developed specifically for parents with SUDs (Mothering from the Inside Out) into home visiting programs. We conducted nine interviews and five focus groups with a racially diverse sample (N = 38) of parents and providers delivering services for families affected by SUDs in the USA. Qualitative content analysis yielded three most prominent themes related to separate implementation domains and their associated barriers and facilitators: (1) engagement, (2) training, and (3) sustainability. We concluded that the home visiting setting may mitigate the logistical barriers to access for families affected by SUDs, whereas relationship‐based services may mitigate the emotional barriers that parents with SUDs experience when referred to home visiting programs.

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Cited by

Sorted by citations

Authors
Lowell, A. F., Suchman, N. E., Byatt, N., Feinberg, E., Friedmann, P. D., & Peacock‐Chambers, E.
Affiliations
  • Yale University (US)
  • University of Massachusetts Chan Medical School (US)
  • Boston University (US)
Corresponding author
Peacock‐Chambers, Elizabeth
ORCID
Venue
Infant Mental Health Journal
Publisher
Wiley
Published
2023-03
Volume
44
Issue
2
Pages
166-183
ISSN
  • 0163-9641 (ISSN-L)
  • 1097-0355
DOI
10.1002/imhj.22041
PMC
PMC10050092
OpenAlex
W4322757552
Cited by
14
References
11
Citations by year
2026: 3 · 2025: 2 · 2024: 4 · 2023: 5
FWCI
4.96
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Infant Mental Health Journal (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (KL2 TR002545, K23DA050731, T32 DA019426)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords
parental substance use, home visits, maternal substance use disorder, prenatal drug exposure, implementation barriers and facilitators, program sustainability, provider training, family involvement, service integration
MeSH terms
Child, Preschool, Female, House Calls, Humans, Mothers, Parents, Parenting, Substance-Related Disorders

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