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The Mothers and Toddlers Program, an attachment-based parenting intervention for substance using women: Post-treatment results from a randomized clinical pilot
Open accessAbstract
This is a report of post-treatment findings from a completed randomized pilot study testing the preliminary efficacy of the Mothers and Toddlers Program (MTP), a 12 week attachment-based individual parenting therapy for mothers enrolled in substance abuse treatment and caring for children ages birth to 36 months. Forty-seven mothers were randomized to MTP versus the Parent Education Program (PE), a comparison intervention providing individual case management and child guidance brochures. At post-treatment, MTP mothers demonstrated better reflective functioning in the Parent Development Interview, representational coherence and sensitivity, and caregiving behavior than PE mothers. Partial support was also found for proposed mechanisms of change in the MTP model. Together, preliminary findings suggest that attachment-based interventions may be more effective than traditional parent training for enhancing relationships between substance using women and their young children.
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“MIO has been associated with reduced rates of relapse and depressive symptoms, improved caregiving, and enhanced child attachment in multiple clinical trials (Lowell, DeCoste, et al., 2023; Suchman et al., 2008; Suchman et al., 2010; Suchman et al., 2011; Suchman, DeCoste, et al., 2017; Suchman, Ordway, et al., 2016)”
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 Suchman et al., 2010
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“MIO has been associated with reduced rates of relapse and depressive symptoms, improved caregiving, and enhanced child attachment in multiple clinical trials (Lowell, DeCoste, et al., 2023; Suchman et al., 2008; Suchman et al., 2010; Suchman et al., 2011; Suchman, DeCoste, et al., 2017; Suchman, Ordway, et al., 2016)”
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 Suchman et al., 2010
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“MIO has been associated with reduced rates of relapse and depressive symptoms, improved caregiving, and enhanced child attachment in multiple clinical trials (Lowell, DeCoste, et al., 2023; Suchman et al., 2008; Suchman et al., 2010; Suchman et al., 2011; Suchman, DeCoste, et al., 2017; Suchman, Ordway, et al., 2016)”
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 Suchman et al., 2010
Experimental — accuracy not yet measuredThe check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“MIO has been associated with reduced rates of relapse and depressive symptoms, improved caregiving, and enhanced child attachment in multiple clinical trials (Lowell, DeCoste, et al., 2023; Suchman et al., 2008; Suchman et al., 2010; Suchman et al., 2011; Suchman, DeCoste, et al., 2017; Suchman, Ordway, et al., 2016)”
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 Suchman et al., 2010
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Metadata
- Authors
- Suchman, N. E., DeCoste, C., Castiglioni, N., McMahon, T. J., Rounsaville, B., & Mayes, L.
- Affiliations
- Yale University (US)
- Corresponding author
- Suchman, Nancy E.
- Venue
- Attachment & Human Development
- Publisher
- Informa UK Limited
- Published
- 2010-08-18
- Volume
- 12
- Issue
- 5
- Pages
- 483-504
- ISSN
- 1461-6734 (ISSN-L)
- 1469-2988
- PMC
- PMC2928150
- OpenAlex
- W1986326595
- Cited by
- 218
- References
- 59
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 7 · 2023: 16 · 2022: 12 · 2021: 19 · 2020: 19 · 2019: 13 · 2018: 17 · 2017: 18 · 2016: 19 · 2015: 19 · 2014: 13 · 2013: 12 · 2012: 14
- FWCI
- 13.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Attachment & Human Development (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (R01DA017294, K02DA023504)
- Topics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- maternal substance use, reflective functioning, maternal sensitivity, caregiver behavior, parent education, young children, mechanisms of change, parent-child relationship
- MeSH terms
- Adult, Child Behavior, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Interviews as Topic, Male, Maternal Behavior, Mother-Child Relations, Mothers, Object Attachment, Pilot Projects, Parenting, Treatment Outcome, Caregivers, Substance-Related Disorders, Young Adult, Intention to Treat Analysis
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