Parenting interventions for drug dependent mothers and their young children; the case for an-attachment-based approach.
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Maternal substance abuse is the most common factor involved when children come to the attention of the child welfare system. Although there is a clear need for clinical trials to evaluate parenting interventions for drug-dependent women, few studies to date have systematically examined the efficacy of interventions for this population. We first review six published reports of outpatient interventions that aimed to enhance the caregiving skills of substance-abusing mothers caring for children between birth and 5 years of age. After discussing implications of these preliminary studies, we then describe an attachment-based intervention that addresses these implications and has demonstrated preliminary feasibility in a pilot trial.
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Many widely available parenting programs, although effective for the general population, often do not yield the same positive effects among parents with SUDs.
“Although many widely available parenting programs are effective for the general population, they often do not yield the same positive effects among parents with SUDs (Suchman et al., 2004; Suchman et al., 2006)”
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., 2006
In “Parent-Child Interactions and Child Developmental Outcomes” (page unavailable), the review reports that most evaluated interventions for drug-using mothers did not measurably improve mother-child interactions or child development, although they generally improved maternal adjustment or substance use. The copy does not establish that widely available programs are effective in the general population or directly compare their effects across the two populations. (LLM, conf=0.82)
Experimental — accuracy not yet measuredMentalization-based interventions were designed to overcome the limitations that behavioral and psychoeducational parenting interventions showed in improving caregiving behaviors.
“Mentalization-based interventions were designed to overcome the limitations that behavioral and psychoeducational parenting interventions showed in improving caregiving behaviors (for a review, see Suchman et al., 2006).”
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., 2006
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- Authors
- Suchman, N., Pajulo, M., DeCoste, C., & Mayes, L.
- Affiliations
- Yale University (US)
- Corresponding author
- Suchman, Nancy
- Venue
- Family Relations
- Publisher
- Wiley
- Published
- 2006-03-09
- Volume
- 55
- Issue
- 2
- Pages
- 211-226
- ISSN
- 0197-6664 (ISSN-L)
- 1741-3729
- PMC
- PMC1847954
- OpenAlex
- W2146936014
- Cited by
- 162
- References
- 63
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 9 · 2023: 13 · 2022: 6 · 2021: 11 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 13 · 2016: 8 · 2015: 11 · 2014: 6 · 2013: 4 · 2012: 11
- FWCI
- 30.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Family Relations (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Suomen Lääketieteen Säätiö
- International Psychoanalytical Association
- National Institute on Drug Abuse (R01DA006025, R01DA017294, K02DA023504, K23DA014606)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- maternal substance abuse, parenting support, attachment-based intervention, young children, child welfare system, caregiver skills, outpatient intervention, pilot trial, intervention efficacy
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