Parental substance use disorders negatively impact a child's development both prenatally and postnatally. Caregivers struggling with substance use disorders, and Opioid Use Disorder in particular, often have difficulty accessing appropriate holistic clinical interventions and are at high risk of losing custody of their children due to abuse and…

Substance use and alcohol abuse during pregnancy are significant public health concerns. Neonatal abstinence syndrome (NAS) is a withdrawal syndrome that infants exposed to opioids may experience in the first few days of life. For most infants with NAS, exposure to opioids occurs during pregnancy while they are fetuses. Similarly, prenatal alcohol…

This grounded theory study explores how women with histories of addiction perceive stigma while in treatment. In-depth interviews were conducted with 30 women participating in a residential drug treatment centre. Previous research has found that support from peers during recovery can be critical to managing illnesses. In fact, researchers have…

This case study is part of a larger investigation of literacy practices at New Beginnings shelter, a long-term transitional homeless shelter for addicted mothers and their children. We asked, "What is the nature of writing in a homeless shelter committed to the rehabilitation and recovery of mothers from addiction?" At New Beginnings,…

The purpose of the study was to explore the potential effectiveness of service learning as a pedagogical technique for providing substance abuse education to human services/social work students. Using a quasi-experimental design, the authors assigned 38 human services undergraduate students to experimental and comparison groups on the basis of…

In many cultures, approximately one third of people with drug dependence are women of child-bearing age. Substance use among pregnant and parenting women is a major public health concern. Aboriginal people have some of the highest rates of substance abuse in Canada, increasing concern for detrimental health impacts, including those for women and…

Explored the impact of caregiver alcohol and other drugs (AOD) use on child protective services (CPS) case substantiation: cases with indications of AOD use were more likely to be substantiated than those without. Compared CPS-involved and non- involved women in AOD treatment; increasing numbers of children and younger maternal ages are risk…

Analyzed data from a cross-site evaluation of 24 federally funded residential treatment projects for substance-abusing pregnant and postpartum women with children. Found benefits at 6 months of treatment included improvements in infant mortality and morbidity, treatment retention and completion rates, and behavioral changes in participating…

Families In Recovery Staying Together (FIRST) is a team from Children's Hospital and Research Center at Oakland that has joined in collaboration with two local perinatal residential drug treatment programs to create early childhood mental health services at those sites. The authors highlight the collaboration strategies and challenges the partners…

SafePort is a residential substance abuse treatment program within public housing to provide drug treatment to parenting women in Key West, Florida. All family members--women, children, and significant others--receive comprehensive assessments to determine appropriate therapeutic interventions. Preliminary evaluation findings suggest that women…

This article addresses the rationale for linking addiction treatment programs and parenting education interventions in substance-abusing families. Specific components of a parenting program for women in recovery are detailed, including parenting classes and support groups, mother-child play groups, and family literacy activities. Program…

Examines the socioeconomic medium for the increasing incidence of pediatric Human Immunodeficiency Virus (HIV). Discusses the genesis, composition, and mission of Project WIN, a Boston-based, transagency, case management service delivery system designed to provide a holistic response to families' children at risk for or diagnosed with HIV…

Considers alcohol and other drug abuse among homeless women and the impact of public policy decisions on this group, their dependent children, and the family unit. Examines barriers to treatment including legal rights conflicts (women's versus children's), criminalization, and treatment approaches. (JB)

Discusses efforts to criminalize fetal abuse, harm caused from a pregnant woman's use of illegal drugs. Such efforts have typically failed to withstand judicial scrutiny. Suggests that criminal prosecution for fetal abuse relies on questionable procedures, is unevenly applied, and may keep women from seeking drug treatment or prenatal care. (LKS)

Summarizes and analyzes the following issues in developing policy to address the problems of drug-exposed infants: (1) degree of harm; (2) identification; (3) interventions; (4) needs assessment; (5) child protection; and (6) drug treatment. Significant interventions, including expanded prenatal care and drug treatment programs, are proposed. (SLD)