Experiences of Drug Use and Parenting among Women in Substance Abuse Treatment: An Exploratory Study

The purpose of this exploratory study was to explore the multiple contexts of vulnerability, drug use and parenting for women in substance abuse treatment. Nineteen purposively sampled women provided qualitative data through semi-structured interviews. Findings revealed that adverse childhood experiences and intimate partners were important pathways into drug use initiation. Identities as mothers emerged as a key finding, intimately linked to women's motivation to seek and complete treatment. Understanding the challenges to recovery among mothers in treatment is an important priority for social workers. This study highlights the complexity of women's experiences and suggests implications for future practice and research.     

In Their Own Voice: Mothers in Drug Treatment and Their Views on Parenting,Behavioral Parent Training,and Barriers to Engagement

Behavioral parent training offers mothers in drug treatment a valuable opportunity to improve their parenting skills through real-time, individualized coaching, but these mothers might be reluctant to participate with their child. Participants were 23 mothers or female guardians from 4 drug treatment programs with children 1 to 10 years old. Focus group discussions and questionnaires asked about their perspectives on parenting and their interest in and obstacles to participating in behavioral parent training. Detailed narrative responses and quantitative analyses identified some unique issues in parenting for this population as well as logistical, attitudinal, and emotional barriers to participating in behavioral parent training with their children.     

Using Family-Oriented Treatment to Improve Placement Outcomes for Children and Youth in Residential Treatment

Abstract

Traditionally, caregivers of children with severe emotional and behavioral disturbances have been excluded from treatment planning, and service providers have often blamed caregivers for children's mental health problems. More recently, an approach to treatment based on Systems of Care has emphasized the importance of including caregivers in every aspect of treatment. This article describes a family-oriented residential treatment program in eastern North Carolina and reports initial results of a pilot study in which caregiver participation is valued and emphasized. Implications for practice, policy, and professional training are discussed.     

Characteristics and Outcomes of College-Age Adults Enrolled in Private Residential Treatment: Implications for Practice

Substance use among college-age adults is of interest due to high levels of use and low levels of treatment access and engagement relative to other adults. Data collected from 1,972 clients in residential services were analyzed to investigate differences in use patterns, treatment outcomes, and other life area problems. Participants completed an Addiction Severity Index (ASI) and the University of Rhode Island Change Assessment (URICA) at baseline, and an ASI and Treatment Services Review at 1-month and 6-month postdischarge interviews. Almost a quarter (24.1%) of participants were college age (18–25 years old). They were more likely to be White and male, and less likely to complete treatment although they had a longer average length of stay. College-age adults improved on all outcome measures, and posttreatment service use shows significant difference between college-age and older participants. Implications for practice are discussed.     

Placement of Children Born to Drug Using Mothers: A Preliminary Study in Israel

ABSTRACT

The aim of the study was to track the placement of babies born to drug addicted mothers in Tel Aviv, Israel. Records of 120 children born to drug addicted mothers between 1990 and 1998 were examined to ascertain their placements. Data were collected on withdrawal symptoms in the newborn and on the mothers' socio-economic features. Fifty percent of the infants were placed in temporary settings, and sixty percent of the children initially entrusted to their mother remained in her care. Mothers whose infants were drug free were most likely to keep their infants at birth and to provide the greatest permanency. Those who were better educated and financially better off were also more likely to keep their newborn children, although they did not provide greater permanency.     

Offering Social Support via the Internet: A Case Study of an Online Support Group for Social Workers

SUMMARY

Human service professionals have begun to explore the Internet's potential as a therapeutic medium for individuals, families and groups, but we still know very little about the ways that Internet-mediated communication affects interventions. This paper uses examples from a recent study of a short-term, listserv-based support group that helps social workers cope with job stress to discuss issues related to the use of online support groups.     

The Mediating Effect of Resilience Between Social Support for Exercise and Resident Satisfaction in Assisted Living

This study examined whether residents' level of resilience mediated the relationship between social support for exercise from staff and resident satisfaction in assisted living. This was a secondary data analysis using baseline data from a function-focused care intervention study including 171 residents from four assisted living facilities. Using structural equation modeling, we found that mood and social support for exercise from staff were the only variables associated with resilience. Mood, gender, cognition, and social support for exercise from staff directly influenced resident satisfaction and explained 31% of the variance in the model. Implications for future research and practice are discussed.     

Moderator Assistant: A Natural Language Generation-Based Intervention to Support Mental Health via Social Media

As online mental health support groups become increasingly popular, they require more support from volunteers and trained moderators who help their users through “interventions” (i.e., responding to questions and providing support). We present a system that supports such human interventions using Natural Language Generation (NLG) techniques. The system generates draft responses aimed at reducing moderators’ workload, and improving their efficacy. NLG and human interventions were compared through the ratings of 35 psychology interns. The NLG-based system was capable of generating messages that are grammatically correct with clear language. The system needs improvement, however, moderators can already use it as draft responses.     

Defining Social Inclusion for Children with Disabilities: A Critical Literature Review

Social inclusion is a complex and often misunderstood concept. For children with disabilities, research has documented the degree of loneliness, bullying and exclusion they often experience in their social lives. This paper presents the findings of a critical literature review on the social inclusion of children with disabilities. Study methods comprised rigorous criteria for study selection followed by established protocols for evaluating studies. Reputable rating scales were used to examine peer‐reviewed research published within the last 10 years. Fifty‐four studies were analyzed for essential themes. Findings reflect a broad range of stakeholder perspectives and factors that promote or inhibit social inclusion, including child‐specific variables as well as environmental influences. Additional research should focus on the perspectives and experiences of children in inclusive settings, particularly those with disabilities, as a means of safeguarding their future social and emotional well‐being.     

Social Contingencies in Mental Health: A Seven‐Year Follow‐Up Study of Teenage Mothers

This paper reports analyses from a 7‐year follow‐up investigation of women pregnant as teenagers who had been studied during their pregnancy and shortly following their child's birth. The objective of these analyses was to identify potentially modifiable factors that might influence or condition psychological adaptation within this high‐risk population. Consistent with prior research, differences in social support and in personal resources or attributes effectively predicted depressive symptomatology, suggesting that such differences constitute crucial mental health contingencies and thereby represent promising intervention targets. Contrary to prior research, differences in stress exposure were found to be of substantial explanatory significance, with lifetime accumulation of major, potentially traumatic events representing the most significant element. These findings suggest the need to develop a greater understanding of socially or programatically modifiable determinants of stress exposure and to take seriously the prospect of developing interventions that reduce such exposure.     

Social Support and the Mental Health of Family Caregivers: Sons and Daughters Caring for Aging Parents in Japan

The prevalence of depressive symptoms among family caregivers has been documented as a serious social problem that could threaten the lives of the elderly and their family caregivers. Social support is considered to be a promising remedy for this problem, although a comprehensive examination of the availability and effectiveness of social support that includes both formal and informal support across multiple dimensions remains limited. In addition, little research has been conducted in Japan on gender differences in stress processes. This study tried to fill those gaps by analyzing recent survey data on sons and daughters who are caring for their elderly parents. The results indicate that sons and daughters have similar levels of formal and informal support for daily care and advice, while there are some gender differences in regard to the availability of other types of social support. It was also found that many types of informal support were significantly associated with a lower caregiver burden for daughters, although this was not necessarily the case for formal support. General instrumental support from formal sources was even associated with higher levels of distress. For sons acting as caregivers, daily caregiving support was the only formal support that was significantly associated with their lower level of distress. Issues of formal support are discussed, in order to reduce the psychological burdens borne by sons and daughters who care for their parents at home.     

Loosening the Soil of Their Thinking: A Theoretical Integration for Contracting with Low-Income Single Mothers to Stop Physical Aggression Toward Their Children

Clinical social work with low-income single mothers at-risk for physical abuse of their children traverses multiple theoretical perspectives for viewing causality and intervention in order to prevent future abuse. Cognitive-behavioral and psychodynamic approaches have figured prominently in the discourse but are often considered as opposing viewpoints. In this paper, narrative excerpts from a study about social workers’ experiences in developing working alliances with these women are used to suggest an integrative theoretical viewpoint for contracting with them to refrain from hitting their children.     

Supporting Post-Adoption Contact for Children Adopted From Care: A Study of Social Workers' Attitudes

New legislation in England and Wales requires adoption agencies to specify the contact adopted children will have with their birth families and obliges agencies to offer all parties support to maintain such contact. This study, based on responses from 112 adoption social workers in England and Wales, used a case vignette methodology to explore workers' attitudes towards supporting post-adoption contact. The findings suggest that social workers think primarily about the child's needs and about providing services to or on behalf of the child. In contrast, adults' needs, especially the relationship between birth parents and adoptive parents, were less often considered. Workers were least orientated toward supporting birth parents. Workers from different agencies had very different attitudes towards the case vignette. This study suggests that supporting post-adoption contact is a complex professional task likely to be influenced by workers' own attitudes. Implications for training, support and supervision are discussed.     

Current Practices in Residential Treatment for Adolescent Sex Offenders: A Survey

SUMMARY

A list of all treatment facilities for adolescent sex offenders that described themselves as inpatient or residential was requested from the Safer Society Foundation in Brandon, Vermont. A total of 203 such facilities were identified in this manner. Each was sent a questionnaire regarding their policies and practices. Of the 50 questionnaires that were returned, 49 were usable. Items on the questionnaire dealt with major phases of operating a residential program, including number of beds, average daily census, number of males and females in treatment, testing and assessment procedures, most frequent diagnoses, average IQ of patients, abuse history, therapeutic approaches used, number and types of individual/group treatment sessions per week, qualifications of therapists, average length of treatment, and follow-up research on treatment.     

Inspiring Hope,Envisioning Alternatives: The Importance of Peer Role Models in a Mandated Treatment Program for Women

ABSTRACT

This article presents evidence from a program evaluation effort conducted with clients in a mandated treatment setting for drug-involved women charged with felony-level offenses. We present themes from qualitative interviews that stress the importance of identifying with a peer who is further along in recovery as a crucial mechanism for instilling hope and fostering program engagement. We also provide survey data that shows that a client's ability to imagine a life without using drugs, at intake, is a significant predictor of program success. Finally, the Stages of Change Readiness and Treatment Eagerness scale did not show any significant correlations with program success in this population. All women entered this program from very challenging situations, but we conclude that those who enter with the least hope and smallest (or absent) vision of any alternative future are especially vulnerable for a bad outcome. We urge researchers and practitioners to further explore the ways in which connections with peer role models facilitate engagement and successful outcomes; and to systematically evaluate the effect of interventions designed to foster such connections on program outcomes.     

Giving Clients a Backstage Experience: A Case of Dramaturgical Trouble in the Professional Performance of Drug Treatment

Professionals who provide drug treatment to young people seek to approach clients as agents of change, i.e., highlight clients' agency and ownership of treatment plans. On the basis of ethnographic data from two treatment institutions in Denmark, this article investigates how everyday interaction organizes clients' experiences in ways that alternately support and contradict this professional ambition. Notably, findings indicate that talk and material arrangements “backstage” make professionals, not clients, appear as the real agents of change. Clients are increasingly encouraged to participate in meetings “backstage,” where treatment is organized, but, contrary to intentions, clients may experience participation as debasing rather than empowering.     

The Influence of Minority Stress,Gender, and Legalization of Civil Unions on Parenting Desire and Intention in Lesbian Women and Gay Men: Implications for Social Policy and Clinical Practice

Although the rate of lesbian and gay (LG) parents is increasing, lesbian and gay adults are less likely than heterosexual adults to be parents, as desire and intention to become a parent tend to be lower. This study aims at assessing 290 childless LG individuals (120 lesbian women and 170 gay men) to explore the influence of minority stress, gender differences, and legalization of civil unions in Italy on parenting desire and intention. The results indicated that the minority stressors associated with parenting dimensions included prejudice events, outness, and internalized homophobia for lesbian women, but only felt stigma among gay men. Support from family or significant others buffered the effects of minority stressors on parenting dimensions. Thus, the minority stress processes partly explain the intention and desire to become parents in LG childless individuals. Furthermore, lesbian women showed higher levels of parenting desire and intention than gay men and the levels of these parenting dimensions increased after the law on civil unions was enacted. The findings have important implications for both social policies and clinical practice.     

Helping Young Children Cope with Community Violence: A Proposal for the Reduction of Social Distress in the Inner Cities

The authors discuss the crisis of violence in our society and its impact on young children. Research on early violence prevention is reviewed, and a rationale for building parent–teacher coalitions to attempt solutions to the problem of violence is presented. A curriculum for co-training of parents and early childhood professionals in violence prevention is outlined. The need for longitudinal research on the implementation and impact of early violence prevention programs is noted.