Substance‐dependent women becoming mothers: breaking the cycle of adverse childhood experiences

Parenting may be particularly challenging for substance‐dependent mothers who have grown up with parents who themselves had substance use disorders (SUDs). The aim of this study was to explore how substance‐dependent mothers describe their childhood experiences with substance‐abusing parents and the association between these earlier experiences and their own role as caregivers. Using purposeful sampling, mothers admitted for 1 year to a family ward at a substance abuse clinic were approached. Through in‐depth, qualitative interviews, nine substance‐dependent mothers described their lives in the form of present, past and future tense. The findings indicate that substance‐dependent women, who have experienced SUDs in their families of origin, face several major challenges when they become mothers. Some describe having lived their whole lives ‘on the edge of society'. This makes their rehabilitation process more complex. All mothers work to abstain from substances, process traumatic experiences and integrate their family into society. They need help to build supportive social networks and to establish a safe and predictable family environment for themselves and their children. The therapeutic implications of these findings will be discussed.     

“She was accused of colluding with the mother”; the training and support needs of parent‐and‐child foster carers: A qualitative study

Parent‐and‐child foster placements are used to accommodate parents with their children, either when the mother is a looked‐after child or as a setting for a parenting assessment. Despite this being a specialized role with significant potential for affecting outcomes for disadvantaged families, there is currently a lack of accessible learning opportunities for foster carers on the physical and mental well‐being of women with complex needs such as a history of domestic abuse, substance abuse, perinatal mental ill‐health, or having a learning disability. Parent‐and‐child carers experience some unique stresses and value the support of others with similar experiences; this kind of peer support is currently largely absent. This qualitative study has used ten focus groups with foster carers, eight interviews with mothers, and nine interviews with supervising social workers, to inform the development of an online learning resource and a social media‐based peer support network for parent‐and‐child foster carers.     

Children living with parental substance misuse: A cross‐sectional profile of children and families referred to children's social care

Parental substance misuse is a significant public health and children's rights issue. In the United Kingdom, social workers frequently work with children and families affected by substance misuse. However, relatively little is known about this population, particularly at point of referral to children's social care. This paper reports on the largest known study of parental substance misuse as a feature of children's social care work in England. The paper provides a cross‐sectional profile of 299 children living with parental substance misuse and referred to children's social care in one local authority in England. Data were collected from social work case files at the point of referral to social care about the child, family, the wider environment, and parental substance misuse. The findings show that children affected by parental substance misuse frequently had other support needs relating to their well‐being and mental health. Children were also likely to be experiencing other parental and environmental risk factors. The significant historical—and in some cases intergenerational—social care involvement for some families indicates potential issues with the capacity of services to meet needs. Recommendations for practice are discussed with a particular focus on the need for early, comprehensive support for children and families.     

An evaluation of a groupwork intervention for teenage mothers and their families

This paper describes the implementation of a specific, community‐based, multi‐family group (MFG) intervention strategy (Families and Schools Together [FAST] babies) aimed at improving the outcomes for infants of teenage mothers in 11 Canadian communities. The aims of this social work group intervention were (1) to engage the teenage mothers into a socially inclusive experience that might challenge the social disapproval they often experience, (2) to enhance the mother–infant bond, while increasing feelings of parental efficacy, and (3) to enhance the social context of the teenage mother by reducing stress, social isolation and intergenerational family conflict. Groups were co‐led by teams of service users (a young mother, a grandmother of the baby of a teenage mother and a father of the baby of a teenage mother) collaborating with multi‐agency professionals (health visitors and social workers). Teams that reflected the ethnic diversity of the participating family members were trained to facilitate eight weekly group meetings. They showed respect for the young women's ‘voice’, and supported her ‘choice’ to prioritize motherhood as her defining identity. The meetings comprised a range of activities, including crafts and singing, discussion of ‘conflict scenarios’ in cross‐familial, cross‐generational groups, infant massage delivered to babies by the young mothers, grandmother support groups, and a shared community meal. Where necessary, teams made referrals for specialist help. One hundred twenty‐eight young mothers came once to 17 groups, and 90% graduated having attended a minimum of six sessions. Evaluation data from mothers and grandmothers showed positive change when comparing pre and post, based on standardized questionnaires. One‐tailed, paired t‐tests showed statistically significant increases in parental self‐efficacy for the teenage mothers, improved parent–child bonds, reductions in stress and family conflict, and increases in social support. Given that rates of teenage pregnancy in the UK are among the highest in Europe, this paper concludes with a discussion of the feasibility and possible merits of introducing FAST babies to England.     

Paid parental leave and other supports for parents with young children: The United States in international comparison

The United States is at a crossroads in its policies for families and women. Currently, the United States provides basic support for children, fathers, and mothers in the form of unpaid parental leave, child‐related tax breaks, and limited public child care. In contrast, the other member states of the Organisation for Economic Co‐operation and Development (OECD) empower families through paid parental leave and comprehensive investments in infants and children. The potential gains from strengthening these policies in the United States are enormous. Paid parental leave and subsidized child‐care help to get and keep more women in the workforce, contribute to economic growth, offer cognitive and health benefits to children, and give parents options in defining their preferred work‐life strategy. Indeed, the United States has been falling behind the rest of the OECD in many social and economic indicators by not adequately investing in children, fathers and mothers. Given the significant payoffs to these family supports, this article focuses on issues of reconciling work and care commitments for families with young children, and, in particular, on paid parental leave policies within the OECD and the United States.     

Parenting style,competence, social network and attachment in mothers with mental illness

Severe mental illnesses (SMIs) can affect parents' ability to provide an adequate environment for their children. Little has been written about the different factors that affect these abilities in individuals with SMI. In this study, we explored a number of relationships that have been found in the literature to be related to parenting styles. Our main hypotheses were that the participants' secure attachment with their parents is positively correlated with high levels of social support; social support is positively correlated with the experience of having good parental competency; lack of parental competency is negatively correlated with problematic parenting styles. This correlational and cross‐sectional study was conducted with 60 mothers with SMI. Results suggest a strong relationship between parental style, sense of parental competency, social support and attachment style of the parent. Negative parental styles were found to be negatively correlated with parental competence. Overactive and hostile parenting styles were found to be correlated with the interviewees' parental overprotecting attachment style. Positive correlations were found between parental competence and high social support. The results of the study may help in developing future multidimensional interventions for parents with SMI, to improve their parenting skills and reduce any negative influence on their offspring.     

Empathic Action and Family Resilience: A Narrative Examination of the Benefits of Helping Others

ABSTRACT

Empathy is identified as a protective factor that has been helpful for children considered at high risk for poor mental health and social functioning due to experiencing stressful circumstances such as family violence, substance abuse of a parent, or poverty. Yet, little is known about its relevance to a family's ability to overcome adversity. This study examined the narratives of 20 resilient families who maintained family functioning despite experiencing a multitude of risk factors including poverty, death of a child, significant health problems, or substance abuse problems. Narrative analysis was used to identify the ways families situated empathic actions within their stories of resilience. Findings suggest families developed increased compassion for others as a result of their own experiences with loss, trauma, or stress and discussed how helping others increased their ability to cope with the challenges they faced. Future research and practice implications are outlined and support the usefulness of strengths-based concepts and interventions.     

How do substance abusers and their significant others experience the re‐entry phase of therapeutic community treatment: a qualitative study1

Transition to re‐entry (aftercare) is a stressful event for therapeutic community residents. While several authors agree on the importance of social support during reintegration, few studies have focused on the experiences of re‐entry clients themselves and their significant others during this period. Using a case‐study design, the present study examines the re‐entry process of four TC‐residents and three of their social network members during a six‐month period, starting at the time of their transfer to the halfway house. Clients and their significant others have mixed feelings about the reintegration period, although both are mainly positive. Clients report difficulties in leaving behind the TC‐mentality and building up a stable social network; they are surprised about the frequent contacts with substance (ab)use in mainstream society. Significant others misjudge clients’ feelings about transition and relapse. Many significant others have a positive attitude towards the use of substances. The tendency in mainstream society to increasingly accept the use of substances intensifies clients’ need for early guidance in building up stable supportive networks. Significant others need well‐grounded information on the reintegration process and on relapse.     

Me,myself and I: perceptions of social capital for mothers ageing out of the child welfare system

Youth ageing out of the child welfare system become parents at rates two to three times higher than their non‐child welfare system involved peers. Substantial literature acknowledges that youth ageing out who are parenting are vulnerable; yet, little is known about their lived experiences. Social capital, or the actual or potential resources available from one's network, can provide essential resources for the wellbeing of parents ageing out. This qualitative study examined social capital of mothers ageing out from the perspectives of both mothers and service providers. We conducted small group interviews with 13 mothers ageing out and 14 service providers. Data were analysed using thematic analysis. Findings revealed the use of a social capital framework delineates that mothers lacked beneficial social relationships and, consequently, support. A lack of trust coupled with a desire to break intergenerational patterns and norms contributed to understanding why mothers ageing out may not capitalize on resources that providers often considered available. Based on findings, we conclude that providing mothers ageing out with additional opportunities to develop trust, positive relationships with mentors and extended services may help to disrupt intergenerational patterns of maltreatment and promote child and family wellbeing.     

Kin Financial Support: Receipt and Provision Among Unmarried Mothers

ABSTRACT

Using data from the Fragile Families and Child Wellbeing Study (N = 2,039), we investigate how social resources influence unmarried mothers' provision and receipt of financial support within their social networks and whether patterns of financial support vary by race and ethnicity. Multinomial regression results indicate that relative to neither giving nor receiving, more advantaged mothers have higher odds of providing others with financial help, yet less advantaged mothers do not have consistently higher odds of receiving help. Tests for interactions indicate that financial support may be less available for Blacks in need than for other groups. Our findings provide evidence that because of its unpredictable nature and unequal availability among disadvantaged groups, informal financial support cannot be expected to fill gaps in the public safety net.     

‘I want to be better than you:’ lived experiences of intergenerational child maltreatment prevention among teenage mothers in and beyond foster care

The growing body of research on teenage motherhood in foster care has largely focused on the risks involved for both mother and child, yet these mothers depict a much more complex picture of their own experience of becoming and being mothers. The current study employed interpretative phenomenological analysis to explore 18 in‐depth, qualitative interviews from six participants on the meaning and experience of motherhood among teenage mothers in foster care and in the years immediately after ageing out. This study focused on a particular dimension of motherhood: participants' efforts to break the cycle of child abuse and neglect with their own children. Two themes emerged as characteristic of these experiences: (i) treating children well/parenting differently and avoiding the system; and (ii) reducing isolation and enhancing support. Given the increased likelihood of the children of teen mothers – particularly those who have been maltreated – becoming involved with the child welfare system, study findings suggest possible strategies for disrupting cycles of intergenerational child welfare involvement generated by young mothers themselves. Practice implications for addressing possible substance abuse, mental health and relational and parenting needs are discussed.     

Mothers and fathers in treatment for methamphetamine addiction—Parenting,parental stress,and children at risk

Parents addicted to methamphetamine (“crystal meth”) are likely to be impaired in meeting parental responsibilities, and the developmental settings can be highly disadvantageous for children. Therefore, parenting by methamphetamine‐addicted mothers and fathers needs further exploration, while considering the impact on children affected by parental substance use. In our study, we analysed parenting practices and parental stress as well as children's behavioural problems using standardized assessments. The sample consisted of 87 methamphetamine‐addicted parents in recovery. We obtained data on parents' current substance use and on their psychological distress. Multiple regression analysis was performed to identify predictors of children's overall problems. Parents reported high levels of parental and psychological distress, even after achieving abstinence. Especially depressive perceptions of parenthood appeared problematic. While recovering from methamphetamine addiction, parents exhibited a precarious psychosocial situation and problematic parenting behaviour. Dysfunctional parenting practices were evident in both indifferent and overreactive tendencies. Children were at risk of behavioural and emotional problems. Variables associated with parenting showed significant predictive value for children's overall problems, beyond current substance use, and psychological distress. These findings are discussed in terms of a family‐oriented perspective in order to promote parenting capabilities of methamphetamine‐addicted parents and to prevent problematic development of their children.     

Experiences of child welfare social workers in addressing substance use among maltreated young mothers to prevent child maltreatment

Substance use during the perinatal period and while parenting can pose a significant risk to children's safety and well-being. Mothers who have experienced child maltreatment are more likely to use substances than mothers without a history of maltreatment. This study explores how child welfare social workers experience supporting young, maltreated mothers struggling with substance use to prevent the intergenerational transmission of child maltreatment. Semi-structured in-depth interviews were conducted with four social workers working with young mothers with a history of maltreatment and substance use. Interpretative Phenomenological Analysis revealed two themes: (1) grappling with system challenges and (2) supporting strategies for disrupting intergenerational transmission of child maltreatment. The results highlight the need for systemic changes around support for social workers who work with young mothers who use substances and have a history of maltreatment, and substance use treatment and mental health programs themselves. Mothers need access to prenatal programs that are trauma-informed, non-judgemental and that support participants' basic needs and parenting skills.     

Leaving children unattended at home: decision-making on the use of self-care in Hong Kong

This paper examines decisions among low-income mothers in Hong Kong on the use of self-care, or the arrangement of leaving children unattended at home. An analysis of individual interviews with 23 mothers, based on a family ecology perspective, highlighted the contexts in which mothers make decisions based on economic, social and technical grounds. Findings showed that self-care was used with family orientated demands, in spite of the worries and fears associated with the self-care arrangement. Self-care was generally favoured when it was felt to be an efficient way of carrying out family and domestic tasks. An argument was also made that self-care encouraged appropriate independence in children. Nevertheless, mothers recognised the risks involved in self-care and planned to minimise the potential dangers of young children being left unattended. The views of the children themselves, as well as their fathers, often influenced the care arrangements made by mothers. Social policies in relation to unattended children are also examined. This analysis reveals ideological assumptions about the nature of good parenting that places great pressure on mothers to fulfil their responsibilities even though they often lack adequate economic, social and technical support. Rather than deploy deterrent legal measures, it is suggested that social measures, including the provision of `family life education', occasional child care services and enhancement of community support, be developed to help parents carry out their child-rearing roles effectively.     

ADHD and its comorbidity: an example of gene–environment interaction and its implications for child and family social work

In many of their cases, child and family social workers, particularly those involved with abuse and neglect, will find themselves also working with children who have been diagnosed with attention deficit hyperactivity disorder (ADHD). The paper reviews current understandings and debates about the nature and causes of ADHD. Although modern evidence suggests the neurobiological basis of the condition and the effectiveness of medication in treating the behaviour, it is also recognized that the quality of the child's caregiving and social environment plays a significant role in the aetiology, maintenance and treatment of ADHD. Recognizing the part that psychosocial elements play in understanding the condition, child and family social workers can be valued members of multidisciplinary teams treating ADHD in which they offer support to parents, helping them to understand and manage their ADHD‐diagnosed child.     

Parental self‐esteem,parent–child relationships,and authoritative parenting of Chinese migrant parents of left‐behind children: Implications for social policy and services

In this study, we aimed to examine whether and how parental self‐esteem and parent–child relationships interact and associate with the authoritative parenting of Chinese rural‐to‐urban migrant mothers and fathers of left‐behind children. Results from a cross‐sectional survey of 295 Chinese migrant parents living in Shenzhen revealed no statistically significant differences between migrant mothers and fathers in parental self‐esteem, parent–child relationships, and authoritative parenting. Both parental self‐esteem and parent‐child relationships had positive associations with authoritative parenting among two groups of respondents; however, the perceived parent–child relationship quality was a more important predictor than parental self‐esteem. There was also an interaction effect between parental self‐esteem and parent–child relationships on migrant mothers’ authoritative parenting. The findings indicate that migrant parents’ perception of their encounters with their children has a profound influence on their parenting behaviors. Social services should, thus, be provided to strengthen both virtual and face‐to‐face parent–child interactions via mobile phone parenting and periodic visits. New policies should be developed to provide migrant parents with more options regarding family reunion.     

No-one else could understand': Women's Experiences of a Support Group run by and for Mothers of Sexually Abused Children

Summary Previous studies have shown that when a woman finds out aboutthe sexual abuse of her children the consequences for her areserious and can represent a major life crisis. Women in thisposition frequently report a lack of professional understandingand support. The current study explores the experiences of women attendinga busy peer support group at the NSPCC in York. It demonstratesthe vital role that peer support can play. It traces a varietyof factors which mean that family, friends and social workersare not well placed to help. At the heart of these difficultiesare the powerful feelings of guilt and failure in their roleas mothers which the women experienced as a result of the sexualabuse of their children. For these women it was impossible toshare with social workers their doubts about their own abilitiesas mothers, particularly in a context in which those workerswere making judgements about their ‘ability to protect’.On the other hand the support group provided a safe and non-judgementalforum in which these powerful emotions could be expressed anddealt with. The study explores the role that social workerscan play in relation to such groups.     

Social capital predictors of children's school status in Mexico

This study explores whether family and community social capital variables influence children's school status in Mexico. Additional predictors related to human and financial capital were included as control variables. Two hundred and four mothers were interviewed as part of a larger study on the impact of social capital on children's street work in Monterrey, Nuevo León, Mexico. Logistic regression results suggest that family and community protective factors associated with children's academic achievement include parental help with homework, mothers' academic aspirations, extended family support and mothers' social support networks. The author reports on family- and community-based predictors of children's school status and discusses the social work profession's role in strengthening families and communities to enhance children's academic achievement.     

Contexts of Mother–Child Separations in Homeless Families

Families that contend with the losses, disruptions, and hardships occasioned by homelessness often experience dispersal of children as well. Although a federal initiative on homeless families identified family preservation as a focus of intervention development, there is little research to guide service efforts. This qualitative study of mother–child separations in homeless families with maternal mental health and/or substance use problems identifies precursors of separations (precarious housing, turbulent relationships, substance abuse by mothers and others, institutional confinement, and children's needs) and examines how mothers' responses to these events and conditions interact with social and institutional contexts to shape variations in the course and outcome of separations. Implications for research, services, and policies affecting homeless families are discussed.     

Mental preparation during pregnancy in women with substance addiction: a qualitative interview‐study

The interplay between pregnancy and addiction is usually studied quantitatively, and the focus is often on the adverse effects of intrauterine substance exposure. This study explores the perspective of the mothers‐to‐be by examining the subjective experience of pregnancy in substance‐addicted women. Fourteen women in family treatment for substance use disorder participated in eight focus groups. The data were analysed according to interpretative phenomenological analysis. The findings show that recognition of pregnancy was distorted and delayed, and strong feelings of ambivalence and guilt persisted throughout pregnancy, along with hope for change. Addiction and an intense preoccupation with external expectations are seen as a threat to intrauterine attachment and mental preparation for the caregiving role. Interventions must take into account the specific ways in which addiction influences the psychological processes of pregnancy; specifically, providing adequate social support and security should be considered.