Implementation of family centered substance use treatment for pregnant and postpartum people to prevent the intergenerational transmission of adverse childhood experiences

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2024-09-25 DOI:10.1016/j.chiabu.2024.107066

Mary Harbert Morgan , Jesse L. Coe , Elissa C. Kranzler , Kathryn Rehberg , Rachel Ingersoll , Natalie Namrow , Sarah Huber-Krum

{"title":"Implementation of family centered substance use treatment for pregnant and postpartum people to prevent the intergenerational transmission of adverse childhood experiences","authors":"Mary Harbert Morgan , Jesse L. Coe , Elissa C. Kranzler , Kathryn Rehberg , Rachel Ingersoll , Natalie Namrow , Sarah Huber-Krum","doi":"10.1016/j.chiabu.2024.107066","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Family-centered substance use treatment (FCSUT) may have benefits for parents, children, and their families, and have the potential to decrease adverse childhood experiences (ACEs). Few treatment programs use FCSUT, even those that aim to serve pregnant and postpartum people.</div></div><div><h3>Objectives</h3><div>To understand how families are integrated into FCSUT services for pregnant and postpartum people, explore the perceived benefits of FCSUT for families and parents, and identify challenges to implementing FCSUT.</div></div><div><h3>Participants and settings</h3><div>Interviews with 26 administrators and providers working at FCSUT facilities and 27 pregnant and postpartum people who were currently receiving or had previously received services in the last two years from FCSUT facilities.</div></div><div><h3>Methods</h3><div>A qualitative thematic analysis was conducted using data from semi-structured in-depth interviews.</div></div><div><h3>Results</h3><div>The analysis revealed four themes: (1) the importance of families in treatment and recovery; (2) benefits of FCSUT for parents; (3) benefits of FCSUT for families; and (4) additional areas for FCSUT program growth. Despite reported benefits (e.g., improving parenting and communication skills; promoting healthy relationships with children, partners, and other family members; and facilitating a support system for long-term recovery), facilities and families face challenges integrating whole family units into treatment.</div></div><div><h3>Conclusions</h3><div>FCSUT may offer a range of benefits to pregnant and postpartum people and their families. Addressing challenges, such as fully integrating all family members into treatment, may improve FCSUT programs. Meeting the needs of all family members during treatment supports safe, stable, and nurturing relationships and environments for children that may decrease ACEs.</div></div>","PeriodicalId":51343,"journal":{"name":"Child Abuse & Neglect","volume":"157 ","pages":"Article 107066"},"PeriodicalIF":3.4000,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Abuse & Neglect","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0145213424004563","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"FAMILY STUDIES","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Family-centered substance use treatment (FCSUT) may have benefits for parents, children, and their families, and have the potential to decrease adverse childhood experiences (ACEs). Few treatment programs use FCSUT, even those that aim to serve pregnant and postpartum people.

Objectives

To understand how families are integrated into FCSUT services for pregnant and postpartum people, explore the perceived benefits of FCSUT for families and parents, and identify challenges to implementing FCSUT.

Participants and settings

Interviews with 26 administrators and providers working at FCSUT facilities and 27 pregnant and postpartum people who were currently receiving or had previously received services in the last two years from FCSUT facilities.

Methods

A qualitative thematic analysis was conducted using data from semi-structured in-depth interviews.

Results

The analysis revealed four themes: (1) the importance of families in treatment and recovery; (2) benefits of FCSUT for parents; (3) benefits of FCSUT for families; and (4) additional areas for FCSUT program growth. Despite reported benefits (e.g., improving parenting and communication skills; promoting healthy relationships with children, partners, and other family members; and facilitating a support system for long-term recovery), facilities and families face challenges integrating whole family units into treatment.

Conclusions

FCSUT may offer a range of benefits to pregnant and postpartum people and their families. Addressing challenges, such as fully integrating all family members into treatment, may improve FCSUT programs. Meeting the needs of all family members during treatment supports safe, stable, and nurturing relationships and environments for children that may decrease ACEs.

查看原文本刊更多论文

对孕妇和产后妇女实施以家庭为中心的药物使用治疗，防止不良童年经历代代相传

背景以家庭为中心的药物使用治疗（FCSUT）可能会给父母、儿童及其家庭带来好处，并有可能减少不良童年经历（ACEs）。目标了解如何将家庭融入为孕妇和产后妇女提供的以家庭为中心的药物使用治疗服务中，探讨以家庭为中心的药物使用治疗对家庭和父母的益处，并确定实施以家庭为中心的药物使用治疗所面临的挑战。参与者和环境对 26 名在以家庭为中心的药物使用治疗机构工作的管理者和提供者，以及 27 名目前正在或过去两年曾经在以家庭为中心的药物使用治疗机构接受过服务的孕妇和产后妇女进行了访谈。结果分析揭示了四个主题：（1）家庭在治疗和康复中的重要性；（2）FCSUT 对父母的益处；（3）FCSUT 对家庭的益处；以及（4）FCSUT 项目发展的其他领域。尽管报告了其益处（例如，提高养育子女和沟通技巧；促进与子女、伴侣和其他家庭成员的健康关系；以及促进长期康复的支持系统），但机构和家庭在将整个家庭单位纳入治疗中仍面临挑战。应对挑战，如将所有家庭成员完全融入治疗，可以改善 FCSUT 项目。在治疗过程中满足所有家庭成员的需求有助于为儿童提供安全、稳定和有教养的关系和环境，从而减少 ACE。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.