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05-04-2024 | Original Paper

The Impact of COVID on Early Intervention Parenting Support for Mothers in Recovery from Substance Use Disorder

Auteurs: Elizabeth Peacock-Chambers, Rajapillai L. I. Pillai, Briana L. Jurkowski, Savannah Kangas, Jessica L. Borelli, Emily Feinberg, Amanda Zayde, Amanda F. Lowell, Peter D. Friedmann, Nancy Byatt

Gepubliceerd in: Journal of Child and Family Studies

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Abstract

COVID-19 adversely impacted parents with substance use disorders (SUDs) as evidenced by increased overdoses. This study used a qualitative approach to examine COVID’s impact on experiences and perceptions of a parenting program designed for mothers in recovery from SUDs, “Mothering from the Inside Out” (MIO), implemented through Early Intervention (EI) home-visiting services. Four EI programs participated in training and implementation of MIO. Subjects included 10 eligible EI providers trained in August 2019 or August 2021 and 11 mothers in recovery from SUDs. More mothers completed MIO during the pandemic compared to before. We conducted inductive thematic analysis of exit interviews and field notes, along with interpretation of process measures of intervention implementation. Initially, the switch to telehealth negatively impacted the provider-parent relationship but made engagement logistically easier for some mothers. Parent and provider participants reported the need for additional psychosocial support due to increased stressors, as well as ways that MIO helped them cope during the pandemic. COVID made EI enrollment of families more difficult in general; however once enrolled, telehealth improved retention in MIO, meeting a critical need during the pandemic.
Literatuur
go back to reference Dozier, M. (2022). Introduction of Special Section of Infant Mental Health Journal: Meeting the needs of vulnerable infants and families during COVID-19: Moving to a telehealth approach for home visiting implementation and research. Infant Ment Health Journal, 43(1), 140–142. https://doi.org/10.1002/imhj.21966.CrossRef Dozier, M. (2022). Introduction of Special Section of Infant Mental Health Journal: Meeting the needs of vulnerable infants and families during COVID-19: Moving to a telehealth approach for home visiting implementation and research. Infant Ment Health Journal, 43(1), 140–142. https://​doi.​org/​10.​1002/​imhj.​21966.CrossRef
go back to reference Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2006). Affect Regulation, Mentalization, and the Development of Self. H. Karnac Ltd. Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2006). Affect Regulation, Mentalization, and the Development of Self. H. Karnac Ltd.
go back to reference Fonagy, P., Steele, M., Moran, G., Steele, H., & Higgitt, A. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 13, 200–216. Fonagy, P., Steele, M., Moran, G., Steele, H., & Higgitt, A. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 13, 200–216.
go back to reference Harris, P., Taylor, R., Minor, B., Elliott, V., Fernandez, M., O’Neal, L., McLeod, L., Delacqua, G., Delacqua, F., Kirby, J., Duda, S., & Consortium, R. (2019). The REDCap consortium: Building an international community of software partners. Journal of Biomedical Informatics, 95, 103208.CrossRefPubMedPubMedCentral Harris, P., Taylor, R., Minor, B., Elliott, V., Fernandez, M., O’Neal, L., McLeod, L., Delacqua, G., Delacqua, F., Kirby, J., Duda, S., & Consortium, R. (2019). The REDCap consortium: Building an international community of software partners. Journal of Biomedical Informatics, 95, 103208.CrossRefPubMedPubMedCentral
go back to reference Lowell, A. F., Peacock-Chambers, E., Zayde, A., DeCoste, C. L., McMahon, T. J., & Suchman, N. E. (2021). Mothering from the Inside Out: Addressing the Intersection of Addiction, Adversity, and Attachment with Evidence-Based Parenting Intervention. Current Addict Reports, 1–11. https://doi.org/10.1007/s40429-021-00389-1. Lowell, A. F., Peacock-Chambers, E., Zayde, A., DeCoste, C. L., McMahon, T. J., & Suchman, N. E. (2021). Mothering from the Inside Out: Addressing the Intersection of Addiction, Adversity, and Attachment with Evidence-Based Parenting Intervention. Current Addict Reports, 1–11. https://​doi.​org/​10.​1007/​s40429-021-00389-1.
go back to reference Molfenter, T., Heitkamp, T., Murphy, A. A., Tapscott, S., Behlman, S., & Cody, O. J. (2021). Use of telehealth in mental health (MH) services during and after COVID-19. Community Mental Health Journal, 57(7), 1244–1251.CrossRefPubMedPubMedCentral Molfenter, T., Heitkamp, T., Murphy, A. A., Tapscott, S., Behlman, S., & Cody, O. J. (2021). Use of telehealth in mental health (MH) services during and after COVID-19. Community Mental Health Journal, 57(7), 1244–1251.CrossRefPubMedPubMedCentral
go back to reference O’Donnell, J., Tanz, L. J., Gladden, R. M., Davis, N. L., & Bitting, J. (2021). Trends in and Characteristics of Drug Overdose Deaths Involving Illicitly Manufactured Fentanyls - United States, 2019-2020. MMWR Morbidity and Mortality Weekly Reports, 70(50), 1740–1746. https://doi.org/10.15585/mmwr.mm7050e3.CrossRef O’Donnell, J., Tanz, L. J., Gladden, R. M., Davis, N. L., & Bitting, J. (2021). Trends in and Characteristics of Drug Overdose Deaths Involving Illicitly Manufactured Fentanyls - United States, 2019-2020. MMWR Morbidity and Mortality Weekly Reports, 70(50), 1740–1746. https://​doi.​org/​10.​15585/​mmwr.​mm7050e3.CrossRef
go back to reference Peacock-Chambers, E., Clark, M. C., Moran, M., Lowell, A., & Zayde, A. (2023). A Case Study of Clinical Training: ‘Mothering from the Inside Out’ in a Community Home Visiting Program. Infant Mental Health Journal, 44(2), 184–199.CrossRefPubMedPubMedCentral Peacock-Chambers, E., Clark, M. C., Moran, M., Lowell, A., & Zayde, A. (2023). A Case Study of Clinical Training: ‘Mothering from the Inside Out’ in a Community Home Visiting Program. Infant Mental Health Journal, 44(2), 184–199.CrossRefPubMedPubMedCentral
go back to reference Peacock-Chambers, E., Feinberg, E., Senn-McNally, M., Clark, M. C., Jurkowski, B., Suchman, N. E., Byatt, N., & Friedmann, P. D. (2020). Engagement in Early Intervention Services Among Mothers in Recovery From Opioid Use Disorders. Pediatrics, 145(2). https://doi.org/10.1542/peds.2019-1957. Peacock-Chambers, E., Feinberg, E., Senn-McNally, M., Clark, M. C., Jurkowski, B., Suchman, N. E., Byatt, N., & Friedmann, P. D. (2020). Engagement in Early Intervention Services Among Mothers in Recovery From Opioid Use Disorders. Pediatrics, 145(2). https://​doi.​org/​10.​1542/​peds.​2019-1957.
go back to reference Peacock-Chambers, E., Leyenaar, J. K., Foss, S., Feinberg, E., Wilson, D., Friedmann, P. D., Visintainer, P., & Singh, R. (2019). Early Intervention Referral and Enrollment Among Infants with Neonatal Abstinence Syndrome. Journal of Developmental Behavioral Pediatrician. https://doi.org/10.1097/DBP.0000000000000679. Peacock-Chambers, E., Leyenaar, J. K., Foss, S., Feinberg, E., Wilson, D., Friedmann, P. D., Visintainer, P., & Singh, R. (2019). Early Intervention Referral and Enrollment Among Infants with Neonatal Abstinence Syndrome. Journal of Developmental Behavioral Pediatrician. https://​doi.​org/​10.​1097/​DBP.​0000000000000679​.
go back to reference Peacock-Chambers, E., Moran, M., Clark, M. C., Borelli, J. L., Byatt, N., Friedmann, P. D., Suchman, N. E., & Feinberg, E. (2023). Adaptation of an evidence-based parenting intervention for integration into maternal-child home-visiting programs: Challenges and solutions. Implement Research Practice, 4. https://doi.org/10.1177/26334895221151029. Peacock-Chambers, E., Moran, M., Clark, M. C., Borelli, J. L., Byatt, N., Friedmann, P. D., Suchman, N. E., & Feinberg, E. (2023). Adaptation of an evidence-based parenting intervention for integration into maternal-child home-visiting programs: Challenges and solutions. Implement Research Practice, 4. https://​doi.​org/​10.​1177/​2633489522115102​9.
go back to reference Rhodes, H., & Beers, N. (2022). How are our children doing right now? Contemporary Pediatrics, 39(2), 40–43. Rhodes, H., & Beers, N. (2022). How are our children doing right now? Contemporary Pediatrics, 39(2), 40–43.
go back to reference Sanders, J. S., Pillai, R. L., Sturley, R., Sillau, S., Asato, M. R., Aravamuthan, B. R., Bonuck, K., Cervenka, M. C., Hammond, N., & Siegel, J. F. (2022). Impact of the COVID-19 Pandemic on the Behavioral Health of People With Intellectual and Developmental Disabilities. Psychiatric Services, appi. ps. 202100524. Sanders, J. S., Pillai, R. L., Sturley, R., Sillau, S., Asato, M. R., Aravamuthan, B. R., Bonuck, K., Cervenka, M. C., Hammond, N., & Siegel, J. F. (2022). Impact of the COVID-19 Pandemic on the Behavioral Health of People With Intellectual and Developmental Disabilities. Psychiatric Services, appi. ps. 202100524.
go back to reference Seo, J. H., & Kim, H. K. (2022). What Is the Burnout of Mothers with Infants and Toddlers during the COVID-19 Pandemic? In Relation to Parenting Stress, Depression, and Parenting Efficacy. International Journal of Environment Research Public Health, 19(7). https://doi.org/10.3390/ijerph19074291. Seo, J. H., & Kim, H. K. (2022). What Is the Burnout of Mothers with Infants and Toddlers during the COVID-19 Pandemic? In Relation to Parenting Stress, Depression, and Parenting Efficacy. International Journal of Environment Research Public Health, 19(7). https://​doi.​org/​10.​3390/​ijerph19074291.
go back to reference Suchman, N. E., Berg, A., Abrahams, L., Abrahams, T., Adams, A., Cowley, B., DeCoste, C., Hawa, W., Lachman, A., Mpinda, B., Cader-Mokoa, N., Nama, N., & Voges, J. (2020). Mothering from the Inside Out: Adapting an evidence-based intervention for high-risk mothers in the Western Cape of South Africa. Development Psychopathology, 32(1), 105–122. https://doi.org/10.1017/S0954579418001451.CrossRefPubMed Suchman, N. E., Berg, A., Abrahams, L., Abrahams, T., Adams, A., Cowley, B., DeCoste, C., Hawa, W., Lachman, A., Mpinda, B., Cader-Mokoa, N., Nama, N., & Voges, J. (2020). Mothering from the Inside Out: Adapting an evidence-based intervention for high-risk mothers in the Western Cape of South Africa. Development Psychopathology, 32(1), 105–122. https://​doi.​org/​10.​1017/​S095457941800145​1.CrossRefPubMed
go back to reference Suchman, N. E., Borelli, J. L., & DeCoste, C. L. (2018). Can addiction counselors be trained to deliver Mothering from the Inside Out, a mentalization-based parenting therapy, with fidelity? Results from a community-based randomized efficacy trial. Attachment & Human Development, 1–20. https://doi.org/10.1080/14616734.2018.1559210 Suchman, N. E., Borelli, J. L., & DeCoste, C. L. (2018). Can addiction counselors be trained to deliver Mothering from the Inside Out, a mentalization-based parenting therapy, with fidelity? Results from a community-based randomized efficacy trial. Attachment & Human Development, 1–20. https://​doi.​org/​10.​1080/​14616734.​2018.​1559210
go back to reference Suchman, N. E., Borelli, J. L., & DeCoste, C. L. (2020). Can addiction counselors be trained to deliver Mothering from the Inside Out, a mentalization-based parenting therapy, with fidelity? Results from a community-based randomized efficacy trial. Attachment & Human Development, 22(3), 332–351. https://doi.org/10.1080/14616734.2018.1559210.CrossRef Suchman, N. E., Borelli, J. L., & DeCoste, C. L. (2020). Can addiction counselors be trained to deliver Mothering from the Inside Out, a mentalization-based parenting therapy, with fidelity? Results from a community-based randomized efficacy trial. Attachment & Human Development, 22(3), 332–351. https://​doi.​org/​10.​1080/​14616734.​2018.​1559210.CrossRef
go back to reference Suchman, N. E., DeCoste, C., Borelli, J. L., & McMahon, T. J. (2018). Does improvement in maternal attachment representations predict greater maternal sensitivity, child attachment security and lower rates of relapse to substance use? A second test of Mothering from the Inside Out treatment mechanisms. Journal of Substance Abuse Treatment, 85, 21–30. https://doi.org/10.1016/j.jsat.2017.11.006.CrossRefPubMed Suchman, N. E., DeCoste, C., Borelli, J. L., & McMahon, T. J. (2018). Does improvement in maternal attachment representations predict greater maternal sensitivity, child attachment security and lower rates of relapse to substance use? A second test of Mothering from the Inside Out treatment mechanisms. Journal of Substance Abuse Treatment, 85, 21–30. https://​doi.​org/​10.​1016/​j.​jsat.​2017.​11.​006.CrossRefPubMed
go back to reference Westrupp, E. M., Bennett, C., Berkowitz, T., Youssef, G. J., Toumbourou, J. W., Tucker, R., Andrews, F. J., Evans, S., Teague, S. J., Karantzas, G. C., Melvin, G. M., Olsson, C., Macdonald, J. A., Greenwood, C. J., Mikocka-Walus, A., Hutchinson, D., Fuller-Tyszkiewicz, M., Stokes, M. A., Olive, L., & Sciberras, E. (2021). Child, parent, and family mental health and functioning in Australia during COVID-19: comparison to pre-pandemic data. European Child Adolescence Psychiatry. https://doi.org/10.1007/s00787-021-01861-z.CrossRef Westrupp, E. M., Bennett, C., Berkowitz, T., Youssef, G. J., Toumbourou, J. W., Tucker, R., Andrews, F. J., Evans, S., Teague, S. J., Karantzas, G. C., Melvin, G. M., Olsson, C., Macdonald, J. A., Greenwood, C. J., Mikocka-Walus, A., Hutchinson, D., Fuller-Tyszkiewicz, M., Stokes, M. A., Olive, L., & Sciberras, E. (2021). Child, parent, and family mental health and functioning in Australia during COVID-19: comparison to pre-pandemic data. European Child Adolescence Psychiatry. https://​doi.​org/​10.​1007/​s00787-021-01861-z.CrossRef
Metagegevens
Titel
The Impact of COVID on Early Intervention Parenting Support for Mothers in Recovery from Substance Use Disorder
Auteurs
Elizabeth Peacock-Chambers
Rajapillai L. I. Pillai
Briana L. Jurkowski
Savannah Kangas
Jessica L. Borelli
Emily Feinberg
Amanda Zayde
Amanda F. Lowell
Peter D. Friedmann
Nancy Byatt
Publicatiedatum
05-04-2024
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-024-02833-y