Abstract
In the context of increasing rates of opioid misuse, particularly by women of childbearing age with histories of trauma, this chapter describes the background, evidence base, conceptual framework, and practice parameters for an attachment-based evidence-informed dyadic intervention utilizing the principles of child-parent psychotherapy with mothers and infants impacted by substance use disorders (SUDs). A strong focus of this chapter is to elaborate on the emotional needs of mothers in early recovery as they enter into the parenting role and on the needs of substance-exposed newborns and their role in fragile infant-parent dyads. A case is presented at the end of the chapter so that readers are better able to conceptualize this novel application of dyadic psychotherapy.
The preparation of this manuscript was supported in part by grants from the Substance Abuse and Mental Health Services Administration, National Child Traumatic Stress Initiative to Norma Finkelstein, PI, #2U79SM059460-04 and #5U79SM059460-07. We would like to thank Project BRIGHT participants and clinicians for generously sharing their time and ideas.
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References
Behnke M, Smith VC, Committee on Substance Abuse, & Committee on Fetus and Newborn (2013) Prenatal substance abuse: short-and long-term effects on the exposed fetus. Pediatrics 131(3):e1009–e1024
Bromberg SR, Backman TL, Krow J, Frankel KA (2010) The Haven Mother’s House modified therapeutic community: meeting the gap in infant mental health services for pregnant and parenting mothers with drug addiction. Infant Ment Health J 31(3):255–276
Fonagy P, Gergely G, Jurist EL, Target M (2002) Affect regulation, mentalization, and the development of the self. Other Press, New York
Grienenberger J, Kelly K, Slade A (2005) Maternal reflective functioning, mother- infant affective communication and infant attachment: exploring the link between mental states and observed caregiving. Attach Hum Dev 7:299–311
Hans SL, Bernstein VJ, Henson LG (1999) The role of psychopathology in the parenting of drug-dependent women. Dev Psychopathol 11(4):957–977
Jones CM, Logan J, Gladden M, Bohm MK (2015) Vital signs: demographic and substance use trends among heroin users – United States 2002–2013. Morb Mortal Wkly Rep 64(26):719–725. Retrieved from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm64e0707a1.htm?s_cid=mm64e0707a1_w
Kaltenbach K (2013) Bio-psychosocial characteristics of parenting women with substance use disorders. In: Suchman NE, Pajulo M, Mayes LM (eds) Parenting and substance abuse. Oxford University Press, New York, pp 185–194
Lieberman AF, Van Horn P (2005) Don’t hit my mommy: a manual for child-parent psychotherapy with young witnesses of family violence. ZERO TO THREE Press, Washington
Logan BA, Brown MS, Hayes MJ (2013) Neonatal abstinence syndrome: treatment and pediatric outcomes. Clin Obstet Gynecol 56(1):186–192
Nair P, Schuler ME, Black MM, Kettinger L, Harrington D (2003) Cumulative environmental risk in substance abusing women: early intervention, parenting stress, child abuse potential and child development. Child Abuse Neglect 27(9):997–1017
Neger EN, Prinz RJ (2015) Interventions to address parenting and parental substance abuse: conceptual and methodological considerations. Clin Psychol Rev 39:71–82
Pajulo M, Pyykkönen N, Kalland M, Sinkkonen J, Helenius H, Punamäki RL, Suchman N (2012) Substance-abusing mothers in residential treatment with their babies: importance of pre-and postnatal maternal reflective functioning. Infant Ment Health J 33(1):70–81
Pajulo M, Suchman N, Kalland M, Mayes L (2006) Enhancing the effectiveness of residential treatment for substance abusing pregnant and parenting women: focus on maternal reflective functioning and mother-child relationship. Infant Ment Health J 27(5):448–465
Paris R, Herriott A, Holt M, Gould K (2015) Differential responsiveness to a parenting intervention for mothers in substance abuse treatment. Child Abuse Negl 50:206–217
Reid C, Greaves L, Poole N (2008) Good, bad, thwarted or addicted? Discourses of substance-using mothers. Crit Soc Policy 28(2):211–234
Rutherford H, Potenza M, Mayes L (2013) The neurobiology of addiction and attachment. In: Suchman NE, Pajulo M, Mayes LM (eds) Parenting and substance abuse. Oxford University Press, New York, pp 3–23
Sanders MR, Turner KMT, Markie-Dadds C (2002) The development and dissemination of the triple P—positive parenting program: a multilevel, evidence-based system of parenting and family support. Prev Sci 3(3):173–189
Salo S, Flykt M (2013) The impact of parental addiction on child development. In: Suchman NE, Pajulo M, Mayes LM (eds) Parenting and substance abuse. Oxford University Press, New York, pp 195–210
Slade A (2005) Parental reflective functioning: an introduction. Attach Hum Dev 7(3):269–281
Slade LS, de Dios-Kenn L, Webb C, Currier-Ezepchick D, Mayes JL (2005) Minding the baby: a reflective parenting program. Psychoanal Study Child 60:74–100
Spielman E, Herriott A, Paris R, Sommer A (2015) Building a model program for substance-exposed newborns and their families: from needs assessment to intervention, evaluation and consultation. Zero to Three 36(1):47–56
Substance Abuse and Mental Health Services Administration (2014) Results from the 2013 National Survey on Drug Use and Health: summary of national findings. NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Substance Abuse and Mental Health Services Administration, Rockville. Retrieved from: http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.htm#2.6
Suchman N, DeCoste C, Castiglioni N, Legow N, Mayes L (2008) The mothers and toddlers program: preliminary findings from an attachment-based parenting intervention for substance-abusing mothers. Psychoanal Psychol 25(3):499–517
Suchman NE, DeCoste C, Castiglioni N, McMahon TJ, Rounsaville B, Mayes L (2010) The mothers and toddlers program, an attachment-based parenting intervention for substance using women: post-treatment results from a randomized clinical pilot. Attach Hum Dev 12(5):483–504
Suchman N, Mayes L, Conti J, Slade A, Rounsaville B (2004) Rethinking parenting interventions for drug-dependent mothers: from behavior management to fostering emotional bonds. J Subst Abus Treat 27(3):179–185
Toth SL, Rogosch FA, Manly JT, Cicchetti D (2006) The efficacy of toddler-parent psychotherapy to reorganize attachment in the young offspring of mothers with major depressive disorder: a randomized preventive trial. J Consult Clin Psychol 74(6):1006–1016
van Ee E, Kleber RJ, Jongmans MJ (2015) Relational patterns between caregivers with PTSD and their nonexposed children: a review. Trauma Violence Abuse 17(2):186–203. doi:10.1177/1524838015584355
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Paris, R., Sommer, A., Marron, B. (2018). Project BRIGHT: An Attachment-Based Intervention for Mothers with Substance Use Disorders and Their Young Children. In: Muzik, M., Rosenblum, K. (eds) Motherhood in the Face of Trauma. Integrating Psychiatry and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-65724-0_12
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