1. Implementation of family centered substance use treatment for pregnant and postpartum people to prevent the intergenerational transmission of adverse childhood experiences.
- Author
-
Morgan MH, Coe JL, Kranzler EC, Rehberg K, Ingersoll R, Namrow N, and Huber-Krum S
- Subjects
- Humans, Female, Pregnancy, Adult, Family Therapy methods, Child, Male, Substance-Related Disorders therapy, Substance-Related Disorders prevention & control, Substance-Related Disorders psychology, Qualitative Research, Adverse Childhood Experiences, Postpartum Period psychology
- 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., Competing Interests: Declaration of competing interest Funding support for this project was provided by the National Center for Injury Prevention and Control, U.S. Centers for Disease Control and Prevention (CDC) through a contract to Fors Marsh Group, LLC, Contract Number 47QRAD21DU200, OMB Control Numbers 0920-1154 and 0990-0421., (Published by Elsevier Ltd.)
- Published
- 2024
- Full Text
- View/download PDF