title: Polydrug-using adolescent mothers and their infants receiving early intervention.
abstract: This study investigated the effects of an intervention for polydrug-using adolescent mothers. The program included educational, vocational, and parenting classes; social and drug rehab; and day care for their infants while they attended school half-day. The drug-exposed infants were similar to the nonexposed infants on traditional birth measures, although they had inferior Brazelton Neonatal Behavioral Assessment Scale scores, including habituation, orientation, abnormal reflexes, general irritability, and regulatory capacity. The drug-exposed infants also spent less time in quiet sleep and more time crying and showing stress behaviors. Both the mothers and the infants in the drug groups demonstrated inferior interactions, and their dopamine and serotonin levels were significantly higher. As early as 3 months (following 3 months of intervention), the drug rehab mothers and their infants looked more like the nondrug group in their interactions; by 6 months, they looked similar on virtually every measure. At 12 months, the infants of drug rehab mothers (versus the drug control group) had superior Early Social Communication Scale scores and Bayley Mental scale scores, as well as significantly greater head circumference and fewer pediatric complications. The drug rehab mothers also improved on several lifestyle variables. They demonstrated a lower incidence of continued drug use and repeat pregnancy, and a greater number continued school, received a high school or general equivalency diploma, or were placed in a job. Thus, a relatively cost-effective high school based intervention had positive effects on both adolescent mothers who had used drugs and their infants.
authors.affiliation: Touch Research Institute, University of Miami School of Medicine, Florida 33101, USA.
authors.forename: T M
authors.initials: TM
authors.lastname: Field
authors.forename: F
authors.initials: F
authors.lastname: Scafidi
authors.forename: J
authors.initials: J
authors.lastname: Pickens
authors.forename: M
authors.initials: M
authors.lastname: Prodromidis
authors.forename: M
authors.initials: M
authors.lastname: Pelaez-Nogueras
authors.forename: J
authors.initials: J
authors.lastname: Torquati
authors.forename: H
authors.initials: H
authors.lastname: Wilcox
authors.forename: J
authors.initials: J
authors.lastname: Malphurs
authors.forename: S
authors.initials: S
authors.lastname: Schanberg
authors.forename: C
authors.initials: C
authors.lastname: Kuhn
mesh_terms: D000293:Adolescent; D002657:Child Development; D019970:Cocaine-Related Disorders / Q000534:rehabilitation; D003362:Cost-Benefit Analysis; D018479:Early Intervention, Educational; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008431:Maternal-Fetal Exchange; D009034:Mother-Child Relations; D011247:Pregnancy; D011248:Pregnancy Complications / Q000534:rehabilitation*; D011253:Pregnancy in Adolescence; D012572:School Health Services; D019966:Substance-Related Disorders / Q000534:rehabilitation*