title: "I thought there was no hope for me": a behavioral intervention for urban mothers with problem drinking.
abstract: In this article, the authors evaluate the effects of a behavioral intervention for mothers with problem drinking who were infected with, or at risk for, HIV. They randomly selected 25 mothers from a larger longitudinal randomized controlled intervention trial for a qualitative interview. The authors found that mothers' participation in the program was facilitated by the development of a strong therapeutic alliance with the intervention facilitator and the use of a harm reduction approach toward alcohol and/or drug abuse. Mothers also reported that training in coping skills and the emphasis on parent-adolescent relationships were beneficial for program engagement and behavior change. The authors conclude from these results that treatment approaches that take into account the complexity of urban mothers' lives and substance use patterns can successfully engage and treat these women at high risk for adverse outcomes.
authors.affiliation: Center for Drug Use and HIV Research, Institute for AIDS Research, National Development and Research Institutes, Inc., New York, USA.
authors.forename: Rebecca
authors.initials: R
authors.lastname: de Guzman
authors.forename: Noelle R
authors.initials: NR
authors.lastname: Leonard
authors.forename: Marya Viorst
authors.initials: MV
authors.lastname: Gwadz
authors.forename: Rebecca
authors.initials: R
authors.lastname: Young
authors.forename: Amanda S
authors.initials: AS
authors.lastname: Ritchie
authors.forename: Gricel
authors.initials: G
authors.lastname: Arredondo
authors.forename: Marion
authors.initials: M
authors.lastname: Riedel
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000437:Alcoholism / Q000150:complications / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D015658:HIV Infections / Q000150:complications; D006801:Humans; D009035:Mothers; D016487:Parenting; D036301:Qualitative Research; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000628:therapy; D014505:Urban Population