Parenting Interventions for Drug-Dependent Mothers and Their Young Children: The Case for an Attachment-Based Approach.
Maternal substance abuse is the most common factor involved when children come to the attention of the child welfare system. Although there is a clear need for clinical trials to evaluate parenting interventions for drug-dependent women, few studies to date have systematically examined the efficacy of interventions for this population. We first review six published reports of outpatient interventions that aimed to enhance the caregiving skills of substance-abusing mothers caring for children between birth and 5 years of age. After discussing implications of these preliminary studies, we then describe an attachment-based intervention that addresses these implications and has demonstrated preliminary feasibility in a pilot trial.
Suchman
Nancy
N
Nancy Suchman, Department of Psychiatry, Yale University School of Medicine, VA-CT Healthcare Center (151D), 950 Campbell Avenue, West Haven, CT 06516 ( nancy.suchman@yale.edu ). Marjukka Pajulo, Department of Child Psychiatry, University of Tampere, Eetunkatu 5 D 14, 33560 Tampere, Finland (Marjukka. Pajulo@uta.fi ). Cindy DeCoste, Department of Psychiatry, Yale University School of Medicine, VA-CT Healthcare Center (151D), 950 Campbell Avenue, West Haven, CT 06516 ( cindy.decoste@yale.edu ). Linda Mayes, Yale Child Study Center, 230 South Frontage Road, New Haven, CT 06520 ( linda.mayes@yale.edu ).
Pajulo
Marjukka
M
Decoste
Cindy
C
Mayes
Linda
L