title: Opiate-addicted parents in methadone treatment: long-term recovery, health, and family relationships.
abstract: Few studies follow the lives of opiate-addicted parents. The authors examined a 12-year follow-up of 144 parents in methadone treatment and their 3- to 14-year-old children. Parent mortality was high. Among survivors, drug use and treatment, incarceration, residential and family disruptions, and health problems were common. Moderate and long-term recovery were associated with consistent methadone treatment, further education, employment, and fewer relationship disruptions. Earlier depression, deviant friends, and poor coping skills predicted continued drug problems. Thus, interventions should include treatment for depression and build skills for avoiding and refusing drugs, coping with stress, and maintaining recovery-supportive friendships.
authors.affiliation: Social Development Research Group, 9725 3rd Ave. NE, Suite 401, Seattle, WA 98115, USA. skinnm@u.washington.edu
authors.forename: Martie L
authors.initials: ML
authors.lastname: Skinner
authors.forename: Kevin P
authors.initials: KP
authors.lastname: Haggerty
authors.forename: Charles B
authors.initials: CB
authors.lastname: Fleming
authors.forename: Richard F
authors.initials: RF
authors.lastname: Catalano
authors.forename: Randy R
authors.initials: RR
authors.lastname: Gainey
mesh_terms: D005195:Family Relations; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D058850:Opiate Substitution Treatment / Q000379:methods; D009293:Opioid-Related Disorders / Q000150:complications / Q000188:drug therapy* / Q000401:mortality; D016487:Parenting / Q000523:psychology*; D011615:Psychotherapy, Group / Q000379:methods; D012307:Risk Factors
chemical_list: D008691:Methadone