title: SUBSTANCE-ABUSING PREGNANT WOMEN: PRENATAL INTERVENTION USING ULTRASOUND CONSULTATION AND MENTALIZATION TO ENHANCE THE MOTHER-CHILD RELATIONSHIP AND REDUCE SUBSTANCE USE.
abstract: Substance-abusing pregnant and parenting women are considered one of the most challenging, but important, target groups for developing early parenting interventions. Some valuable efforts to develop such interventions have been made in the organizational sector in Finland. However, there is a great need for new ways of work that would simultaneously concentrate in substance-abuse treatment and enhance parenting in public healthcare settings. The present article describes the background, content, and protocol of a new prenatal intervention developed for substance-abusing pregnant women in a hospital setting in public healthcare. The intervention includes two new elements and pathways aimed to enhance the mothers' curiosity toward her developing child and provide motivation to stay abstinent from substance use. The pathways are interactive ultrasound consultation and a new pregnancy diary, both using a parental mentalization focus. The intervention elements, experiences from running the intervention, evaluation protocol, and general characteristics of the study sample gained (n = 90) are described and discussed. Two case vignettes from the study sample are presented, and the applicability of this prenatal work with other groups and settings is considered.
authors.affiliation: University of Tampere.
authors.forename: Helena
authors.initials: H
authors.lastname: Pajulo
authors.affiliation: University of Turku and Academy of Finland.
authors.forename: Marjukka
authors.initials: M
authors.lastname: Pajulo
authors.affiliation: Turku University Hospital.
authors.forename: Heidi
authors.initials: H
authors.lastname: Jussila
authors.affiliation: Turku University Hospital and University of Turku.
authors.forename: Eeva
authors.initials: E
authors.lastname: Ekholm
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008499:Medical Records; D009034:Mother-Child Relations / Q000523:psychology; D009035:Mothers / Q000523:psychology*; D009769:Object Attachment; D016487:Parenting / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D011581:Psychological Tests; D019966:Substance-Related Disorders / Q000000981:diagnostic imaging* / Q000628:therapy*; D056345:Theory of Mind; D016216:Ultrasonography, Prenatal; D055815:Young Adult
keywords: Mentalisierung; Substanzmissbrauch; abuso de sustancia; early motherhood; fetal ultrasound; fetaler Ultraschal; frühe Mutterschaft; intervenciones prenatales; interventions prénatales; maternidad temprana; maternité précoce; mentalisation; mentalización; mentalization; prenatal interventions; pränatale Interventionen; substance abuse; toxicomanie; ultrason foetal; ultrasonido fetal; メンタライゼーション; 出産前介入; 初為人母; 心理化; 早期の母親性; 濫用藥物; 物質乱用; 產前干預; 胎児超音波; 胎兒超聲