‘Breaking the Cycle’ of maternal substance use through relationships: a comparison of integrated approaches

Espinet, Stacey D.; Motz, Mary; Jeong, Jessica Jeihyun; Jenkins, Jennifer M.; Pepler, Debra

doi:10.3109/16066359.2016.1140148

Cited by 30 publications

(28 citation statements)

References 63 publications

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“…With research as an integral component of BTC, we have confirmed the efficacy of gender-specific interventions based on a developmental-relational approach for women with a history of IPV and substance use. We have demonstrated successful engagement of, and enduring service relationships with, this marginalized population of women [11,12] to achieve outcomes related to substance use recovery, mental health functioning, and relationship capacity [13]. The following section describes some key intervention strategies used at BTC to (1) promote self-regulation and executive functions and (2) promote safety and capacity in relationships.…”

Section: Introductionmentioning

confidence: 99%

Addressing the Impact of Interpersonal Violence in Women Who Struggle with Substance Use Through Developmental-Relational Strategies in a Community Program

Motz¹,

Andrews

Bondi

et al. 2019

IJERPH

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From a developmental–relational framework, substance use in women can be understood as relating to early experiences of violence in relationships and across development. This article uses a developmental-relational approach to outline specific strategies that can be used by service providers and to guide interventions for women with substance use issues. By reviewing research and clinical work with women attending a community-based prevention and early intervention program, we describe how specific components of programming can target the developmental and intergenerational pathway between experiences of violence in relationships and substance use. We include the voices of women who attended the program to support the strategies discussed. Specifically, these strategies address the impact of interpersonal violence on substance use by promoting the process of repair and reintegration for women whose neurological development, sense of self, and capacity to form relationships have been significantly impacted by experiences of violence in relationships.

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Section: Introductionmentioning

confidence: 99%

Addressing the Impact of Interpersonal Violence in Women Who Struggle with Substance Use Through Developmental-Relational Strategies in a Community Program

Motz¹,

Andrews

Bondi

et al. 2019

IJERPH

Self Cite

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show abstract

“…With this foundation, we slowly built toward high scientific standards with a research program that was rigorous enough to receive federal research funding for a longitudinal study. We were able to compare outcomes for BTC and another treatment program for mothers with addictions (Espinet et al, 2016). Over the past two decades, the research has continually informed programming: for example, an interpersonal violence prevention program was initiated after we found that almost all women had experienced violence in relationships (Pepler et al, 2014).…”

Section: Breaking the Cyclementioning

confidence: 99%

Knowledge mobilization: Stepping into interdependent and relational space using co-creation

Skipper

Pepler

2020

Action Research

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In recent years, there has been a growing interest in using co-creation approaches, with academics and partners working together to create research and interventions to achieve impact. Action research typically starts with the question ‘how can we improve this situation?’ and then co-creates knowledge with and not on or for people. This approach contrasts with conventional approaches in which academics create knowledge and then disseminate it to users via conferences, reports etc. The co-creative approach involves a shift in academics’ thinking and approaches. The success of co-creation depends on the academic shifting from being self-focussed and independent to being other-focussed and interdependent. In this paper, we outline the theoretical background that has informed our thinking and practices related to knowledge mobilization, and our novel relational approach. We illustrate our approach using two co-created projects, focused on enhancing early literacy and supporting mothers with substance use problems. We hope that this will help others consider when it may be appropriate to use a co-creative approach and how to engage in this co-creation process, including awareness of common barriers and benefits.

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“…One possible explanation for these persistently high rates of suicidality may be that treatment for substance addiction that is focused on cessation and relapse prevention may not give adequate attention to the psychosocial risk factors underlying addictive behaviors (cf. [14]).…”

Section: Introductionmentioning

confidence: 99%

Predisposing and protective factors influencing suicide ideation, attempt, and death in patients accessing substance use treatment: a systematic review and meta-analysis protocol

et al. 2019

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Background The lifetime risk of suicide in patients with substance use disorder is five to ten times the risk in the general population. Critically, up to 19% of patients continue to think about and attempt suicide even after accessing treatment. Therefore, suicidality represents a significant clinical concern in patients struggling with substance use that warrants careful investigation of the factors involved. While most previous research has relied on limited cross-sectional designs, a growing number of prospective studies are improving our understanding of the factors involved. However, a systematic study of these factors has not yet been conducted. Methods The primary objective of this review and possible meta-analysis will be to identify key risk and protective factors for suicide ideation, attempt, and death in patients accessing substance use treatment, guided by current models of suicide. Secondary and tertiary objectives will be to obtain pooled effect sizes for the factors identified and to disaggregate factors for suicidality before and after treatment, and for suicidal thought versus action. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we will conduct an electronic search of the literature using the databases Embase, Medline, PsycINFO, and Web of Science. Two authors will independently screen studies based on pre-specified inclusion and exclusion criteria, extract relevant data, and assess study quality. Observational and randomized-controlled studies will be included, whereas case-studies and reviews will be excluded. We will extract data on risk and protective factors associated with suicide ideation, attempt (odds or risk ratios), and death (hazard ratio). Given sufficient data (> 5 studies), we will calculate pooled effects using comprehensive meta-analysis. Discussion This systematic review will contribute to our knowledge of risk and protective factors for suicidality in patients before and after treatment. Understanding these factors will help define areas of research for further investigation to ultimately inform risk assessment and prevention strategies. Systematic review registration PROSPERO (reference number: CRD42018076260). Electronic supplementary material The online version of this article (10.1186/s13643-019-1028-2) contains supplementary material, which is available to authorized users.

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‘Breaking the Cycle’ of maternal substance use through relationships: a comparison of integrated approaches

Cited by 30 publications

References 63 publications

Addressing the Impact of Interpersonal Violence in Women Who Struggle with Substance Use Through Developmental-Relational Strategies in a Community Program

Addressing the Impact of Interpersonal Violence in Women Who Struggle with Substance Use Through Developmental-Relational Strategies in a Community Program

Knowledge mobilization: Stepping into interdependent and relational space using co-creation

Predisposing and protective factors influencing suicide ideation, attempt, and death in patients accessing substance use treatment: a systematic review and meta-analysis protocol

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