Contemporary Trauma Theory and Trauma-Informed Care in Substance Use Disorders: A Conceptual Model for Integrating Coping and Resilience

Goodman, Revital

doi:10.18060/21312

Cited by 35 publications

(40 citation statements)

References 70 publications

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“…Additionally, the moderation analysis suggested that stronger changes were observed among adolescent boys, compared to girls. The study revealed that girls may experience more complex pathways to risk exposure situations and drug use (Ismayilova & Terlikbayeva, 2018) and, therefore, the future tailoring of this intervention should incorporate trauma-informed and gender-responsive content addressing issues related to dating and interpersonal violence and childhood abuse (Covington, 2008; Goodman, 2017).…”

Section: Discussionmentioning

confidence: 99%

Computerized intervention to prevent drug use among at-risk adolescents in Central Asia: Preliminary family-level findings from a pilot mixed methods trial

Ismayilova

Terlikbayeva

Rozental

2019

International Journal of Drug Policy

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Background: The rapidly growing rates of HIV infection in Kazakhstan are largely driven by injection drug use. The study adapts a family-focused evidence-based HIV and substance use prevention intervention for at-risk adolescents from communities in Almaty that have been greatly affected by heroin trade and use. Methods: This NIDA-funded pilot feasibility trial included 181 at-risk adolescents (ages 14–17) recruited through local schools and 181 of their parents or other adult family members. To be eligible, youth had to reside in city areas with high drug exposure and have at least one personal or family risk factor (e.g., substance-using family members or friends, parental criminal history). In addition to the standard school-based health education program on drug use and HIV, intervention arm adolescent–caregiver dyads received three pilot computerized sessions focused on caregiver-adolescent communication, support and monitoring. Adolescents and caregivers completed ACASI surveys in Russian at baseline, 3- and 6-month follow-ups and a subsample from the treatment group (n = 24 dyads) also participated in post-intervention focus group interviews. Results: At 6-month follow-up, small effect sizes were detected for parenting practices as the key theoretical mediating variable. Intervention arm participants reported a reduction in harsh discipline practices (Cohen’s d = −.35, p = .026), an increase in positive and supportive parenting (d = 0.26, p = .042), and a decline in poor monitoring (according to caregivers d = −0.23, p = .137 and adolescents d = −0.25, p = .113). Post-intervention focus groups provided examples of how the intervention content allowed caregivers to reconnect with their children and get more involved in each other’s lives. Conclusion: In middle-income countries like Kazakhstan, interventions that integrate family involvement approaches and utilize interactive technologies may represent an engaging and potentially effective tool with high fidelity and easy scalability to reduce substance use and other risk-taking behaviors among at-risk youth.

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Section: Discussionmentioning

confidence: 99%

Computerized intervention to prevent drug use among at-risk adolescents in Central Asia: Preliminary family-level findings from a pilot mixed methods trial

Ismayilova

Terlikbayeva

Rozental

2019

International Journal of Drug Policy

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“…Until recently, substance use disorder interventions have rarely been trauma-informed or included concurrent treatment for mental health disorders [88,89], although both trauma activation and mental health issues may emerge when the mother abstains from substance use during pregnancy. Trauma-informed care emphasizes trustworthiness and openness throughout the entire treatment process, including elements of client safety, peer support, collaboration, cultural sensitivity, and empowerment of the client [90,91]. This approach also alleviates the stigmatization of substance-using individuals who, instead of being regarded as "deficient" or "unmotivated," are now considered from the perspective of having unresolved trauma.…”

Section: Review Of Prenatal Interventions For Substance-using Mothersmentioning

confidence: 99%

“A Window of Opportunity”: Parenting and Addiction in the Context of Pregnancy

2021

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Purpose of Review Maternal prenatal substance use presents a multilevel risk to child development and parenting. Although parenting interventions are increasingly integrated into substance use treatment, prenatal parenting processes have not received equal attention within these interventions. This article aims to synthesize the evidence on the specific prenatal risk factors affecting the development of early parenting of substance-using mothers, as well as interventions focusing on those factors. Recent Findings Both neurobiological and psychosocial risk factors affect the prenatal development of parenting in the context of maternal substance use. Maternal–fetal attachment, mentalization, self-regulation, and psychosocial risks are important in treatment and highly intertwined with abstinence. Although parenting interventions seem to be highly beneficial, most studies have not differentiated between pre- and postnatal interventions or described pregnancy-specific intervention elements. Summary Due to the salience of pregnancy in treating substance-using parents, interventions should begin prenatally and include pregnancy-specific parenting focus. Further research on prenatal interventions is warranted.

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“…Families with SENs have unique risk factors that may require specialized approaches to support parenting and reduce child maltreatment risk. Continued substance misuse and relapse have been associated with increased risk of child maltreatment, for example (Goodman, 2017; Heffner, Blom, & Anthenelli, 2011). Unfortunately, evidence suggests that most adults who need substance use treatment do not receive it and that over 95% of adults who need but do not obtain treatment do not perceive that they need it (Park-Lee, Lipari, Hedden, Kroutil, & Porter, 2017).…”

Section: Multiple Interacting Pathways To Child Maltreatment For Families With Sensmentioning

confidence: 99%

Systematic Review of Community- and Home-Based Interventions to Support Parenting and Reduce Risk of Child Maltreatment Among Families With Substance-Exposed Newborns

et al. 2019

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Substance-exposed newborns (SENs) are at increased risk of child maltreatment, out-of-home placement, and poor health and developmental outcomes. The purpose of this systematic review is to synthesize existing research on community- and home-based interventions designed to improve parenting and reduce risk of maltreatment for families with SENs, applying a program logic framework. The review includes studies that used preexperimental, quasi-experimental, and experimental designs. Twelve interventions were identified. Of the nine studies that used more rigorous experimental or quasi-experimental designs, five showed positive effects on at least one parenting or child maltreatment outcome, although some studies showed high risk of bias. Full coherence among the intended participants, theory of change, and program components was observed for only two interventions. The findings suggest a need for more rigorous research to develop and test interventions that are grounded in theory and prior research and that address the unique needs of families with SENs.

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Contemporary Trauma Theory and Trauma-Informed Care in Substance Use Disorders: A Conceptual Model for Integrating Coping and Resilience

Cited by 35 publications

References 70 publications

Computerized intervention to prevent drug use among at-risk adolescents in Central Asia: Preliminary family-level findings from a pilot mixed methods trial

Computerized intervention to prevent drug use among at-risk adolescents in Central Asia: Preliminary family-level findings from a pilot mixed methods trial

“A Window of Opportunity”: Parenting and Addiction in the Context of Pregnancy

Systematic Review of Community- and Home-Based Interventions to Support Parenting and Reduce Risk of Child Maltreatment Among Families With Substance-Exposed Newborns

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