Cumulative environmental risk in substance abusing women: early intervention, parenting stress, child abuse potential and child development

Nair, Prasanna; Schuler, Maureen E.; Black, Maureen M.; Kettinger, Laurie; Harrington, Donna

doi:10.1016/s0145-2134(03)00169-8

Cited by 229 publications

(194 citation statements)

References 62 publications

Supporting

Mentioning

170

Contrasting

Unclassified

Order By: Relevance

“…Some cross-sectional and longitudinal studies have focused on cumulative risk in relation to parenting (e.g., Crnic et al 2005), others on child outcomes (e.g., Deater-Deckard et al 1998;Sameroff and Fiese 2000). To our knowledge, only two studies reported about the influence of cumulative family risk on the effectiveness of early childhood interventions on child behavior outcomes (Liaw and Brooks-Gunn 1994;Nair et al 2003). One of these (Nair et al 2003) also reported on the association between cumulative risk and change in parental attitudes after intervention.…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge, only two studies reported about the influence of cumulative family risk on the effectiveness of early childhood interventions on child behavior outcomes (Liaw and Brooks-Gunn 1994;Nair et al 2003). One of these (Nair et al 2003) also reported on the association between cumulative risk and change in parental attitudes after intervention. No studies were found that investigated how cumulative risk influences parenting practices.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Early Parenting Intervention: Family Risk and First-time Parenting Related to Intervention Effectiveness

et al. 2007

View full text Add to dashboard Cite

The effects of cumulative risk and parity on the effectiveness of a home based parenting intervention were tested in a randomized controlled trial with 237 families with 1-to 3-year-old children screened for high levels of externalizing behavior. The intervention was aimed at enhancing positive parenting and decreasing externalizing behaviors. The results showed that cumulative risk was not associated with either change in child externalizing behaviors or change in positive parenting. When intervention effectiveness was compared for primiparas (i.e., firsttime mothers) versus multiparas (i.e., mothers with more than one child), we found that intervention mothers of first-born children displayed an increase in their use of positive discipline strategies as compared to first-time mothers in the control group, whereas a similar effect for multiparas was absent. Among multiparas we found an intervention effect on sensitivity, with control group mothers showing an increase in sensitivity, whereas the intervention group showed a constant level of sensitivity over time. These results suggest that parity may be a moderator of intervention effectiveness. Implications for investigating moderators of intervention effectiveness are discussed.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Early Parenting Intervention: Family Risk and First-time Parenting Related to Intervention Effectiveness

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Psychosocial factors surrounding mothers prior and throughout pregnancy, the intrauterine environment, the perinatal period and postnatal care are all times of potential risk of harm [8]. Targeted care and support for ISAM from conception into their first few years of life is required for this group to optimise health and well-being outcomes [10].…”

Section: Discussionmentioning

confidence: 99%

“…Infants of substance abusing mothers (ISAM) have poorer developmental, behavioural, and social outcomes [3]. A number of variables coexist and influence the environment of the child in this situation, including parental effectiveness in providing nurturing care [5][6][7][8]. Engagement with health services can be a protective factor in maintaining child safety and child wellbeing, suggesting that child health engagement decreases child protection risk [9].…”

Section: Introductionmentioning

confidence: 99%

Improving Pathways to Assessment and Care for Infants of Substance Abusing Mothers: Are We Getting It Right?

Alexander¹,

Raman²,

Yoong

et al. 2015

Social Sciences

View full text Add to dashboard Cite

There is documented correlation between parental substance abuse, child maltreatment, and poor outcomes. In two health districts in Sydney, Australia (Site A and B), specialised clinics were established to provide comprehensive assessments for infants of substance abusing mothers (ISAM). We aimed to determine whether there was a difference in outcomes between infants who attended clinic versus those who did not; and to identify differences in the pathways to care between sites. We analysed child protection reports and available health markers of all ISAM referrals in 2011. We held stakeholder meetings with services involved with ISAM in both sites; to describe service components; strengths and weaknesses of pathways. Fifty-five per cent (11/20) attended clinic in Site A; 80% (25/31) in Site B. Three-quarters of ISAM had at least one referral to child welfare; child protection service involvement was more common in those who attended. Immunisation status was lower than the national Australian average; approximately half were seen by community nursing services. Gaps in services, lack of database, and differences in pathways between sites were identified. Attending clinics correlates with child protection service involvement and may afford health protection. Transparent communication, service integration, and shared learning can improve outcomes for this vulnerable group. Soc. Sci. 2015, 4 193 OPEN ACCESS

show abstract

“…Research further suggested that parents who are substance-involved exhibit different parenting behaviors than those who are not substance-involved, with such differences varying with the characteristics of parents' current drug use (see (20) and (21) for reviews). For example, parents who are substance-involved are more likely to exhibit greater parenting stress (22), decreased attentiveness and engagement with their children (23), more authoritarian parenting (24), and dysfunctional or harsh disciplinary practices (25). Given such parenting practices, it should not be a surprise that children of these parents are three times more likely to be abused and four times more likely to be neglected relative to children of parents who are not substance-involved (26).…”

Section: Neurobiology Of Parenting and Substance Usementioning

confidence: 99%

The state of evidence-based parenting interventions for parents who are substance-involved

et al. 2015

View full text Add to dashboard Cite

Approximately 70 million children and adolescents live with at least one parent who abuses or is dependent on alcohol or an illicit substance. Given the negative parenting practices that substance-involved mothers and fathers tend to exhibit as well as the poor outcomes that their children, particularly their young children, experience, evidence-based parenting interventions are an important complement to substance abuse treatments. At this time, there are few studies that compare the efficacy of parenting interventions for these parents, however. Nonetheless, research has begun to examine skillbased and attachment-based parenting interventions for substance-involved families with young children. These parenting interventions should be considered within the context of the neurobiology of substance abuse, which emphasizes the role of dopamine in the reward systems that promote substance use. In the context of these neurobiological connections, parenting interventions that engender repeated intense emotional experiences may stimulate this same reward system and, therefore, may be more efficacious. Attachment-based interventions are particularly promising when such connections are considered. More attention needs to be paid to bringing impactful parenting interventions to substance-involved parents with young children.

show abstract

Cumulative environmental risk in substance abusing women: early intervention, parenting stress, child abuse potential and child development

Cited by 229 publications

References 62 publications

Early Parenting Intervention: Family Risk and First-time Parenting Related to Intervention Effectiveness

Early Parenting Intervention: Family Risk and First-time Parenting Related to Intervention Effectiveness

Improving Pathways to Assessment and Care for Infants of Substance Abusing Mothers: Are We Getting It Right?

The state of evidence-based parenting interventions for parents who are substance-involved

Contact Info

Product

Resources

About