Predictors and moderators of improved social‐emotional functioning in mothers with substance use disorders and their young children enrolled in a relationship‐based case management program

Bibliographic Data

ID11277333
AuthorsUrsula C Hildebrandt (2012 NE 65th St. Seattle Washington, corresponding author), J Christopher Graham (0000-0002-9676-2717, Alcohol and Drug Abuse Institute University of Washington Health Sciences Administration Seattle Washington), Therese M Grant (Department of Psychiatry and Behavioral Sciences University of Washington School of Medicine Seattle Washington)
Year2020
Volume41
Issue5
Pages677-696
Publication date2020-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInfant Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0163-9641 • E-ISSN: 1097-0355
PublisherWiley (PUBLISHER • GB)
DOI10.1002/imhj.21872
PMID32578238
OpenAlexW3037666966
LanguageEN
Citations received3
References cited96

Mothers with substance use disorders (SUDs) typically have trauma histories and psychosocial difficulties that lead to poor social‐emotional functioning and disrupted mother–child relationships. This 12‐month study explored associations of family adverse circumstances and services (case management, therapeutic, and community‐based) received by 57‐mothers with SUDs and their infants (less than 24‐months‐old) with changes in social‐emotional functioning. All mothers were enrolled in a relationship‐based case management program (Parent–Child Assistance Program [PCAP]) that emphasized connecting mothers to appropriate community services. A subset of mothers was additionally provided a trauma‐focused psychotherapeutic intervention (infant–parent psychotherapy [IPP]). Dyads in both treatment groups improved in overall social‐emotional functioning as assessed by the Functional Emotional Assessment Scale (FEAS). A combined‐sample regression analysis revealed that improved FEAS scores were significantly predicted by the number of community services received but not by PCAP case management hours (IPP was not included in this analysis). More adverse circumstances were associated with less improvement in social‐emotional functioning in the children; but among the mothers trauma level did not predict FEAS scores. We also found a moderating effect of trauma: Dyads with relatively more adversity showed a significantly greater association of community services received with improvement in FEAS scores than did those with relatively less adversity

Developmental psychology · Social emotional learning · Social functioning · Substance use · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption · Clinical Psychology · Maternal Mental Health During Pregnancy and Postpartum · Psychology