Improving family functioning and child outcome in methadone maintained families: the Parents Under Pressure programme

Drug and Alcohol Review
Sharon DawePetra Staiger

Abstract

Twelve families responded to posters displayed in a methadone clinic for inclusion in a pilot study assessing the viability and potential utility of an intensive, multi-component family-focused intervention, the Parents Under Pressure programme. The programme was designed to improve child behaviour, decrease parental stress and improve family functioning in methadone-maintained families by targeting affect regulation, mood, views of self as a parent, drug use and parenting skills. Nine of the families completed the programme delivered in their homes; eight were recontacted at 3 months. Each family reported significant improvements in three domains: parental functioning, parent-child relationship and parental substance use and risk behaviour. In addition to the changes in family functioning, the majority of families reported a decrease in concurrent alcohol use, HIV risk-taking behaviour and maintenance dose of methadone. The families reported high levels of satisfaction with the programme. It is recommended that future studies include independent measures (e.g. behavioural observations) of child outcome and parental functioning. The results were optimistic and provided the impetus to evaluate the treatment programme using a ran...Continue Reading

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Citations

Jun 6, 2013·Nursing Research and Practice·Nicole LetourneauJennifer Colpitts
Mar 2, 2012·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Ursula A PrithamMarie J Hayes
May 8, 2007·Journal of Substance Abuse Treatment·Sharon Dawe, Paul Harnett
Mar 27, 2009·Drug and Alcohol Review·Gail Gilchrist, Avril Taylor
Apr 4, 2015·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Alan A CavaiolaDavid Stout
Sep 4, 2013·Infant Behavior & Development·Monica SarfiHelge Waal
Nov 1, 2012·Child and Adolescent Mental Health·Paul H Harnett, Sharon Dawe
Jan 10, 2018·Internal Medicine Journal·Ju Lee Oei
Dec 1, 2005·Irish Journal of Psychological Medicine·Ciaran Clarke, Carol Fitzpatrick
Aug 11, 2020·The Journal of Nervous and Mental Disease·Jennifer D EllisViktor Burlaka
Jan 28, 2003·Drug and Alcohol Review·Cathy BanwellGabriele Bammer

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