Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy


Book Description

These guidelines have been developed to enable professionals to assist women who are pregnant, or have recently had a child, and who use alcohol or drugs or who have a substance use disorder, to achieve healthy outcomes for themselves and their fetus or infant. They have been developed in response to requests from organizations, institutions and individuals for technical guidance on the identification and management of alcohol, and other substance use and substance use disorders in pregnant women. They were developed in tandem with the WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy.













Parenting and Substance Abuse


Book Description

Parenting and Substance Abuse is the first book to report on pioneering efforts to move the treatment of substance-abusing parents forward by embracing their roles and experiences as mothers and fathers directly and continually across the course of treatment.







Counseling Addicted Women


Book Description

The result of the combined efforts of staff at a substance abuse treatment center, this book provides practical, hands-on guidance for working with addicted women. With staff and client training exercises at the end of each chapter, this comprehensive guide places particular emphasis on the women and their special needs and concerns. Special issues and populations addressed include: pregnancy and substance abuse; designing treatment programs; homeless women; and substance abuse in the workplace.




Parenting Matters


Book Description

Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.







Misconceiving Mothers


Book Description

A tiny African-American baby lies in a hospital incubator, tubes protruding from his nostrils, head, and limbs. "He couldn't take the hit," the caption warns. "If you're pregnant, don't take drugs." Ten years earlier, this billboard would have been largely unintelligible to many of us. But when it appeared in 1991, it immediately conjured up several powerful images: the helpless infant himself; his unseen environment, a newborn intensive care unit filled with babies crying inconsolably; and the mother who did this -- crack-addicted and unrepentant. Misconceiving Mothersis a case study of how public policy about reproduction and crime is made. Laura E. Goacute;mez uses secondary research and first-hand interviews with legislators and prosecutors to examine attitudes toward the criminalization and/or medicalization of drug use during pregnancy by the legislature and criminal justice system in California. She traces how an initial tendency toward criminalization gave way to a trend toward seeing the problem of "crack babies" as an issue of social welfare and public health. It is no surprise that in an atmosphere of mother-blaming, particularly targeted at poor women and women of color, "crack babies" so easily captured the American popular imagination in the late 1980s. What is surprising is the way prenatal drug exposure came to be institutionalized in the state apparatus. Goacute;mez attributes this circumstance to four interrelated causes: the gendered nature of the social problem; the recasting of the problem as fundamentally "medical" rather than "criminal"; the dynamic nature of the process of institutionalization; and the specific features of the legal institutions -- that is, the legislature and prosecutors' offices -- that became prominent in the case. At one levelMisconceiving Motherstells the story of a particular problem at a particular time and place how the California legislature and district attorneys grappled with pregnant women's drug use in the late 1980s and early 1990s. At another level, the book tells a more general story about the political nature of contemporary social problems. The story it tells is political not just because it deals with the character of political institutions but because the process itself and the nature of the claims-making concern the power to control the allocation of state resources. A number of studies have looked at how the initial criminalization of social problems takes place.Misconceiving Motherslooks at the process by which a criminalized social problem is institutionalized through the attitudes and policies of elite decision-makers. Author note: Laura E. Gomezis Acting Professor of Law and Sociology, University of California, Los Angeles.