%0 Journal Article
%T Supporting MothersĄ¯ Engagement in a Community-Based Methadone Treatment Program
%A Nicole Letourneau
%A Mary Ann Campbell
%A Jennifer Woodland
%A Jennifer Colpitts
%J Nursing Research and Practice
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/987463
%X Unmanaged maternal opioid addiction poses health and social risks to both mothers and children in their care. Methadone maintenance treatment (MMT) is a targeted public health service to which nurses and other allied health professionals may refer these high risk families for support. Mothers participating in MMT to manage their addiction and their service providers were interviewed to identify resources to maximize mothersĄ¯ engagement in treatment and enhance mothersĄ¯ parenting capacity. Twelve mothers and six service providers were recruited from an outpatient Atlantic Canadian methadone treatment program. Two major barriers to engagement in MMT were identified by both mothers and service providers including (1) the lack of available and consistent childcare while mothers attended outpatient programs and (2) challenges with transportation to the treatment facility. All participants noted the potential benefits of adding supportive resources for the children of mothers involved in MMT and for mothers to learn how to communicate more effectively with their children and rebuild damaged mother-child relationships. The public health benefits of integrating parent-child ancillary supports into MMT for mothers are discussed. 1. Introduction In North America, opioid addiction to methadone, hydrocodone, and oxycodone has been described as an epidemic [1, 2]. In Canada, nearly 10% of women self-report an addiction to some form of illicit substance (e.g., cannabis; [3]) and nearly 2% abuse highly addictive opioid substances like oxycontin and heroin [4]. Many of these women are mothers of childbearing age [5] and face greater challenges than nonusers with raising their children and meeting their childrenĄ¯s developmental, social, cognitive, and emotional needs [6]. Substance abusing mothers are at increased risk of developing affective disorders, low self-esteem, anxiety, and depression and are often challenged by social isolation, reduced support networks, and exposure to violent relationships [7] and all of these factors can influence a motherĄ¯s capacity to parent her children [8, 9]. Taken together, unmitigated maternal substance abuse exacts social and health care costs by increasing the need for child protective, mental health and criminal justice services. Protecting children from exposure to maternal substance abuse is a public health priority [10, 11], particularly for nurses who work with childbearing families in the community [12]. Children exposed to maternal substance abuse are at increased risk for developmental problems, such as cognitive deficits,
%U http://www.hindawi.com/journals/nrp/2013/987463/