Pregnant opiate-dependent women and their future children suffer from a wide range of adverse physical, social, and emotional consequences associated with addiction. Of primary concern to substance abuse treatment providers and mental health professionals are the complex clinical challenges that complicate treatment adherence and successful long-term recovery. The lives and experiences of eight opiate-dependent pregnant women were explored using qualitative, descriptive case studies. The purpose of the study was to understand the perspectives of pregnant women using opiates about the circumstances in their lives and/or the nature of the treatments offered to them that may present barriers to engaging in treatment as well as to understand factors that might motivate them to seek substance abuse treatment. The focus was on exploring any self-identified personal strengths and positive experiences of the participants that could be built upon to increase the likelihood of success for treatment of opiate addiction. Structured interviews gave participants the opportunity to share their stories. Participants also completed the Allen Barriers to Treatment Instrument (ABTI). Participants descriptions in response to interview questions and ABTI scoring patterns were analyzed for dominant messages and emerging patterns. Barriers to treatment described by the women were primarily related to treatment programs, including little information, unavailability, staff attitudes, and location and lack of transportation. Participants self-identified their social skills and their role of being a mother as examples of personal strengths. Their pregnancy and the welfare of their future offspring were the stated reasons for seeking treatment. They described positive experiences relating to relationships, particularly when reflecting on memories of their mother and receiving kinship support. The participants had positive future expectations about their roles as mothers, and verbalized inner resilience and hope. These themes could be incorporated into substance abuse treatment to more appropriately respond to the perceived needs and motivations of this population.
|Commitee:||Fishman, Gerald, Lax, William|
|School:||Union Institute and University|
|Department:||Psychology Progam: Clinical Psychology|
|School Location:||United States -- Ohio|
|Source:||DAI-B 77/03(E), Dissertation Abstracts International|
|Subjects:||Medicine, Clinical psychology|
|Keywords:||Appreciative inquiry, Opiate-dependency, Positive psychology, Pregnancy, Qualitative, Women|
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