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  1. Article ; Online: Toward Improved Identification of Parental Substance Misuse: An Examination of Current Practices and Gaps in One US State.

    Knight, Erin / Butcher, Rebecca L / Jankowski, Mary Kay

    Maternal and child health journal

    2021  Volume 25, Issue 9, Page(s) 1353–1360

    Abstract: Introduction: The use of illicit substances, including opioids, is a serious public health issue in the United States. While there are reports of the impact of the ongoing opioid crisis on adults, a new focus has emerged on how parental substance misuse ...

    Abstract Introduction: The use of illicit substances, including opioids, is a serious public health issue in the United States. While there are reports of the impact of the ongoing opioid crisis on adults, a new focus has emerged on how parental substance misuse (PSM) affects children. This study explored existing screening and assessment practices and services for children and families affected by PSM across different service sectors in one state. The purpose of the study was to identify opportunities for training, policy development, and practice improvement related to identifying PSM and linking children and parents to services.
    Methods: Interviews (n = 15) with professionals from five service sectors (mental health, primary care, schools, community programs, and law enforcement) were used to inform development of a state-wide survey of the same groups (n = 498) to assess current practices, attitudes, knowledge, and training needs related to child screening of PSM. The survey was piloted using cognitive interviewing (n = 9) before it was distributed.
    Results: Fewer than 20% of survey respondents reported using standardized tools specific to screening PSM. Informal assessment practices predominate, though 60% of respondents saw value in adopting more standardized PSM screening. Attitudes about PSM and screening varied among sectors but interest in training was high.
    Discussion: Results indicate a need for more systematic PSM screening, cross-sector training and practice discussions, and policies to support early identification of children affected by PSM. Ramifications of these findings and recommendations are discussed.
    MeSH term(s) Adult ; Analgesics, Opioid/therapeutic use ; Child ; Humans ; Parents ; Primary Health Care ; Substance-Related Disorders/diagnosis ; Substance-Related Disorders/drug therapy ; Surveys and Questionnaires ; United States
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2021-05-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1339905-6
    ISSN 1573-6628 ; 1092-7875
    ISSN (online) 1573-6628
    ISSN 1092-7875
    DOI 10.1007/s10995-021-03138-y
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    In stock of ZB MED Cologne/Königswinter

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  2. Article ; Online: Difficult binds: A systematic review of facilitators and barriers to treatment among mothers with substance use disorders.

    Barnett, Erin R / Knight, Erin / Herman, Rachel J / Amarakaran, Kieshan / Jankowski, Mary Kay

    Journal of substance abuse treatment

    2021  Volume 126, Page(s) 108341

    Abstract: Background: The United States and Canada have observed sharp increases in substance use disorder among women of child-bearing or child-rearing age. Substance use disorder can have deleterious effects on children, families, and communities. Many evidence- ...

    Abstract Background: The United States and Canada have observed sharp increases in substance use disorder among women of child-bearing or child-rearing age. Substance use disorder can have deleterious effects on children, families, and communities. Many evidence-based treatments exist, but engaging mothers in treatment is difficult. No recent review is available to help systems and providers understand the facilitators of and barriers to treatment for mothers.
    Objective: To systematically identify facilitators and barriers to substance use and mental health treatment for mothers with substance use disorder who are pregnant or parenting young children in the United States and Canada.
    Methods: We systematically searched the literature using five online databases and performed a gray literature search. We included studies published in the past two decades focused on parent or provider perspectives.
    Results: Our search identified 23 high-quality papers. The majority of papers qualitatively examined the perspectives of treatment-seeking pregnant women and mothers diverse in race/ethnicity, region, and treatment settings. Our synthesis of findings revealed the compelling and complex centrality of motherhood, which served as both a facilitator and barrier. Motherhood often interacted with relational (e.g., perceiving stigma vs. support from providers, family, friends, partners) and structural (e.g., time commitments, childcare) factors to both hinder and help engagement in treatment.
    Conclusions: Our findings can help policy-makers and practitioners make tangible improvements to the financing and delivery of substance use treatment for mothers. Our review points to specific areas for future research, including an examination of the relationships between various structural factors and treatment outcomes.
    MeSH term(s) Canada ; Child, Preschool ; Female ; Humans ; Mothers ; Parenting ; Pregnancy ; Social Stigma ; Substance-Related Disorders/therapy
    Language English
    Publishing date 2021-02-27
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Systematic Review
    ZDB-ID 605923-5
    ISSN 1873-6483 ; 0740-5472
    ISSN (online) 1873-6483
    ISSN 0740-5472
    DOI 10.1016/j.jsat.2021.108341
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  3. Article ; Online: Family Engagement in Services During COVID-19: A Mixed-Methods Study of Caregiver and Staff Perspectives.

    Barnett, Erin R / Knight-Zhang, Erin M / Haskell, Hannah G / Merriweather, Katherine A / Gaspar, Holly A / Parton, Rebecca R / Jankowski, Mary Kay

    Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners

    2022  Volume 37, Issue 2, Page(s) 142–152

    Abstract: Introduction: We examined changes in family engagement before versus during the pandemic in pediatric and family services and perceived facilitators and barriers to family engagement.: Method: We employed a mixed-methods assessment of staff and ... ...

    Abstract Introduction: We examined changes in family engagement before versus during the pandemic in pediatric and family services and perceived facilitators and barriers to family engagement.
    Method: We employed a mixed-methods assessment of staff and caregiver perspectives related to pediatric and family medicine clinics and family resource centers in rural northern New England. We used narrative synthesis to analyze qualitative interviews (n = 29) and descriptive statistics for quantitative surveys (n = 108).
    Results: Staff felt they were not doing as well at engaging families during versus prepandemic, identifying numerous facilitators and barriers. We found differences in resources used by families before versus during the pandemic. We identified discordant perspectives between caregivers and staff regarding how well clinics and centers identified and responded to family needs.
    Discussion: Leaders in pediatrics, advanced practice nursing, and related fields can draw on our findings to decide what services and modalities they provide for postpandemic.
    MeSH term(s) Humans ; Child ; COVID-19 ; Caregivers ; Pandemics ; Surveys and Questionnaires ; New England
    Language English
    Publishing date 2022-10-12
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1036356-7
    ISSN 1532-656X ; 0891-5245
    ISSN (online) 1532-656X
    ISSN 0891-5245
    DOI 10.1016/j.pedhc.2022.10.002
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    Zs.A 2641: Show issues Location:
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  4. Article ; Online: Correlates of adverse childhood experiences among adults with severe mood disorders.

    Lu, Weili / Mueser, Kim T / Rosenberg, Stanley D / Jankowski, Mary Kay

    Psychiatric services (Washington, D.C.)

    2008  Volume 59, Issue 9, Page(s) 1018–1026

    Abstract: Objectives: Adverse childhood experiences have been found to be associated with poor physical and poor mental health, impaired functioning, and increased substance abuse in the general adult population. The purpose of this study was to examine the ... ...

    Abstract Objectives: Adverse childhood experiences have been found to be associated with poor physical and poor mental health, impaired functioning, and increased substance abuse in the general adult population. The purpose of this study was to examine the clinical correlates of these experiences among adults with severe mood disorders.
    Methods: Adverse childhood experiences (including physical abuse, sexual abuse, parental mental illness, loss of parent, parental separation or divorce, witnessing domestic violence, and placement in foster or kinship care) were assessed retrospectively in a sample of 254 adults with major mood disorders. The relationships between cumulative exposure to these experiences and psychiatric problems, health, substance use disorders, community functioning, trauma exposure in adulthood, and high-risk behaviors were examined.
    Results: Increased exposure to childhood adverse experiences was related to high-risk behaviors, diagnosis of a substance use disorder, exposure to trauma in adulthood, psychiatric problems (younger age at first hospitalization, number of suicide attempts, and diagnosis of posttraumatic stress disorder), medical service utilization, and homelessness.
    Conclusions: The findings extend research in the general population by suggesting that adverse childhood experiences contribute to worse mental and physical health and functional outcomes among adults with severe mood disorders.
    MeSH term(s) Adult ; Bipolar Disorder/diagnosis ; Bipolar Disorder/psychology ; Child ; Child Abuse/psychology ; Child Abuse, Sexual/psychology ; Child of Impaired Parents/psychology ; Comorbidity ; Depressive Disorder, Major/diagnosis ; Depressive Disorder, Major/psychology ; Domestic Violence/psychology ; Family Conflict/psychology ; Female ; Grief ; Health Surveys ; Humans ; Life Change Events ; Male ; Middle Aged ; Risk Factors ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/psychology ; Substance-Related Disorders/diagnosis ; Substance-Related Disorders/psychology
    Language English
    Publishing date 2008-09
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1220173-x
    ISSN 1557-9700 ; 1075-2730
    ISSN (online) 1557-9700
    ISSN 1075-2730
    DOI 10.1176/appi.ps.59.9.1018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 416: Show issues Location:
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  5. Article: Correlates of adverse childhood events among adults with schizophrenia spectrum disorders.

    Rosenberg, Stanley D / Lu, Weili / Mueser, Kim T / Jankowski, Mary Kay / Cournos, Francine

    Psychiatric services (Washington, D.C.)

    2007  Volume 58, Issue 2, Page(s) 245–253

    Abstract: Objective: Multiple studies have found that childhood adversity is related to a range of poor mental health, substance abuse, poor physical health, and poor social functioning outcomes in the general population of adults. However, despite the high rates ...

    Abstract Objective: Multiple studies have found that childhood adversity is related to a range of poor mental health, substance abuse, poor physical health, and poor social functioning outcomes in the general population of adults. However, despite the high rates of childhood adversity in schizophrenia, the clinical correlates of these events have not been systematically evaluated. This study evaluated the relationship between adverse experiences in childhood and functional, clinical, and health outcomes among adults with schizophrenia.
    Methods: The authors surveyed 569 adults with schizophrenia regarding adverse childhood events (including physical abuse, sexual abuse, parental mental illnesses, loss of a parent, parental separation or divorce, witnessing domestic violence, and foster or kinship care). The relationships between cumulative exposure to these events and psychiatric, physical, and functional outcomes were evaluated.
    Results: Increased exposure to adverse childhood events was strongly related to psychiatric problems (suicidal thinking, hospitalizations, distress, and posttraumatic stress disorder), substance abuse, physical health problems (HIV infection), medical service utilization (physician visits), and poor social functioning (homelessness or criminal justice involvement).
    Conclusions: The findings extend the results of research in the general population by suggesting that childhood adversity contributes to worse mental health, substance abuse, worse physical health, and poor functional outcomes in schizophrenia.
    MeSH term(s) Adult ; Bereavement ; Child ; Child Abuse/psychology ; Child Abuse/statistics & numerical data ; Child Abuse, Sexual/psychology ; Child Abuse, Sexual/statistics & numerical data ; Child of Impaired Parents/psychology ; Child of Impaired Parents/statistics & numerical data ; Comorbidity ; Crime/psychology ; Crime/statistics & numerical data ; Cross-Sectional Studies ; Divorce/psychology ; Divorce/statistics & numerical data ; Domestic Violence/psychology ; Domestic Violence/statistics & numerical data ; Foster Home Care/psychology ; Foster Home Care/statistics & numerical data ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; HIV Infections/psychology ; Health Status ; Health Surveys ; Homeless Persons/psychology ; Homeless Persons/statistics & numerical data ; Hospitalization ; Humans ; Life Change Events ; Mental Disorders/diagnosis ; Mental Disorders/epidemiology ; Mental Disorders/psychology ; Psychotic Disorders/diagnosis ; Psychotic Disorders/epidemiology ; Psychotic Disorders/psychology ; Risk Factors ; Schizophrenia/diagnosis ; Schizophrenia/epidemiology ; Schizophrenic Psychology ; Statistics as Topic ; Substance-Related Disorders/diagnosis ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/psychology ; United States
    Language English
    Publishing date 2007-02
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 1220173-x
    ISSN 1557-9700 ; 1075-2730
    ISSN (online) 1557-9700
    ISSN 1075-2730
    DOI 10.1176/ps.2007.58.2.245
    Database MEDical Literature Analysis and Retrieval System OnLINE

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