Skip to main content
SpringerLink
Log in

Strong Start for Families: An Innovative Use of High Fidelity Wraparound with Mothers in Early Recovery from Substance Use Disorders

  • Chapter
  • First Online:
Innovative Approaches to Supporting Families of Young Children

Abstract

Low-income women who begin treatment for substance use during pregnancy often have mental health conditions, lack social supports, and struggle to meet basic family needs. These factors can jeopardize both recovery and caregiving capacity. To address these issues, the Strong Start Study piloted a team-based Wraparound approach to complement treatment programs for mothers through their first-year postpartum. As a systems of care practice model, Wraparound facilitated collaboration in service delivery and provided additional support for sustaining recovery. This chapter overviews important considerations in working with this population of mothers and young children and discusses the outcomes of the study.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 79.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • American Society of Addiction Medicine. (2013). Terminology related to addiction, treatment, and recovery. Chevy Chase, MD: American Society of Addiction Medicine.

    Google Scholar 

  • Anderson, C., Robins, C., Greeno, C., Cahalane, H., Copeland, V., & Andrews, R. (2006). Why lower income mothers do not engage with the formal mental health care system: Perceived barriers to care. Qualitative Health Research, 16(7), 926–943.

    Article  Google Scholar 

  • Ashley, O., Marsden, M., & Brady, T. (2003). Effectiveness of substance abuse treatment programming for women: A review. The American Journal of Drug and Alcohol Abuse, 29(1), 19–53.

    Article  Google Scholar 

  • Bertram, R., & Bertram, B. (2003). Inside wraparound’s black box: Ecological systems theory and theory of team development. Unpublished manuscript. Accessed online https://www.researchgate.net/publication/233885348

  • Bolton, J., Robinson, J., & Sareen, J. (2009). Self-medication of mood disorders with alcohol and drugs in the national epidemiologic survey on alcohol and related conditions. Journal of Affective Disorders, 115, 367–375.

    Article  Google Scholar 

  • Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531.

    Article  Google Scholar 

  • Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22(6), 723–742.

    Article  Google Scholar 

  • Broussard, C., Joseph, A., & Thompson, M. (2012). Stressors and coping strategies used by single mothers living in poverty. Affilia: Journal of Women and Social Work, 27(2), 190–204.

    Article  Google Scholar 

  • Brown, S., Tracy, E., Jun, M., Park, H., & Min, M. (2015). Personal network recovery enablers and relapse risks for women with substance dependence. Qualitative Health Research, 25(3), 371–385.

    Article  Google Scholar 

  • Bruns, E., Pullman, M., Sather, A., Brinson, R., & Ramey, M. (2015). Effectiveness of wraparound versus case management for children and adolescents: Results of a randomized study. Administration and Policy in Mental Health, 42, 309–322.

    Article  Google Scholar 

  • Bruns, E., Sather, A., Pullman, M., & Stambaugh, L. (2011). National trends in implementing wraparound: Results from the state wraparound survey. Journal of Child and Family Studies, 20, 726–735.

    Article  Google Scholar 

  • Bruns, E., Suter, J., Force, M., & Burchard, J. (2005). Adherence to wraparound principles and association with outcomes. Journal of Child and Family Studies, 14(4), 521–534.

    Article  Google Scholar 

  • Bruns, E., & Walker, J. (2010). Defining practice: Flexibility, legitimacy, and the nature of systems of care and wraparound. Evaluation and Program Planning, 33, 45–48.

    Article  Google Scholar 

  • Bruns, E., & Walker, J. (2011). Research on the wraparound process: Intervention components and implementation supports. Journal of Child and Family Studies, 20, 709–712.

    Article  Google Scholar 

  • Bruns, E., Walker, J., Bernstein, A., Daleiden, E., Pullmann, M., & Chorpita, B. (2014). Family voice with informed choice: Coordinating wraparound with research-based treatment for children and adolescents. Journal of Clinical Child & Adolescent Psychology, 43(2), 256–269.

    Article  Google Scholar 

  • Bruns, E., Walker, J., Zabel, M., Matarese, M., Estep, K., Harburger, D., et al. (2010). Intervening in the lives of youth with complex behavioral health challenges and their families: The role of the wraparound process. American Journal of Community Psychology, 46, 314–331. doi:10.1007/s10464-010-9346-5

    Article  Google Scholar 

  • Casanueva, C., Cross, T., Ringeisen, H., & Christ, S. (2011). Prevalence, trajectories, and risk factors for depression among caregivers of young children involved in child maltreatment investigations. Journal of Emotional and Behavioral Disorders, 19(2), 98–116.

    Article  Google Scholar 

  • Choi, S., & Ryan, J. (2007). Co-occurring problems for substance abusing mothers in child welfare: Matching services to improve family reunification. Children and Youth Services Review, 29, 1395–1410.

    Article  Google Scholar 

  • Chuang, E., Wells, R., & Aarons, G. (2014). Identifying depression in a national sample of caregivers investigated in regard to their child’s welfare. Psychiatric Services, 65(7), 911–917.

    Article  Google Scholar 

  • Cloud, W., & Granfield, R. (2008). Conceptualizing recovery capital: Expansion of a theoretical construct. Substance Use and Misuse, 43, 1971–1986.

    Article  Google Scholar 

  • Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676–684.

    Article  Google Scholar 

  • Cohen, S., & Wills, T. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.

    Article  Google Scholar 

  • Covington, S. (2008). Women and addiction: A trauma-informed approach. Journal of Psychoactive Drugs. SARC Supplement, 5, 377–385.

    Article  Google Scholar 

  • Dennis, M., & Scott, C. (2007). Managing addiction as a chronic condition. Addiction Science & Clinical Practice, 4(1), 45–55.

    Article  Google Scholar 

  • Ding, X.-X., Wu, Y.-L., Xu, S.-J., Zhu, R.-P., Jia, X.-M., Zhang, S.-F., et al. (2014). Maternal anxiety during pregnancy and adverse birth outcomes: A systematic review and meta-analysis of prospective cohort studies. Journal of Affective Disorders, 159, 103–110.

    Article  Google Scholar 

  • Eckenrode, J., Smith, E., McCarthy, M., & Dineen, M. (2014). Income inequality and child maltreatment in the United States. Pediatrics, 133(3), 454–461.

    Article  Google Scholar 

  • El-Guebaly, N. (2012). The meanings of recovery from addiction: Evolution and promises. Journal of Addiction Medicine, 6(1), 1–9.

    Article  Google Scholar 

  • Ellis, B., Bernichon, T., Yu, P., Roberts, T., & Herrell, J. (2004). Effect of social support on substance abuse relapse in a residential treatment setting for women. Evaluation and Program Planning, 27, 213–221.

    Article  Google Scholar 

  • Escaravage, J. (2014). Child maltreatment entrenched by poverty: How financial need is linked to poorer outcomes in family preservation. Child Welfare, 93(1), 79–98.

    Google Scholar 

  • Evans, G., & Kim, P. (2013). Childhood poverty, chronic stress, self-regulation, and coping. Child Development Perspectives, 7(1), 38–43.

    Article  Google Scholar 

  • Gavin, A., Thompson, E., Rue, T., & Guo, Y. (2012). Maternal early life risk factors for offspring birth weight: Findings from the add health study. Prevention Science, 13, 162–172.

    Article  Google Scholar 

  • Germain, C. (1979). Introduction: Ecology and social work. In C. B. Germain (Ed.), Social work practice: People and environments—An ecological perspective (pp. 1–22). New York: Columbia University Press.

    Google Scholar 

  • Gil-Rivas, V., & Grella, C. (2005). Treatment services and service delivery models for dually diagnosed clients: Variations across mental health and substance abuse providers. Addictions Services, 41(3), 251–266.

    Google Scholar 

  • Goyal, D., Gay, C., & Lee, K. (2010). How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first time mothers? Womens Health Issues, 20(2), 96–104.

    Article  Google Scholar 

  • Granfield, R., & Cloud, W. (1999). Coming clean: Overcoming addiction without treatment. New York: New York University Press.

    Google Scholar 

  • Granfield, R., & Cloud, W. (2001). Social context and “natural recovery”: The role of social capital in the resolution of drug-associated problems. Substance Use and Misuse, 36(11), 1543–1570.

    Article  Google Scholar 

  • Grant, T., Graham, J., Ernst, C., Peavy, K., & Brown, N. (2014). Improving pregnancy outcomes among high-risk mothers who abuse alcohol and drugs: Factors associated with subsequent exposed births. Children and Youth Services Review, 46, 11–18.

    Article  Google Scholar 

  • Grant, T., Huggins, J., Graham, J., Ernst, C., Whitney, N., & Wilson, D. (2011). Maternal substance abuse and disrupted parenting: Distinguishing mothers who keep their children from those who do not. Children and Youth Services Review, 33, 2176–2185.

    Article  Google Scholar 

  • Greenfield, S., Brooks, A., Gordon, S., Green, C., Kropp, F., McHugh, K., et al. (2007). Substance abuse treatment entry, retention, and outcome in women: A review of the literature. Drug and Alcohol Dependence, 86, 1–21.

    Article  Google Scholar 

  • Greenfield, S., Manwani, S., & Nargiso, J. (2003). Epidemiology of substance use disorders in women. Obstetric & Gynecologic Clinics of North America, 30(3), 413–446.

    Article  Google Scholar 

  • Grella, C. (1997). Services for perinatal women with substance abuse and mental health disorders: The unmet need. Journal of Psychoactive Drugs, 29(1), 67–78.

    Article  Google Scholar 

  • Hawkins, R., & Maurer, K. (2012). Unravelling social capital: Disentangling a concept for social work. British Journal of Social Work, 42, 353–370.

    Article  Google Scholar 

  • Jarpe-Ratner, E., Bellamy, J., Yang, D.-H., & Smithgall, C. (2015). Using child welfare assessments and latent class analysis to identify prevalence and comorbidity of parent service needs. Children and Youth Services Review, 57, 75–82.

    Article  Google Scholar 

  • Jessup, M., Humphreys, J., Brindis, C., & Lee, K. (2003). Extrinsic barriers to substance abuse treatment among pregnant drug dependent women. The Journal of Drug Issues, 22, 285–304.

    Article  Google Scholar 

  • Kanotra, S., D’Angelo, D., Phares, T., Morrow, B., Barfield, W., & Lansky, A. (2007). Challenges faced by new mothers in the early postpartum period: An analysis of comment data from the 2000 pregnancy risk assessment monitoring system (PRAMS) survey. Maternal Child Health Journal, 11, 549–558.

    Article  Google Scholar 

  • Kilmer, R., & Cook, J. (2012). Moving forward with systems of care: Needs and new directions. American Journal of Community Psychology, 49, 580–587.

    Article  Google Scholar 

  • Kim, H., Pears, K., Fisher, P., Connelly, C., & Landsverk, J. (2010). Trajectories of maternal harsh parenting in the first 3 years of life. Child Abuse and Neglect, 34, 897–906.

    Article  Google Scholar 

  • Knight, D., Logan, S., & Simpson, D. (2001). Predictors of program completion for women in residential substance abuse treatment. The American Journal of Drug and Alcohol Abuse, 27(1), 1–18.

    Article  Google Scholar 

  • Kyzer, A., Conners-Burrow, N., & McKelvey, L. (2014). Environmental risk factors and custody status in children of substance abusers. Children and Youth Services Review, 36, 150–154.

    Article  Google Scholar 

  • Lancaster, C., Gold, K., Flynn, H., Yoo, H., Marcus, S., & Davis, M. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecologoy, 202(1), 5–14.

    Article  Google Scholar 

  • Laudet, A., Magura, S., Vogel, H., & Knight, E. (2000). Support, mutual aid and recovery from dual diagnosis community. Mental Health Journal, 36(5), 457–476.

    Google Scholar 

  • Laudet, A., & White, W. (2008). Recovery capital as prospective predictor of sustained recovery, life satisfaction, and stress among former poly-substance users. Substance Use and Misuse, 43, 27–54.

    Article  Google Scholar 

  • Leeies, M., Pagura, J., Sareen, J., & Bolton, J. (2010). The use of alcohol and drugs to self-medicate symptoms of posttraumatic stress disorder. Depression and Anxiety, 27, 731–736.

    Google Scholar 

  • Lopez-Castro, T., Hu, M., Papini, S., Ruglass, L., & Hien, D. (2015). Pathways to change: Use trajectories following trauma-informed treatment of women with co-occurring post-traumatic stress disorder and substance use disorders. Drug and Alcohol Review. doi:10.1111/dar.12230

    Google Scholar 

  • Magura, S., & Laudet, A. (1996). Parental substance abuse and child maltreatment: Review and implications for intervention. Children and Youth Services Review, 18(3), 193–220.

    Article  Google Scholar 

  • Mandell, K., & Werner, D. (2008). Guidance to states: Treatment standards for women with substance use disorders. National Association of State Alcohol and Drug Abuse Directors (NASADAD).

    Google Scholar 

  • McGinty, K., Klaehn, R., Metz, P., Hodas, G., Larson, J., & Chenven, M. (2013). Wraparound, system of care, and child psychiatrists. Journal of the American Academy of Child and Adolescent Psychiatry, 52(11), 1124–1127.

    Article  Google Scholar 

  • McMahon, S., Huang, C., Boxer, P., & Postmus, J. (2011). The impact of emotional and physical violence during pregnancy on maternal and child health at one year post-partum. Children and Youth Services Review, 33, 2103–2111.

    Article  Google Scholar 

  • Mendenhall, A., Kapp, S., Rand, A., Robbins, M., & Stipp, K. (2013). Theory meets practice: The localization of wraparound services for youth with serious emotional disturbance. Community Mental Health Journal, 49, 793–804.

    Article  Google Scholar 

  • Milligan, K., Niccols, A., Sword, W., Thabane, L., Henderson, J., & Ainsley, J. (2011). Birth outcomes for infants born to women participating in integrated substance abuse treatment programs: A meta-analytic review. Addiction Research & Theory, 19(6), 542–555.

    Article  Google Scholar 

  • Min, M., Tracy, E., Kim, H., Park, H., Jun, M., Brown, S., et al. (2013). Changes in personal networks of women in residential and outpatient substance abuse treatment. Journal of Substance Abuse Treatment, 45, 325–334.

    Article  Google Scholar 

  • Minnes, S., Singer, L., Humphrey-Wall, R., & Satayathum, S. (2008). Psychosocial and behavioral factors related to the post-partum placements of infants born to cocaine using women. Child Abuse and Neglect, 32, 353–366.

    Article  Google Scholar 

  • Moos, R. H., & Moos, B. S. (2007). Protective resources and long-term recovery from alcohol use disorders. Drug and Alcohol Dependence, 86, 46–54.

    Article  Google Scholar 

  • Mulia, N., Schmidt, L., Bond, J., Jacobs, L., & Korcha, R. (2008). Stress, social support and problem drinking among women in poverty. Addiction, 103, 1283–1293.

    Article  Google Scholar 

  • Murphy, S., & Rosenbaum, M. (1999). Pregnant women on drugs: Combating stereotypes and stigma. New Brunswick, NJ: Rutgers Press.

    Google Scholar 

  • National Institute on Drug Abuse (2007). Comorbid drug abuse and mental illness: A research update from NIDA. Topics in Brief.

    Google Scholar 

  • Niccols, A., Milligan, K., Smith, A., Sword, W., Thabane, L., & Henderson, J. (2012a). Integrated programs for mothers with substance abuse issues and their children: A systematic review of studies reporting on child outcomes. Child Abuse and Neglect, 36, 308–322.

    Article  Google Scholar 

  • Niccols, A., Milligan, K., Sword, W., Thabane, L., Henderson, J., & Smith, A. (2012b). Integrated programs for mothers with substance abuse issues: A systematic review of studies reporting on parenting outcomes. Harm Reduction Journal, 9(14). http://www.harmreductionjournal.com/content/9/1/14

  • Onigu-Otite, E., & Belcher, H. (2012). Maternal drug abuse history, maltreatment, and functioning in a clinical sample of urban children. Child Abuse and Neglect, 36, 491–497.

    Article  Google Scholar 

  • Overcamp-Martini, M. (2007). Theory for the public good? Social capital theory in social work education. Advances in Social Work, 8(1), 196–207.

    Google Scholar 

  • Parcel, T., & Pennell, J. (2012). Child and family teams building social capital for at-risk students: A research note. Journal of Sociology & Social Welfare, 39(2), 75–91.

    Google Scholar 

  • Reblin, M., & Uchino, B. (2008). Social and emotional support and its implications for health. Current Opinion in Psychiatry, 21(2), 201–205.

    Article  Google Scholar 

  • Robinson, J., Sareen, J., Cox, B., & Bolton, J. (2009). Self-medication of anxiety disorders with alcohol and drugs: Results from a nationally representative sample. Journal of Anxiety Disorders, 23, 38–45.

    Article  Google Scholar 

  • Rosen, D., Warner, L., & Tolman, R. (2006). Comparing psychiatric service use among low-income women and women in a general household population. Social Work Research, 30(4), 223–232.

    Article  Google Scholar 

  • Rosenbaum, M. (1981). Women on heroin (p. 1981). New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Saladin, M., Brady, K., Dansky, B., & Kilpatrick, D. (1995). Understanding comorbidity between PTSD and substance use disorders: Two preliminary investigations. Addictive Behaviors, 20(5), 643–655.

    Article  Google Scholar 

  • Schechter, D., Suardi, F., Manini, A., Cordero, M., Rossignol, A., Merminod, G., et al. (2015). How do maternal PTSD and alexithymia interact to impact maternal behavior? Child Psychiatry and Human Development, 46(3), 406–417.

    Article  Google Scholar 

  • Sheedy, C., & Whitter, M. (2009). Guiding principles and elements of recovery-oriented systems of care: What do we know from the research? HHS Publication No. (SMA) 09-4439. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • Sterk, C. (1999). Fast lives: Women who use crack cocaine. Philadelphia, PA: Temple University Press.

    Google Scholar 

  • Stroul, B., Blau, G., & Friedman, R. (2010). Updating the system of care concept and philosophy. Washington, DC: Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children’s Mental Health.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration (2013a). Results from the 2012 national survey on drug use and health: Summary of national findings [NSDUH Series H-46, HHS Publication No. (SMA) 13-4795]. Rockville, MD: Author.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2013b). Treatment episodes data sets (TEDS) 2000–2010: Trends in substances of abuse among pregnant women and women of childbearing age in treatment. Rockville, MD: Author.

    Google Scholar 

  • Sun, A. (2006). Program factors related to women’s substance abuse treatment retention and other outcomes: A review and critique. Journal of Substance Abuse Treatment, 30, 1–20.

    Article  Google Scholar 

  • Suter, J., & Bruns, E. (2009). Effectiveness of the wraparound process for children with emotional and behavioral disorders: A meta-analysis. Clinical Child and Family Psychology Review, 12, 336–351.

    Article  Google Scholar 

  • The Betty Ford Institute Consensus Panel. (2007). What is recovery? A working definition from the betty ford institute. Journal of Substance Abuse Treatment, 33, 221–228.

    Article  Google Scholar 

  • Tracy, E., & Biegel, D. (2006). Personal social networks and dual disorders: A literature review and implications for practice and future research. Journal of Dual Diagnosis, 2(2), 59–88.

    Article  Google Scholar 

  • Tracy, E., & Martin, T. (2007). Children’s roles in the social networks of women in substance abuse treatment. Journal of Substance Abuse Treatment, 32, 81–88.

    Article  Google Scholar 

  • Ungar, M. (2011). Community resilience for youth and families: Facilitative physical and social capital in contexts of adversity. Children and Youth Services Review, 33, 1742–1748.

    Article  Google Scholar 

  • Uziel-Miller, N., & Lyons, J. (2000). Specialized substance abuse treatment for women and their children: An analysis of program design. Journal of Substance Abuse Treatment, 19, 355–367.

    Article  Google Scholar 

  • Vroon Vandenberg, L. L. C. (2005). High fidelity wraparound: Training manual. Colorado: Parker.

    Google Scholar 

  • Walker, J. Bruns, E., VanDenBerg, J., Rast, J., Osher, T., Miles, P., et al. (2004). Phases and activities of the wraparound process. Portland, OR: National Wraparound Initiative, Research and Training Center on Family Support and Children’s Mental Health, Portland State University.

    Google Scholar 

  • Werner, D., Young, N.K., Dennis, K., & Amatetti, S. (2007). Family-centered treatment for women with substance use disorders—History, key elements and challenges. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • White, W. (2009). The mobilization of community resources to support long-term addiction recovery. Journal of Substance Abuse Treatment, 36, 146–158.

    Article  Google Scholar 

  • White, W., & Cloud, W. (2008). Recovery capital: A primer for addictions professionals. Counselor, 9(5), 22–27.

    Google Scholar 

  • Winters, N., & Metz, W. (2009). The wraparound approach in systems of care. Psychiatric Clinics of North America, 32, 135–151.

    Article  Google Scholar 

  • Wulczyn, F., Ernst, M., & Fisher, P. (2011). Who are the infants in out-of-home care? An epidemiological and developmental snapshot. Chicago: Chapin Hall at the University of Chicago.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Colorado, 1320 Stuart Street, Denver, CO, 80204, USA

    M. Kay Teel

Authors
  1. M. Kay Teel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Kay Teel .

Editor information

Editors and Affiliations

  1. University of South Carolina, Institute for Families in Society University of South Carolina, COLUMBIA, South Carolina, USA

    Cheri J. Shapiro

  2. Center for the Study of Social Policy , Washington, District of Columbia, USA

    Charlyn Harper Browne

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Teel, M.K. (2016). Strong Start for Families: An Innovative Use of High Fidelity Wraparound with Mothers in Early Recovery from Substance Use Disorders. In: Shapiro, C., Harper Browne, C. (eds) Innovative Approaches to Supporting Families of Young Children. Springer, Cham. https://doi.org/10.1007/978-3-319-39059-8_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39059-8_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39057-4

  • Online ISBN: 978-3-319-39059-8

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics

Search

Navigation