Document Detail

Child guardianship in a Canadian home visitation program for women who use substances in the perinatal period.
MedLine Citation:
PMID:  19182306     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Retaining guardianship of one's infant is often a priority for pregnant women who use substances, and may be beneficial to infants when they are safe in their mothers' care. Previous studies from the United States have identified several maternal psychosocial characteristics associated with the ability to keep an infant free from abuse or neglect; however, little is known about the impact of multiple risk factors on guardianship, particularly in Canadian intervention programs. OBJECTIVE: To describe maternal characteristics associated with child guardianship among pregnant women at risk of an alcohol and/or substance exposed pregnancy who attended a Canadian home visitation program. METHODS: Guardianship status at 6 months post-enrolment was extracted from a provincial program's records for all women enrolled between November 1999 and May 2005 (n=64). Bivariate analyses were performed to determine client characteristics most likely to have retained guardianship. RESULTS: At follow-up, 70% of participants were guardians of the index infant. Higher income, more prenatal care, no history of sexual abuse, better alcohol and psychiatric scores, and fewer risk factors on a cumulative risk index were significantly associated with retaining guardianship at 6 month follow-up (p<0.05). CONCLUSIONS: Retaining child guardianship may be the greatest challenge and opportunity for women experiencing problems in multiple domains of their lives, including those associated with substance dependence. Programs targeted at women who use substances while pregnant may best assist mothers to retain guardianship of their infants by supporting clients to address the complex social and health problems often found in conjunction with addictions.
Rosanne M T Mills; Jodi E Siever; Matt Hicks; Dorothy Badry; Suzanne C Tough; Karen Benzies
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-01-30
Journal Detail:
Title:  The Canadian journal of clinical pharmacology = Journal canadien de pharmacologie clinique     Volume:  16     ISSN:  1710-6222     ISO Abbreviation:  Can J Clin Pharmacol     Publication Date:  2009  
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-03-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9804162     Medline TA:  Can J Clin Pharmacol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e126-39     Citation Subset:  IM    
Decision Support Research Team, Calgary Health Region, Calgary, Alberta, Canada.
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MeSH Terms
Child Custody*
Child Rearing
Cohort Studies
Follow-Up Studies
Home Care Services*
House Calls*
Infant, Newborn
Maternal Behavior / psychology
Maternal Health Services
Maternal Welfare / psychology
Maternal-Child Health Centers*
Mothers / psychology
Postnatal Care*
Pregnancy Complications / diagnosis
Prenatal Exposure Delayed Effects
Program Evaluation
Retrospective Studies
Severity of Illness Index
Socioeconomic Factors
Substance-Related Disorders / diagnosis,  psychology*,  rehabilitation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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