Engaging Moms Program (EMP): Serving “the best interests of the child” by Improving Maternal Functioning Gayle A Dakof & Elliette Duarte University of.

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Presentation transcript:

Engaging Moms Program (EMP): Serving “the best interests of the child” by Improving Maternal Functioning Gayle A Dakof & Elliette Duarte University of Miami Miller School of Medicine

Engaging Moms Program Goal: Help Drug and Child Welfare Involved Mothers Succeed in Life: Recovery & Individual Functioning, Parenting, Family and Romantic Relationships Not A Substance Abuse Treatment ---But A Family-Based Intervention That Supports Treatment and Facilitates Recovery by Improving Family Relationships and Familial Role Functioning

Two Current Versions of EMP Objectives: Enrolling and Retaining Mothers In Substance Abuse Treatment Helping Mothers Succeed in Dependency Drug Court

Core EMP Interventions Build & Strengthen Therapeutic Alliance: I Am On Your Side! Enhance Motivation to Change: Women & Children First Strengthen Emotional Attachment With Children Involve Family of Origin-Repair Relationships/Seek Support Improve Parenting Practices Examine & Improve Romantic Relationships Conduct Shuttle Diplomacy Between Mother & Service Providers/Courts/Child Welfare Deal With Relapses, Setback and Mistakes in a Therapeutic Manner (non punitive) Launch To Independent Life: Planning In Excruciating Detail/Prepare for Bumps in the Road

EMP: Substance Abuse Enrollment & Retention Version (Dakof, Quille, Tejeda, Alberga, Bandstra & Szapocznik, Enrolling and Retaining Mothers of Substance-Exposed Infants in Drug Abuse Treatment. JCCP, 2003) NIDA-funded study 103 Black non-treatment seeking mothers of drug exposed infants Randomized to EMP or Community Service As Usual Therapeutic Goals: Enroll in Substance Abuse Treatment within 8 weeks, Retain in Treatment for at least 4 weeks

Enrollment In Substance Abuse Treatment

4 Week Retention

90+ Day Retention

EMP In Dependency Drug Court Develops Original EMP by: Expanding goal from enrollment & initial retention in treatment to longer term outcomes (recovery & reunification) Stay with Mothers In Increasingly Less Intensity Until Permanency (12 – 15 months) Goal Is To Help Mothers Succeed In Dependency Drug Court

EMP in Dependency Drug Court Intervention Development Study (NIDA Funded) Randomized Design: EMP vs. Intensive Case Management Sample Size = 65 Data Collection at Intake; 3, 6, 9, 12, 18 months

EMP in Dependency Drug Court Broad Range of Outcomes: Reunification Parenting Skills Substance Use Child Maltreatment Vocational/Educational Psychological Functioning Child Functioning

Permanency-Reunification: Preliminary Results ( n = 36)

Can The Engaging Moms Program Be Adapted for Mothers Involved In Criminal Justice System? Potential Opportunities to Implement: Identify Mothers & Recruit Into EMP At Time of Arrest Prior To Release From Jail Upon Release From Prison Probation Parole

Can The Engaging Moms Program Be Adapted for Mothers Involved In Criminal Justice System? What Is the Purpose: 1. Engage & Retain in Substance Abuse Treatment & Other Services 2. Help Succeed In Recovery & Improve Parenting Skills, Attachment To Children, Relationships with Parents & Partners/Fathers/Spouses