Maternità e Disturbo da Uso di Sostanze: le esperienze delle ospiti di una comunità Terapeutico-Riabilitativa

Journal title SALUTE E SOCIETÀ
Author/s Anna Dal Ben
Publishing Year 2023 Issue 2023/3
Language Italian Pages 17 P. 211-227 File size 304 KB
DOI 10.3280/SES2023-003015
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

The phenomenon that sees pregnant women and mothers suffering from Substance Use Dis-order, is one of the emerging issues for social and health services, first of all for the need to protect the children involved, but also to support parenthood within these families. In the Ital-ian context, the data related to motherhood and substance abuse are residual and underestimat-ed, however, cases of babies born with neonatal abstinence syndrome and fetal alcohol syn-drome are increasing. Therefore, it is particularly important to understand the experiences of women who are in this situation in order to improve the social and health care system. This qualitative and explorative research has involved the guests of a therapeutic community that welcomes mother-child dyads with the purpose of analyze the history of addiction, the path to motherhood and the changes associated with entering the community.

Keywords: Substance Use Disorder; Motherhood; Social and health services; therapeutic communities; child protection; qualitative research.

  1. Addeo F., Montesperelli P. (2007). Esperienze di analisi di interviste non direttive. Roma: Aracne.
  2. Anda R.F., Felitti V.J., Bremner J.D., Walker J.D., Whitfield C.H., Perry B.D., Giles, W.H. (2006). The enduring effects of abuse and related adverse experiences in childhood. European archives of psychiatry and clinical neuroscience, 256(3): 174-186.
  3. Appleyard K., Berlin L. J., Rosanbalm K.D., Dodge K.A. (2011). Preventing early child maltreatment: Implications from a longitudinal study of maternal abuse history, substance use problems, and offspring victimization. Prevention science, 12(2): 139-149.
  4. Bancroft A. (2009). Drugs, Intoxication and Society. Cambridge: Polity Press.
  5. Barbour R. (2008). The scope and contribution of qualitative research. In: Barbour R., a cura di, Introducing qualitative research. Thousand Oaks, CA: Sage.
  6. Best D., Segal J., Day E. (2009). Changing patterns of heroin and crack use during pregnancy and beyond. Journal of Substance Use, 14(2): 124-132. DOI: 10.1080/1465989080265896
  7. Bichi R. (2002). L’intervista biografica. Una proposta metodologica. Milano: Vita e pensiero.
  8. Camisasca E. (2008). Traumi irrisolti, comportamento genitoriale atipico e attaccamento disorganizzato: una rassegna della letteratura. Maltrattamento e abuso all’infanzia, 10(2): 77-99.
  9. Chandler A., Whittaker A., Cunningham-Burley S., Williams N., McGorm K., Mathews G. (2013). Substance, structure and stigma: parents in the UK accounting for opioid substitution therapy during the antenatal and postnatal periods. International Journal of Drug Policy, 24(6): 35-42.
  10. Cicchetti D., Handley E.D. (2019). Child maltreatment and the development of substance use and disorder. Neurobiology of stress, 10: 100144.
  11. Cirillo S., Berrini R., Cambiaso G., Mazza, R. (2017). La famiglia del tossicodipendente. Milano: Raffaello Cortina Editore.
  12. Clark H.W. (2001). Residential substance abuse treatment for pregnant and postpartum women and their children: treatment and policy implications. Child Welfare, 80(2): 179-198.
  13. Dal Ben A., Masiero P., Schiavon A., Summo S. (2021). Madri in sostanza, in sostanza madri. Il ruolo dei servizi socio-sanitari nel sostegno alla donna dipendente e nella tutela del minore. In Pattaro C., a cura di, Ricercare nel servizio sociale. Milano: FrancoAngeli.
  14. Davis K.J., Yonkers K.A. (2012). Making lemonade out of lemons: a case report and literature review of external pressure as an intervention with pregnant and parenting substance-using women. The Journal of clinical psychiatry, 73(1): 51-56.
  15. De Curtis M. (2021). L’abuso di droghe in gravidanza. Pediatria, 2, 13.
  16. De Palo F., Capra N., Simonelli A., Salcuni, S., Di Riso D. (2014). Parenting quality in drug-addicted mothers in a therapeutic mother–child community: the contribution of attachment and personality assessment. Frontiers in psychology, 5: 1-13.
  17. EMCDDA (2016). European Monitoring Centre for Drugs and Drugs Addiction. Relazione Europea sulla Droga. -- Testo disponibile al sito: https://www.emcdda.europa.eu/system/files/publications/2637/TDAT16001ITN.pdf (31/05/2016).
  18. Espinet S.D., Motz M., Jeong J.J., Jenkins J.M. and Pepler D. (2016). ‘Breaking the Cycle’of maternal substance use through relationships: a comparison of integrated approaches. Addiction Research & Theory, 24(5): 375-388. DOI: 10.3109/16066359.2016.114014
  19. Forrester D., Harwin J. (2008). Parental substance misuse and child welfare: Outcomes for children two years after referral. British Journal of Social Work, 38(8): 1518-1535.
  20. Grechi E. (2018). Sostanze da abuso e gravidanza: un problema emergente, Atti del XXVI Congresso nazionale della Società italiana di neonatologia. Journal of Pediatric and Neonatal Individualized Medicine, 7(2). DOI: 10.7363/07022
  21. Gruber K.J., Taylor M.F. (2006). A family perspective for substance abuse: Implications from the literature. Journal of Social Work Practice in the Addictions, 6(1-2): 1-29.
  22. Haggerty K.P., Carlini B.H. (2020). Understanding the intergenerational transmission of substance use and problem behavior: Implications for future research and preventive interventions. Psychology of Addictive Behaviors, 34(8): 894-916.
  23. Hooks C. (2015). Paranoid or persecuted? The stigmatisation of pregnant drug users: a literature review. The practising midwife, 1: 14-18.
  24. Hser Y.I., Longshore D., Anglin M.D. (2007). The life course perspective on drug use: A conceptual framework for understanding drug use trajectories. Evaluation review, 31(6): 515-547. DOI: 10.1177/0193841X0730731
  25. Hser Y., Huang D., Chou C.P., Anglin M.D. (2007). Trajectories of heroin addiction: Growth mixture modeling results based on a 33-year follow-up study. Evaluation Review, 31(6): 548-563.
  26. Kettinger L.A., Nair P., Schuler M.E. (2000). Exposure to environmental risk factors and parenting attitudes among substance-abusing women. The American journal of drug and alcohol abuse, 26(1): 1-11.
  27. Kroll B. (2004). Living with an elephant: Growing up with parental substance misuse. Child & Family Social Work, 9(2): 129-140.
  28. Lacatena P. (2020). Donne e tossicodipendenza. Quando la patologia è di altro genere…. Mission - Open Access, (53): 26-32.
  29. Liotti G., Farina B. (2011). Sviluppi traumatici. Milano: Raffaello Cortina editore.
  30. Lloyd M. (2018). Health determinants, maternal addiction, and foster care: Current knowledge and directions for future research. Journal of Social Work Practice in the Addictions, 18(4): 339-363. DOI: 10.1080/1533256X.2018.151700
  31. Lynch J., Smith G.D. (2005). A life course approach to chronic disease epidemiology. Annual Review of Public Health, 26: 1-35.
  32. May P.A., Fiorentino D., Coriale G., Kalberg W.O., Hoyme H.E., Aragón A.S., Ceccanti M. (2011). Prevalence of children with severe fetal alcohol spectrum disorders in communities near Rome, Italy: new estimated rates are higher than previous estimates. International journal of environmental research and public health, 8(6): 2331-2351.
  33. McGlone L., Hamilton R., McCulloch D.L., MacKinnon J.R., Bradnam M., Mactier H. (2014). Visual outcome in infants born to drug-misusing mothers prescribed methadone in pregnancy. British Journal of Ophthalmology, 98(2): 238-245.
  34. McQueen K., Murphy-Oikonen J. (2016). Neonatal abstinence syndrome. New England Journal of Medicine, 375(25): 2468-2479.
  35. Milligan K., Niccols A., Sword W., Thabane L., Henderson J., Smith A., Liu J. (2010). Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: a meta-analysis. Substance abuse treatment, prevention, and policy, 5(1): 1-14.
  36. Minnes S., Singer L.T., Humphrey-Wall R. and Satayathum S. (2008). Psychosocial and behavioral factors related to the post-partum placements of infants born to cocaine-using women. Child abuse & neglect, 32(3): 353-366.
  37. Molteni L. (2011). L’eroina al femminile. Milano: FrancoAngeli.
  38. Oei J.L., Melhuish E., Uebel H., Azzam N., Breen C., Burns L., Wright I.M. (2017). Neonatal Abstinence Syndrome and High School Performance. Pediatrics, 139(2): 1-31.
  39. OMS (2018). Global status report on alcohol and health. -- Testo disponibile al sito: https://www.who.int/publications/i/item/9789241565639 (27/09/2018).
  40. Parolin M., Simonelli A. (2016). Attachment theory and maternal drug addiction: The contribution to parenting interventions. Frontiers in psychiatry, 7: 1-14.
  41. Pichini S., Marchei E., Vagnarelli F., Tarani L., Raimondi F., Maffucci R., Morini L. (2012). Assessment of prenatal exposure to ethanol by meconium analysis: results of an Italian multicenter study. Alcoholism: Clinical and Experimental Research, 36(3): 417-424.
  42. Radcliffe P. (2011). Substance-misusing women: Stigma in the maternity setting. British journal of midwifery, 19(8): 497-506.
  43. Sarkola T., Kahila H., Gissler M., Halmesmäki E. (2007). Risk factors for out‐of‐home custody child care among families with alcohol and substance abuse problems. Acta Paediatrica, 96(11): 1571-1576.
  44. Segatto B., Dal Ben A. (2017). Se, Come, Quando. Percorsi biografici nella maternità contemporanea. Milano: FrancoAngeli.
  45. Suarez M.A., Horton-Bierema W., Bodine C.E. (2018). Challenges and resources available for mothers in opiate recovery: A qualitative study. The Open Journal of Occupational Therapy, 6(4). DOI: 10.15453/2168-6408.148
  46. Tibaldi C. (2005). Il trattamento della tossicodipendenza in gravidanza e la nascita del bambino in sindrome di astinenza neonatale. Minori giustizia, 3: 1-6.
  47. Whitfield C.L., Dube S.R., Felitti V.J., Anda R.F. (2005). Adverse childhood experiences and hallucinations. Child abuse & neglect, 29(7): 797-810.
  48. Woo J., Bhalerao A., Bawor M., Bhatt M., Dennis B., Mouravska N., Samaan Z. (2017). “Don’t judge a book by its cover”: a qualitative study of methadone patients’ experiences of stigma. Substance abuse: research and treatment, 11: 1-12.

Anna Dal Ben, Maternità e Disturbo da Uso di Sostanze: le esperienze delle ospiti di una comunità Terapeutico-Riabilitativa in "SALUTE E SOCIETÀ" 3/2023, pp 211-227, DOI: 10.3280/SES2023-003015