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Experiences of mothers with substance dependence: Informing the development of parenting support

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  • Cathrine Fowler
  • Sharon Reid
  • Jeannie Minnis
  • Carolyn Day

Abstract

Aims and objectives To understand the experiences of women with a history of substance dependence when they attempted to gain parenting support. Background Becoming a mother provides a window of opportunity to support women with a substance dependence make changes to their lives and the way they will parent their infants and young children. Yet there are many barriers and a constant fear of the removal of their children from their care. Design Focus groups were conducted using a qualitative interpretive descriptive approach to enable exploration of the women's experiences as mothers with infants and young children. Method A series of three focus groups were facilitated with three to six women per group. Thirteen women who were substance dependent participated in this study. Semi‐structured interviews guided the collection of data. Thematic content analysis was used to work with the data. Results Four themes were identified: (1) feelings of guilt, (2) judged by others, (3) normalising and (4) support and learning to be a mother. Conclusion The mothers expressed alienation from mainstream health services. Providing parenting and child health services, which avoid mothers feeling judged by the staff and other mothers, is an important step to enabling these women to appropriately and sensitively care for their infants and young children. Relevance to clinical practice Midwives and nurses working with mothers and their infants and young children are well positioned to support women who are or have experienced substance dependence. Working with this group of mothers requires the development of a therapeutic relationship to provide optimum support, education and, if necessary, intervention.

Suggested Citation

  • Cathrine Fowler & Sharon Reid & Jeannie Minnis & Carolyn Day, 2014. "Experiences of mothers with substance dependence: Informing the development of parenting support," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(19-20), pages 2835-2843, October.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:19-20:p:2835-2843
    DOI: 10.1111/jocn.12560
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    References listed on IDEAS

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    1. Susan R Harvey & Virginia Schmied & Daniel Nicholls & Hannah Dahlen, 2012. "Key components of a service model providing early childhood support for women attending opioid treatment clinics: an Australian state health service review," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(17‐18), pages 2528-2537, September.
    2. Virginia Schmied & Annie Mills & Sue Kruske & Lynn Kemp & Cathrine Fowler & Caroline Homer, 2010. "The nature and impact of collaboration and integrated service delivery for pregnant women, children and families," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(23‐24), pages 3516-3526, December.
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    Cited by:

    1. Siv M Myra & Edle Ravndal & Vigdis W Torsteinsson & Anne KS Øfsti, 2018. "Pregnant substance abusers in voluntary and coercive treatment in Norway: Therapists’ reflections on change processes and attachment experiences," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 959-970, March.

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