SynthesisSubstance abuse treatment, prevention, and policy2010
Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: a meta-analysis.
Synthesis in Substance abuse treatment, prevention, and policy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04251208 (MOms in REcovery), which is not on this map. Cited by 30 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
MOms in REcovery (MORE): Defining Optimal Care for Pregnant Women and Infants
Who cites it
30 citing papers in PubMed, 6 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Effects of integrated programs for substance-involved mothers on infant and child development outcomes: A systematic review and meta-analysis.Infant mental health journal · 2025Pooled it
- Interventions to Reduce Parental Substance Use, Domestic Violence and Mental Health Problems, and Their Impacts Upon Children's Well-Being: A Systematic Review of Reviews and Evidence Mapping.Trauma, violence & abuse · 2024Pooled it
- The effectiveness of psychosocial interventions at reducing the frequency of alcohol and drug use in parents: findings of a Cochrane Review and meta-analyses.Addiction (Abingdon, England) · 2022Pooled it
- Effectiveness of psychosocial interventions for reducing parental substance misuse.The Cochrane database of systematic reviews · 2021Pooled it
- Strategies to facilitate integrated care for people with alcohol and other drug problems: a systematic review.Substance abuse treatment, prevention, and policy · 2017Pooled it
- Reporting of feasibility factors in publications on integrated treatment programs for women with substance abuse issues and their children: a systematic review and analysis.Health research policy and systems · 2012Pooled it
- Family systems therapy for substance-using mothers and their 8- to 16-year-old children.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2016Trial
- Mapping the subjective importance of the topic 'parenthood' for parents with substance use disorder in inpatient rehabilitative care - an explorative qualitative study in Germany.Substance abuse treatment, prevention, and policy · 2026Article
- Review of Studies Regarding Assessment of Families Where Children Are at Risk of Harm Due to Parental Substance Misuse.International journal of environmental research and public health · 2025Review
- Co-Locating Obstetrics and Addiction Medicine Clinics to Improve Attendance in Services for Pregnant People with Opioid Use Disorder.Psychiatric research and clinical practice · 2024Article
- Development of a Blueprint for Integrated Care for Vulnerable Pregnant Women.Maternal and child health journal · 2022Article
- Article
- Benefits of Digital Health Resources for Substance Use Concerns in Women: Scoping Review.JMIR mental health · 2021Article
- Support Services for Young Adults With Substance Use Disorders.Pediatrics · 2021Article
- High Rates of Biomarker-Confirmed Alcohol Use Among Pregnant Women Living With HIV in South Africa and Uganda.Journal of acquired immune deficiency syndromes (1999) · 2019Article
- Intergenerational continuity in alcohol misuse: Maternal alcohol use disorder and the sequelae of maternal and family functioning.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019Article
- Coordinating Outpatient Care for Pregnant and Postpartum Women with Opioid Use Disorder: Implications from the COACHH Program.Maternal and child health journal · 2019Article
- Levels and predictors of participation in integrated treatment programs for pregnant and parenting women with problematic substance use.BMC public health · 2019Article
- Neonatal abstinence syndrome.Nature reviews. Disease primers · 2018Review
- The prognosis of out-patient alcohol treatment among parents with childcare responsibility.BJPsych open · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundThe rate of women with substance abuse issues is increasing. Women present with a unique constellation of risk factors and presenting needs, which may include specific needs in their role as mothers. Numerous integrated programs (those with substance use treatment and pregnancy, parenting, or child services) have been developed to specifically meet the needs of pregnant and parenting women with substance abuse issues. This synthesis and meta-analysis reviews research in this important and growing area of treatment.
methodsWe searched PsycINFO, MedLine, PubMed, Web of Science, EMBASE, Proquest Dissertations, Sociological Abstracts, and CINAHL and compiled a database of 21 studies (2 randomized trials, 9 quasi-experimental studies, 10 cohort studies) of integrated programs published between 1990 and 2007 with outcome data on maternal substance use. Data were summarized and where possible, meta-analyses were performed, using standardized mean differences (d) effect size estimates.
resultsIn the two studies comparing integrated programs to no treatment, effect sizes for urine toxicology and percent using substances significantly favored integrated programs and ranged from 0.18 to 1.41. Studies examining changes in maternal substance use from beginning to end of treatment were statistically significant and medium sized. More specifically, in the five studies measuring severity of drug and alcohol use, the average effect sizes were 0.64 and 0.40, respectively. In the four cohort studies of days of use, the average effect size was 0.52. Of studies comparing integrated to non-integrated programs, four studies assessed urine toxicology and two assessed self-reported abstinence. Overall effect sizes for each measure were not statistically significant (d = -0.09 and 0.22, respectively).
conclusionsFindings suggest that integrated programs are effective in reducing maternal substance use. However, integrated programs were not significantly more effective than non-integrated programs. Policy implications are discussed with specific attention to the need for funding of high quality randomized control trials and improved reporting practices.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.