# Presentation: 713389

## 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

## 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		

_**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

## Objectives:

Enrolling and Retaining Mothers In Substance Abuse Treatment

Helping Mothers Succeed in Dependency Drug Court

**Objectives:**
- Enrolling and Retaining Mothers In Substance Abuse Treatment
- Helping Mothers Succeed in Dependency Drug Court

## 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

- 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

## 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

- 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

## 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 

- 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

## 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

- 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

## 
Broad Range of Outcomes: 
Reunification
Parenting Skills
Substance Use 
Child Maltreatment
Vocational/Educational
Psychological Functioning 
Child Functioning

- Broad Range of Outcomes:
- Reunification
- Parenting Skills
- Substance Use
- Child Maltreatment
- Vocational/Educational
- Psychological Functioning
- Child Functioning

## Permanency-Reunification: Preliminary Results ( n = 36)

## Potential Opportunities to Implement: Identify Mothers & Recruit Into EMP
At Time of Arrest 
Prior To Release From Jail 
Upon Release From Prison
Probation
Parole

**Potential Opportunities to Implement**: Identify Mothers & Recruit Into EMP
- At Time of Arrest
- Prior To Release From Jail
- Upon Release From Prison
- Probation
- Parole

## 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

- 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