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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.

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Engaging moms program emp serving the best interests of the child by improving maternal functioning

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
Engaging Moms Program of the child” by Improving Maternal 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


Two current versions of emp
Two Current Versions of EMP of the child” by Improving Maternal Functioning

Objectives:

  • Enrolling and Retaining Mothers In Substance Abuse Treatment

  • Helping Mothers Succeed in Dependency Drug Court


Core emp interventions
Core EMP Interventions of the child” by Improving Maternal Functioning

  • 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 of the child” by Improving Maternal Functioning(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
Enrollment In Substance Abuse Treatment of the child” by Improving Maternal Functioning


4 week retention
4 Week Retention of the child” by Improving Maternal Functioning


90 day retention
90+ Day Retention of the child” by Improving Maternal Functioning


Emp in dependency drug court
EMP In Dependency Drug Court of the child” by Improving Maternal Functioning

  • 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 court1
EMP in Dependency Drug Court of the child” by Improving Maternal Functioning

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 court2
EMP in Dependency Drug Court of the child” by Improving Maternal Functioning

Broad Range of Outcomes:

  • Reunification

  • Parenting Skills

  • Substance Use

  • Child Maltreatment

  • Vocational/Educational

  • Psychological Functioning

  • Child Functioning


Permanency reunification preliminary results n 36
Permanency-Reunification: Preliminary Results ( n = 36) of the child” by Improving Maternal Functioning


Can the engaging moms program be adapted for mothers involved in criminal justice system
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 system1
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


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