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(p. 211) Pre- and Perinatal Intervention for Substance Using Mothers 

(p. 211) Pre- and Perinatal Intervention for Substance Using Mothers
(p. 211) Pre- and Perinatal Intervention for Substance Using Mothers

Zack Boukydis

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date: 16 October 2018

This chapter describes an intervention strategy for substance-using mothers in residential treatment. Developed based on communication with parents, observations of parents and their at-risk infants, and assessment of infant neurobehavior, the intervention includes a prenatal and a postnatal component that together support the mother-infant relationship in the perinatal period. The neurobehavioral assessment consists of traditional evaluation of infant reflexes and motor tone combined with observation and assessment of infant attentional and regulatory abilities. The chapter first provides an overview of teratogenic models of infant development and compares them with transactional models. It then considers the early interaction between mothers and infants as well as clinical understanding of maternal representations. It also outlines the objectives and developmental principles of the intervention before concluding with an assessment of the intervention’s integration into drug abuse treatment.

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