Drug Misuse and Motherhood

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ISBN: 9780415271950 | 0415271959
Cover: Nonspecific Binding
Copyright: 12/14/2001

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This book combines accounts from drug using mothers and practitioners responsible for their care offering many insights into the nature of women's dependence on drugs and the impact this has on mothering. Also revealed are those aspects of current practice that need urgent attention in the task that lies ahead for both health and social services.

List of figures

Authors and contributors

xiii

Preface

xvii

Acknowledgements

xix

The research base

xxi

PART I The changing context: women, drugs and family life

(44)

Women, family and drugs

(12)

Hilary Klee

Mothers who use drugs

(2)

Stigmatisation: counterproductive consequences

(1)

Self-medication by women

(1)

Parenting: changing family patterns

(1)

The children

(2)

Perpetuating a cycle of substance misuse - the need for service intervention

(1)

References

(4)

Women's use of drugs: gender specific factors

(17)

Samantha Wright

The importance of gender specificity

(1)

Gender differences: drug use

(3)

Gender differences: the social context of drug use

(1)

Gender differences: access to and experience of drug treatment services

(6)

Summary

(1)

References

(5)

Concepts of motherhood

(13)

Suzan Lewis

Motherhood as natural, instinctive and fulfilling

(2)

Concepts of the `good mother'

(2)

Motherhood as work

(1)

Motherhood as a social construction

(1)

Ambivalent mothers and social pressures

(1)

The idealisation and blaming of mothers

(2)

Summary

(1)

References

(3)

PART II Approaching motherhood: the pregnancy

(80)

Preparing for motherhood

(16)

Hilary Klee

Suzan Lewis

Adapting

(1)

Drug-using women -- a disadvantaged group

(7)

Coping

(1)

The support needs of pregnant women

(1)

Approaching the professionals

(3)

Models of motherhood

(1)

Conclusions

(1)

References

(1)

Antenatal care: expectations and experiences

(15)

Hilary Klee

Failure to attend

(5)

The need for reassurance

(3)

The need for information

(2)

Evaluation of antenatal services

(2)

Professional collaboration

(1)

Summary and conclusions

(1)

References

(1)

Drugs and pregnancy

(15)

Hilary Klee

Drug use: the early months

(3)

Methadone: attempts to reduce and abstain

(4)

Independent action

(2)

Quality of information: the health professionals' perspectives

(2)

Conclusions

(1)

References

(2)

Informal support: partners and mums

(12)

Hilary Klee

Introduction

(1)

Partners

(5)

Mothers

(3)

Conclusions

102

(1)

References

103

(2)

Practitioner views of pregnant drug users

105

(20)

Marcia Jackson

Hilary Klee

The uptake of services

105

(3)

Practitioners' views of drug users' parenting capacity

108

(1)

Alternative professional perspectives

109

(6)

Moves towards professional collaboration

115

(4)

Drugs knowledge, education and training

119

(3)

Conclusions

122

(1)

References

122

(3)

PART III Motherhood

125

(86)

Hospital confinement

127

(18)

Hilary Klee

Admission to hospital

127

(6)

Infant health

133

(3)

Admission to Special Care Baby Unit (SCBU)

136

(4)

Treating Neonatal Abstinence Syndrome

140

(1)

Staying on in hospital

141

(2)

Summary and conclusions

143

(1)

References

144

(1)

Drugs and parenting

145

(20)

Hilary Klee

Early demands

145

(4)

The positive aspects of motherhood

149

(1)

Coping

150

(2)

Risk factors and parents' prevention strategies

152

(9)

Conclusions

161

(2)

References

163

(2)

Relapse: missing the window of opportunity

165

(12)

Hilary Klee

Coping with demands

165

(3)

The relative importance of support and continuing drug use by the partner

168

(2)

A role for grandmothers

170

(1)

Friends

171

(1)

Seeking professional support

172

(3)

Summary and conclusions

175

(1)

References

175

(2)

Mothering and drugs: four case studies

177

(18)

Marcia Jackson

Case 1: Mandy

177

(6)

Case 2: Diane

183

(3)

Case 3: Linda

186

(4)

Case 4: Brenda

190

(3)

Summary

193

(2)

Child protection: Social workers' views

195

(16)

Julian Buchanan

Lee Young

The ideology of child protection: from `care' to `control'

196

(4)

The restructuring of the welfare state and its impact on social work

200

(2)

Child protection: social workers' views

202

(5)

Conclusion

207

(1)

Recommendations

208

(1)

References

209

(2)

PART IV Service delivery and development

211

(50)

Neonatal Abstinence Syndrome

213

(11)

Stephen Walkinshaw

Benjamin Shaw

Catherine Siney

Prediction of neonatal opiate withdrawal

214

(2)

Identification and recognition of Neonatal Abstinence Syndrome

216

(5)

Summary

221

(1)

References

221

(3)

The role of drug services for pregnant drug users: the Liverpool approach

224

(15)

Susan Ruben

Frances Fitzgerald

Aims and objectives of the Pregnancy Support Group

225

(1)

Agreed protocol for the Pregnancy Support Group

225

(1)

The pregnancy clinic

226

(2)

Initial assessment by the drug services

228

(2)

The care plan

230

(5)

Sharing antenatal care: the role of the specialist health visitor

235

(1)

Sharing postnatal care

236

(1)

Summary

237

(1)

References

238

(1)

The drug liaison midwife: developing a model of maternity services for drug-using women from conception to creation

239

(11)

Faye Macrory

The background to the project

239

(3)

Building the framework

242

(2)

The role of the drug liaison midwife

244

(2)

Antenatally: through birth and beyond

246

(2)

Conclusion

248

(1)

References

248

(2)

Providing care for pregnant women who use drugs: the Glasgow Women's Reproductive Health Service

250

(11)

Mary Hepburn

The Glasgow Women's Reproductive Health Service

250

(2)

Effects of drug use on pregnancy

252

(1)

Management of problem drug use in pregnancy: general principles

253

(3)

Obstetric management

256

(2)

Social management

258

(1)

Summary

259

(1)

References

260

(1)

PART V Implications for policy

261

(37)

Overcoming the barriers

263

(13)

Hilary Klee

Negative discrimination: being judged

264

(1)

Exposure of drug use

265

(1)

Professional inconsistency on drug management

266

(1)

Professional credibility and patient confidence

266

(2)

Fear of social work intervention

268

(4)

Working together: professional consistency

272

(2)

Summary and conclusions

274

(1)

References

275

(1)

Dilemmas of child welfare and drug dependence

276

(9)

Hilary Klee

Reconciling the irreconcilable

276

(1)

Reducing the risk

277

(1)

Social work dilemmas

278

(2)

The advantages of family therapy

280

(1)

Relevance to the UK

281

(2)

Conclusion: avoiding family break-up

283

(1)

References

283

(2)

Drugs policy and practice development in the United Kingdom

285

(13)

Hilary Klee

International service guidelines and recommendations

286

(2)

The United Kingdom

288

(1)

Services for drug-using parents: the UK guidelines for inter-agency working

289

(2)

Models of Care: the drug liaison midwife

291

(1)

Models of care: multi-agency collaboration

292

(2)

Models of care: advocacy

294

(1)

The case conference

294

(1)

The future of services for drug-using pregnant women

295

(1)

References

296

(2)

Notes

298

(1)

Index

299

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Drug Misuse and Motherhood

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