Parenting Support for Substance Use Disorder

EP
Overseen ByElizabeth Peacock-Chambers, MD, MSc
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Baystate Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how a parenting support program, called RHEP, can assist parents with substance use disorders (SUDs) who participate in the FIRST Steps Together (FST) program. The main focus is to determine if adding RHEP improves parenting skills, extends treatment duration, and reduces substance use compared to the regular FST program. Researchers will also examine the implementation of this support and the role of peer support specialists. This trial suits parents with a history of opioid or stimulant use who are expecting a child or have children aged 0-5 years. Participants will complete surveys and assessments to track their progress over time. As an unphased trial, this study provides a unique opportunity for parents to contribute to innovative research that could enhance support programs for families.

What prior data suggests that the Relational Health Enhanced Parenting Support (RHEP) implementation bundle is safe for parents with substance use disorders?

Research has shown that Relational Health Enhanced Parenting Support (RHEP) and First Steps Together (FST) are programs designed to assist parents with substance use disorders (SUDs). These programs aim to support parents in their recovery and enhance their parenting skills. Studies indicate that family-focused peer recovery support services, such as FST, can effectively help parents maintain treatment and improve family outcomes.

Programs like FST, which include home visits, have received positive feedback from participants. They provide essential support to parents recovering from SUDs. Reports have not linked these programs to serious negative effects, suggesting they are generally safe for participants. Although specific safety data for RHEP might not be available, the supportive nature of these programs and their focus on family and recovery suggest they are safe for participants involved in similar initiatives.12345

Why are researchers excited about this trial?

Researchers are excited about the trial for Parenting Support for Substance Use Disorder because it explores a unique approach combining Relational Health Enhanced Parenting Support (RHEP) with the existing First Steps Together (FST) program. Unlike standard treatments that typically focus solely on substance use, this trial emphasizes enhancing parenting skills and relational health, which could provide a more holistic support system for individuals with substance use disorders. By integrating these elements, the trial aims to discover if this combination can lead to more sustainable recovery and better family dynamics compared to usual care options.

What evidence suggests that this trial's treatments could be effective for substance use disorders?

Research has shown that Relational Health Enhanced Parenting Support (RHEP) can significantly assist families dealing with substance use problems. In this trial, participants in the Implementation Support arm will receive RHEP combined with First Steps Together (FST). Studies have found that programs like RHEP can reduce drug use, enhance mental health, and improve parenting skills. For instance, focusing on both parenting and substance use has helped parents remain in treatment programs longer and feel less stressed. These methods have also led to significant reductions in opioid and methamphetamine use among parents. This suggests that RHEP could enhance both parenting and recovery for families affected by substance use issues.678910

Who Is on the Research Team?

EP

Elizabeth Peacock-Chambers, MD, MSc

Principal Investigator

Baystate Health

Are You a Good Fit for This Trial?

This trial is for parents with substance use disorders who are receiving family-focused peer recovery support services through the FIRST Steps Together (FST) home visiting program.

Inclusion Criteria

Expecting a child or parenting a child age 0-5 years with either custody of the child or regularly planned visitation
History of substance use disorders (opioids or stimulants on self-report screening)
I am 18 years old or older.
See 1 more

Exclusion Criteria

Parents who are actively suicidal or homicidal
My parent cannot give consent due to severe mental or cognitive issues.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive family-focused peer recovery support services through the FIRST Steps Together (FST) program, with or without the Relational Health Enhanced Parenting Support (RHEP) enhancement

6 months
Regular visits for surveys and assessments

Follow-up

Participants are monitored for parenting-related outcomes, substance use disorder treatment retention, and reduction in substance use

6 months
Follow-up data collection at 1, 3, and 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • First Steps Together (FST)
  • Relational Health Enhanced Parenting Support (RHEP) implementation bundle

Trial Overview

The study compares two approaches: FST alone versus FST combined with Relational Health Enhanced Parenting Support (RHEP). It aims to see if adding RHEP improves parenting and recovery outcomes. Participants complete surveys and follow-ups over time.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Implementation SupportExperimental Treatment1 Intervention
Group II: Usual Care ControlActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Baystate Medical Center

Lead Sponsor

Trials
67
Recruited
44,500+

University of California, Irvine

Collaborator

Trials
580
Recruited
4,943,000+

Citations

The Impact of Substance Use Disorders on Families and ...

SUDs negatively affect emotional and behavioral patterns from the inception of the family, resulting in poor outcomes for the children and adults with SUDs.

Providing Integrated Support to Prevent and Treat Parental ...

FAIR has reduced parental opioid and methamphetamine use, mental health symptoms, and parenting risk, and improved stability. FAIR helps ...

Health record data adds further support for the role of ...

children who had both parents diagnosed with a substance use disorder were 3.74 times more likely to be diagnosed with a substance use disorder during ...

Parenting outcomes of parenting interventions in integrated ...

Across the 15 studies identified, this systematic review primarily focused on 8 parenting outcomes, including program retention, substance use, parenting stress ...

Meeting the Needs of Families Involved in the Child ...

Outcomes show statistically and clinically significant reductions in parental opioid and methamphetamine use, mental health symptoms, and ...

Improving Parenting Support for Substance Use Disorders ...

This study aims to enhance parenting support for individuals with substance use disorders using Relational Health Enhanced Parenting Support ( ...

About FIRST Steps Together

Part 2: Thinking about Trauma & Resilience in Parent-Child Pairs; Part 3: Trauma and Substance Use Disorder · Understanding and Treating Parent & Child Dyads

Parental substance use and home visiting programs - PMC - NIH

Home visiting programs can provide critical support to mothers in recovery from substance use disorders (SUDs) and young children prenatally exposed to ...

Reimagining Support for Parenting in the Context of ...

This Special Issue aims to move beyond the common assumption that any parental substance use is harmful and instead takes a harm reduction ...

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firststepstogetherma.org

firststepstogetherma.org/about-us/

About Us - First Steps Together

FIRST Steps Together is a home visiting program dedicated to serving and empowering parents on their journey recovering from substance use.