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首页> 外文期刊>The Canadian journal of clinical pharmacology =: Journal canadien de pharmacologie clinique >Child guardianship in a canadian home visitation program for women who use substances in the perinatal period
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Child guardianship in a canadian home visitation program for women who use substances in the perinatal period

机译：加拿大家庭探望计划中针对围产期使用毒品的妇女的儿童监护权

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摘要

Retaining guardianship of one's infant is often a priority for pregnant women who use substances, and may be beneficial to infants when they are safe in their mothers' care. Previous studies from the United States have identified several maternal psychosocial characteristics associated with the ability to keep an infant free from abuse or neglect; however, little is known about the impact of multiple risk factors on guardianship, particularly in Canadian intervention programs. Objective To describe maternal characteristics associated with child guardianship among pregnant women at risk of an alcohol and/or substance exposed pregnancy who attended a Canadian home visitation program. Methods Guardianship status at 6 months post-enrolment was extracted from a provincial program's records for all women enrolled between November 1999 and May 2005 (n=64). Bivariate analyses were performed to determine client characteristics most likely to have retained guardianship. Results At follow-up, 70% of participants were guardians of the index infant. Higher income, more prenatal care, no history of sexual abuse, better alcohol and psychiatric scores, and fewer risk factors on a cumulative risk index were significantly associated with retaining guardianship at 6 month follow-up (p<0.05). Conclusions Retaining child guardianship may be the greatest challenge and opportunity for women experiencing problems in multiple domains of their lives, including those associated with substance dependence. Programs targeted at women who use substances while pregnant may best assist mothers to retain guardianship of their infants by supporting clients to address the complex social and health problems often found in conjunction with addictions.
机译：保持婴儿监护权通常是使用药物的孕妇的重中之重，如果在母亲的照顾下是安全的，则对婴儿有利。美国以前的研究已经确定了与保持婴儿免受虐待或忽视的能力相关的几种产妇心理社会特征。但是，对于多种风险因素对监护的影响知之甚少，尤其是在加拿大的干预计划中。目的描述参加加拿大家庭探访计划的有酒精和/或物质暴露风险的孕妇，其与儿童监护相关的孕产特征。方法从1999年11月至2005年5月（n = 64）之间就读的所有妇女的省级计划记录中，提取入学后6个月的监护权状态。进行了双变量分析，以确定最有可能保留监护权的客户特征。结果随访时，有70％的参与者是该指标婴儿的监护人。较高的收入，更多的产前保健，无性虐待史，更好的饮酒和精神病学评分以及较少的累积危险指数危险因素与在6个月的随访中保持监护密切相关（p <0.05）。结论保持儿童监护权可能是妇女在生活的各个领域（包括与物质依赖相关的领域）遇到问题的最大挑战和机遇。针对怀孕期间使用药物的妇女的计划可能会通过支持客户解决通常与成瘾相关的复杂社会和健康问题，从而最好地帮助母亲保持婴儿的监护权。

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