MEDICATION-ASSISTED DRUG TREATMENT AND CHILD WELL-BEING

Lena Lundgren, Ph.D.¹
Nancy K. Young, P.h.D.²
Therese Fitzgerald, M.S.W.¹
Cat Oettinger, B.A. ¹

¹ Center on Work and Family, Boston University
² National Center on Substance Abuse and Child Welfare

Acknowledgements

A Program of the
Substance Abuse and Mental Health
Services Administration
Center for Substance Abuse Treatment
and the
Administration on Children, Youth and Families
Children’s Bureau
Office on Child Abuse and Neglect

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2007 National Conference

Why This Focus on Medication Assisted Drug Treatment (MADT) and Child Welfare?

Importance of Workshop

Background

Common Risks for Opiate-Dependent Clients

What is MADT?

Effectiveness of MADT

Methadone (MMT)

Federal Regulations of MMT Clinics

Services Provided by Comprehensive MMT programs

Positive Factors Associated with MMT

Buprenorphine

Naltrexone (reVia)

MADT and Neonatal and Child Well-Being

Concerns for Neonatal and Infant Well-Being of Children Born to Opiate-Dependent Mothers

Neonatal Abstinence Syndrome

Neonatal Abstinence Syndrome and MMT

Neonatal Abstinence Syndrome and MMT

Neonatal Abstinence Syndrome and Buprenorphine

Positive Effects of MMT on Neonatal Well-Being

Positive Effects of MMT on Infant Well-Being

MADT and Opiate-Dependent Mothers: Infancy Through Adolescence

Opiate Dependence and Later Development

Effects of MMT on Later Mental and Motor Development

Generally…

Why these contradictions?

Researchers suggest

In general….

MMT can help reverse negative effects….

When the “physical, psychological, and economic issues of the pregnant opiate abuser are addressed concurrently with MMT, the benefits [of MMT] far outweigh the risks for the mother, the fetus and the infant”

Jones et al., 1999, p. 272

Summary

Working With Mothers on MADT: Suggestions