Stage 1 Treatment Development With Homeless Mothers and Their 2-6 Year Old Children
Aim 1. Identify specific targets and processes of intervention among homeless substance abusing mothers with children between the ages of 2 and 6 years from information collected in focus groups and assessment interviews. Translate that information for the refinement of the ecologically based treatment manual.
Aim 2. Test the efficacy of the treatment in a nonrandomized pilot study and revise the manual based upon those findings.
Aim 3. Test the efficacy of the experimental intervention compared to treatment as usual (TAU) in a randomized pilot, with the goal to improve maternal substance abuse problems, social stability, and mental health. It is expected that the experimental intervention will be associated with lower substance use and related problem behaviors than TAU.
Aim 4. Test whether intended change processes (mediators) associated with the intervention produce the desired change in mother's substance use, social stability, and mental health. It is expected that self-efficacy will mediate substance use outcomes.
Aim 5. Explore how length of homelessness, age and ethnicity of the mother predict treatment response (moderators).
Aim 6. Explore the impact of the experimental intervention (Ecologically-Based Therapy)on interpersonal stress and child's mental health.
Building Social and Structural Connections for the Prevention of Opioid Use Disorder Among Youth Experiencing Homelessness