The goal of this clinical trial is to evaluate the effectiveness and implementation of Relational Health Enhanced Parenting Support (RHEP), an implementation strategy designed to improve delivery of evidence-based parenting support within family-focused peer recovery support services (PRSS), for parents with substance use disorders (SUDs) receiving services through the FIRST Steps Together (FST) home visiting program. The main questions it aims to answer are:
Researchers will compare FST alone to FST plus RHEP to determine whether RHEP enhances parenting support delivery and improves parent and recovery outcomes.
Participants will:
Peer recovery support specialists participating in the study will:
Inclusion criteria - At least 18 years old or older; newly enrolled in FIRST Steps Together (<1 month); expecting a child or parenting a child age 0-5 years, with either custody of the child or regularly planned visitation; history of SUDs (opioids or stimulants on self-report screening).
Exclusion criteria - Parents who are actively suicidal or homicidal or not able to give informed consent because of severe cognitive impairments or psychosis.
Elizabeth.Peacock-ChambersMD@baystatehealth.org
Relational Health Enhanced Parenting Support (RHEP) + FIRST Steps Together (FST)
FIRST Steps Together alone
Adolescents With Substance Use Disorders Transitioníng From Residential Treatment to the Community
Parenting Intervention for Mothers With Substance Use Disorder
Disrupting SRFOH to Improve Substance Use and Mental Health Outcomes for Parents in Rural Regions
Substance Use Prevention for Youth With Parents in Recovery
Promoting Caregiver-child Attachment and Recovery Through Early Intervention (pCARE): A Pilot Randomized Control Trial
Integration of DBT Skills and Parent Training for Parents With a History of Substance Use
EXPANDED SCOPE for Parent Grant Entitled, "Peer Recovery Support Services for Individuals in Recovery Residences on MOUD"
Leveraging Parents and Peers to Increase Recovery Capital in Emerging Adults