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"I Thought There Was No Hope for Me": A Behavioral Intervention for Urban Mothers With Problem Drinking

Center for Drug Use and HIV Research, Institute for AIDS Research, National Development and Research Institutes, Inc., New York, Medical and Health Association of New York City, Inc., New York

Noelle R. Leonard

Center for Drug Use and HIV Research, Institute for AIDS Research, National Development and Research Institutes, Inc., New York

Marya Viorst Gwadz

Center for Drug Use and HIV Research, Institute for AIDS Research, National Development and Research Institutes, Inc., New York

Rebecca Young

Department of Women’s Studies at Barnard College, Columbia University, New York

Amanda S. Ritchie

Center for Drug Use and HIV Research, Institute for AIDS Research, National Development and Research Institutes, Inc., New York

Gricel Arredondo

Center for Drug Use and HIV Research, Institute for AIDS Research, National Development and Research Institutes, Inc., New York

Marion Riedel

Columbia University School of Social Work, New York

In this article, the authors evaluate the effects of a behavioral intervention for mothers with problem drinking who were infected with, or at risk for, HIV. They randomly selected 25 mothers from a larger longitudinal randomized controlled intervention trial for a qualitative interview. The authors found that mothers’ participation in the program was facilitated by the development of a strong therapeutic alliance with the intervention facilitator and the use of a harm reduction approach toward alcohol and/or drug abuse. Mothers also reported that training in coping skills and the emphasis on parent-adolescent relationships were beneficial for program engagement and behavior change. The authors conclude from these results that treatment approaches that take into account the complexity of urban mothers’ lives and substance use patterns can successfully engage and treat these women at high risk for adverse outcomes.

Key Words: alcohol abuse • HIV/AIDS • women • behavioral intervention • parenting • mixed-method design • evaluation research

Qualitative Health Research, Vol. 16, No. 9, 1252-1266 (2006)
DOI: 10.1177/1049732306294080


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