{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:13:32Z","timestamp":1787066012911,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,6,14]],"date-time":"2011-06-14T00:00:00Z","timestamp":1308009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infant Mental Health Journal"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Previously, we reported posttreatment findings from a randomized pilot study testing a new attachment\u2010based parenting intervention for mothers enrolled in substance\u2010use treatment and caring for children ages birth to 3 years (N.E. Suchman, C. DeCoste, N. Castiglioni, T. McMahon, B. Rounsaville, &amp; L. Mayes, 2010).\n                    <jats:italic>The Mothers and Toddlers Program<\/jats:italic>\n                    (MTP) is a 12\u2010session, weekly individual parenting therapy that aims to enhance maternal capacity for reflective functioning and soften harsh and distorted mental representations of parenting. In a randomized pilot study, 47 mothers who were enrolled in outpatient substance\u2010abuse treatment and caring for children between birth and 3 years of age were randomized to the MTP versus the Parent Education Program (PE), a comparison intervention that provided individual case management and developmental guidance. At the end of treatment, mothers in the MTP condition demonstrated better reflective functioning, representation quality, and caregiving behavior than did mothers in the PE condition. In this investigation, we examined whether the benefits of MTP at posttreatment were sustained at the 6\u2010week follow\u2010up. Recently, we also identified two components of parental reflective functioning: (a) a self\u2010focused component representing the parent's capacity to mentalize about strong personal emotions (e.g., anger, guilt, or pain) and their impact on the child and (b) a child\u2010focused component representing the parent's capacity to mentalize about the child's emotions and their impact on the mother (N. Suchman, C. DeCoste, D. Leigh, &amp; J. Borelli, 2010). In this study, we reexamined posttreatment outcomes using these two related, but distinct, constructs.\n                  <\/jats:p>","DOI":"10.1002\/imhj.20303","type":"journal-article","created":{"date-parts":[[2011,6,15]],"date-time":"2011-06-15T04:37:29Z","timestamp":1308112649000},"page":"427-449","source":"Crossref","is-referenced-by-count":147,"title":["The mothers and toddlers program, an attachment\u2010based parenting intervention for substance\u2010using women: Results at 6\u2010week follow\u2010up in a randomized clinical pilot"],"prefix":"10.1002","volume":"32","author":[{"given":"Nancy E.","family":"Suchman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Decoste","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Mcmahon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Rounsaville","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Mayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,6,14]]},"reference":[{"key":"e_1_2_15_2_1","volume-title":"Patterns of attachment: A psychological study of the strange situation","author":"Ainsworth M.D.S.","year":"1978"},{"key":"e_1_2_15_3_1","volume-title":"Child health assessment: Part 2. 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