{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T08:14:25Z","timestamp":1792138465293,"version":"4.4.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pregnant and parenting people (PPP) experience complex challenges when seeking recovery from substance use disorders (SUD). Using a community\u2010based participatory research approach, researchers partnered with PPP seeking recovery from SUD to explore supports needed in their communities. Findings are reported in adherence with the consolidated criteria for reporting qualitative research. Thirty PPP were recruited from a residential drug recovery facility in the Southeastern United States. Participant interviews were conducted in\u2010person or virtually. PPP were asked to identify existing and needed parenting and recovery supports in their communities. Interviews were transcribed, verified for accuracy and coded using NVIVO software. Thematic analysis was framed by the Substance Abuse and Mental Health Services Administration (SAMHSA) eight dimensions of wellness, which reflect wellness standards across life domains. Participants identified internal and external challenges including feelings of guilt and shame, treatment access issues, lack of recovery support, grief and loss and inadequate instrumental support. Needed supports were broadly categorised as parenting resources, childcare resources, housing supports, recovery supports, occupational training and assistance and spirituality resources, and then evaluated and sorted based on appropriate fit within the SAMHSA's eight dimensions of wellness. Highest perceived needs fit within Intellectual, Emotional, Spiritual and Environmental wellness dimensions, respectively. Healthcare providers promoting recovery for PPP should focus on support needs within SAMHSA's dimensions of wellness and develop strategies that address the full range of these critical wellness dimensions. Intellectual, emotional and tangible environmental supports including parenting and recovery skills training, accessible mental health care and residential housing with childcare availability are essential for long\u2010term recovery and positive parenting.<\/jats:p>","DOI":"10.1111\/inm.13426","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T05:59:26Z","timestamp":1737525566000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["\u2018I Don't Know How to Live\n                    <i>Real<\/i>\n                    Life Sober\u2019\u2014Identifying Needed Supports Through the Voices of Pregnant and Parenting People Seeking Recovery"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7311-0978","authenticated-orcid":false,"given":"Phyllis","family":"Raynor","sequence":"first","affiliation":[{"name":"Department of Biobehavioral Health and Nursing Science and Advancing Chronic Care Outcomes Through Research and iNnovation (ACORN) Center College of Nursing University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2706-2116","authenticated-orcid":false,"given":"Cynthia F.","family":"Corbett","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health and Nursing Science and Advancing Chronic Care Outcomes Through Research and iNnovation (ACORN) Center College of Nursing University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4375-2785","authenticated-orcid":false,"given":"Delia","family":"West","sequence":"additional","affiliation":[{"name":"Arnold School of Public Health University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6004-3027","authenticated-orcid":false,"given":"Constance","family":"Guille","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina College of Medicine  Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4519-3929","authenticated-orcid":false,"given":"Kacey","family":"Eichelberger","sequence":"additional","affiliation":[{"name":"Prisma Health Upstate University of South Carolina School of Medicine Greenville  Greenville South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6717-0288","authenticated-orcid":false,"given":"Alain","family":"Litwin","sequence":"additional","affiliation":[{"name":"Prisma Health Upstate University of South Carolina School of Medicine Greenville  Greenville South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8184-420X","authenticated-orcid":false,"given":"Ronald","family":"Prinz","sequence":"additional","affiliation":[{"name":"Research Center for Child Well\u2010Being  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2012.10.001"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2023.103980"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2021.10.014"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.2.06"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000909"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000167"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.01.027"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v41.1.09"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.7645.1"},{"key":"e_1_2_13_12_1","unstructured":"Harris Q.2021. \u201cAll Is Well: The Journey Toward Holistic Health and Wellness in the African American Pentecostal Church\u2014ProQuest (WWW Document).\u201dhttps:\/\/www.proquest.com\/openview\/80ee9f8bb54de5b8e5bff71fdeb6bff7\/1?pq\u2010origsite=gscholar&cbl=18750&diss=y."},{"key":"e_1_2_13_13_1","volume-title":"Interviews: Learning the Craft of Qualitative Research Interviewing","author":"Kvale S.","year":"2015"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2023.100160"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687637.2020.1779182"},{"key":"e_1_2_13_16_1","unstructured":"Minot D.2013. \u201cSAMHSA's Working Definition of Recovery [WWW Document].\u201d Behavioral Health News.https:\/\/behavioralhealthnews.org\/samhsas\u2010working\u2010definition\u2010of\u2010recovery\/."},{"key":"e_1_2_13_17_1","unstructured":"NIDA.2021a. \u201cSubstance Use in Women Research Report: Summary|NIDA [WWW Document].\u201dhttps:\/\/nida.nih.gov\/publications\/research\u2010reports\/substance\u2010use\u2010in\u2010women\/summary."},{"key":"e_1_2_13_18_1","unstructured":"NIDA.2021b. \u201cSex and Gender Differences in Substance Use Disorder Treatment|National Institute on Drug Abuse (NIDA) [WWW Document].\u201dhttps:\/\/nida.nih.gov\/publications\/research\u2010reports\/substance\u2010use\u2010in\u2010women\/sex\u2010gender\u2010differences\u2010in\u2010substance\u2010use\u2010disorder\u2010treatment."},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406918825026"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2020.100269"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10615\u2010022\u201000847\u2010x"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppc.12823"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ynstr.2019.100172"},{"key":"e_1_2_13_24_1","volume-title":"Evidence\u2010Based, Whole\u2010Person Care for Pregnant People Who Have Opioid Use Disorder","author":"SAMHSA","year":"2023"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2021.106954"},{"key":"e_1_2_13_26_1","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA).2016. \u201cWhat Individuals in Recovery Need to Know About Wellness.\u201dhttps:\/\/store.samhsa.gov\/sites\/default\/files\/sma16\u20104950.pdf."},{"key":"e_1_2_13_27_1","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA).2020. \u201c2019 National Survey on Drug Use and Health: Women.\u201dhttps:\/\/www.samhsa.gov\/data\/release\/2020\u2010national\u2010survey\u2010drug\u2010use\u2010and\u2010health\u2010nsduh\u2010releases."},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579417000220"},{"key":"e_1_2_13_29_1","first-page":"1","article-title":"A Wellness Model for Clients","volume":"20","author":"Swarbrick M.","year":"1997","journal-title":"Mental Health Special Interest Section Quarterly"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_13_31_1","unstructured":"Volkow N. D.2023. \u201cPregnant People With Substance Use Disorders Need Treatment Not Criminalization.\u201d STAT.https:\/\/www.statnews.com\/2023\/02\/08\/addiction\u2010pregnancy\u2010treatment\u2010not\u2010criminalization\/."},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076231204746"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000342"}],"container-title":["International Journal of Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inm.13426","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/inm.13426","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inm.13426","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:31:13Z","timestamp":1772962273000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/inm.13426"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,20]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/inm.13426"],"URL":"https:\/\/doi.org\/10.1111\/inm.13426","archive":["Portico"],"relation":{},"ISSN":["1445-8330","1447-0349"],"issn-type":[{"value":"1445-8330","type":"print"},{"value":"1447-0349","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,20]]},"assertion":[{"value":"2024-03-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13426"}}