Recovering Together: The Socioecological Impact of Social Networks on Postpartum Substance Use Disorder Recovery.

This study explored the experiences of postpartum individuals in early substance use disorder (SUD) recovery and key aspects of their social networks using the Socioecological Model (SEM). We conducted a qualitative study of 22 postpartum individuals (< 1 year since delivery) in residential SUD trea...

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Published in:Community Mental Health Journal Vol. 61; no. 8; pp. 1471 - 1481
Main Authors: Holcomb, Leah A., Koob, Caitlin, Treado, Bonnie, Mayo, Rachel, Cartmell, Kathleen B., Barkin, Jennifer, Dickes, Lori, Eichelberger, Kacey
Format: Article
Published: Springer Nature Nov2025
Subjects:
Online Access:View this record in EBSCOhost
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          Holcomb, Leah A.
          Koob, Caitlin
          Treado, Bonnie
          Mayo, Rachel
          Cartmell, Kathleen B.
          Barkin, Jennifer
          Dickes, Lori
          Eichelberger, Kacey
        affil:
          https://ror.org/012jban78 Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
          https://ror.org/012jban78 Women's Reproductive and Behavioral Health, Medical University of South Carolina, 125 Doughty St., Suite 400, Charleston, SC, USA
          https://ror.org/012jban78 Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, SC, USA
          https://ror.org/05a0xpx35 College of Health Professions, Anderson University, Anderson, SC, USA
          https://ror.org/037s24f05 Department of Public Health Sciences, Clemson University, Clemson, SC, USA
          https://ror.org/04bk7v425 Department of Community Medicine and Obstetrics and Gynecology, Mercer University School of Medicine, Macon, GA, USA
          https://ror.org/037s24f05 Department of Political Science, Clemson University, Clemson, SC, USA
          https://ror.org/02b6qw903 Department of Obstetrics and Gynecology, University of South Carolina School of Medicine Greenville, Prisma Health Upstate, Greenville, SC, USA
      su:
        Southern States
        Substance abuse treatment
        Education of parents
        Health services accessibility
        Qualitative research
        Respect
        Interviewing
        Child health services
        Health policy
        Social services
        Parenthood
        Psychological well-being
        Help-seeking behavior
        Sound recordings
        Transportation
        Social networks
        Psychology of mothers
        Narcotics
        Alcoholism
        Social support
        Counseling
        Interpersonal relations
        Poverty
        Puerperium
        Central nervous system stimulants
        Judgment sampling
        Descriptive statistics
        Thematic analysis
        Convalescence
        Family-centered care
        Housing stability
        Data analysis software
        Residential care
      sug:
        subj:
          Substance abuse treatment
          Education of parents
          Health services accessibility
          Qualitative research
          Respect
          Interviewing
          Child health services
          Health policy
          Social services
          Parenthood
          Psychological well-being
          Help-seeking behavior
          Sound recordings
          Transportation
          Social networks
          Psychology of mothers
          Narcotics
          Alcoholism
          Social support
          Counseling
          Interpersonal relations
          Poverty
          Southern States
          Other Individual and Family Services
          Administration of Public Health Programs
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical and medicine manufacturing
          Sound recording merchant wholesalers
          Record Production
          Integrated Record Production/Distribution
          All Other Support Activities for Transportation
          Other support activities for transportation
          Outpatient Mental Health and Substance Abuse Centers
          Psychiatric and Substance Abuse Hospitals
          Other Residential Care Facilities
          Puerperium
          Central nervous system stimulants
          Judgment sampling
          Descriptive statistics
          Thematic analysis
          Convalescence
          Family-centered care
          Housing stability
          Data analysis software
          Residential care
      keyword:
        Maternal functioning
        Medical and Health Sciences Public Health and Health Services Studies in Human Society Sociology
        Mental health
        Postpartum
        Substance use disorder
        Maternal functioning
        Medical and Health Sciences Public Health and Health Services Studies in Human Society Sociology
        Mental health
        Postpartum
        Substance use disorder
      ab: This study explored the experiences of postpartum individuals in early substance use disorder (SUD) recovery and key aspects of their social networks using the Socioecological Model (SEM). We conducted a qualitative study of 22 postpartum individuals (< 1 year since delivery) in residential SUD treatment from July to November 2023. Transcribed, audio-recorded interviews were analyzed using Atlas.ti, with findings organized by SEM levels. Participants, primarily White (81.8%), single (86.3%), and living below the poverty line (81.8%), reported opioid (40.1%) and stimulant (81.8%) use disorders. Challenges spanned SEM levels, including navigating parenthood, accessing trauma-informed care, and overcoming structural barriers such as housing instability, transportation, and childcare access. Findings underscore the need for family-centered, trauma-informed recovery programs and flexible policies addressing childcare and social service barriers to support long-term recovery and maternal well-being.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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