Cultivating MOMS – Mitigating Obstacles for Multigenerational Success is a Boston-based program focusing on improving access to culturally and linguistically accessible residential treatment for pregnant and postpartum Latinx mothers with co-occurring substance use disorders and mental illness. MOMS leverages the host organization's robust healthcare infrastructure to address the treatment needs of 80 women and 240 child and adult family members over a five-year term. Funding covers staff, including a clinician and nurse practitioner, coordination specialists, an outreach specialist, intensive case management, and more. It also facilitates the implementation of several cutting-edge treatment strategies identified by the host organization's leadership and university collaborators. Informed by expert advice, social science, and medical research, the project employs several evidence-based practices to strategically address service gaps faced by Latinx mothers and mothers-to-be in Greater Boston. MOMS proposes to accomplish the following goals:
Stabilizing parental recovery by providing trauma-informed mental health and substance use treatment and primary care.
Provide recovery support services to increase participants' knowledge of community resources, capacity for self-management, and ability to heal family trauma.
Improve overall health and well-being via case management supporting patients' engagement in the development, implementation, and completion of treatment goals.
Promote the stabilization, reunification, and recovery of Latinx families by empowering them with the training, support, and resources they need to break cycles of addiction and abuse.
Delivering linguistically and culturally competent healthcare and flexible services is critical for diminishing the impacts of substance use disorders, mental illness, and COVID-19 on Greater Boston's Latinx communities and is especially critical for Latinx mothers, as this sub-group often faces complicated pathways to recovery. When these paths are traversed, however, mothers can be empowered to mitigate the downstream consequences cycles of addiction and trauma have on themselves, their children, and their families.
Latinx persons with co-occurring disorders in Greater Boston have limited access to culturally attuned care, even though it is more likely effective than standard protocols. Decades of research indicate that MOMS's strategies are among the most efficacious available, especially when applied to Latinx populations. It is, therefore, reasonable to predict that this project will help mitigate downstream consequences associated with relapse for participants, their families, and society more broadly. These costs include an increased burden on the healthcare infrastructure; a higher likelihood for children of addicted parents to develop physical, mental, or emotional disorders; and higher public health and criminal justice expenditures associated with both mothers experiencing CODs and their families. These benefits are all in addition to the increased wellness experienced by clients when they end addictions, avoid relapse, and (re)commit to healthy lifestyles.