"I thought there was no hope for me": A behavioral intervention for urban mothers with problem drinking

Rebecca de Guzman, Noelle R. Leonard, Marya Viorst Gwadz, Rebecca Young, Amanda S. Ritchie, Gricel Arredondo, Marion Riedel

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Pages (from-to)1252-1266
Number of pages15
JournalQualitative Health Research
Issue number9
StatePublished - Nov 1 2006



  • Alcohol abuse
  • Behavioral intervention
  • Evaluation research
  • Mixed-method design
  • Parenting
  • Women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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