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. 2025 Jun 21.
doi: 10.1007/s10597-025-01482-9. Online ahead of print.

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

Leah A Holcomb  1   2 , Caitlin Koob  3 , Bonnie Treado  4 , Rachel Mayo  5 , Kathleen B Cartmell  5 , Jennifer Barkin  6 , Lori Dickes  7 , Kacey Eichelberger  8
Affiliations

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

Leah A Holcomb et al. Community Ment Health J. .

Abstract

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.

Keywords: Maternal functioning; Mental health; Postpartum; Substance use disorder.

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Conflict of interest statement

Declarations. Competing interests: Authors declare no competing interests.

References

    1. Adlington, K., Vasquez, C., Pearce, E., Wilson, C. A., Nowland, R., Taylor, B. L., Spring, S., & Johnson, S. (2023). “Just snap out of it” - the experience of loneliness in women with perinatal depression: A meta-synthesis of qualitative studies. BMC Psychiatry, 23(1), 110. https://doi.org/10.1186/s12888-023-04532-2 - DOI - PubMed - PMC
    1. Arria, A. M., Mericle, A. A., Rallo, D., et al. (2013). Integration of parenting skills education and interventions in addiction treatment. Journal of Addiction Medicine, 7(1), 1–7. https://doi.org/10.1097/ADM.0b013e318270f7b0 - DOI - PubMed - PMC
    1. Barkin, J. L., Bloch, J. R., Hawkins, K. C., & Thomas, T. S. (2014). Barriers to optimal social support in the postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN, 43(4), 445–454. https://doi.org/10.1111/1552-6909.12463 - DOI - PubMed
    1. Bosak, J., Messersmith, L., Bryer, C., Drainoni, M., Goodman, D., Adams, M., Barry, T., Flanagan, C., Flanagan, V., Wolff, K., & Declercq, E. (2024). “They just looked at me like I was human”: The experiences of parenting women and providers with substance use disorder treatment. Journal of Substance Use and Addiction Treatment, 157, 209240. https://doi.org/10.1016/j.josat.2023.209240 - DOI - PubMed
    1. Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531. - DOI

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