Preface. Drug use and parenting / Mary Hepburn -- pt. 1. Making sense of theory -- Introduction -- The journey to compassionate care / Susan Boyd -- Harm reduction -- Chapter outline -- 1. Drug scares and practice : socio-historical considerations / Susan Boyd -- 2. Using feminist ethics to inform practice with pregnant women who use substances / Lenora Marcellus -- Introduction -- Background -- What is a feminist ethic? -- Reconceptualizing autonomy and beneficence from a feminist perspective -- Application of the harm principle -- Maternal-infant rights and the moral status of the fetus -- Models of the maternal-fetal relationship -- Legal response to perinatal substance use -- What does it mean for women? : treatment considerations from a feminist perspective -- Summary -- 3. Outcomes for children with prenatal exposure to drugs and alcohol : a social-determinants of health approach / Lenora Marcellus, Kimberly Keens -- What is a social-determinants of health approach? -- Challenges to interpreting the research evidence -- Common substances of use and associated outcomes -- Summary --
pt. 2. Innovative women-centred practice -- 4. Caring not curing : caring for pregnant women with problematic substance use in an acute-care setting : a multidisciplinary approach / Sarah Payne -- Sheway -- British Columbia Women's Hospital -- Fir Square Combined Care Unit -- Why do we serve? -- The team approach -- Philosophy of care -- Our practice -- Best practice and making change in practice -- We have learned and we have grown -- 5. One woman at a time : bringing the Fir Square model of practice to a community hospital / Alice Forsyth, Dawn Pomponio, Laurie Robinson -- 6. "Make it more welcome" : best-practice child welfare work with substance-using mothers, diminishing risk by promoting strengths / Sydney Weaver -- Surveying worker knowledge and needs -- The discourse of risk in child-welfare work -- Deconstructing a risk document -- The discourse of strengths -- Cross-cultural awareness : understanding the substance-using mother -- Solution-focussed child-protection worker training -- Recommendations for policy, practice, and further research -- Shared parenting : "make it more welcome" -- 7. Breaking the cycle : an essay in three voices / Margaret Leslie, Gina DeMarchi, Mary Motz -- Introduction -- Background -- Three voices -- Growing up : the roots of disconnection -- Pathways to substance abuse -- Turning points : substance abuse, pregnancy, and opportunity -- Reconnection : caring, hope, and empowerment -- Mothering : looking backward, moving forward -- Conclusion --
pt. 3. Future directions -- 8. Knowing about women, children, and fetal alcohol syndrome : what knowledge, and whose knowing, counts? / Carolyn Schellenberg -- 9. Harm reduction in action : future directions / Susan Boyd, Lenora Marcellus -- Practice and research directions -- The elephant in the room -- Appendix A. Strengths-based training outline -- Ten steps to improving practice : tools for social workers.