Home visiting programs face many challenges when providing evidence-based services to families affected by substance use disorders (SUDs). We conducted interviews and focus groups with community stakeholders and parents to elucidate important considerations when intentionally attempting to meet the needs of families affected by SUDs through home visiting programs. We identified one primary theme “Who is the client?” that describes how to ensure caregivers perceive themselves as an important focus of the program. Collectively, participants revealed that understanding caregivers’ emotional experiences was critical for effectively transforming their subjective experiences of the program. These emotional experiences were related to the quality of their relationships with their children, other family members, and service providers. Three sub-themes illustrate specific examples: 1) responding to the unique emotional needs of mothers in recovery, 2) considering emotional states to inform inclusion in programs, and 3) addressing complex family dynamics related to SUDs in the home. Implications of these findings are discussed.

家访计划在向受药物滥用障碍 (SUD) 影响的家庭提供循证服务时面临许多挑战。我们与社区利益相关者和家长进行了访谈和焦点小组讨论，以阐明在有意尝试通过家访计划满足受 SUD 影响的家庭的需求时的重要考虑因素。我们确定了一个主要主题“谁是客户？” 其中描述了如何确保护理人员将自己视为该计划的重要焦点。参与者集体表示，了解护理人员的情感体验对于有效改变他们对项目的主观体验至关重要。这些情感体验与他们与孩子、其他家庭成员和服务提供者的关系质量有关。三个子主题说明了具体示例：1）响应康复中母亲的独特情感需求，2）考虑情绪状态以告知纳入计划，以及3）解决与家庭中的 SUD 相关的复杂家庭动态。讨论了这些发现的意义。