I'm not sure what to think about drug-using mothers. A lot of people get mad at them, because of what they are doing to their babies, which is a natural first reaction. But it doesn't do any good to get mad at them. It's not like they're going to change their behavior because a health care professional chews them out. And it certainly doesn't help you gain rapport with them when you scold them.
Actually, many of the drug using mothers are quite nice, when they're not trying to bite someone, and I sort of enjoy talking to them. They are as varied as any other group of people. I often wonder what kind of upbringing they have had that made them get involved in such a sad and destructive lifestyle. My time with them is so fleeting that I can't really help them much, except perhaps to give them a few kind words that they seldom hear. So we refer their babies to the county protective services agency, and our social worker tries to get them into a treatment program.
And a year later they're back again and we start all over.