Wraparound programmes for pregnant and parenting women with substance use concerns in Canada: Partnerships are essential

2021 ◽  
Author(s):  
Carol Hubberstey ◽  
Deborah Rutman ◽  
Marilyn Van Bibber ◽  
Nancy Poole
Keyword(s):  
Substance Use ◽  
Pregnant And Parenting Women

scholarly journals Community networks of services for pregnant and parenting women with problematic substance use

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0206671 ◽  
Author(s):  
Karen Urbanoski ◽  
Chantele Joordens ◽  
Gillian Kolla ◽  
Karen Milligan
Keyword(s):  
Substance Use ◽  
Community Networks ◽  
Problematic Substance Use ◽  
Problematic Substance ◽  
Pregnant And Parenting Women

scholarly journals Pregnancy and Fetal Loss Reported by Methamphetamine-Using Women

2014 ◽  
Vol 8 ◽  
pp. SART.S14125 ◽  
Author(s):  
Mary-Lynn Brecht ◽  
Diane M. Herbeck
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Risk Behaviors ◽  
Mental Health Problems ◽  
Fetal Loss ◽  
National Sample ◽  
Treatment Needs ◽  
Treatment Services ◽  
And Gender ◽  
Pregnant And Parenting Women

To better understand substance use disorder treatment needs of pregnant and parenting women who use methamphetamine (MA), this paper describes pregnancy histories and fetal losses for women who were treated for MA use (N = 153) with reference to a national sample, and describes their drug use, sexual risk behaviors, and mental health status. MA users reported an average of 4.6 total pregnancies and 2.1 fetal losses, whereas women in a general population survey reported 3.2 and 1.2, respectively. Higher numbers of pregnancies and fetal losses were correlated with specific substance abuse and mental health problems including early sexual abuse and cognitive problems. The combination of MA users’ especially high numbers of pregnancies, fetal losses, and rates of risk behaviors suggest high social and health care costs for this population. Prenatal care may provide a vector through which women can be connected to risk reduction interventions and gender-responsive treatment services addressing substance use and mental health needs.

scholarly journals Multi-Service Programs for Pregnant and Parenting Women with Substance Use Concerns: Women’s Perspectives on Why They Seek Help and Their Significant Changes

2019 ◽  
Vol 16 (18) ◽  
pp. 3299 ◽  
Author(s):  
Carol Hubberstey ◽  
Deborah Rutman ◽  
Rose A. Schmidt ◽  
Marilyn Van Bibber ◽  
Nancy Poole
Keyword(s):  
Substance Use ◽  
Information Support ◽  
Structured Interviews ◽  
Service Programs ◽  
Health And Social Care ◽  
Client Data ◽  
Significant Life ◽  
Most Significant Change ◽  
Program Output ◽  
Pregnant And Parenting Women

Within Canada, several specialized multi-service prevention programs work with highly vulnerable pregnant and early parenting women with substance use issues. Experiences of trauma, mental health, poverty, and other factors associated with the social determinants of health complete the picture. Program evaluations have demonstrated their value, but less has been said as to women’s reasons for choosing to seek help from these programs, what they were hoping to gain, or what difference they believe has occurred as a result. The Co-creating Evidence project is a multi-year (2017–2020) national evaluation of holistic programs serving women at high risk of having an infant with prenatal alcohol or substance exposure. The evaluation uses a mixed methods design involving quarterly program output and “snapshot” client data, as well as in-person, semi-structured interviews and questionnaires with clients, program staff, and program partners. This article presents findings from interviews with women regarding why they sought help, how they used the services, and what they perceived to be the most significant change in their lives as a result. Obtaining help with substance use was the top theme for what women hoped to get from their participation in their program; however, women’s reasons were often intertwined. Additional motivations included wanting information, support or assistance with: child welfare; pregnancy; housing; getting connected to health care or prenatal care; and opportunities for peer support. With respect to the most significant life change, themes included: reduced substance use; improved housing; stronger mother–child connection; and improved wellness and social connections. Findings demonstrated that vulnerable, marginalized pregnant and parenting women who are using substances will seek help when health and social care services are configured in such a way as to take into consideration and address their unique roles, responsibilities, and realities.

scholarly journals Conceptualizing integrated service delivery for pregnant and parenting women with substance use issues: defining key factors and processes

2021 ◽  
Author(s):  
Tamara Lynn Meixner
Keyword(s):  
Substance Use ◽  
Service Provision ◽  
Hierarchical Cluster ◽  
Treatment Programs ◽  
Key Factors ◽  
Related Factors ◽  
Complex Needs ◽  
Treatment Models ◽  
Pregnant And Parenting Women ◽  
Integrated Service

Integrated substance use treatment programs for pregnant and parenting women provide comprehensive services designed to meet the complex needs of women and their children. Meta-analytic data associate participation in these programs with positive outcomes relating to maternal substance use and mental health, and child development. Given that programs are typically developed to meet locally determined needs and depend on available resources, considerable heterogeneity in treatment models and services exists. Further, little is known about process-related factors that support the integration of substance use and prenatal/parenting/child services within and between agencies. This study employed concept mapping methodology with a group of expert participants to examine their perceptions of factors and processes that support effective integrated service provision for this population. Multidimensional scaling and hierarchical cluster analysis were used to derive and define requisite factors and to examine their relative importance. Findings are discussed in relation to a preliminary conceptual framework for integrated service provision.

scholarly journals Pregnant and Parenting Women with a Substance Use Disorder: Actions and Policy for Enduring Therapeutic Practice

2019 ◽  
Vol 67 (2) ◽  
pp. 199-204 ◽  
Author(s):  
Martha A. Jessup ◽  
Sarah E. Oerther ◽  
Bonnie Gance-Cleveland ◽  
Lisa M. Cleveland ◽  
Kim M. Czubaruk ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Therapeutic Practice ◽  
Pregnant And Parenting Women

scholarly journals Conceptualizing integrated service delivery for pregnant and parenting women with substance use issues: defining key factors and processes

2021 ◽  
Author(s):  
Tamara Lynn Meixner
Keyword(s):  
Substance Use ◽  
Service Provision ◽  
Hierarchical Cluster ◽  
Treatment Programs ◽  
Key Factors ◽  
Related Factors ◽  
Complex Needs ◽  
Treatment Models ◽  
Pregnant And Parenting Women ◽  
Integrated Service

Integrated substance use treatment programs for pregnant and parenting women provide comprehensive services designed to meet the complex needs of women and their children. Meta-analytic data associate participation in these programs with positive outcomes relating to maternal substance use and mental health, and child development. Given that programs are typically developed to meet locally determined needs and depend on available resources, considerable heterogeneity in treatment models and services exists. Further, little is known about process-related factors that support the integration of substance use and prenatal/parenting/child services within and between agencies. This study employed concept mapping methodology with a group of expert participants to examine their perceptions of factors and processes that support effective integrated service provision for this population. Multidimensional scaling and hierarchical cluster analysis were used to derive and define requisite factors and to examine their relative importance. Findings are discussed in relation to a preliminary conceptual framework for integrated service provision.

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