Evaluation of a multisystems model for treating perinatal cocaine addiction.
Two stages of a gender-specific treatment program for perinatal cocaine-addicted women were introduced into a coed peer-led day treatment program and evaluated for outcomes. Stage I (N = 21) targeted gender-specific needs, but did not expressly promote family reintegration. Stage II (N = 27) augmented the gender-specific program with a multisystems model for family reintegration. As a control for historical effects, nonperinatal clients whose treatment remained the same during the periods corresponding to the two stages, were evaluated for outcomes (N = 66 for Stage I, N = 75 for Stage II). As hypothesized, urine toxicology and retention data were significantly improved for perinatal clients treated in Stage II, as compared with those treated in Stage I; no such improvements were noted for non-perinatal clients. The data support a conclusion that introducing a multisystems framework into a gender-specific program selectively improves clinical outcomes for inner-city perinatal cocaine-addicted women.
Egelko
S
S
Department of Psychiatry, New York University Medical Center, NY 10016, USA.
Galanter
M
M
Dermatis
H
H
DeMaio
C
C
D000293:Adolescent; D000328:Adult; D003042:Cocaine; D005260:Female; D006801:Humans; D008960:Models, Psychological; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration; D019966:Substance-Related Disorders / Q000628:therapy*; D016896:Treatment Outcome; D014505:Urban Population
D003042:Cocaine