title: Effectiveness of comprehensive services for crack-dependent mothers with newborns and young children.
abstract: This article presents an outcome study of the Family Rehabilitation Program (FRP), a unique network of community-based programs in New York City that provides comprehensive services to families with drug-dependent parents, most caring for prenatally cocaine-exposed newborns. An admission sample of 173 mothers in 17 FRP sites was studied for one year; substance use was assessed by hair analysis and self-report. Mean length of retention was 10 months; half the clients were still active in the program at follow-up. Mothers completing or still active in FRP had higher rates of abstinence and substantially lower average levels of cocaine in their hair at follow-up than those exiting prematurely. The percent of families with children out of their homes did not increase significantly between admission and follow-up, and completing or remaining active in the program were associated with less out-of-home placement at follow-up.
authors.affiliation: National Development and Research Institutes, New York, NY 10048, USA. steve.magura@ndri.org
authors.forename: S
authors.initials: S
authors.lastname: Magura
authors.forename: A
authors.initials: A
authors.lastname: Laudet
authors.forename: S Y
authors.initials: SY
authors.lastname: Kang
authors.forename: S A
authors.initials: SA
authors.lastname: Whitney
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D019970:Cocaine-Related Disorders / Q000175:diagnosis / Q000628:therapy*; D016578:Crack Cocaine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015999:Multivariate Analysis; D010287:Parent-Child Relations; D017060:Patient Satisfaction; D015397:Program Evaluation; D011446:Prospective Studies; D016320:Substance Abuse Treatment Centers; D011795:Surveys and Questionnaires; D014932:Women's Health Services / Q000706:statistics & numerical data*
chemical_list: D016578:Crack Cocaine