Linking substance-abusing pregnant women to drug treatment services: a pilot program.
OBJECTIVE
To conduct a pilot study to assist pregnant substance abusers to enter drug treatment.


METHODS
A nonexperimental design provided eligible women with outreach/home visits from a team led by a public health nurse.


METHODS
All services for the women were provided in homes in the northeastern United States.


METHODS
Ten pregnant substance-abusing women who were not in drug treatment upon entry into prenatal care enrolled in the project.


METHODS
Home visits by a public health nurse were provided to the women to jointly develop a plan of care targeted to each woman's needs. A substance abuse counselor was available as a consultant and for home visits. An interdisciplinary team met monthly to coordinate services, discuss therapeutic approaches and treatment strategies, and address needed changes in the health services system.


METHODS
Rates of entry into substance abuse treatment, retention of custody of the index child, and scores on the Addiction Severity Index (ASI).


RESULTS
Although the expected rate of entry into treatment was 10%, 90% of the women (n = 9) entered treatment. All had full-term newborns. Eighty percent (n = 8) retained custody of the index child. Upon the participants' enrollment, ASI scores indicated a moderate to extreme problem with alcohol and drug use for all women, and moderate to extreme psychiatric problems for 89% of the women. Subsequent ASI scores demonstrated marked improvement in all three subscales.


CONCLUSIONS
This project provides strategies that nurses can use to assist substance-abusing pregnant women to enter drug treatment.
Corrarino
J E
JE
Suffolk County Department of Health Services, Hauppauge, NY, USA. janecorrarino@yahoo.com
Williams
C
C
Campbell
W S
WS
Amrhein
E
E
LoPiano
L
L
Kalachik
D
D
D000293:Adolescent; D000328:Adult; D005260:Female; D006699:Home Care Services; D006801:Humans; D017146:Models, Organizational; D009518:New York; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team; D011247:Pregnancy; D011248:Pregnancy Complications / Q000534:rehabilitation*; D012017:Referral and Consultation; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000534:rehabilitation*