A multifaceted intervention strategy for reducing substance use in high-risk women.
A multifaceted intervention procedure was used at nine sites to reduce the substance use of high-risk women of child-bearing age. The intervention arm featured an intensive home visit/case management system delivered by support specialists through direct programming or referrals. Six domains (mental health, social support, family functioning, self-efficacy/general well being, alcohol use, and tobacco and other drug use) were the focus of the program. Substance use was significantly correlated (P<0.05) with specific measures of mental health, social support, family functioning, and self-efficacy/general well being, supporting the viability of the project domains. Improvements were statistically significant (P<0.05) in 14 of the 16 areas rated. The first phase of the intervention project suggests that the approach is effective.
Loudenburg
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R
Center for Disabilities, Department of Pediatrics, The University of South Dakota School of Medicine, 1400 West 22nd Street, Sioux Falls, SD 57374, USA.
Leonardson
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GR
D000293:Adolescent; D003156:Community Mental Health Services; D003422:Critical Care; D005190:Family; D005260:Female; D006792:House Calls; D006801:Humans; D008603:Mental Health; D011247:Pregnancy; D011314:Preventive Health Services; D012307:Risk Factors; D012309:Risk-Taking; D020377:Self Efficacy; D012944:Social Support; D019966:Substance-Related Disorders / Q000517:prevention & control* / Q000523:psychology; D011795:Surveys and Questionnaires; D014930:Women