Effectiveness of child case management services for offspring of drug-dependent women.
Female drug users and their children have many medical and psychosocial problems, yet they often fail to follow through with prescribed treatments. The present study describes a specialized, case management program for children, birth through age 2, exposed to drugs in utero. Evaluation of program efficacy was examined by comparing 2-year outcomes for women who received different intensities of these child case management services. Mothers who received higher intensity care were more likely to be abstinent from illicit drugs and to have retained custody of their child(ren) at 2-year follow-up than those with lower intensity services. Study findings support clinical and economic efficacy of this model of care.
Jansson
Lauren M
LM
Johns Hopkins University School of Medicine, The Center for Addiction and Pregnancy, Baltimore, Maryland 21224, USA. ljansson@jhmi.edu
Svikis
Dace S
DS
Beilenson
Peter
P
D001741:Black or African American / Q000523:psychology; D015142:Baltimore; D019090:Case Management / Q000458:organization & administration*; D002662:Child Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D002669:Child Welfare / Q000208:ethnology / Q000523:psychology; D016241:Child of Impaired Parents; D002675:Child, Preschool; D003159:Community-Institutional Relations; D005193:Family Planning Services; D005260:Female; D005581:Foster Home Care / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009035:Mothers / Q000523:psychology*; D015397:Program Evaluation; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000208:ethnology / Q000534:rehabilitation*; D016896:Treatment Outcome