title: What if they do not want treatment?: lessons learned from intervention studies of non-treatment-seeking, drug-using pregnant women.
abstract: Despite specialized drug treatment, many pregnant drug-using women do not seek admission to such programs. This study examined two types of brief drug use intervention models for attracting and retaining pregnant women in drug abuse treatment. Both models offered motivational interviewing (MI) + behavioral incentives (BI) for drug abstinence. One model had an additional case management (CM) component. The addition of CM resulted in less drug use and fewer psychosocial needs, but similar levels of poor participation in the intervention was observed with both models. The intensity of effort expended to retain participants is discussed.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA. hjones@jhmi.edu
authors.forename: Hendrée E
authors.initials: HE
authors.lastname: Jones
authors.forename: Dace
authors.initials: D
authors.lastname: Svikis
authors.forename: James
authors.initials: J
authors.lastname: Rosado
authors.forename: Michelle
authors.initials: M
authors.lastname: Tuten
authors.forename: Jody L
authors.initials: JL
authors.lastname: Kulstad
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D019090:Case Management; D015897:Comorbidity; D003376:Counseling; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009042:Motivation; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology; D015813:Substance Abuse Detection; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D016312:Treatment Refusal