title: Participant perception of an integrated program for substance abuse in pregnancy.
abstract: OBJECTIVE
  To assess participant perception of an integrated model of care for substance abuse in pregnancy.
  
  
  METHODS
  Focus groups were employed for this qualitative study.
  
  
  METHODS
  Two Family Medicine Units, 1 in Toronto and 1 in Montreal, where integrated care for licit and illicit substance abuse in pregnancy is provided by a team of doctors, nurses, nurse practitioners, and social workers.
  
  
  METHODS
  Women who had received addiction and prenatal care at 1 of the 2 sites.
  
  
  METHODS
  Women were asked to discuss their experiences of care in focus groups.
  
  
  RESULTS
  Five central themes emerged: judgment, physician-patient communication, team communication, support groups, and self-responsibility.
  
  
  CONCLUSIONS
  Women felt more comfortable with provider teams that shared a consistent nonjudgmental attitude.
authors.affiliation: Departments of Family and Community Medicine and Psychiatry Faculty of Medicine, University of Toronto and coordinator of undergraduate and postgraduate education at the Addiction Medicine Program Centre for Addiction and Mental Health, Toronto, Ontario, Canada.. Electronic address: lisa_lefebvre@camh.net.
authors.forename: Lisa
authors.initials: L
authors.lastname: Lefebvre
authors.affiliation: Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Deana
authors.initials: D
authors.lastname: Midmer
authors.affiliation: Postgraduate Medical Education Office, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Jennifer Anne
authors.initials: JA
authors.lastname: Boyd
authors.affiliation: Department of Family and Community Medicine, University of Toronto and medical director of the Toronto Centre for Substance Use in Pregnancy, Toronto, Ontario, Canada.
authors.forename: Alice
authors.initials: A
authors.lastname: Ordean
authors.affiliation: Department of Family Medicine, McGiIl University Jewish General Hospital, Montreal, Quebec, Canada.
authors.forename: Lisa
authors.initials: L
authors.lastname: Graves
authors.affiliation: Department of Family and Community Medicine and University of Toronto Medical Director, St. Joseph's Health Centre, Toronto, Ontario, Canada.
authors.forename: Meldon
authors.initials: M
authors.lastname: Kahan
authors.affiliation: Toronto Centre for Substance Use in Pregnancy, St. Joseph's Health Centre, Toronto, Ontario, Canada.
authors.forename: Lydia
authors.initials: L
authors.lastname: Pantea
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003142:Communication; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D006801:Humans; D007600:Judgment; D015404:Nursing Methodology Research; D009864:Ontario; D010817:Physician-Patient Relations; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control / Q000523:psychology; D011295:Prenatal Care / Q000458:organization & administration*; D036301:Qualitative Research; D011792:Quebec; D012648:Self Care; D012657:Self-Help Groups; D013240:Stereotyping; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000517:prevention & control / Q000523:psychology; D011795:Surveys and Questionnaires