Participant perception of an integrated program for substance abuse in pregnancy.
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.
Lefebvre
Lisa
L
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.
Midmer
Deana
D
Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
Boyd
Jennifer Anne
JA
Postgraduate Medical Education Office, University of Toronto, Toronto, Ontario, Canada.
Ordean
Alice
A
Department of Family and Community Medicine, University of Toronto and medical director of the Toronto Centre for Substance Use in Pregnancy, Toronto, Ontario, Canada.
Graves
Lisa
L
Department of Family Medicine, McGiIl University Jewish General Hospital, Montreal, Quebec, Canada.
Kahan
Meldon
M
Department of Family and Community Medicine and University of Toronto Medical Director, St. Joseph's Health Centre, Toronto, Ontario, Canada.
Pantea
Lydia
L
Toronto Centre for Substance Use in Pregnancy, St. Joseph's Health Centre, Toronto, Ontario, Canada.
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