title: A novel integration effort to reduce the risk for alcohol-exposed pregnancy among women attending urban STD clinics.
abstract: Alcohol-exposed pregnancy (AEP) is a significant public health problem in the United States. Sexually transmitted disease (STD) clinics serve female clients with a high prevalence of heavy alcohol consumption coupled with ineffective contraceptive use. Project CHOICES (Changing High-Risk AlcOhol Use and Increasing Contraception Effectiveness) is an evidence-based, brief intervention to lower risk of AEP by targeting alcohol and contraceptive behaviors through motivational interviewing and individualized feedback. We describe our experience integrating and implementing CHOICES in STD clinics. This endeavor aligns with CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention's program collaboration and service integration strategic priority to strengthen collaborative work across disease areas and integrate services provided by related programs at the client level.
authors.affiliation: Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, AIDS Psychiatry Service, Baltimore, MD.
authors.forename: Heidi E
authors.initials: HE
authors.lastname: Hutton
authors.affiliation: Johns Hopkins University School of Medicine, Division of General Internal Medicine, Baltimore, MD.
authors.forename: Geetanjali
authors.initials: G
authors.lastname: Chander
authors.affiliation: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Prevention Research Branch, Atlanta, GA.
authors.forename: Patricia P
authors.initials: PP
authors.lastname: Green
authors.affiliation: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Prevention Research Branch, Atlanta, GA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Hutsell
authors.affiliation: Baltimore City Health Department, Druid STD Clinic, Baltimore, MD.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Weingarten
authors.affiliation: Denver Public Health, Denver, CO.
authors.forename: Karen L
authors.initials: KL
authors.lastname: Peterson
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000517:prevention & control* / Q000523:psychology; D015142:Baltimore; D003153:Community Health Services / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control* / Q000523:psychology; D015397:Program Evaluation; D012307:Risk Factors; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D014505:Urban Population; D055815:Young Adult