title: Reenvisioning success for programs supporting pregnant women with problematic substance use.
abstract: Community-based, integrated, primary care maternity programs for pregnant women affected by problematic substance use are emerging as effective models for engaging women affected by multiple health and social issues. Although addictions services have historically been evaluated by individual achievement of abstinence, new definitions of program success are required as addiction comes to be viewed as a chronic illness. We conducted a mixed-methods study to follow the formative development stages of a community-based program, identifying key evaluation indicators and processes related to this program, program team members, and women and families served. As this program model develops, it is critical that providers, community partners, and health system leaders collaborate to frame definitions of success in ways helpful for guiding program development.
authors.affiliation: University of Victoria, Victoria, British Columbia, Canada lenoram@uvic.ca.
authors.forename: Lenora
authors.initials: L
authors.lastname: Marcellus
authors.affiliation: University of Victoria, Victoria, British Columbia, Canada.
authors.forename: Karen
authors.initials: K
authors.lastname: MacKinnon
authors.affiliation: University of Victoria, Victoria, British Columbia, Canada.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Benoit
authors.affiliation: Centre for Addictions Research of British Columbia, Victoria, British Columbia, Canada.
authors.forename: Rachel
authors.initials: R
authors.lastname: Phillips
authors.affiliation: University of Kent, Canterbury, UK.
authors.forename: Camille
authors.initials: C
authors.lastname: Stengel
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003156:Community Mental Health Services; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008427:Maternal Health Services; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology; D037841:Pregnant People / Q000523:psychology*; D012944:Social Support; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000523:psychology* / Q000628:therapy; D014739:Victoria; D055815:Young Adult
keywords: addiction / substance use; families, high risk; health care; marginalized populations; perinatal health; pregnancy, high risk; program evaluation; vulnerable populations